QUESTIONS WITH SOLUTIONS GRADED A+
◉Which of the following are used for skin preparation prior to
surgery?
1. Triclosan 1%
2. alcohol 70%
3. povidone-iodine
4. glutaraldehyde
A. 1, 2, and 3 only
B. 1, 2, and 4 only
C. 1, 3, and 4 only
D. 2, 3, and 4 only. Answer: A. 1,2,and 3 only
◉When should the patient's chest tubes be attached to the drainage
system during a thoracotomy?
A. after the thoracic cavity is closed
B. immediately upon insertion
C. within an hour of the procedure
D. upon arrival in the PACU. Answer: A
,◉In patients who develop fever, abdominal pain, and profuse
diarrhea, the MOST frequently seen antibiotic-associated
enterocolitis is due to which of the following organisms?
A. Enterobacter cloacae
B. Enterococcus faecalis
C. Pseudomonas aeruginosa
D Clostridium difficile. Answer: D
◉During a carotid endarterectomy, the final occlusion clamp to be
removed after anastomosis is on the
A. common carotid.
B. internal carotid.
C. external carotid.
D. thyroid branch.. Answer: B. The clamp on the internal carotid
artery should be removed last so that all debris left in the area is
flushed out through the external carotid artery.
◉During a routine abdominal hysterectomy, the anesthesiologist
notes that the patient is becoming progressively tachycardic. He
notes that there has been virtually no blood loss. The surgeon
requests additional muscle relaxation because the patient's
abdominal musculature is "tightening up." The esophageal
temperature probe indicates a core body temperature of 103°F
(39°C). The anesthesiologist notices that the CO2 monitors are
alarming with high levels. The anesthesiologist turns off his
, anesthetic agent, hyperventilates the patient with 100% oxygen, and
administers which of the following drugs?
A. succinylcholine
B. dantrolene
C. atropine
D. epinephrine. Answer: B.The scenario is describing the anesthesia
emergency malignant hyperthermia (MH). Dantrolene is the
medication given to combat MH (2-3 mg/kg until signs are
controlled). Some signs of MH are tachycardia, tachypnea,
hypercarbia, muscle stiffness and rigidity, hypoxia, elevated BP,
cardiac dysrhythmias, changes in CO2 absorption, and elevated
temperature.
◉A pledgeted suture is used for hemostasis in liver injury to
A. align the suture placement.
B. add bulk to the injury site.
C. reduce the likelihood of suture cut- through.
D. provide traction for increased exposure.. Answer: C. Pledgeted
sutures (buttresses) are sutures passed through a small patch of
reinforcing material (usually Teflon). This type of suture is used in
areas where the surgeon considers buffering to be beneficial,
particularly in delicate or friable tissue.