SURGERY EOR EXAM [PAEA
BLUEPRINT] WITH COMPLETE
QUESTIONS AND ANSWERS { GRADED
A+}
_______is the most important anesthetic complication. Anesthesia
causes an uncontrolled increase in skeletal muscle oxidative metabolism,
which overwhelms the body's capacity to supply oxygen, remove CO2,
and regulative body temperature. - ✔✔Malignant hyperthermia
If patient is hyperkalemic (normal range 3.8-5.0), how should you treat
the patient? - ✔✔treat with glucose/insulin, and calcium +/-bicarb
_______is the reversing agent for opiods. - ✔✔Naloxone
_______is the reversing agent for benzodiazipines. - ✔✔Flumazenil
,What is the best indicator used to monitor nutritional status? -
✔✔prealbumin - every 2-3 days
Intervention:
_________require central access and indicated when no enteral feeding
for > 7 days. - ✔✔TPN - total peripheral nutrition
The _________is the most important part of the history before surgery. -
✔✔cardiac history -- history of MI, unstable angina, valvular disease
In patients with known cardiac disease, aggressive intraoperative
lowering of myocardial oxygen demand with ____ has been shown in
RCT's to improve outcomes and should be used. - ✔✔beta blockers
When accessing cardiac disease prior to surgery, what is the most
important thing to access? - ✔✔aortic stenosis -- crescendo diastolic
rumble at apex
,Guidelines for the use of antibiotics include administration within
_______ of surgery and redosing after 4 hours. What is the abx of
choice? - ✔✔1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole
Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria? -
✔✔3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels
______should be monitored before surgery bc it is a stimulant and
vasoconstrictor -- can lead to severe tachycardia - ✔✔Cocaine
, Pre-Op -- What are the indications for EKG and CXR? - ✔✔EKG -
men >40, women>50, known CAD, DM, or HTN
CXR - age >50, known cardiac or pulmonary disease
What are the 5 classic "W's" of post operative fever? - ✔✔W - wind
(atelectasis)
W - water (UTI)
W - wound (wound infection)
W - walking (DVT/thrombophlebitis)
W - wonder drugs (drug fever)
If the post op fever occurs within the first 24 hours of surgery, what is
the most likely cause? - ✔✔wind/atelectasis
If the post op fever occurs within days 3-5 post op, what is the most
likely cause? - ✔✔water/UTI, catheter related phlebitis, pneumonia
If the post op fever occurs within days 5-10 post op, what is the most
likely cause? - ✔✔wound infection, pneumonia, abscess, infected
BLUEPRINT] WITH COMPLETE
QUESTIONS AND ANSWERS { GRADED
A+}
_______is the most important anesthetic complication. Anesthesia
causes an uncontrolled increase in skeletal muscle oxidative metabolism,
which overwhelms the body's capacity to supply oxygen, remove CO2,
and regulative body temperature. - ✔✔Malignant hyperthermia
If patient is hyperkalemic (normal range 3.8-5.0), how should you treat
the patient? - ✔✔treat with glucose/insulin, and calcium +/-bicarb
_______is the reversing agent for opiods. - ✔✔Naloxone
_______is the reversing agent for benzodiazipines. - ✔✔Flumazenil
,What is the best indicator used to monitor nutritional status? -
✔✔prealbumin - every 2-3 days
Intervention:
_________require central access and indicated when no enteral feeding
for > 7 days. - ✔✔TPN - total peripheral nutrition
The _________is the most important part of the history before surgery. -
✔✔cardiac history -- history of MI, unstable angina, valvular disease
In patients with known cardiac disease, aggressive intraoperative
lowering of myocardial oxygen demand with ____ has been shown in
RCT's to improve outcomes and should be used. - ✔✔beta blockers
When accessing cardiac disease prior to surgery, what is the most
important thing to access? - ✔✔aortic stenosis -- crescendo diastolic
rumble at apex
,Guidelines for the use of antibiotics include administration within
_______ of surgery and redosing after 4 hours. What is the abx of
choice? - ✔✔1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole
Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria? -
✔✔3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels
______should be monitored before surgery bc it is a stimulant and
vasoconstrictor -- can lead to severe tachycardia - ✔✔Cocaine
, Pre-Op -- What are the indications for EKG and CXR? - ✔✔EKG -
men >40, women>50, known CAD, DM, or HTN
CXR - age >50, known cardiac or pulmonary disease
What are the 5 classic "W's" of post operative fever? - ✔✔W - wind
(atelectasis)
W - water (UTI)
W - wound (wound infection)
W - walking (DVT/thrombophlebitis)
W - wonder drugs (drug fever)
If the post op fever occurs within the first 24 hours of surgery, what is
the most likely cause? - ✔✔wind/atelectasis
If the post op fever occurs within days 3-5 post op, what is the most
likely cause? - ✔✔water/UTI, catheter related phlebitis, pneumonia
If the post op fever occurs within days 5-10 post op, what is the most
likely cause? - ✔✔wound infection, pneumonia, abscess, infected
