INTERN YEAR STUDY GUIDE WITH QUESTIONS AND ANSWERS | LATEST UPDATE { GRADED A+}

INTERN YEAR STUDY GUIDE WITH

QUESTIONS AND ANSWERS | LATEST

UPDATE { GRADED A+}




Acute Hematochezia

("bright red blood clots or stool")




-causes?




-workup? - ✔✔Diverticulosis


Ischemia

Cancer

,Anal Fissure - Hemorrhoids - Infectious - AVM




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Work-up:

Colonoscopy (+- EGD if suspecting upper GI bleed)




CBC / BMP.............Liver Panel..........PT/PTT/INR




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Lower GI Bleed = normal BUN/Cr

Upper GI Bleed = HIGH BUN/Cr


What to give to a GI Bleeder if their INR is high _______? - ✔✔FFP


Most catheters (lines) are made of ___________

,PICC = _____________ (more pliable for longer access) -

✔✔Polyurethane




PICC = Silicone

Why "Peripheral IV access" >>> Central IV Access




.....if rapid infusion is required __________? - ✔✔Shorter length of line

= Less resistance




=More rapid resuscitation


Larger diameter: 20-gauge...........or...........16 gauge? - ✔✔16-gauge


Does multiple lumen catheters increase the risk of Infection _______? -

✔✔Nope :)

, _______ technique for inserting Central Lines? - ✔✔Seldinger


Why do we usually insert "IJ/Subclavian lines" on the ______ side?

___________________________? - ✔✔Quicker path to the SVC than

on the LEFT Side

Where do PICC Lines go to: ________ to __________?




Indications for a "PICC Line > Central Line" ________________" -

✔✔Basilic/Cephalic --------> SVC




PICC >>>>>> ......................when Central Lines are too risky

..................Thrombocytopenia

..................Morbid obesity

All Central Catheters are coated with _____________?