2024 PSYCHIATRY EOR EXAM 2 TESTBANK (A NEW UPDATED VERSION) ACTUAL EXAM WITH COMPLETE 200+ APPROVED QUESTIONS AND WELL ELABORATED ANSWERS WITH RATIONALES CORRECT VERIFIED SOLUTIONS)

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ispthepmostpimportantpanestheticpcomplication.pAnesthesiapcausespanpuncontrolledpincreasepinp
skeletalpmusclepoxidativepmetabolism,pwhichpoverwhelmspthepbody'spcapacityptopsupplypoxygen,premove
pCO2,pandpregulativepbodyptemperature.p-panswer-Malignantphyperthermia




Ifppatientpisphyperkalemicp(normalprangep3.8-5.0),phowpshouldpyouptreatptheppatient?p-panswer-
treatpwithpglucose/insulin,pandpcalciump+/-bicarb



ispthepreversingpagentpforpopiods.p-panswer-Naloxone



ispthepreversingpagentpforpbenzodiazipines.p-panswer-Flumazenil



Whatpispthepbestpindicatorpusedptopmonitorpnutritionalpstatus?p-panswer-prealbuminp-peveryp2-3pdays



Intervention:

requirepcentralpaccesspandpindicatedpwhenpnopenteralpfeedingpforp>p7pdays.p-panswer-TPNp-
totalpperipheralpnutrition
p




Thep ispthepmostpimportantppartpofpthephistorypbeforepsurgery.p-panswer-cardiacphistoryp--
phistorypofpMI,punstablepangina,pvalvularpdisease




Inppatientspwithpknownpcardiacpdisease,paggressivepintraoperativeploweringpofpmyocardialpoxygenpde
mandpwithp haspbeenpshownpinpRCT'sptopimprovepoutcomespandpshouldpbepused.p-panswer-
betapblockers



Whenpaccessingpcardiacpdiseaseppriorptopsurgery,pwhatpispthepmostpimportantpthingptopaccess?p-panswer-
paorticpstenosisp--pcrescendopdiastolicprumblepatpapex

,Guidelinespforpthepusepofpantibioticspincludepadministrationpwithinp
ofpsurgerypandpredosingpafter
4phours.pWhatpispthepabxpofpchoice?p-panswer-1phour
p



Abxpofpchoice:pcefazolinpforpallpexceptpcolorectalpthenpcefazolin/metronidazole



Pre-opp--pMetabolicpdisease/syndromep--pwhatparepthep5pcriteria?p-panswer-3/5ptopdiagnose:

1 -pdiabetes

2 -pcentralpobesity

3 -pHTN

4 -phighpserumptriglycerrides

5 -plowpHDLplevels



shouldpbepmonitoredpbeforepsurgerypbcpitpispapstimulantpandpvasoconstrictorp--
canpleadptopsevereptachycardiap-panswer-Cocaine
p




Pre-Opp--pWhatparepthepindicationspforpEKGpandpCXR?p-panswer-EKGp-
pmenp>40,pwomen>50,pknownpCAD,pDM,porpHTN



CXRp-pagep>50,pknownpcardiacporppulmonarypdisease



Whatparepthep5pclassicp"W's"pofppostpoperativepfever?p-panswer-Wp-

windp(atelectasis)pWp-pwaterp(UTI)
p



Wp-pwoundp(woundpinfection)

Wp-

walkingp(DVT/thrombophlebitis)pWp-
p



wonderpdrugsp(drugpfever)
p




Ifptheppostpoppfeverpoccurspwithinpthepfirstp24phourspofpsurgery,pwhatpispthepmostplikelypcause?p-panswer-
pwind/atelectasis




Ifptheppostpoppfeverpoccurspwithinpdaysp3-5ppostpop,pwhatpispthepmostplikelypcause?p-panswer-
water/UTI,pcatheterprelatedpphlebitis,ppneumonia

,Ifptheppostpoppfeverpoccurspwithinpdaysp5-10ppostpop,pwhatpispthepmostplikelypcause?p-panswer-
woundpinfection,ppneumonia,pabscess,pinfectedphematoma,pCpdiffpcolitis,panastomoticpleak,pDVT,ppe
ritonealpabscess,pdrugpfever,pPE,pparotitis



ispthepmostpcommonppathogenpinpwoundpinfectionspandparoundpforeignpbodies.p-panswer-
Staphpaureus



invadespthepinnerpearpandpentericptissuespaspwellpasptheplung.p-panswer-Klebsiella



organismsparepoftenpfoundptogetherpwithpanaerobes.p-panswer-
Entericporganismspie.penterobacteriaceaepandpenterococci



Amongpthepanaerobes,p & arepoftenppresentpinpsurgicalpinfectionspandp
speciesparepmajorppathogenspinpischemicptissue.p-panswer-
Bacteroidesp&pPeptostreptococci;pClostridium



Somepfungipandpyeastpcausepabscessespinpsinusptracts.p-panswer-Pseudomonasp&pSerratia



Historypofprecentpsurgery,ptrauma,pcancer,pprolongedpimmobilization,porporalpcontraceptivepusepincreases
pthepriskpofp .p-panswer-DVTp-pdeeppveinpthrombosis



WhatpispHoman'spsign?p-panswer-painponppassivepdorsiflexionpofpankle



WhatpisptheptestpofpchoicepforpDVT?p-panswer-dopplerpultrasound



HowpispthepD-dimerptextpuseful?p-panswer-
ItpispgoodpatprulingpapDVTpoutp(ifptheptextpispnegative)pbutpnotprulepitpin



ThepmostpcommonpcausepofpSIRSp(systemicpinflammatorypresponsepsyndrome)pispsepsis.pWhatparepthepcri
teriapforpdxpofpSIRS?p-panswer-Atpleastp2pofpthepfollowing:

1. tempp>38Cporp<36C

2. tachyp>90

3. tachypneap>p20pbreaths/minute

, 4. PCO2p<32mmHg

5. WBCp>p12,000/uLporp<4000/uL



Afterpsepsis,pwhatparepthepnextptwopmostpcommonpcausespofpSIRS?p-panswer-pancreatitispandpdrugs



Whatpispthepdifferencepbetweenphypovolemiapandpdehydration?p-panswer-
hypovolemiapisplosspofpbothpwaterpandpsodiumpwhilepdehydrationpisplosspofpintracellularpwaterporpdeficitp
withphypernatremiap--pdehydrationpoccurspwhenppatientpcanpnotpadjustpwaterpintakepforpwaterploss



Whatparepthepclinicalpsignspofpdehydrationpandphypovolemia?p-panswer-
tachycardia,phypotension,ppalepskin,pincreasedpcapillaryprefillptime,pdizziness,pfaintness,pnausea,pthirst,pde
creasedpurinepoutputp--pinphypovolemia,purinepwillpdemonstrateplowpsodiumpconcentration



Whatparep2pcommonpconditionspwithpdehydration?p-panswer-
diabetespinsipidusp(lackpofpADHporpunableptoprespondptopADH),pfeverpwithpincreasedpwaterploss



HyponatremiapCauses

=pcirrhosis,pCHF,pnephroticpsyndrome,pmassivepedema

=statespofpsevereppainporpnausea,ptrauma,pbrainpdamage,pSIADH

=prolongedpvomiting,pdecreasedporalpintake,pseverepdiarrhea,pdiureticpuse

Miscpcausesp=pfactitiousphyponatremia,phypothyroidism,padrenalpinsufficiency,pmalnourishedpstates,p
primaryppolydipsiap-panswer-Hypervolemic,pEuvolemic,pHypovolemic



Whatpareptheptwopmostpcommonptreatmentspforphyponatremia?

Otherplesspcommonptreatment?p-panswer-
saltptabspandpfluidprestriction;pvasopressinpreceptorpantagonistpinpSIADH,pCHF,pandpcirrhosis



Hypernatremiapispalmostpalwayspdueptop .pTherefore,pwhatpisptheptreatment?p-panswer-
pdehydration;prehydrate!




Whatps/spcanpresultpinpaphyperkalemicppatient?p-panswer-
cardiacparrhythmiasp(tallppeakedpTpwaves)pandpweakness