PAEA GENERAL SURGERY EOR EXAM 2024
NEWEST QUESTIONS AND ANSWERS (Complete
And Verified Study material)
_______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. - {answer}-
Malignant hyperthermia
If patient is hyperkalemic (normal range 3.8-5.0), how should you
treat the patient? - {answer}-treat with glucose/insulin, and calcium
+/-bicarb
_______is the reversing agent for opiods. - {answer}-Naloxone
_______is the reversing agent for benzodiazipines. - {answer}-
Flumazenil
,What is the best indicator used to monitor nutritional status? -
{answer}-prealbumin - every 2-3 days
Intervention:
_________require central access and indicated when no enteral
feeding for > 7 days. - {answer}-TPN - total peripheral nutrition
The _________is the most important part of the history before
surgery. - {answer}-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. - {answer}-beta
blockers
When accessing cardiac disease prior to surgery, what is the most
important thing to access? - {answer}-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? - {answer}-1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole
,Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria? -
{answer}-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 - {answer}-Cocaine
Pre-Op -- What are the indications for EKG and CXR? - {answer}-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? - {answer}-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? - {answer}-wind/atelectasis
, If the post op fever occurs within days 3-5 post op, what is the most
likely cause? - {answer}-water/UTI, catheter related phlebitis,
pneumonia
If the post op fever occurs within days 5-10 post op, what is the most
likely cause? - {answer}-wound infection, pneumonia, abscess,
infected hematoma, C diff colitis, anastomotic leak, DVT, peritoneal
abscess, drug fever, PE, parotitis
_______is the most common pathogen in wound infections and
around foreign bodies. - {answer}-Staph aureus
_______invades the inner ear and enteric tissues as well as the lung.
- {answer}-Klebsiella
______organisms are often found together with anaerobes. -
{answer}-Enteric organisms ie. enterobacteriaceae and enterococci
Among the anaerobes, ___&___are often present in surgical
infections and _____species are major pathogens in ischemic tissue. -
{answer}-Bacteroides & Peptostreptococci; Clostridium
___&___are usually nonpathogenic surface contaminants but may
be opportunistic.
Some fungi and yeast cause abscesses in sinus tracts. - {answer}-
Pseudomonas & Serratia
NEWEST QUESTIONS AND ANSWERS (Complete
And Verified Study material)
_______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. - {answer}-
Malignant hyperthermia
If patient is hyperkalemic (normal range 3.8-5.0), how should you
treat the patient? - {answer}-treat with glucose/insulin, and calcium
+/-bicarb
_______is the reversing agent for opiods. - {answer}-Naloxone
_______is the reversing agent for benzodiazipines. - {answer}-
Flumazenil
,What is the best indicator used to monitor nutritional status? -
{answer}-prealbumin - every 2-3 days
Intervention:
_________require central access and indicated when no enteral
feeding for > 7 days. - {answer}-TPN - total peripheral nutrition
The _________is the most important part of the history before
surgery. - {answer}-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. - {answer}-beta
blockers
When accessing cardiac disease prior to surgery, what is the most
important thing to access? - {answer}-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? - {answer}-1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole
,Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria? -
{answer}-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 - {answer}-Cocaine
Pre-Op -- What are the indications for EKG and CXR? - {answer}-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? - {answer}-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? - {answer}-wind/atelectasis
, If the post op fever occurs within days 3-5 post op, what is the most
likely cause? - {answer}-water/UTI, catheter related phlebitis,
pneumonia
If the post op fever occurs within days 5-10 post op, what is the most
likely cause? - {answer}-wound infection, pneumonia, abscess,
infected hematoma, C diff colitis, anastomotic leak, DVT, peritoneal
abscess, drug fever, PE, parotitis
_______is the most common pathogen in wound infections and
around foreign bodies. - {answer}-Staph aureus
_______invades the inner ear and enteric tissues as well as the lung.
- {answer}-Klebsiella
______organisms are often found together with anaerobes. -
{answer}-Enteric organisms ie. enterobacteriaceae and enterococci
Among the anaerobes, ___&___are often present in surgical
infections and _____species are major pathogens in ischemic tissue. -
{answer}-Bacteroides & Peptostreptococci; Clostridium
___&___are usually nonpathogenic surface contaminants but may
be opportunistic.
Some fungi and yeast cause abscesses in sinus tracts. - {answer}-
Pseudomonas & Serratia
