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
-------------------------------------------------------------------
Work-up:
Colonoscopy (+- EGD if suspecting upper GI bleed)
CBC / BMP.............Liver Panel..........PT/PTT/INR
-------------------------------------------------------------------
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 _____________?
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
-------------------------------------------------------------------
Work-up:
Colonoscopy (+- EGD if suspecting upper GI bleed)
CBC / BMP.............Liver Panel..........PT/PTT/INR
-------------------------------------------------------------------
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 _____________?
