Surgery EOR Exam [PAEA Blueprint] Questions with
correct answers
Malignant hyperthermia Correct Answer-_______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.
treat with glucose/insulin, and calcium +/-bicarb Correct Answer-If
patient is hyperkalemic (normal range 3.8-5.0), how should you treat the
patient?
Naloxone Correct Answer-_______is the reversing agent for opiods.
Flumazenil Correct Answer-_______is the reversing agent for
benzodiazipines.
prealbumin - every 2-3 days Correct Answer-What is the best indicator
used to monitor nutritional status?
TPN - total peripheral nutrition Correct Answer-Intervention:
_________require central access and indicated when no enteral feeding
for > 7 days.
,cardiac history -- history of MI, unstable angina, valvular disease
Correct Answer-The _________is the most important part of the history
before surgery.
beta blockers Correct Answer-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.
aortic stenosis -- crescendo diastolic rumble at apex Correct Answer-
When accessing cardiac disease prior to surgery, what is the most
important thing to access?
1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole Correct Answer-Guidelines for the use of
antibiotics include administration within _______ of surgery and
redosing after 4 hours. What is the abx of choice?
3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels Correct Answer-Pre-op -- Metabolic
disease/syndrome -- what are the 5 criteria?
,Cocaine Correct Answer-______should be monitored before surgery bc
it is a stimulant and vasoconstrictor -- can lead to severe tachycardia
EKG - men >40, women>50, known CAD, DM, or HTN
CXR - age >50, known cardiac or pulmonary disease Correct Answer-
Pre-Op -- What are the indications for EKG and CXR?
W - wind (atelectasis)
W - water (UTI)
W - wound (wound infection)
W - walking (DVT/thrombophlebitis)
W - wonder drugs (drug fever) Correct Answer-What are the 5 classic
"W's" of post operative fever?
wind/atelectasis Correct Answer-If the post op fever occurs within the
first 24 hours of surgery, what is the most likely cause?
water/UTI, catheter related phlebitis, pneumonia Correct Answer-If the
post op fever occurs within days 3-5 post op, what is the most likely
cause?
wound infection, pneumonia, abscess, infected hematoma, C diff colitis,
anastomotic leak, DVT, peritoneal abscess, drug fever, PE, parotitis
Correct Answer-If the post op fever occurs within days 5-10 post op,
what is the most likely cause?
, Staph aureus Correct Answer-_______is the most common pathogen in
wound infections and around foreign bodies.
Klebsiella Correct Answer-_______invades the inner ear and enteric
tissues as well as the lung.
Enteric organisms ie. enterobacteriaceae and enterococci Correct
Answer-______organisms are often found together with anaerobes.
Bacteroides & Peptostreptococci; Clostridium Correct Answer-Among
the anaerobes, ___&___are often present in surgical infections and
_____species are major pathogens in ischemic tissue.
Pseudomonas & Serratia Correct Answer-___&___are usually
nonpathogenic surface contaminants but may be opportunistic.
Some fungi and yeast cause abscesses in sinus tracts.
DVT - deep vein thrombosis Correct Answer-History of recent surgery,
trauma, cancer, prolonged immobilization, or oral contraceptive use
increases the risk of ____.
pain on passive dorsiflexion of ankle Correct Answer-What is Homan's
sign?
doppler ultrasound Correct Answer-What is the test of choice for DVT?
correct answers
Malignant hyperthermia Correct Answer-_______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.
treat with glucose/insulin, and calcium +/-bicarb Correct Answer-If
patient is hyperkalemic (normal range 3.8-5.0), how should you treat the
patient?
Naloxone Correct Answer-_______is the reversing agent for opiods.
Flumazenil Correct Answer-_______is the reversing agent for
benzodiazipines.
prealbumin - every 2-3 days Correct Answer-What is the best indicator
used to monitor nutritional status?
TPN - total peripheral nutrition Correct Answer-Intervention:
_________require central access and indicated when no enteral feeding
for > 7 days.
,cardiac history -- history of MI, unstable angina, valvular disease
Correct Answer-The _________is the most important part of the history
before surgery.
beta blockers Correct Answer-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.
aortic stenosis -- crescendo diastolic rumble at apex Correct Answer-
When accessing cardiac disease prior to surgery, what is the most
important thing to access?
1 hour
Abx of choice: cefazolin for all except colorectal then
cefazolin/metronidazole Correct Answer-Guidelines for the use of
antibiotics include administration within _______ of surgery and
redosing after 4 hours. What is the abx of choice?
3/5 to diagnose:
1 - diabetes
2 - central obesity
3 - HTN
4 - high serum triglycerrides
5 - low HDL levels Correct Answer-Pre-op -- Metabolic
disease/syndrome -- what are the 5 criteria?
,Cocaine Correct Answer-______should be monitored before surgery bc
it is a stimulant and vasoconstrictor -- can lead to severe tachycardia
EKG - men >40, women>50, known CAD, DM, or HTN
CXR - age >50, known cardiac or pulmonary disease Correct Answer-
Pre-Op -- What are the indications for EKG and CXR?
W - wind (atelectasis)
W - water (UTI)
W - wound (wound infection)
W - walking (DVT/thrombophlebitis)
W - wonder drugs (drug fever) Correct Answer-What are the 5 classic
"W's" of post operative fever?
wind/atelectasis Correct Answer-If the post op fever occurs within the
first 24 hours of surgery, what is the most likely cause?
water/UTI, catheter related phlebitis, pneumonia Correct Answer-If the
post op fever occurs within days 3-5 post op, what is the most likely
cause?
wound infection, pneumonia, abscess, infected hematoma, C diff colitis,
anastomotic leak, DVT, peritoneal abscess, drug fever, PE, parotitis
Correct Answer-If the post op fever occurs within days 5-10 post op,
what is the most likely cause?
, Staph aureus Correct Answer-_______is the most common pathogen in
wound infections and around foreign bodies.
Klebsiella Correct Answer-_______invades the inner ear and enteric
tissues as well as the lung.
Enteric organisms ie. enterobacteriaceae and enterococci Correct
Answer-______organisms are often found together with anaerobes.
Bacteroides & Peptostreptococci; Clostridium Correct Answer-Among
the anaerobes, ___&___are often present in surgical infections and
_____species are major pathogens in ischemic tissue.
Pseudomonas & Serratia Correct Answer-___&___are usually
nonpathogenic surface contaminants but may be opportunistic.
Some fungi and yeast cause abscesses in sinus tracts.
DVT - deep vein thrombosis Correct Answer-History of recent surgery,
trauma, cancer, prolonged immobilization, or oral contraceptive use
increases the risk of ____.
pain on passive dorsiflexion of ankle Correct Answer-What is Homan's
sign?
doppler ultrasound Correct Answer-What is the test of choice for DVT?
