MEDSURG VATI QUESTIONS AND
ANSWERS
basalvncellvncarcinoma:vnappearancevn-vnanswer---pearly,vnwaxyvnnodule
-well-definedvnborders
-pearly/waxyvnd/tvnoverexposurevntovnsun
-onvnface/neck/arms
PE:vnsignsvn-vnanswer---crackles,vnwheezes,vnorvnpleuralvnfrictionvnrub
-petechiaevnovervn*chest/axillae*
-hemoptysis
-JVD
colectomy:vnpost-opvnstoolvnconsistencyvn-vnanswer--
whenvnperistalsisvnreturns,vninitialvnperiodvnofvn*highvnvolumevnliquidvnstool*,vnupvntovn1,800
vnmL/day
later,vnsmallvnbowelvnadapts,vnstoolvndropsvntovn800vnmL/day
post-op:vnstoolvnconsistencyvn-vnanswer--1)vntransversevncolostomyvn-->vnPASTY
2)vncolectomyvn-->vnw/vnhighvnvolumevnofvnliquid
3)vndescendingvncolostomyvn-->vnsolid,vnwell-formed
4)vnileostomyvn-->vnredvn(firstvndrainage),vnthenvngreenish-yellow
*frankvnbloodvnclotsvn=vnalwaysvnabnormal*
hipvnarthroplasty:vnpost-opvnteachingvn-vnanswer---
maintainvnaffectedvnextremityvninvnneutralvnposition,vnslightlyvn*abducted*
-mayvnusevnabductorvnpillowvnorvnseveralvnpillowsvnb/wvnptvnlegsvnwhenvninvnbed
-
dislocationvn=vnlegvnrotatesvninward,vnsuddenvnseverevnpain,vnshortervnsurgicalvnextremity
-TCDBvnqvn2vnhrsvnNOTvnIS
-don'tvnflexvn>vn90vndegreesvnatvnANYvntime
paracentesisvnvs.vnthoracentesisvn-vnanswer--PARA
-emptyvnbladder
-weightvnbeforevn+vnafter
-bedrestvnpost-op
THORA
-leanvnovervnbedsidevntable
fecalvnoccultvnbloodvntest:vnwhatvnfoodvntovnavoidvn48vnhrsvnbeforevn-vnanswer--
REDvnMEAT
myestheniavngravis:vnsignvn-vnanswer--PTOSIS:vneyelidvndroop
, *DxvnhasNOvnsensationvnorvncognitionvneffect;vnonlyvnaffectsvnMOTORvnfunction*
parkinsons:vnsignvn-vnanswer--masklikevnexpression
fatvnoverloadvnsyndrome:vnsignvn-vnanswer---elevatedvntriglycerides
-multiorganvnfailure
-FEVER
esophagealvnvarices:vnpreventvnbleedingvn-vnanswer--
STOOLvnSOFTENERSvnb/cvnreducesvnstraining
*patho:vndilated,vnbulgingvnveinsvnthatvninflatevnd/tvnportalvnHTNvn-->vnbleedvneasy*
ETTvntube:vnverifyvnplacementvn-vnanswer--MOSTvnRELIABLE
-endvntidalvnCO2
-CXR
OTHER
-bilateralvnbreathvnsounds
-symmetricvnchestvnmovement
-feelvnexhaledvnair
mastectomy:vnpost-opvnexercisesvn-vnanswer--DAYvn1vn
squeezevnballvnw/vnhandvnofvnaffectedvnside
*goal:vnmobilityvnw/ovnstretch,vnstrain*
DAYvn2
ROM,vni.e.vn"walk"vnupvnwallvnw/vnbothvnhands
PACU
flex/extendvnfingersvnofvnaffectedvnsidevnhand
ICPvnmanifestationsvn-vnanswer--EARLY
-LOCvnchanges
LATE
-suddenvnseverevnHTN
-bradycardia
-widevnpulsevnpressure
lumbarvnspinalvncordvninjuryvn(SCI):vnpost-opvnteachingvn-vnanswer--
watchvnforvnCLOUDYvnurinevnb/cvnindicatevninfection
*ptvncan'tvnfeelvndysuria,vnurgency,vnbackvnpainvnsovnonlyvns/sxvn=vncloudy*
phenytoinvnintermittentvnIVvnbolusvninvnD5Wvn-vnanswer---don'tvninfusevn>vn50vnmg/min
-flushvnw/vnNSvnbeforevn+vnafter
-mixvnw/vn<vn50vnmLvnNS
-infusevnovervn1vnhr
ANSWERS
basalvncellvncarcinoma:vnappearancevn-vnanswer---pearly,vnwaxyvnnodule
-well-definedvnborders
-pearly/waxyvnd/tvnoverexposurevntovnsun
-onvnface/neck/arms
PE:vnsignsvn-vnanswer---crackles,vnwheezes,vnorvnpleuralvnfrictionvnrub
-petechiaevnovervn*chest/axillae*
-hemoptysis
-JVD
colectomy:vnpost-opvnstoolvnconsistencyvn-vnanswer--
whenvnperistalsisvnreturns,vninitialvnperiodvnofvn*highvnvolumevnliquidvnstool*,vnupvntovn1,800
vnmL/day
later,vnsmallvnbowelvnadapts,vnstoolvndropsvntovn800vnmL/day
post-op:vnstoolvnconsistencyvn-vnanswer--1)vntransversevncolostomyvn-->vnPASTY
2)vncolectomyvn-->vnw/vnhighvnvolumevnofvnliquid
3)vndescendingvncolostomyvn-->vnsolid,vnwell-formed
4)vnileostomyvn-->vnredvn(firstvndrainage),vnthenvngreenish-yellow
*frankvnbloodvnclotsvn=vnalwaysvnabnormal*
hipvnarthroplasty:vnpost-opvnteachingvn-vnanswer---
maintainvnaffectedvnextremityvninvnneutralvnposition,vnslightlyvn*abducted*
-mayvnusevnabductorvnpillowvnorvnseveralvnpillowsvnb/wvnptvnlegsvnwhenvninvnbed
-
dislocationvn=vnlegvnrotatesvninward,vnsuddenvnseverevnpain,vnshortervnsurgicalvnextremity
-TCDBvnqvn2vnhrsvnNOTvnIS
-don'tvnflexvn>vn90vndegreesvnatvnANYvntime
paracentesisvnvs.vnthoracentesisvn-vnanswer--PARA
-emptyvnbladder
-weightvnbeforevn+vnafter
-bedrestvnpost-op
THORA
-leanvnovervnbedsidevntable
fecalvnoccultvnbloodvntest:vnwhatvnfoodvntovnavoidvn48vnhrsvnbeforevn-vnanswer--
REDvnMEAT
myestheniavngravis:vnsignvn-vnanswer--PTOSIS:vneyelidvndroop
, *DxvnhasNOvnsensationvnorvncognitionvneffect;vnonlyvnaffectsvnMOTORvnfunction*
parkinsons:vnsignvn-vnanswer--masklikevnexpression
fatvnoverloadvnsyndrome:vnsignvn-vnanswer---elevatedvntriglycerides
-multiorganvnfailure
-FEVER
esophagealvnvarices:vnpreventvnbleedingvn-vnanswer--
STOOLvnSOFTENERSvnb/cvnreducesvnstraining
*patho:vndilated,vnbulgingvnveinsvnthatvninflatevnd/tvnportalvnHTNvn-->vnbleedvneasy*
ETTvntube:vnverifyvnplacementvn-vnanswer--MOSTvnRELIABLE
-endvntidalvnCO2
-CXR
OTHER
-bilateralvnbreathvnsounds
-symmetricvnchestvnmovement
-feelvnexhaledvnair
mastectomy:vnpost-opvnexercisesvn-vnanswer--DAYvn1vn
squeezevnballvnw/vnhandvnofvnaffectedvnside
*goal:vnmobilityvnw/ovnstretch,vnstrain*
DAYvn2
ROM,vni.e.vn"walk"vnupvnwallvnw/vnbothvnhands
PACU
flex/extendvnfingersvnofvnaffectedvnsidevnhand
ICPvnmanifestationsvn-vnanswer--EARLY
-LOCvnchanges
LATE
-suddenvnseverevnHTN
-bradycardia
-widevnpulsevnpressure
lumbarvnspinalvncordvninjuryvn(SCI):vnpost-opvnteachingvn-vnanswer--
watchvnforvnCLOUDYvnurinevnb/cvnindicatevninfection
*ptvncan'tvnfeelvndysuria,vnurgency,vnbackvnpainvnsovnonlyvns/sxvn=vncloudy*
phenytoinvnintermittentvnIVvnbolusvninvnD5Wvn-vnanswer---don'tvninfusevn>vn50vnmg/min
-flushvnw/vnNSvnbeforevn+vnafter
-mixvnw/vn<vn50vnmLvnNS
-infusevnovervn1vnhr
