NBCE: Minor Surgery & Proctology Oregon Board Exam
1. 14% Risks, complications, and legal limitations: 1998
All chiropractic students graduating after April 18, 24
who wish to sit for the Oregon Board must 12
have hours of lecture AND hours of lab on
their transcripts.
2. 14% Risks, complications, and legal limitations: Anxiety
is the number one complication of minor
surgery!
3. 14% Risks, complications, and legal limitations: lethal
If not managed properly, even the simplest proce-
dure can have serious or even complications.
4. 14% Risks, complications, and legal limitations: toxic reaction
anaphylactic shock
The patient may have a to the local anesthet-
ic and go into .
5. 14% Risks, complications, and legal limitations: Bleeding
Unexpected operative and postoperative may
occur.
6. 14% Risks, complications, and legal limitations: malignancies
DC's cannot remove therefore they must be
able to recognize what the lesion is.
7. 14% Risks, complications, and legal limitations: routine
physical examination, skin
Vast majority of cases seen by a chiropractor are lesion biopsy, hemorrhoids
. These include: . (non painful or bleeding),
,NBCE: Minor Surgery & Proctology Oregon Board Exam
backache, nausea without
vomiting, and constipation.
8. 14% Risks, complications, and legal limitations: 15 to 65
The best candidates for minor surgery are ages
.
9. 14% Risks, complications, and legal limitations: Endomorph
are short, heavy, large boned, lethargic
and frequently with elevated blood pressure, are
slower to heal and offer a greater risk factor.
10. 14% Risks, complications, and legal limitations: cocaine
valium (anxiety med)
Recreational drug usage that should be asked prozac (SSRI)
about include . amphetamine (stimulant)
barbiturate (sedative)
11. 14% Risks, complications, and legal limitations: novocaine
Common local anesthetic injection used in dental
offices is
12. 14% Risks, complications, and legal limitations: increase the bleeding
prolonging the clotting time
Heavy ingestions of ASPIRIN have a direct impact
on minor surgery procedures. They will by
.
13. 14% Risks, complications, and legal limitations: Diuretics
,NBCE: Minor Surgery & Proctology Oregon Board Exam
lower blood pressure. Most commonly these
medications are Dyazid and Lasix.
14. 14% Risks, complications, and legal limitations: Diabetics
are a VERY HIGH risk. Their healing time is
greatly increased and they are poor healers and are
prone to secondary infections far more than the
average patient.
15. 14% Risks, complications, and legal limitations: Hemophilia (no clotting fac-
tors)
Patients with known blood dycrasias are HIGH RISK Leukemia
candidates. Some examples include: Simple anemia
16. 14% Risks, complications, and legal limitations: Stroke, Arterial prosthesis,
thrombophlebitis
Patients take Coumadin or Heparin as a blood thin-
ner which will increase bleeding because the clot-
ting ability is compromised. HIGH RISK. Patients
who take these mediations have , ,
.
17. 14% Risks, complications, and legal limitations:Pulmonary hypertension
Congestive heart failure
Patients with and should ELIMINAT- (CHF)
ED from minor surgery procedures.
18. 14% Risks, complications, and legal limitations: Arrhythmia
Patients with frequently take digoxin, lanoxin,
or digitalis.
19.
, NBCE: Minor Surgery & Proctology Oregon Board Exam
14% Risks, complications, and legal limitations: Asthma
Emphysema
Patients with respiratory complaints constitute an- Chronic Obstructive Pul-
other HIGH RISK group because there is a decrease monary Disease (COPD)
in oxygen uptake and resultant acidosis. These con-
ditions include:
20. 14% Risks, complications, and legal limitations: less
Nervous disorders are high risk than Systemic
Diseases
21. 14% Risks, complications, and legal limitations: clotting time
CBC
Any elective surgery must be preceded by a proper UA
lab analysis. This must include: Prothrombin
22. 14% Risks, complications, and legal limitations: construction workers
carpenters
Patient's occupation and how surgery will impact on refuse workers
his/her post operative recovery should be consid- sewer workers
ered. There is HIGH RISK of infection or secondary gardeners
trauma with: landscapers
fisherman
butchers
janitors
farmers
23. 14% Risks, complications, and legal limitations: Nosocomial Staph infection
are often a problem in hospital minor
surgery procedures and not DC outpatient proce-
dures (advantage)
1. 14% Risks, complications, and legal limitations: 1998
All chiropractic students graduating after April 18, 24
who wish to sit for the Oregon Board must 12
have hours of lecture AND hours of lab on
their transcripts.
2. 14% Risks, complications, and legal limitations: Anxiety
is the number one complication of minor
surgery!
3. 14% Risks, complications, and legal limitations: lethal
If not managed properly, even the simplest proce-
dure can have serious or even complications.
4. 14% Risks, complications, and legal limitations: toxic reaction
anaphylactic shock
The patient may have a to the local anesthet-
ic and go into .
5. 14% Risks, complications, and legal limitations: Bleeding
Unexpected operative and postoperative may
occur.
6. 14% Risks, complications, and legal limitations: malignancies
DC's cannot remove therefore they must be
able to recognize what the lesion is.
7. 14% Risks, complications, and legal limitations: routine
physical examination, skin
Vast majority of cases seen by a chiropractor are lesion biopsy, hemorrhoids
. These include: . (non painful or bleeding),
,NBCE: Minor Surgery & Proctology Oregon Board Exam
backache, nausea without
vomiting, and constipation.
8. 14% Risks, complications, and legal limitations: 15 to 65
The best candidates for minor surgery are ages
.
9. 14% Risks, complications, and legal limitations: Endomorph
are short, heavy, large boned, lethargic
and frequently with elevated blood pressure, are
slower to heal and offer a greater risk factor.
10. 14% Risks, complications, and legal limitations: cocaine
valium (anxiety med)
Recreational drug usage that should be asked prozac (SSRI)
about include . amphetamine (stimulant)
barbiturate (sedative)
11. 14% Risks, complications, and legal limitations: novocaine
Common local anesthetic injection used in dental
offices is
12. 14% Risks, complications, and legal limitations: increase the bleeding
prolonging the clotting time
Heavy ingestions of ASPIRIN have a direct impact
on minor surgery procedures. They will by
.
13. 14% Risks, complications, and legal limitations: Diuretics
,NBCE: Minor Surgery & Proctology Oregon Board Exam
lower blood pressure. Most commonly these
medications are Dyazid and Lasix.
14. 14% Risks, complications, and legal limitations: Diabetics
are a VERY HIGH risk. Their healing time is
greatly increased and they are poor healers and are
prone to secondary infections far more than the
average patient.
15. 14% Risks, complications, and legal limitations: Hemophilia (no clotting fac-
tors)
Patients with known blood dycrasias are HIGH RISK Leukemia
candidates. Some examples include: Simple anemia
16. 14% Risks, complications, and legal limitations: Stroke, Arterial prosthesis,
thrombophlebitis
Patients take Coumadin or Heparin as a blood thin-
ner which will increase bleeding because the clot-
ting ability is compromised. HIGH RISK. Patients
who take these mediations have , ,
.
17. 14% Risks, complications, and legal limitations:Pulmonary hypertension
Congestive heart failure
Patients with and should ELIMINAT- (CHF)
ED from minor surgery procedures.
18. 14% Risks, complications, and legal limitations: Arrhythmia
Patients with frequently take digoxin, lanoxin,
or digitalis.
19.
, NBCE: Minor Surgery & Proctology Oregon Board Exam
14% Risks, complications, and legal limitations: Asthma
Emphysema
Patients with respiratory complaints constitute an- Chronic Obstructive Pul-
other HIGH RISK group because there is a decrease monary Disease (COPD)
in oxygen uptake and resultant acidosis. These con-
ditions include:
20. 14% Risks, complications, and legal limitations: less
Nervous disorders are high risk than Systemic
Diseases
21. 14% Risks, complications, and legal limitations: clotting time
CBC
Any elective surgery must be preceded by a proper UA
lab analysis. This must include: Prothrombin
22. 14% Risks, complications, and legal limitations: construction workers
carpenters
Patient's occupation and how surgery will impact on refuse workers
his/her post operative recovery should be consid- sewer workers
ered. There is HIGH RISK of infection or secondary gardeners
trauma with: landscapers
fisherman
butchers
janitors
farmers
23. 14% Risks, complications, and legal limitations: Nosocomial Staph infection
are often a problem in hospital minor
surgery procedures and not DC outpatient proce-
dures (advantage)
