SurgeryEORExam[PAEABlueprint]
examwithcorrectanswers
_______isthemostimportantanestheticcomplication.Anesthesia-->uncontrolledincrease in
skeletalmuscle oxidative metabolism -->overwhelms body'scapacitytosupplyoxygen,remove CO2,
regulate bodytemp
Malignanthyperthermia
Hyperkalemiatreatment
glucose,insulin,andcalcium+/-bicarb
_______isthereversingagentforopiods.
Naloxone
_______isthereversingagentforbenzodiazipines.
Flumazenil
bestindicatorusedtomonitornutritional status
prealbumin-every2-3days
Intervention:
_________requirecentral accessandindicatedwhennoenteralfeedingfor>7days.
TPN-totalperipheral nutrition
The_________is themostimportantpartofthehistorybeforesurgery.
cardiachistory--historyofMI,unstableangina,valvular disease
Inpatientswithknowncardiacdisease,aggressiveintraoperative loweringofmyocardial oxygen
demandwith____hasbeenshowninRCT'stoimproveoutcomes
betablockers
Whenaccessingcardiacdisease priortosurgery,whatisthemostimportantthingtoaccess?
aortic stenosis--crescendodiastolicrumbleatapex
, Guidelinesfortheuseofantibioticsinclude administrationwithin_______ ofsurgeryandredosing
after4hours.Whatistheabxofchoice?
1hour
Abxofchoice:cefazolinforallexceptcolorectal thencefazolin/metronidazole
Wehaveanexpert-writtensolutionto thisproblem!
Metabolic syndromecriteria
3/5todiagnose:
1-diabetes
2-central obesity
3-HTN
4-highserumtriglycerrides
5-lowHDLlevels
______shouldbemonitoredbeforesurgerybcitisastimulantandvasoconstrictor--canleadtosevere
tachycardia
Cocaine
Pre-Op--indicationsforEKGandCXR
EKG-men>40,women>50, knownCAD,DM,orHTN
CXR-age>50,knowncardiacorpulmonarydisease
5classic"W's"ofpostoperativefever
W-wind(atelectasis)
W-water(UTI)
W-wound(woundinfection)
W-walking(DVT/thrombophlebitis)
W-wonderdrugs(drugfever)
Ifthepostopfeveroccurswithinthefirst24hoursofsurgery,whatisthemostlikelycause?
wind/atelectasis
Ifthepostopfeveroccurswithindays3-5postop,whatisthemostlikelycause?
water/UTI,catheterrelatedphlebitis,pneumonia
examwithcorrectanswers
_______isthemostimportantanestheticcomplication.Anesthesia-->uncontrolledincrease in
skeletalmuscle oxidative metabolism -->overwhelms body'scapacitytosupplyoxygen,remove CO2,
regulate bodytemp
Malignanthyperthermia
Hyperkalemiatreatment
glucose,insulin,andcalcium+/-bicarb
_______isthereversingagentforopiods.
Naloxone
_______isthereversingagentforbenzodiazipines.
Flumazenil
bestindicatorusedtomonitornutritional status
prealbumin-every2-3days
Intervention:
_________requirecentral accessandindicatedwhennoenteralfeedingfor>7days.
TPN-totalperipheral nutrition
The_________is themostimportantpartofthehistorybeforesurgery.
cardiachistory--historyofMI,unstableangina,valvular disease
Inpatientswithknowncardiacdisease,aggressiveintraoperative loweringofmyocardial oxygen
demandwith____hasbeenshowninRCT'stoimproveoutcomes
betablockers
Whenaccessingcardiacdisease priortosurgery,whatisthemostimportantthingtoaccess?
aortic stenosis--crescendodiastolicrumbleatapex
, Guidelinesfortheuseofantibioticsinclude administrationwithin_______ ofsurgeryandredosing
after4hours.Whatistheabxofchoice?
1hour
Abxofchoice:cefazolinforallexceptcolorectal thencefazolin/metronidazole
Wehaveanexpert-writtensolutionto thisproblem!
Metabolic syndromecriteria
3/5todiagnose:
1-diabetes
2-central obesity
3-HTN
4-highserumtriglycerrides
5-lowHDLlevels
______shouldbemonitoredbeforesurgerybcitisastimulantandvasoconstrictor--canleadtosevere
tachycardia
Cocaine
Pre-Op--indicationsforEKGandCXR
EKG-men>40,women>50, knownCAD,DM,orHTN
CXR-age>50,knowncardiacorpulmonarydisease
5classic"W's"ofpostoperativefever
W-wind(atelectasis)
W-water(UTI)
W-wound(woundinfection)
W-walking(DVT/thrombophlebitis)
W-wonderdrugs(drugfever)
Ifthepostopfeveroccurswithinthefirst24hoursofsurgery,whatisthemostlikelycause?
wind/atelectasis
Ifthepostopfeveroccurswithindays3-5postop,whatisthemostlikelycause?
water/UTI,catheterrelatedphlebitis,pneumonia
