Surgery EOR Exam [PAEA
Blueprint] exam with correct
answers
_______isthemostimportantanestheticcomplication.Anesthesiacausesanuncontrolledincreasein
skeletalmuscle oxidative metabolism,whichoverwhelms thebody'scapacitytosupplyoxygen,
remove CO2,andregulative bodytemperature.-correct answer✔✔Malignanthyperthermia
Ifpatientishyperkalemic (normal range3.8-5.0), howshouldyoutreatthepatient? -correct
answer✔✔treatwithglucose/insulin,andcalcium+/-bicarb
_______isthereversingagentforopiods.-correct answer✔✔Naloxone
_______isthereversingagentforbenzodiazipines.-correct answer✔✔Flumazenil
Whatisthebestindicatorusedtomonitornutritionalstatus?-correct answer✔✔prealbumin-every2-
3days
Intervention:
_________requirecentral accessandindicatedwhennoenteralfeedingfor>7days.-correct
answer✔✔TPN-totalperipheral nutrition
The_________is themostimportantpartofthehistorybeforesurgery.-correct answer✔✔cardiac
history--historyofMI,unstableangina,valvular disease
,Inpatientswithknowncardiacdisease,aggressiveintraoperative loweringofmyocardial oxygen
demandwith____hasbeenshowninRCT'stoimproveoutcomesandshouldbeused.-correct
answer✔✔betablockers
Whenaccessingcardiacdisease priortosurgery,whatisthemostimportantthingtoaccess?-correct
answer✔✔aortic stenosis--crescendodiastolicrumble atapex
Guidelinesfortheuseofantibioticsinclude administrationwithin_______ ofsurgeryandredosing
after4hours.Whatistheabxofchoice? -correct answer✔✔1hour
Abxofchoice:cefazolinforallexceptcolorectal thencefazolin/metronidazole
Pre-op--Metabolicdisease/syndrome--whatarethe5criteria? -correct answer✔✔3/5todiagnose:
1-diabetes
2-central obesity
3-HTN
4-highserumtriglycerrides
5-lowHDLlevels
______shouldbemonitoredbeforesurgerybcitisastimulantandvasoconstrictor--canleadtosevere
tachycardia-correct answer✔✔Cocaine
Pre-Op--WhataretheindicationsforEKGandCXR?-correct answer✔✔EKG-men>40,women>50,
knownCAD,DM,orHTN
CXR-age>50,knowncardiacorpulmonarydisease
Whatarethe5classic "W's"ofpostoperativefever?-correct answer✔✔W-wind(atelectasis)
W-water(UTI)
W-wound(woundinfection)
,W-walking(DVT/thrombophlebitis)
W-wonderdrugs(drugfever)
Ifthepostopfeveroccurswithinthefirst24hoursofsurgery,whatisthemostlikelycause?-correct
answer✔✔wind/atelectasis
Ifthepostopfeveroccurswithindays3-5postop,whatisthemostlikelycause?-correct
answer✔✔water/UTI,catheterrelatedphlebitis,pneumonia
Ifthepostopfeveroccurswithindays5-10postop,whatisthemostlikelycause?-correct
answer✔✔woundinfection,pneumonia,abscess,infectedhematoma,Cdiffcolitis,anastomotic
leak,DVT,peritonealabscess, drugfever,PE,parotitis
_______isthemostcommonpathogeninwoundinfectionsandaroundforeignbodies.-correct
answer✔✔Staphaureus
_______invadestheinnerearandenterictissuesaswell asthelung.-correct answer✔✔Klebsiella
______organisms areoftenfoundtogetherwithanaerobes.-correct answer✔✔Entericorganismsie.
enterobacteriaceaeandenterococci
Amongtheanaerobes,___&___are oftenpresentinsurgicalinfectionsand_____species aremajor
pathogensinischemictissue.-correct answer✔✔Bacteroides&Peptostreptococci;Clostridium
___&___are usuallynonpathogenic surfacecontaminantsbutmaybeopportunistic.
Somefungiandyeastcauseabscesses insinustracts.-correct answer✔✔Pseudomonas&Serratia
, Historyofrecentsurgery,trauma,cancer,prolongedimmobilization, ororalcontraceptive use
increasestheriskof____.-correct answer✔✔DVT-deepveinthrombosis
WhatisHoman'ssign?-correct answer✔✔painonpassive dorsiflexionofankle
Whatisthetestofchoice forDVT?-correct answer✔✔dopplerultrasound
HowistheD-dimer textuseful?-correct answer✔✔ItisgoodatrulingaDVTout(ifthetextisnegative)
butnotruleitin
TxofDVT--
1.Initiateuseof____or____towhatdose?
2.Overlapwiththeuseof____towhattherapeuticrange?
3.Whyoverlaptherapies?-correct answer✔✔DVT
1.InitiateHeparintoPTTof0.3-0.7U/mLorLMWHwomonitoring.
2.OverlapwithwarfarintoINRbetween2-3.
3.Overlaptherapiestodecrease changesofhypercoagulablestate.
ThemostcommoncauseofSIRS(systemicinflammatory response syndrome)issepsis.Whatarethe
criteriafordxofSIRS?-correct answer✔✔Atleast2ofthefollowing:
1.temp>38Cor<36C
2.tachy>90
3.tachypnea>20breaths/minute
4.PCO2<32mmHg
5.WBC>12,000/uLor<4000/uL
Blueprint] exam with correct
answers
_______isthemostimportantanestheticcomplication.Anesthesiacausesanuncontrolledincreasein
skeletalmuscle oxidative metabolism,whichoverwhelms thebody'scapacitytosupplyoxygen,
remove CO2,andregulative bodytemperature.-correct answer✔✔Malignanthyperthermia
Ifpatientishyperkalemic (normal range3.8-5.0), howshouldyoutreatthepatient? -correct
answer✔✔treatwithglucose/insulin,andcalcium+/-bicarb
_______isthereversingagentforopiods.-correct answer✔✔Naloxone
_______isthereversingagentforbenzodiazipines.-correct answer✔✔Flumazenil
Whatisthebestindicatorusedtomonitornutritionalstatus?-correct answer✔✔prealbumin-every2-
3days
Intervention:
_________requirecentral accessandindicatedwhennoenteralfeedingfor>7days.-correct
answer✔✔TPN-totalperipheral nutrition
The_________is themostimportantpartofthehistorybeforesurgery.-correct answer✔✔cardiac
history--historyofMI,unstableangina,valvular disease
,Inpatientswithknowncardiacdisease,aggressiveintraoperative loweringofmyocardial oxygen
demandwith____hasbeenshowninRCT'stoimproveoutcomesandshouldbeused.-correct
answer✔✔betablockers
Whenaccessingcardiacdisease priortosurgery,whatisthemostimportantthingtoaccess?-correct
answer✔✔aortic stenosis--crescendodiastolicrumble atapex
Guidelinesfortheuseofantibioticsinclude administrationwithin_______ ofsurgeryandredosing
after4hours.Whatistheabxofchoice? -correct answer✔✔1hour
Abxofchoice:cefazolinforallexceptcolorectal thencefazolin/metronidazole
Pre-op--Metabolicdisease/syndrome--whatarethe5criteria? -correct answer✔✔3/5todiagnose:
1-diabetes
2-central obesity
3-HTN
4-highserumtriglycerrides
5-lowHDLlevels
______shouldbemonitoredbeforesurgerybcitisastimulantandvasoconstrictor--canleadtosevere
tachycardia-correct answer✔✔Cocaine
Pre-Op--WhataretheindicationsforEKGandCXR?-correct answer✔✔EKG-men>40,women>50,
knownCAD,DM,orHTN
CXR-age>50,knowncardiacorpulmonarydisease
Whatarethe5classic "W's"ofpostoperativefever?-correct answer✔✔W-wind(atelectasis)
W-water(UTI)
W-wound(woundinfection)
,W-walking(DVT/thrombophlebitis)
W-wonderdrugs(drugfever)
Ifthepostopfeveroccurswithinthefirst24hoursofsurgery,whatisthemostlikelycause?-correct
answer✔✔wind/atelectasis
Ifthepostopfeveroccurswithindays3-5postop,whatisthemostlikelycause?-correct
answer✔✔water/UTI,catheterrelatedphlebitis,pneumonia
Ifthepostopfeveroccurswithindays5-10postop,whatisthemostlikelycause?-correct
answer✔✔woundinfection,pneumonia,abscess,infectedhematoma,Cdiffcolitis,anastomotic
leak,DVT,peritonealabscess, drugfever,PE,parotitis
_______isthemostcommonpathogeninwoundinfectionsandaroundforeignbodies.-correct
answer✔✔Staphaureus
_______invadestheinnerearandenterictissuesaswell asthelung.-correct answer✔✔Klebsiella
______organisms areoftenfoundtogetherwithanaerobes.-correct answer✔✔Entericorganismsie.
enterobacteriaceaeandenterococci
Amongtheanaerobes,___&___are oftenpresentinsurgicalinfectionsand_____species aremajor
pathogensinischemictissue.-correct answer✔✔Bacteroides&Peptostreptococci;Clostridium
___&___are usuallynonpathogenic surfacecontaminantsbutmaybeopportunistic.
Somefungiandyeastcauseabscesses insinustracts.-correct answer✔✔Pseudomonas&Serratia
, Historyofrecentsurgery,trauma,cancer,prolongedimmobilization, ororalcontraceptive use
increasestheriskof____.-correct answer✔✔DVT-deepveinthrombosis
WhatisHoman'ssign?-correct answer✔✔painonpassive dorsiflexionofankle
Whatisthetestofchoice forDVT?-correct answer✔✔dopplerultrasound
HowistheD-dimer textuseful?-correct answer✔✔ItisgoodatrulingaDVTout(ifthetextisnegative)
butnotruleitin
TxofDVT--
1.Initiateuseof____or____towhatdose?
2.Overlapwiththeuseof____towhattherapeuticrange?
3.Whyoverlaptherapies?-correct answer✔✔DVT
1.InitiateHeparintoPTTof0.3-0.7U/mLorLMWHwomonitoring.
2.OverlapwithwarfarintoINRbetween2-3.
3.Overlaptherapiestodecrease changesofhypercoagulablestate.
ThemostcommoncauseofSIRS(systemicinflammatory response syndrome)issepsis.Whatarethe
criteriafordxofSIRS?-correct answer✔✔Atleast2ofthefollowing:
1.temp>38Cor<36C
2.tachy>90
3.tachypnea>20breaths/minute
4.PCO2<32mmHg
5.WBC>12,000/uLor<4000/uL
