Surgery EOR Exam [PAEA Blueprint] Questions and Correct Detailed Answers (Verified Answers) ||Already Graded A+||Newest Version

Surgery EOR Exam [PAEA Blueprint] Questions and
Correct Detailed Answers (Verified Answers)
||Already Graded A+||Newest Version
Quiz: _______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.

Ans: Malignant hyperthermia



Quiz: If patient is hyperkalemic (normal range 3.8-5.0), how should you treat

the patient?

Ans: treat with glucose/insulin, and calcium +/-bicarb



Quiz: _______is the reversing agent for opiods.

Ans: Naloxone



Quiz: _______is the reversing agent for benzodiazipines.

Ans: Flumazenil



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, Quiz: What is the best indicator used to monitor nutritional status?

Ans: prealbumin - every 2-3 days



Quiz: Intervention:

_________require central access and indicated when no enteral feeding for >

7 days.

Ans: TPN - total peripheral nutrition



Quiz: The _________is the most important part of the history before

surgery.

Ans: cardiac history -- history of MI, unstable angina, valvular disease



Quiz: 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.

Ans: beta blockers




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, Quiz: When accessing cardiac disease prior to surgery, what is the most

important thing to access?

Ans: aortic stenosis -- crescendo diastolic rumble at apex



Quiz: Guidelines for the use of antibiotics include administration within

_______ of surgery and redosing after 4 hours. What is the abx of choice?

Ans: 1 hour

Abx of choice: cefazolin for all except colorectal then cefazolin/metronidazole



Quiz: Pre-op -- Metabolic disease/syndrome -- what are the 5 criteria?

Ans: 3/5 to diagnose:

1 - diabetes

2 - central obesity

3 - HTN

4 - high serum triglycerrides

5 - low HDL levels



Quiz: ______should be monitored before surgery bc it is a stimulant and

vasoconstrictor -- can lead to severe tachycardia
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, Ans: Cocaine



Quiz: Pre-Op -- What are the indications for EKG and CXR?

Ans: EKG - men >40, women>50, known CAD, DM, or HTN

CXR - age >50, known cardiac or pulmonary disease



Quiz: What are the 5 classic "W's" of post operative fever?

Ans: W - wind (atelectasis)

W - water (UTI)

W - wound (wound infection)

W - walking (DVT/thrombophlebitis)

W - wonder drugs (drug fever)



Quiz: If the post op fever occurs within the first 24 hours of surgery, what is

the most likely cause?

Ans: wind/atelectasis



Quiz: If the post op fever occurs within days 3-5 post op, what is the most

likely cause?
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