Volkmann's Contracture - Answers may occur from an untreated compartment syndrome or an arterial
injury.
Loss of two-point discrimination - Answers One (if not thee) of the earliest signs of compartment
syndrome
IV Rehydration for 24-72 hours - Answers mainstay of therapy for rhabdomyolysis
Ectopic pregnancy - Answers possible pregnant woman presents with vaginal bleeding or abdominal
pain, high suspicion for?
Prehn's sign - Answers elevation of the scrotum with the affected epididymis to the level of the
symphysis pubis brings relief from the pain
Ectopia lentis
aortic root dilation
aortic dissection - Answers Major criteria for the dx of Marfan's disease
Cigarette smoking - Answers primary risk factor for the development of aortic aneurysms
Tamoxifen - Answers adjuvant therapy of choice in post-menopausal estrogen receptor positive axillary
node negative breast cancer
>10 - Answers % of body surface area that requires transfer to a burn center
nafcillin, gentamicin, and metronidazole - Answers Appropriate antibiotic prophylaxis and treatment
prior to open abdominal surgery
Anaerobic bacteria - Answers metronidazole is effective against a wide variety of what bacteria?
Gram - anaerobes - Answers Gentamicin covers against what bacteria?
penicillinase-resistant organisms - Answers Nafcillin provides treatment for what bacteria?
increased fluid production due to increased hydrostatic pressure - Answers pathophysiologic process of
a transudative pleural effusion?
CHF
Cirrhosis
Atelectasis
Hypoalbuminemia - Answers Causes of transudative pleural effusion
,Shock wave lithotripsy - Answers Procedure indicated for renal stone >6mm or intractable pain
CT urography - Answers done to evaluate the upper and lower urinary tract for neoplasms, and benign
conditions such as urolithiasis
Urethrogram - Answers done to evaluate the urinary system with pelvic fracture
Lateral x-ray - Answers Initial screening test to r/o c-spine fracture
migratory ecchymosis - Answers Benign PE finding s/p pacemaker insertion
Volar forearm - Answers splint of choice for Colles' fracture
>40 - Answers Degree of angulation in a boxer's fracture that requires an open reduction
Alpha-adrenergic blocker - Answers Medication to control HTN pre-op phechromcytomectomy
DIC - Answers hemorrhage, platelet count of 10,000/microliter, prolonged prothrombin level, and the
presence of fibrin split products is indicative of?
Arterial thromobosis - Answers Loss of arterial pulse and cool to touch is indicative of?
2-4 weeks - Answers Amount of time smoking cessation shows improvements in healing pre-op
CBC and HCG - Answers What laboratory test must all women of childbearing age have before entering
the O.R.?
Beta-blocker - Answers What preoperative medication can decrease postoperative cardiac events and
death?
1. NPO/IVF
2. Preoperative antibiotics
3. Type and cross blood (PRBCs) - Answers What must you always order preoperatively for your patient
undergoing a major operation?
Potassium - Answers What electrolyte must you check preoperatively if a patient is on hemodialysis?
>40 - Answers Age that requires a pre-op EKG
decreased CVP; decreased BP; increased pulse rate - Answers A patient with hypovolemic shock would
most likely exhibit
Squamous cell carcinoma - Answers common in patients with a smoking history and presents with a
central mass, hilar adenopathy and mediastinal widening
Peripheral - Answers Adenocarcinoma lung cancer presents in what area of the lungs?
, Peritonitis - Answers Abdominal rigidity is most commonly seen in:
Loss of bicarbonate: diarrhea, ileus, fistula, high-output ileostomy, carbonic anhydrase inhibitors
Increase in acids: lactic acidosis (ischemia), ketoacidosis, renal failure, necrotic tissue - Answers What
are the surgical causes of the following conditions:
Metabolic acidosis
Vomiting, NG suction, diuretics, alkali ingestion, mineralocorticoid excess - Answers What are the
surgical causes of the following conditions: Metabolic alkalosis
Hypoventilation (e.g., CNS depression)
drugs (e.g., morphine)
PTX
pleural effusion
parenchymal lung disease
acute airway obstruction - Answers What are the surgical causes of the following conditions:
Respiratory acidosis
Hyperventilation (e.g., anxiety, pain, fever, wrong ventilator settings) - Answers What are the surgical
causes of the following conditions:
Respiratory alkalosis
Tachycardia
Tachypnea
Hypotension - Answers Vital sign findings of hypovolemia
Lab error - Answers What is a common cause of electrolyte abnormalities?
Iatrogenic overdose
blood transfusion
renal failure
diuretics
acidosis