Surgery EOR Exam [PAEA Blueprint]
questions with answers 2024
_______is vthe vmost vimportant vanesthetic vcomplication. vAnesthesia vcauses van
vuncontrolled vincrease vin vskeletal vmuscle voxidative vmetabolism, vwhich voverwhelms
vthe vbody's vcapacity vto vsupply voxygen, vremove vCO2, vand vregulative vbody
vtemperature. v- vANS-Malignant vhyperthermia
If vpatient vis vhyperkalemic v(normal vrange v3.8-5.0), vhow vshould vyou vtreat vthe vpatient?
v- vANS-treat vwith vglucose/insulin, vand vcalcium v+/-bicarb
_______is vthe vreversing vagent vfor vopiods. v- vANS-Naloxone
_______is vthe vreversing vagent vfor vbenzodiazipines. v- vANS-Flumazenil
What vis vthe vbest vindicator vused vto vmonitor vnutritional vstatus? v- vANS-prealbumin v-
vevery v2-3 vdays
Intervention:
_________require vcentral vaccess vand vindicated vwhen vno venteral vfeeding vfor v> v7 vdays. v-
vANS-TPN v- vtotal vperipheral vnutrition
,The v_________is vthe vmost vimportant vpart vof vthe vhistory vbefore vsurgery. v- vANS-cardiac
vhistory v-- vhistory vof vMI, vunstable vangina, vvalvular vdisease
In vpatients vwith vknown vcardiac vdisease, vaggressive vintraoperative vlowering vof
vmyocardial voxygen vdemand vwith v____ vhas vbeen vshown vin vRCT's vto vimprove
voutcomes vand vshould vbe vused. v- vANS-beta vblockers
When vaccessing vcardiac vdisease vprior vto vsurgery, vwhat vis vthe vmost vimportant vthing
vto vaccess? v- vANS-aortic vstenosis v-- vcrescendo vdiastolic vrumble vat vapex
Guidelines vfor vthe vuse vof vantibiotics vinclude vadministration vwithin v_______ vof vsurgery
vand vredosing vafter v4 vhours. vWhat vis vthe vabx vof vchoice? v- vANS-1 vhour
Abx vof vchoice: vcefazolin vfor vall vexcept vcolorectal vthen vcefazolin/metronidazole
Pre-op v-- vMetabolic vdisease/syndrome v-- vwhat vare vthe v5 vcriteria? v- vANS-3/5 vto
vdiagnose:
1 v- vdiabetes
2 v- vcentral vobesity
3 v- vHTN
4 v- vhigh vserum vtriglycerrides
5 v- vlow vHDL vlevels
,______should vbe vmonitored vbefore vsurgery vbc vit vis va vstimulant vand vvasoconstrictor v--
vcan vlead vto vsevere vtachycardia v- vANS-Cocaine
Pre-Op v-- vWhat vare vthe vindications vfor vEKG vand vCXR? v- vANS-EKG v- vmen v>40,
vwomen>50, vknown vCAD, vDM, vor vHTN
CXR v- vage v>50, vknown vcardiac vor vpulmonary vdisease
What vare vthe v5 vclassic v"W's" vof vpost voperative vfever? v- vANS-W v- vwind v(atelectasis)
W v- vwater v(UTI)
W v- vwound v(wound vinfection)
W v- vwalking v(DVT/thrombophlebitis)
W v- vwonder vdrugs v(drug vfever)
If vthe vpost vop vfever voccurs vwithin vthe vfirst v24 vhours vof vsurgery, vwhat vis vthe vmost
vlikely vcause? v- vANS-wind/atelectasis
If vthe vpost vop vfever voccurs vwithin vdays v3-5 vpost vop, vwhat vis vthe vmost vlikely vcause?
v- vANS-water/UTI, vcatheter vrelated vphlebitis, vpneumonia
If vthe vpost vop vfever voccurs vwithin vdays v5-10 vpost vop, vwhat vis vthe vmost vlikely
vcause? v- vANS-wound vinfection, vpneumonia, vabscess, vinfected vhematoma, vC vdiff vcolitis,
vanastomotic vleak, vDVT, vperitoneal vabscess, vdrug vfever, vPE, vparotitis
, _______is vthe vmost vcommon vpathogen vin vwound vinfections vand varound vforeign vbodies.
v- vANS-Staph vaureus
_______invades vthe vinner vear vand venteric vtissues vas vwell vas vthe vlung. v- vANS-Klebsiella
______organisms vare voften vfound vtogether vwith vanaerobes. v- vANS-Enteric vorganisms vie.
venterobacteriaceae vand venterococci
Among vthe vanaerobes, v___&___are voften vpresent vin vsurgical vinfections vand v_____species
vare vmajor vpathogens vin vischemic vtissue. v- vANS-Bacteroides v& vPeptostreptococci;
vClostridium
___&___are vusually vnonpathogenic vsurface vcontaminants vbut vmay vbe vopportunistic. v
Some vfungi vand vyeast vcause vabscesses vin vsinus vtracts. v- vANS-Pseudomonas v&
vSerratia
History vof vrecent vsurgery, vtrauma, vcancer, vprolonged vimmobilization, vor voral
vcontraceptive vuse vincreases vthe vrisk vof v____. v- vANS-DVT v- vdeep vvein vthrombosis
What vis vHoman's vsign? v- vANS-pain von vpassive vdorsiflexion vof vankle
What vis vthe vtest vof vchoice vfor vDVT? v- vANS-doppler vultrasound
questions with answers 2024
_______is vthe vmost vimportant vanesthetic vcomplication. vAnesthesia vcauses van
vuncontrolled vincrease vin vskeletal vmuscle voxidative vmetabolism, vwhich voverwhelms
vthe vbody's vcapacity vto vsupply voxygen, vremove vCO2, vand vregulative vbody
vtemperature. v- vANS-Malignant vhyperthermia
If vpatient vis vhyperkalemic v(normal vrange v3.8-5.0), vhow vshould vyou vtreat vthe vpatient?
v- vANS-treat vwith vglucose/insulin, vand vcalcium v+/-bicarb
_______is vthe vreversing vagent vfor vopiods. v- vANS-Naloxone
_______is vthe vreversing vagent vfor vbenzodiazipines. v- vANS-Flumazenil
What vis vthe vbest vindicator vused vto vmonitor vnutritional vstatus? v- vANS-prealbumin v-
vevery v2-3 vdays
Intervention:
_________require vcentral vaccess vand vindicated vwhen vno venteral vfeeding vfor v> v7 vdays. v-
vANS-TPN v- vtotal vperipheral vnutrition
,The v_________is vthe vmost vimportant vpart vof vthe vhistory vbefore vsurgery. v- vANS-cardiac
vhistory v-- vhistory vof vMI, vunstable vangina, vvalvular vdisease
In vpatients vwith vknown vcardiac vdisease, vaggressive vintraoperative vlowering vof
vmyocardial voxygen vdemand vwith v____ vhas vbeen vshown vin vRCT's vto vimprove
voutcomes vand vshould vbe vused. v- vANS-beta vblockers
When vaccessing vcardiac vdisease vprior vto vsurgery, vwhat vis vthe vmost vimportant vthing
vto vaccess? v- vANS-aortic vstenosis v-- vcrescendo vdiastolic vrumble vat vapex
Guidelines vfor vthe vuse vof vantibiotics vinclude vadministration vwithin v_______ vof vsurgery
vand vredosing vafter v4 vhours. vWhat vis vthe vabx vof vchoice? v- vANS-1 vhour
Abx vof vchoice: vcefazolin vfor vall vexcept vcolorectal vthen vcefazolin/metronidazole
Pre-op v-- vMetabolic vdisease/syndrome v-- vwhat vare vthe v5 vcriteria? v- vANS-3/5 vto
vdiagnose:
1 v- vdiabetes
2 v- vcentral vobesity
3 v- vHTN
4 v- vhigh vserum vtriglycerrides
5 v- vlow vHDL vlevels
,______should vbe vmonitored vbefore vsurgery vbc vit vis va vstimulant vand vvasoconstrictor v--
vcan vlead vto vsevere vtachycardia v- vANS-Cocaine
Pre-Op v-- vWhat vare vthe vindications vfor vEKG vand vCXR? v- vANS-EKG v- vmen v>40,
vwomen>50, vknown vCAD, vDM, vor vHTN
CXR v- vage v>50, vknown vcardiac vor vpulmonary vdisease
What vare vthe v5 vclassic v"W's" vof vpost voperative vfever? v- vANS-W v- vwind v(atelectasis)
W v- vwater v(UTI)
W v- vwound v(wound vinfection)
W v- vwalking v(DVT/thrombophlebitis)
W v- vwonder vdrugs v(drug vfever)
If vthe vpost vop vfever voccurs vwithin vthe vfirst v24 vhours vof vsurgery, vwhat vis vthe vmost
vlikely vcause? v- vANS-wind/atelectasis
If vthe vpost vop vfever voccurs vwithin vdays v3-5 vpost vop, vwhat vis vthe vmost vlikely vcause?
v- vANS-water/UTI, vcatheter vrelated vphlebitis, vpneumonia
If vthe vpost vop vfever voccurs vwithin vdays v5-10 vpost vop, vwhat vis vthe vmost vlikely
vcause? v- vANS-wound vinfection, vpneumonia, vabscess, vinfected vhematoma, vC vdiff vcolitis,
vanastomotic vleak, vDVT, vperitoneal vabscess, vdrug vfever, vPE, vparotitis
, _______is vthe vmost vcommon vpathogen vin vwound vinfections vand varound vforeign vbodies.
v- vANS-Staph vaureus
_______invades vthe vinner vear vand venteric vtissues vas vwell vas vthe vlung. v- vANS-Klebsiella
______organisms vare voften vfound vtogether vwith vanaerobes. v- vANS-Enteric vorganisms vie.
venterobacteriaceae vand venterococci
Among vthe vanaerobes, v___&___are voften vpresent vin vsurgical vinfections vand v_____species
vare vmajor vpathogens vin vischemic vtissue. v- vANS-Bacteroides v& vPeptostreptococci;
vClostridium
___&___are vusually vnonpathogenic vsurface vcontaminants vbut vmay vbe vopportunistic. v
Some vfungi vand vyeast vcause vabscesses vin vsinus vtracts. v- vANS-Pseudomonas v&
vSerratia
History vof vrecent vsurgery, vtrauma, vcancer, vprolonged vimmobilization, vor voral
vcontraceptive vuse vincreases vthe vrisk vof v____. v- vANS-DVT v- vdeep vvein vthrombosis
What vis vHoman's vsign? v- vANS-pain von vpassive vdorsiflexion vof vankle
What vis vthe vtest vof vchoice vfor vDVT? v- vANS-doppler vultrasound
