ICCC UPDATED key EXAM QUESTIONS AND
CORRECT ANSWERS
Four Layers - CORRECT ANSWERS Mucosa, submucosa, muscle, serosa
inner lining - CORRECT ANSWERS mucuosa
outer fribrous - CORRECT ANSWERS serosa
fatty aprin - CORRECT ANSWERS peritoneum
grey turners - CORRECT ANSWERS purple/bruising in flank
= acute hemorrhagic pancreatitis
cullens signs - CORRECT ANSWERS faint hemorrhagic patches by umbilicus
=acute pancreatitis or GI bleed
6 Fs of distension - CORRECT ANSWERS FLUID, FLATUS, FAT, FECES, FETUS, FIBRIOD
hyperactive BS= - CORRECT ANSWERS diarrhea
absent BS listen for - CORRECT ANSWERS 5 minutes
Dull percussion - CORRECT ANSWERS tumor or fluid
,tympanic percussion - CORRECT ANSWERS flatus
UGI (Barium Swallow) - CORRECT ANSWERS NPO, contrast
post op- drink fluid to expell barium
Lower GI (Barium Enema) - CORRECT ANSWERS bowel prep, npo, enema
post op- drink fluid to expell barium
Upper EGD - CORRECT ANSWERS NPO valium or versaid
post op-GAG REFLEX, check for perforation ( pain, fever, rigidity), check for bleeding if biopsy
Lower (colonoscopy) - CORRECT ANSWERS bowel prep
post op- check bleeding, check perforation
ERCP (endoscopic retrograde cholangiopancreatography) - CORRECT ANSWERS npo, bile
duct
post op- RISK FOR PANCREATITIS
surgical cholangiogram - CORRECT ANSWERS visualize stones, checks bile duct for stones
abd. US - CORRECT ANSWERS checks for mass/tumor/cist,
NPO 8-12 h
use gas
stool culture - CORRECT ANSWERS parasites, c-diff
NO urine
, fecal analysis - CORRECT ANSWERS (occult), no red meat 24-48h
no urine
Carcinoma of oral cavity - CORRECT ANSWERS poor oral hygiene, tobacco use, alcohol
S/SX - CORRECT ANSWERS leukoplakia, erythroplasia, painless ulcerations, rough areas
LATE S/SX - CORRECT ANSWERS PAIN**, dysphagia, difficulty chewing/swallowing
TX - CORRECT ANSWERS laser-small lesion
surgery- radical c wide excision c lymph nodes
radiation
chemo
radiation causes... - CORRECT ANSWERS dry mouth, cavities
chemo used for - CORRECT ANSWERS advanced cancer
post op - CORRECT ANSWERS hob elevated, NG, TRAECH *** for stridor SOB et cough
mandibular fracture surgery pre op - CORRECT ANSWERS pt will be able to breath et
swallow with jaws wired shut, breathe thru nose
post op - CORRECT ANSWERS hob elevated, if GROGGY-SIDE LAYING
CORRECT ANSWERS
Four Layers - CORRECT ANSWERS Mucosa, submucosa, muscle, serosa
inner lining - CORRECT ANSWERS mucuosa
outer fribrous - CORRECT ANSWERS serosa
fatty aprin - CORRECT ANSWERS peritoneum
grey turners - CORRECT ANSWERS purple/bruising in flank
= acute hemorrhagic pancreatitis
cullens signs - CORRECT ANSWERS faint hemorrhagic patches by umbilicus
=acute pancreatitis or GI bleed
6 Fs of distension - CORRECT ANSWERS FLUID, FLATUS, FAT, FECES, FETUS, FIBRIOD
hyperactive BS= - CORRECT ANSWERS diarrhea
absent BS listen for - CORRECT ANSWERS 5 minutes
Dull percussion - CORRECT ANSWERS tumor or fluid
,tympanic percussion - CORRECT ANSWERS flatus
UGI (Barium Swallow) - CORRECT ANSWERS NPO, contrast
post op- drink fluid to expell barium
Lower GI (Barium Enema) - CORRECT ANSWERS bowel prep, npo, enema
post op- drink fluid to expell barium
Upper EGD - CORRECT ANSWERS NPO valium or versaid
post op-GAG REFLEX, check for perforation ( pain, fever, rigidity), check for bleeding if biopsy
Lower (colonoscopy) - CORRECT ANSWERS bowel prep
post op- check bleeding, check perforation
ERCP (endoscopic retrograde cholangiopancreatography) - CORRECT ANSWERS npo, bile
duct
post op- RISK FOR PANCREATITIS
surgical cholangiogram - CORRECT ANSWERS visualize stones, checks bile duct for stones
abd. US - CORRECT ANSWERS checks for mass/tumor/cist,
NPO 8-12 h
use gas
stool culture - CORRECT ANSWERS parasites, c-diff
NO urine
, fecal analysis - CORRECT ANSWERS (occult), no red meat 24-48h
no urine
Carcinoma of oral cavity - CORRECT ANSWERS poor oral hygiene, tobacco use, alcohol
S/SX - CORRECT ANSWERS leukoplakia, erythroplasia, painless ulcerations, rough areas
LATE S/SX - CORRECT ANSWERS PAIN**, dysphagia, difficulty chewing/swallowing
TX - CORRECT ANSWERS laser-small lesion
surgery- radical c wide excision c lymph nodes
radiation
chemo
radiation causes... - CORRECT ANSWERS dry mouth, cavities
chemo used for - CORRECT ANSWERS advanced cancer
post op - CORRECT ANSWERS hob elevated, NG, TRAECH *** for stridor SOB et cough
mandibular fracture surgery pre op - CORRECT ANSWERS pt will be able to breath et
swallow with jaws wired shut, breathe thru nose
post op - CORRECT ANSWERS hob elevated, if GROGGY-SIDE LAYING
