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28 Cards in this Set

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  • Back
Which is the following is NOT a risk factor for pulmonary complications after surgery?

-smoking
-age >55
-obesity
-long OR time
-upper abd/thoracic surgery
-known pulm. disease
-abn. pft's (FEV <11, max. breathing capacity <50%)
not age >55, it is >60!
which of the following is has m/m of all pulmonary complications?

-atelectasis
-pneumonia
-ards
-copd
pneumonia
the MCC of fever within 24 hours of surgery is ?

-atelectasis
-pneumonia
-ards
-dvt
atelectasis
place in order the steps of wound healing.

-coagulation
-collagen synthesis
-inflammation
-angiogenesis
-contraction
-epithelialization
coagulation
inflammation
collagen synthesis
angiogenesis
epithelialization
contraction
how long post op do wounds heal primarily?

-1 hour
-12-18 hours
-24-48 hours
-48-72 hours
24-48 hours
what are the 4 signs of wound infection?
calor-heat/warmth
rubor-redness
tumor-swelling
dolor-pain
keloids or hypertrophic scars are more common in what pt demographic?
african american
what is the MCC of free air under the diaphragm?

-trauma
-pud
-pancreatitis
-post op
pud-90% of the time
what is the MC surgical emergency in pregnant women?

-placenta abruptio
-placenta previa
-appendicitis
-acute cholecystitis
appendicitis
what are common causes of RUQ pain?
duodenal ulcer, acute cholecysitis, hepatic abscess, retrocecal appendicitis, appendicitis in pregnant women
a boring pain that radiates thru to the back is describing what?

-ruptured peptic ulcer
-gastroenteritis
-pancreatitis
-appendicitis
pancreatitis
what is the most frequently injured solid organ associated with penetrating trauma?

-pancreas
-liver
-spleen
-lung
liver
what is the first "casualty" of hypovolemic shock?

-brain
-liver
-heart
-kidneys
kidneys
A completely shattered kidney on the Urologic Injury Scale is?

-grade 1
-grade 2
-grade 3
-grade 4
-grade 5
grade 5-vascular damage consists of avulsion of renal hilum that devascularizes kidney
with cervical spine precautions, or any trauma...what is done first?
ABC's
what are the most common causes of distributive shock? (3)
septic shock
neurogenic shock
anaphylactic shock
which of the following types of distributive shock is the MC?

-neurogenic
-anaphylactic
-septic
septic
urticaria, angioedema, laryngeal edema, and wheezing are found in which type of shock?
anaphylatic shock
what is the definition of hypernatremia?

->135
->140
->145
->155
>145 mEq/L
which of the following cells are found in the gastric antrum?

-chief cells
-g cells
-parietal cells
g cells-secrete gastrin, which stimulates gastric acid, pepsin secretion and mucosal growth
_ cells secrete pepsinogen, a proenzyme activated by gastric HCL to form pepsin, which digests proteins.

-chief (peptic) cells
-parietal cells
-g cells
chief cells
what environmental factors cause peptic ulcer disease?
h pylori
nsaid use
smoking
dysphagia for both solids and liquids; regurgitation of food; severe halitosis is indicative of ___.?

-barrett's esophagitis
-achalasia
-DES
-esophageal adenocarcinoma
achalasis
hyperparathyroidism, cancer (esp. breast and multiple myeloma) and thiazide use can cause?

-hypernatremia
-hypercalcemia
-hyperkalemia
-hypermagnesemia
hypercalcemia
what is the procedure of choice for the surgical repair of the LES in GERD?
nissen fundoplication
what are the 3 mechanisms of achalasia?
1) complete absence of peristalsis in the esophageal body
2) incomplete/impaired relaxation of the LES after swallowing
3) increased resting tone of the LES
LES resistance with reflux or acidic gastric contents into the esophagus, is describing ???

-achalasia
-h. pylori
-gerd
-halitosis
gerd
what is the MCC of duodenal ulcers?

smoking
etoh
nsaids
h pylori
h. pylori