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28 Cards in this Set
- Front
- Back
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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!
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which of the following is has m/m of all pulmonary complications?
-atelectasis -pneumonia -ards -copd |
pneumonia
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the MCC of fever within 24 hours of surgery is ?
-atelectasis -pneumonia -ards -dvt |
atelectasis
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place in order the steps of wound healing.
-coagulation -collagen synthesis -inflammation -angiogenesis -contraction -epithelialization |
coagulation
inflammation collagen synthesis angiogenesis epithelialization contraction |
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how long post op do wounds heal primarily?
-1 hour -12-18 hours -24-48 hours -48-72 hours |
24-48 hours
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what are the 4 signs of wound infection?
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calor-heat/warmth
rubor-redness tumor-swelling dolor-pain |
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keloids or hypertrophic scars are more common in what pt demographic?
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african american
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what is the MCC of free air under the diaphragm?
-trauma -pud -pancreatitis -post op |
pud-90% of the time
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what is the MC surgical emergency in pregnant women?
-placenta abruptio -placenta previa -appendicitis -acute cholecystitis |
appendicitis
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what are common causes of RUQ pain?
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duodenal ulcer, acute cholecysitis, hepatic abscess, retrocecal appendicitis, appendicitis in pregnant women
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a boring pain that radiates thru to the back is describing what?
-ruptured peptic ulcer -gastroenteritis -pancreatitis -appendicitis |
pancreatitis
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what is the most frequently injured solid organ associated with penetrating trauma?
-pancreas -liver -spleen -lung |
liver
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what is the first "casualty" of hypovolemic shock?
-brain -liver -heart -kidneys |
kidneys
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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
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with cervical spine precautions, or any trauma...what is done first?
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ABC's
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what are the most common causes of distributive shock? (3)
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septic shock
neurogenic shock anaphylactic shock |
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which of the following types of distributive shock is the MC?
-neurogenic -anaphylactic -septic |
septic
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urticaria, angioedema, laryngeal edema, and wheezing are found in which type of shock?
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anaphylatic shock
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what is the definition of hypernatremia?
->135 ->140 ->145 ->155 |
>145 mEq/L
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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
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_ cells secrete pepsinogen, a proenzyme activated by gastric HCL to form pepsin, which digests proteins.
-chief (peptic) cells -parietal cells -g cells |
chief cells
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what environmental factors cause peptic ulcer disease?
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h pylori
nsaid use smoking |
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dysphagia for both solids and liquids; regurgitation of food; severe halitosis is indicative of ___.?
-barrett's esophagitis -achalasia -DES -esophageal adenocarcinoma |
achalasis
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hyperparathyroidism, cancer (esp. breast and multiple myeloma) and thiazide use can cause?
-hypernatremia -hypercalcemia -hyperkalemia -hypermagnesemia |
hypercalcemia
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what is the procedure of choice for the surgical repair of the LES in GERD?
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nissen fundoplication
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what are the 3 mechanisms of achalasia?
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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 |
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LES resistance with reflux or acidic gastric contents into the esophagus, is describing ???
-achalasia -h. pylori -gerd -halitosis |
gerd
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what is the MCC of duodenal ulcers?
smoking etoh nsaids h pylori |
h. pylori
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