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116 Cards in this Set
- Front
- Back
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How is acs nsqip calculated |
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Wht are the nine outcomes that are predicted by NSQIP |
Death Any complications Severe complications Pneumonia Cardiac event Uti Ssi. Venous thromboembolism Renal failure |
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Asa classification |
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Wht are the perioperative mortality predictors |
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Wht were the independent factor for mortality |
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Wht is the checklist for optimal pre operative assessment of geriatric surgical patients |
CC - DD- AA - FF |
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How are you going to screen for cognitive assessment |
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Interpretation of the minicog |
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Screen for depression questionnaire |
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Wht is used for screening for alcohol abuse |
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Wht are not considered risk factors for post op pulm complications |
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Wht is the short simple screening test for functional assessment |
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How do you assess for mobility and risk fall |
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Wht are the operational definition of frailty score |
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Wht is definition of frialty |
It's a syndrome of decreased physiologic reserve and resistance to stressors which leaves patients more vulnerable to poor health outcomes including falls , worsening mobility and activities of daily living disability, hospitalizations and death |
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Risk factors for severe nutritional risk |
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Which test are performed routinely for all geriatric pt |
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Wht are the 4 different cardiac risk indices |
Goldman cardiac risk index 1977 Detsky modified multifactorial index 1986 Eagle criteria 1989 Revised cardiac risk index |
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Wht is the revised cardiac risk |
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Perioperative cardiac assessment |
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How much METs is required to climb 2 flight of stairs |
4 |
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Wht drug is used for pharmacological stress test |
Dipyidamole followed by perfusion study by thallium Dobutamine induced stress followed by echocardiography |
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When do we perform PCI before non cardiac surgery Wht is the treatment for st segment or non st segment elevation MI |
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Treatment of st segment mi or non st segment elevation mi |
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How long should we wait following cardiac intervention before a non cardiac surgery |
For des must wait for 180 days |
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Wht is the definition of acute and recent mi How long will u wait for surgery when pt gives history of recent mi |
Wait for 4 to 6 weeks |
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How do we go about starting beta blockers in patients |
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Which patient should be considered for pulmonary function assessment |
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Wht are the necessary test conducted for pulmonary assessment |
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Wht are the general factors and the specific factors that increase post op pulmonary complications |
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Interventions to decrease rs complications for elective surgery |
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How is alcoholic hepatitis diagnosed |
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Wht tests help to distinguish chronic hepatitis |
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How safe is surgery in liver diseases |
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Wht should be done for a pt facing surgery when he is suffering from acute hepatitis |
Post pone surgery until lfts has normalized |
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Wht should be done for a pt facing surgery with obstructive jaundice |
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Wht should be done for a pt facing surgery with cirrhosis |
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Wht is cp scoring system |
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Wht is the risk of developments of umbilical hernia in a pt with cirrhosis and ascites |
20% |
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Wht are the different types of insulin |
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Wht are the tests to be done in diabetic |
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Wht is the perioperative management of diabetic s on insulin |
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Wht is the perioperative management of diabetic s on drugs |
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Wht is the perioperative operative management of pt with diabetes on insulin pumps |
Continues with basal insulin infusion |
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Wht is to be done when. A pt with hyperthyroidism requires surgery |
Treatment until euthyroid then surgery |
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How are antithyroid medications supposed to be taken perioperatively |
B blockers and digoxin to continue on the day of surgery |
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Wht If the pt with hyperthyroidism requires urgent surgery |
Antithyroid Adrenergic blockers and Glucocorticoid s |
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Wht is the risk for hypothyroidism post surgery. And when do we need to treat hypothyroidism pre op |
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Wht are the risk of hypothyroidism |
Mi Hypoglycemia Electrolyte abnormality Coagulation abnormality |
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How much of steroid use is considered at risk for major surgery |
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How do we test for hypothalamic pituitary response to adrenocorticotropic hormone |
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How do we give glucocorticoids based on surgical stress |
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How are drugs given in pheochromocytoma |
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Wht are the drugs that decrease wound healing |
Sirolimus Steroid taken within 3 days of surgery |
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4 classes of antiviral drugs used in HIV? Wht is their effect on wound healing |
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Wht is predictive of complications in hiv patients |
Absolute neutrophils count Hiv titre load |
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Wht is the electeolyte abnormality seen with nucleoside reverse transcriptase inhibitor |
Lactic acidosis |
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Wht is obtained to investigate the cause of anaemia |
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At wht levels of hemoglobin should we transfuse according to aabb American association of blood bank |
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Wht is the history that needs to be elicited in a patient with coagulopathy and easy bruising |
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Wht does discontinuation of dual anti platelets in early stage after stent implant lead to |
Stent stenosis |
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Aspirin can be continued in which pts |
It's supposed to be continued always |
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When do we start and stop vka |
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In which patients will u do bridging anticoagulation |
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Which drug is used for bridging anticoagulation |
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When should be done when a pt with recent vte or arterial thromboembolism require surgery |
Whenever possible postpone in the 1st month after the episode |
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Which pt are considered for pre operative retrieval inferior vena cava filter |
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Wht are the indications for long term anticoagulation |
Prosthetic heart valves Chronic atrial fibrillation Venous thromboembolism |
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In which situation of the diseases requiring long term anticoagulation will u not give bridging anticoagulation |
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Wht is dabigatran? When should it be stopped before surgery? |
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Wht is rivaroxaban? Wht is the other similar example |
Apixaban |
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Wht score is used to determine the risk for vte |
Caprini risk assessment |
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Wht are the patient specific risk factors for vte |
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How are risk for vte categorised based on caprini score |
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How is prophylaxis given based on caprini score |
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When is mechanical prophylaxis contraindicated Can u give epidural or spinal at the same time as vte prophylaxis |
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Difference between the various direct thrombin |
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How long should u give prophylaxis in Cancer surgeries |
Extended duration for 4 weeks |
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Serum markers of nutrition |
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Wht does serum transferrin reflect |
Protein status and iron storage in the body |
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Which pts benefit from pre op nutrition |
Severe malnutrition Burns Trauma |
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Wht level of albumin is a marker of catabolic state? Why are most serum markers of protein nutrition not helpful post op |
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Wht are the pre operative strategies in eras pathway |
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Wht are the fasting recommendation before surgery |
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Intra operative strategies of eras |
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Post op strategies of eras |
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Wht diseases is increase d in people with clinically severe obesity? Wht is to be done in such cases |
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Classification of wounds |
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How is antibiotics cover given based on wound class |
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Wht is the timing of antibiotics to be given |
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When is repeat dosing warranted |
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Wht are the risk with fluoroquinolones |
Increase risk of tendonitis and tendon rupture |
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Wht doses antibiotics is given for lap cholecystectomy |
Single |
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Which drugs which affect platelets function are withheld before surgery and when? And which for thromboembolism? |
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Wht are the major causes of intra operative instability |
MI PE Pneumothorax Anaphylaxis and allergy Malignant hyperthermia |
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Rate of death from mi in non cardiac surgery |
1.5% |
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How is intra op mi detected? Wht is to be done to the on going surgery |
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Wht is the signs of pe intra op |
Tachycardia Right heart strain Hypotension Complete cardiovascular collapse |
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How is pe diagnosed intra op |
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Treatment of intra op pneumothorax |
Release abdominal insufflation Insertion of chest tube |
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Treatment given in severe anaphylaxis |
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Wht is the most common cause of malignant hypothermia How is it treated How is it inherited |
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Wht is normothermia And how is it achieved |
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Control of bleeding. |
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Closure of abdominal cavity based on patient characteristics |
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Disadvantages of VAC |
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Examples of temporary closures |
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Wht are the two adhesion barriers and how are they applied |
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Organism causing surgical strike infection |
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Uses of fibrin seal adhesive |
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How are surgical adhesives made? |
Mixing two components agent derived from whole blood 2 commonly used agents are 2 octyl cyanoacrylate (dermabond) Butyl 2 cyanoacrylate (histoacryl) |
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Wht does the heat generated in a cautery depends upon |
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How is current generated in the cutting or coagulation mode |
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How do laser works |
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Wht is the penetrating Depth of different lasers |
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Harmonic scalpel uses which technology |
Ultrasound |
