Post-op care — Flashcards
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A gastrojejunostomy removes the gastric antrum and attaches the gastric body to the _____
How is a large ventricular septal defect treated? _____
An example of non-facial nerve palsy synkinesis is Freys Syndrome, where the auriculotemporal branch of V3 is cut during an excision of the parotid gland and reinnervates the _____ in front of the ear
Cutaneous healing by _____ intention is when the wound edges are brought together (e.g. suturing a surgical incision)
The _____ nerve may be transected during ligation of the superior thyroid artery during thyroid surgery
SMA syndrome can occur due to pronounced lordosis or surgical correction of _____
Cutaneous healing by _____ intention leads to minimal scar formation
_____ are fibrous bands of scar tissue that commonly form after GI surgery
In a renal transplant a patient presenting with fever and leakage of urine into the pelvic cavity 5 - 10 days following the transplant most likely has _____
Ghrelin levels _____ after gastric bypass surgery
Post-op care US Medical PG Flashcards - Medical Study Cards
Master Post-op care with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Post-op care Flashcard Deck - 145 Cards
Flashcard 1: A gastrojejunostomy removes the gastric antrum and attaches the gastric body to the _____
Answer: proximal jejunum
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Flashcard 2: How is a large ventricular septal defect treated? _____
Answer: Surgical closure
Extra: Watch Left to Right Shunts [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-cardiac/videos/medical-pathophysiology-cardiac-congenital-heart-disease-left-to-right-shunts?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/cardiology/videos/acyanotic-congenital-heart-defects?index=3] https://onlinemeded.org/spa/pediatrics/congenital-defects/acquire?ref=anki Atlas:
Flashcard 3: An example of non-facial nerve palsy synkinesis is Freys Syndrome, where the auriculotemporal branch of V3 is cut during an excision of the parotid gland and reinnervates the _____ in front of the ear
Answer: skin sweat glands
Extra: https://onlinemeded.org?ref=anki
Flashcard 4: Cutaneous healing by _____ intention is when the wound edges are brought together (e.g. suturing a surgical incision)
Answer: primary
Extra: https://onlinemeded.org/spa/inflammation-and-neoplasia/wound-healing/acquire?ref=anki
Flashcard 5: The _____ nerve may be transected during ligation of the superior thyroid artery during thyroid surgery
Answer: superior laryngeal
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Flashcard 6: SMA syndrome can occur due to pronounced lordosis or surgical correction of _____
Answer: scoliosis
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Flashcard 7: Cutaneous healing by _____ intention leads to minimal scar formation
Answer: primary
Extra: https://onlinemeded.org/spa/inflammation-and-neoplasia/wound-healing/acquire?ref=anki
Flashcard 8: _____ are fibrous bands of scar tissue that commonly form after GI surgery
Answer: Adhesions
Extra: Watch Small Bowel Obstruction, Ileus & Hernias [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-gi/videos/medical-pathophysiology-gi-small-bowel-disorders-small-bowel-obstruction-ileus-and-hernias?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/intestinal-pathology?index=16] https://onlinemeded.org?ref=anki Strangulated bowel Intraoperative photograph of a patient presenting with mechanical bowel obstruction due to adhesions The bowel loops appear edematous, distended, and congested. In the bowel loop on the left, the maroon discoloration and sloughing off of the serosal layer in patches are signs of gangrene. This is the typical intraoperative appearance of strangulated bowel loops. Small bowel ischemia Intraoperative photograph of a patient with mechanical small bowel obstruction secondary to adhesions Most of the visible small bowel appears hyperemic and congested. The bowel loops toward the right side of the image have a mottled red-black discoloration indicating gangrenous changes. A normal pink bowel loop is visible in the background.
Flashcard 9: In a renal transplant a patient presenting with fever and leakage of urine into the pelvic cavity 5 - 10 days following the transplant most likely has _____
Answer: distal ureteral ischemia
Extra: https://onlinemeded.org/spa/renal?ref=anki
Flashcard 10: Ghrelin levels _____ after gastric bypass surgery
Answer: decrease
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gastroenterology/videos/physiology?index=4] https://onlinemeded.org?ref=anki
Flashcard 11: Do keloid scars typically recur? _____
Answer: Yes
Extra: https://onlinemeded.org/spa/inflammation-and-neoplasia/wound-healing/acquire?ref=anki
Flashcard 12: _____ is the most common cause of iatrogenic phrenic nerve injury
Answer: Cardiothoracic surgery
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gross-anatomy/videos/posterior-abdominal-viscera-muscles-and-diaphragm?index=7] https://onlinemeded.org?ref=anki
Flashcard 13: Bladder irrigation is used for patients with hematuria to prevent the formation of _____
Answer: blood clots
Extra: https://onlinemeded.org/spa/renal?ref=anki
Flashcard 14: Scar formation results in _____ - _____% of tensile strength regained by 3 months
Answer: 70
Extra: https://onlinemeded.org/spa/inflammation-and-neoplasia/wound-healing/acquire?ref=anki
Flashcard 15: The iliohypogastric nerve is commonly injured due to post abdominal surgery _____
Answer: sutures
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gross-anatomy/videos/posterior-abdominal-wall-inguinal-region-scrotum-testis-and-spermatic-cord?index=3] https://onlinemeded.org?ref=anki
Flashcard 16: What is the treatment for tertiary hyperparathyroidism? _____
Answer: Parathyroidectomy
Extra: Watch Parathyroid Gland Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-endocrine/videos/medical-pathophysiology-endocrine-thyroid-and-parathyroid-parathyroid-gland-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/endocrine?ref=anki
Flashcard 17: What is the treatment for cryptorchidism (decreases cancer risk)? _____
Answer: Surgery (orchiopexy)
Extra: Watch Testicular Disorders & Cancer [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-male-gu-testicular-disorders-and-cancer?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch Testicular Disorders & Cancer [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-reproductive-gu/videos/medical-pathophysiology-reproductive-and-gu-male-gu-testicular-disorders-and-cancer?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org?ref=anki
Flashcard 18: Gas emboli may be iatrogenic, secondary to _____ procedures as air is pumped into the abdomen
Answer: laparoscopic
Extra: https://onlinemeded.org/spa/pulmonology/pulmonary-embolism/acquire?ref=anki
Flashcard 19: Excessive heat production in malignant hyperthermia induces fever and _____
Answer: muscle damage (e.g. rhabdomyolysis)
Extra: Sketchy Pharmacology: Neuro/Psych Watch Inhaled anesthetics, dantrolene [https://dashboard.sketchy.com/study/medical/courses/medical-pharmacology/units/medical-pharmacology-neuro-psych/videos/medical-pharmacology-neuropsych-anesthetics-and-analgesics-inhaled-anesthetics-dantrolene?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] Watch associated Bootcamp video [https://app.bootcamp.com/med-school/musculoskeletal/videos/skeletal-muscle?index=5] https://onlinemeded.org/spa/general-physiology/skeletal-muscle/acquire?ref=anki
Flashcard 20: Staphylococcus epidermidis is known to infect prosthetic devices ex: _____
Answer: prosthetic joints, indwelling urinary catheters, prosthetic heart valves
Extra: Watch Staph epidermidis & saprophyticus [https://dashboard.sketchy.com/study/medical/courses/medical-microbiology/units/medical-microbiology-bacteria/videos/medical-microbiology-bacteria-gram-positive-cocci-staphylococcus-epidermidis-and-saprophyticus?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/infectious-disease?ref=anki
Flashcard 21: Pleomorphic adenoma is associated with a high rate of recurrence due to _____ or intraoperative rupture
Answer: incomplete resection
Extra: https://onlinemeded.org?ref=anki 16. Pleomorphic adenoma (mixed tumor) of the parotid Note the swelling at the angle of the jaw. This is the MC benign tumor of the major and minor salivary glands. (Gi214) Pleomorphic adenoma T2-weighted axial MRI: There is a sharply demarcated, hyperintense, partially lobulated mass arising from the left retromandibular fossa, filling the entire left parapharyngeal space. The lesion is surrounded by a hypointense capsule. This finding is a pleomorphic adenoma. Differential diagnoses include other tumors of the parotid gland. Pleomorphic adenoma Oral cavity of a patient, ventral view: A protrusion of the left lateral wall of the pharynx can be seen. Further diagnostics performed on the patient confirmed a pleomorphic adenoma of the parotid gland, which expanded into the parapharyngeal space. Pleomorphic adenoma of the parotid gland Photomicrograph of parotid gland tissue (H&E stain) On the left, there is a hypercellular area made up of round epithelial cells with hyperchromatic nuclei and narrow, spindle-shaped myoepithelial cells with flattened nuclei. On the right, there is a paucicellular area predominantly made up of hyalinized stroma (pink acellular material). This mixed pattern of epithelial (epithelial and myoepithelial cells) and mesenchymal (stroma) components within a salivary gland tumor is pathognomonic for pleomorphic adenoma. Atlas:
Flashcard 22: One cause of vitamin B12 deficiency is _____ bypass surgery (ex. Roux-en-Y, Sleeve Gastrectomy)
Answer: gastric
Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/hematology-and-oncology/videos/macrocytic-anemia?index=3] https://onlinemeded.org/spa/hematology-oncology/macrocytic-anemia/acquire?ref=anki
Flashcard 23: What is the management for post-cholecystectomy bile leak? _____
Answer: ERCP
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Flashcard 24: Insufficient mechanical hemostasis due to a slipped suture or tie is one of the main causes of hemorrhage _____ following surgery
Answer: <24 hours
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Flashcard 25: _____ occur in almost half of patients who undergo coronary artery bypass graft surgery
Answer: Pleural effusions
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Flashcard 26: _____ are defined as a connection between 2 epithelialized surfaces
Answer: Fistulas
Extra: Watch Anorectal Disorders [https://dashboard.sketchy.com/study/medical/courses/medical-pathophysiology/units/medical-pathophysiology-gi/videos/medical-pathophysiology-gi-colorectal-and-anal-disorders-anorectal-disorders?utm_source=anki&utm_medium=partnership&utm_campaign=february_update&utm_content=medical] https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 27: What is the primary treatment for papillary thyroid carcinoma? _____
Answer: Surgical resection
Extra: https://onlinemeded.org/spa/endocrinology/thyroid-nodules/acquire?ref=anki
Flashcard 28: Ischemic colitis is a complication of _____ surgery (e.g. AAA repair)
Answer: cardiovascular
Extra: https://onlinemeded.org/spa/gastroenterology/gi-bleed/acquire?ref=anki
Flashcard 29: Can a jejunosotomy tube (J-tube) deliver food? _____
Answer: Yes
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Flashcard 30: Incisional hernias occur due to _____
Answer: fascial closure breakdown
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Flashcard 31: Post-amputation focal tenderness with palpation weeks-months later = _____ Post-amputation intermittent cramping / burning felt in the distal amputated limb within 1 week = _____
Answer: post-traumatic neuroma
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Flashcard 32: Chest wall "clicking" with chest movement after cardiac surgery is suggestive of _____
Answer: sternal dehiscence
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Flashcard 33: Serosanguineous drainage and incisional pain is suggestive of _____
Answer: incisional hematoma
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Flashcard 34: Low FEV1 means you shouldn't do a lobectomy. Why? _____
Answer: You're not going to leave the person with enough lung
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Flashcard 35: Pain at incision site and YES drainage: What is the cause and treatment? _____
Answer: Simple wound infection; open wound and repack
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Flashcard 36: What is the likely diagnosis in an elderly male that presents with abdominal distention and constipation five days after having surgery? His last bowel movement was 3 days ago. Imaging reveals colonic dilation without evidence of anatomic obstruction. _____
Answer: Colonic pseudo-obstruction (Ogilvie syndrome)
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Flashcard 37: _____ may occur as a complication of abdominal surgery, presenting with viscous, dark green "substance" draining some time after surgery
Answer: Enterocutaneous fistula
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Flashcard 38: What is cause of postop day 7 fever? _____
Answer: Wound infection
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 39: Measuring intraoperative _____ levels confirms successful surgical resection of parathyroids
Answer: PTH
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Flashcard 40: What is the management for patellofemoral pain syndrome in the recovery phase? _____
Answer: PT and strength training with cycling
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Flashcard 41: Operability of lung cancer requires FEV1 > _____ mL after resection
Answer: 800
Extra: https://onlinemeded.org/spa/pulmonology/lung-cancer/acquire?ref=anki
Flashcard 42: How do you treat wound dehiscence? _____
Answer: Bind the abdomen and limit mvmt/straining
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Flashcard 43: What is the tx of UTI postop fever? _____
Answer: U/A, Abx
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 44: A sentinel lymph node biopsy should be done _____ an axillary lymph node biopsy to determine stage of cancer
Answer: before
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Flashcard 45: What are the two absolute contraindications to non-cardiac surgery? EF < _____% MI within _____ months
Answer: 35
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Flashcard 46: EF < _____% and MI within _____ months are absolute contraindications to non-cardiac surgery
Answer: 35
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Flashcard 47: The most common causes of post-operative fever may be remembered with the "5 W's": POD 2-3: _____ POD 3-5: Water (UTI) POD 5+: Walking (DVT/PE) POD 7: Wound infection POD 8-15: Wonder drugs (drug fever)
Answer: Wind (atelectasis)
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 48: What is the next step in working up a patient with prexisting pulmonary disease after FEV1/FVC? _____
Answer: Blood gases Low O2 or high CO2 is bad
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Flashcard 49: Thoracic aortic surgery can lead to _____ syndrome
Answer: anterior spinal cord
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Flashcard 50: Persistent abdominal pain, fevers, and nausea beyond a few days following laparoscopic cholecystectomy = _____
Answer: common bile / cystic duct injury causing a biloma
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Flashcard 51: Increased _____ → ↑ risk for hernia
Answer: intra-abdominal pressure
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Flashcard 52: _____ occurs when the skin is intact but the fascia has failed
Answer: Dehiscence
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Flashcard 53: What are common causes of postoperative arrhythmia following cardiac and noncardiac surgery? _____
Answer: High levels of catecholamines Electrolyte imbalances Reduced ventilation Certain drugs (e.g. thiazides)
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Flashcard 54: Urinary catheters should be discontinued within _____ days post-operatively
Answer: 1-2
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Flashcard 55: Dumping syndrome is a common post-gastrectomy complication due to rapid emptying of _____-tonic gastric contents into the small intestine
Answer: hyper
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Flashcard 56: Management of GI fistulas? _____
Answer: Fluid, nutrition, and electrolyte replacement Compulsive protection of the abdominal wall (suction tubes, "ostomy" bags)
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Flashcard 57: Neonatal circumcision prevents pathologic _____ and moderately reduces risk of penile cancer
Answer: phimosis
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Flashcard 58: What is prophylaxis for wound infection? _____
Answer: Good closure and wound care
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 59: _____ is a post-operative complication of abdominal surgery that involves large amounts of pink, "salmon-coloured" peritoneal fluid soaking the dressings
Answer: Wound dehiscence
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 60: _____ testicular germ cell tumor: very responsive to radiotherapy metastasize late excellent prognosis
Answer: Seminoma
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Flashcard 61: Post-abdominal surgery, absent bowel sounds, no passage of gas and distended abdomen and no pain. What is most likely occurring? _____
Answer: Paralytic ileus
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 62: Ischemic orchitis is most commonly due to _____
Answer: thrombosis of pampiniform plexus
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 63: BRCA-positive individuals are recommended to have a(n) _____ to decrease incidence of ovarian cancer and breast cancer
Answer: prophylactic bilateral mastectomy and salpingo-oophorectomy
Extra: https://onlinemeded.org/spa/gynecology/ovarian-cancer/acquire?ref=anki
Flashcard 64: What is postop fever on day 3 dx? _____
Answer: UTI
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 65: What surgeries are highest risk of DVT's? _____
Answer: Orthopedic
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 66: Immediate post-surgical fever may be due to tissue _____, mismatched blood products, or drug reactions
Answer: trauma
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Flashcard 67: _____ surgery can cause hypoparathyroidism and hypocalcemia
Answer: Thyroid
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Flashcard 68: _____ is considered in patients with non-metastatic lung cancer and FEV1 > 1.5L and DLCO > 60%
Answer: Lobectomy
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Flashcard 69: Pressure ulcer with necrosis is managed with _____
Answer: debridement
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Flashcard 70: What is the safety margin for Breslow stage II? _____
Answer: 1-2 cm
Extra: https://onlinemeded.org/spa/surgery-subspecialty/skin-cancer/acquire?ref=anki
Flashcard 71: _____ can occur after cholecystectomy d/t dysregulation of bile/lack of fat digestion
Answer: Diarrhea/abd discomfort
Extra: https://onlinemeded.org/spa/gastroenterology/gallbladder/acquire?ref=anki
Flashcard 72: Post-laparoscopic appendectomy fever, RUQ pain, leukocytosis is suggestive of _____
Answer: subphrenic abscess
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Flashcard 73: Immediate postsurgical fever occurs within hours of the operation and can be due to what causes? _____
Answer: Tissue trauma Mismatched blood products Malignant hyperthermia
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Flashcard 74: Do patients with cryptorchidism repaired before 1 year of age (e.g. orchiopexy) have an increased risk of testicular cancer? _____
Answer: Yes
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 75: What is cause of fever > day 10 postop? _____
Answer: Wound abscess
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 76: _____ can occur following cardiac surgery (CABG) and presents with fever, chest pain, leukocytosis, and mediastinal widening on X-Ray
Answer: Acute mediastinitis
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Flashcard 77: Pain at incision site and NO drainage: What is the cause and treatment? _____
Answer: Cellulitis; culture and antibiotics
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Flashcard 78: Post-cardiac surgery effusions can be managed conservatively with observation only when what criteria are met? (3) _____
Answer: Small-to-moderate in size/not enlarging Early onset (postop day 1 or 2) Not associated w/ respiratory sxs
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Flashcard 79: _____ is considered in patients with non-metastatic lung cancer and FEV1 < 1.5L or DLCO < 60%
Answer: Wedge resection
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Flashcard 80: What are the two best predictors of postoperative outcomes following lung resection surgery? _____
Answer: FEV1 DLCO
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Flashcard 81: What is presentation of paralytic illeus postop? _____
Answer: Distension, obstipated x 1 day, no pain
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Flashcard 82: Aspirin, NSAIDs, and Vitamin E should be stopped 2 weeks before surgery to reduce risk of _____
Answer: bleeding
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Flashcard 83: The most common causes of post-operative fever (> 100.4) may be remembered with the "5 W's": POD 2-3: _____ POD 3-5: Water (UTI) POD 5+: Walking (DVT/PE) POD 7: Wound infection POD 8-15: Wonder drugs (drug fever)
Answer: Wind (atelectasis)
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 84: When do you suspect ARDS postop (imaging, background)? _____
Answer: CXR => whiteout, complicated surgical course
Extra: https://onlinemeded.org/spa/pulmonology/ards/acquire?ref=anki
Flashcard 85: Post-operative pulmonary complications may be reduced with pre-operative _____
Answer: physical therapy
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Flashcard 86: Erosion of blood vessels due to a surgical site infection results in hemorrhage _____ following surgery
Answer: 7–14 days
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Flashcard 87: Is bariatric surgery contraindicated in patients with gastroesophageal reflux? _____
Answer: No
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Flashcard 88: Cardiovascular risk factors and painless, pulsatile mass at the midinguinal point and continuous murmur on auscultation with palpable thrill = _____
Answer: femoral aneurysm
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Flashcard 89: What is tx for postop urinary retention? _____
Answer: In and out catheter after 6 hours of not voiding
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Flashcard 90: What is tx of wound infection (day 7 fever) _____
Answer: U/S, Abx
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 91: A patient presents two days post-abdominal surgery with absent bowel sounds, no passage of gas, mild distension and no pain. What is most likely occurring? _____
Answer: Post-op ileus
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Flashcard 92: 6 hours post-op urinary retention is managed with _____
Answer: re-cath
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Flashcard 93: What post-gastrectomy complication presents with GI and vasomotor symptoms immediately after meals? _____
Answer: Dumping syndrome
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Flashcard 94: What is associated with increased surgical site infection and poor wound healing? _____
Answer: Smoking!
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Flashcard 95: _____ is a post-operative complication that presents with small bowel obstruction and a tender, palpable mass in the area of the incision
Answer: Incisional hernia
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Flashcard 96: _____ may be considered for younger patients with varicoceles who have a desire for children
Answer: Ligation of dilated pampiniform venous plexus
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Flashcard 97: What is a fever on the first day postop? _____
Answer: Atelectasis
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 98: What is the prophylaxis for atelectasis/pneumonia? _____
Answer: Incentive spirometry/OOB
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 99: Post-surgery ↓ pH, ↑ pCO2, ↓ pO2 and bradypnea, bradycardia = _____
Answer: delayed emergence from anesthesia
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Flashcard 100: Sternal wound drainage after CV surgery → _____
Answer: chest imaging
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Flashcard 101: What is the treatment of an enterocutaneous fistula following abdominal surgery? _____
Answer: Conservative management: TPN and ostomy pouch
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 102: Pancreatic fistula is a complication of pancreatic surgery that presents with _____ and high amylase in the drain fluid
Answer: normal anion gap metabolic acidosis
Extra: https://onlinemeded.org/spa/surgery-general/pancreas/acquire?ref=anki
Flashcard 103: What is the dx of fever of postop on day 5? _____
Answer: DVT
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 104: What three vaccines should patients receive prior to undergoing splenectomy? _____
Answer: Anti-pneumococcal, Haemophilus, and Meningococcal vaccines
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Flashcard 105: What is the next step in management of a post-op patient with hypotension, tachycardia, confusion, and abdominal dressing soaked with blood? _____
Answer: Urgent laparotomy
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Flashcard 106: Mucoepidermoid carcinoma (parotid gland) can involve _____
Answer: CN7
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Flashcard 107: What is initial test for low output urine postop? _____
Answer: 500cc bolus challenge
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 108: Obese patients who undergo bariatric surgery frequently develop temporary post-operative _____, resulting in lactic acidosis
Answer: hypoxemia
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 109: What is the workup for deep abscess > 10 days postop (imaging, treatment)? _____
Answer: CT/Drain/Abx
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 110: What is prophylaxis for DVT (day 5 fever)? _____
Answer: Ambulation, heparin
Extra: https://onlinemeded.org/spa/surgery-general/postop-fever/acquire?ref=anki
Flashcard 111: Prolonged post-operative ileus is characterized by _____-active bowel sounds
Answer: hypo
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 112: What diet changes should occur after cholecystectomy? _____
Answer: Smaller meals, healthy fats (easier to digest), increased fiber
Extra: https://onlinemeded.org/spa/gastroenterology/gallbladder/acquire?ref=anki
Flashcard 113: Patients who complain of persistent RUQ pain after cholecystectomy should be evaluated for _____ syndrome
Answer: post-cholecystectomy
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 114: Post-operative adjuvant therapies for papillary thyroid carcinoma may include radioiodine ablation and/or suppressive doses of _____
Answer: thyroid hormone
Extra: https://onlinemeded.org/spa/endocrinology/thyroid-nodules/acquire?ref=anki
Flashcard 115: Unexplained fever on POD 7+ may be due to a(n) _____
Answer: abdominal abscess
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 116: Chylous ascites is a complication of abdominal surgery that can occur following _____ or procedures involving retroperitoneal dissection
Answer: liver transplantation
Extra: https://onlinemeded.org/spa/gastroenterology/cirrhosis/acquire?ref=anki
Flashcard 117: _____ dehiscence = intact rectus fascia and managed conservatively (e.g. regular dressing changes)
Answer: Superficial
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 118: Best initial treatment for breast cancer is _____ and _____
Answer: lumpectomy
Extra: https://onlinemeded.org/spa/surgery-general/breast-cancer/acquire?ref=anki
Flashcard 119: _____ kidney transplant is preferred for treating chronic kidney disease
Answer: Living
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 120: What is dx if pt. has zero output postop? _____
Answer: mechanical obstruction
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 121: When should smoking cessation commence prior to surgery? _____
Answer: 8 weeks before surgery (b/c congestion initially worsens)
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 122: What is tx of zero output postop? _____
Answer: Unkink catheter and urine will flow
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 123: Post-op fever day 3 (UTI) is managed with _____ and wide spectrum antibiotics/change foley
Answer: urinalysis and culture
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 124: Following pancreatic head resection for cancer, a drain is left in place. This drain has a high hourly output of milky grey-white fluid with a "sheen" on the bulb drain. What is likely occurring? _____
Answer: Pancreatic leak
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 125: Management of zero urinary output post-op? _____
Answer: Usually mechanical problem - look for plugged or kinked catheter
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 126: What is the treatment for post-operative acute mediastinitis? _____
Answer: Drainage, debridement, and antibiotics
Extra: https://onlinemeded.org/spa/surgery?ref=anki symptoms include fever, chest pain, leukocytosis, and mediastinal widening on CXR
Flashcard 127: What is the likely diagnosis in a patient with recent cataract surgery that presents with fever, decreased vision, and pain over the left eye for 12 hours? Physical examination reveals a swollen eyelid and exudates in the anterior chamber. _____
Answer: Post-operative endophthalmitis
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 128: What is important in the post-op management of intertrochanteric fractures? _____
Answer: Anticoagulation
Extra: https://onlinemeded.org/spa/surgery?ref=anki
Flashcard 129: Bladder irrigation is used for patients with hematuria to prevent the formation of _____
Answer: blood clots
Flashcard 130: Chronic lung transplant rejection typically presents as _____
Answer: bronchiolitis obliterans
Flashcard 131: What surgical procedure is associated with fat embolus? _____
Answer: Liposuction
Flashcard 132: Benign prostatic hyperplasia may be treated with surgical resection, with the gold standard being the _____ procedure
Answer: TURP
Flashcard 133: Does a vasectomy change the volume of ejaculate substantially?_____
Answer: No
Flashcard 134: What is the most common cause of hypoparathyroidism?_____
Answer: Surgicial excision
Flashcard 135: Cutaneous healing by _____ intention is when the wound edges are brought together (e.g. suturing a surgical incision)
Answer: primary
Flashcard 136: In a renal transplant a patient presenting with fever and leakage of urine into the pelvic cavity 5 - 10 days following the transplant most likely has _____
Answer: distal ureteral ischemia
Flashcard 137: Craniopharyngiomas tend to recur after _____
Answer: resection
Flashcard 138: If a women undergoes prophylactic mastectomy, can she still develop breast cancer?_____
Answer: Yes, there is a small chance due to small amounts of remaining breast tissue
Flashcard 139: What is the treatment for mitral valve prolapse (Barlow syndrome)?_____
Answer: Valve replacement
Flashcard 140: Short bowel syndrome is most commonly seen in patients who have had _____
Answer: small intestine resection
Flashcard 141: Patients who have undergone _____ surgery can sometimes manifest with symptoms of hypoparathyroidism and hypocalcemia.
Answer: Thyroid
Flashcard 142: What surgical procedure is associated with iron deficiency anemia?_____ *Why
Answer: Gastrectomy
Flashcard 143: PSA can be used as a surveillance marker for recurrent disease after _____
Answer: prostatectomy
Flashcard 144: Injury to the iliohypogastric nerve often presents as burning or tingling pain at the _____ radiating to the inguinal and suprapubic region
Answer: surgical incision site
Flashcard 145: The iliohypogastric nerve is commonly injured due to post abdominal surgery _____
Answer: sutures
Keywords: Post-op care flashcards, medical flashcards, NEET PG preparation, USMLE Step 1 flashcards, Anki alternative, spaced repetition medical, OnCourse flashcards
Study by Chapter
Immediate post-anesthesia care
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Postoperative pain management
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Fluid and electrolyte management
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Nutrition support in surgical patients
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Wound care principles
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Drain management
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Early mobilization protocols
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Postoperative fever evaluation
Flashcards
Recognition and management of SSIs
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DVT prophylaxis
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Enhanced recovery after surgery (ERAS)
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Postoperative respiratory care
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Transition of care planning
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