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SURGERY COMAT () EXAM WITH CORRECT ANSWERS
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SURGERY COMAT (2024-2025) EXAM WITH CORRECTANSWERS
symptoms of peptic ulcer disease? - <<Answers>>>epigastric
pain, gnawing sensation that occurs after meals
Risk factors for stable angina pectoris caused by coronary
ischemia? - <<Answers>>>DM, hyperlipidemia, HTN,
cigarette smoking and age
prognostic factors for angina include? -
<<Answers>>>venticular function and coronary vessel
patency
Liver chapman points? - <<Answers>>>anterior: 5th and 6th
ICS on the mid-clavicular line on the right
posterior: between the transverse and spinous processes or T5-
7 on the right
Clean wound - <<Answers>>>sterile environments with nor
source of infection present other than potential skin
contaminants
contaminated wounds - <<Answers>>>accidental wounds that
involve violation of sterile fields or gross spillage of
infectious content into previously sterile field
Gross contaminated wounds - <<Answers>>>involve
traumatic wounds that have a significant delay in attaining
, SURGERY COMAT (2024-2025) EXAM WITH CORRECT
ANSWERS
treatment, oftentimes including areas of necrosis or frank
purulence
Linezolid - <<Answers>>>activity against both MRSA and
streptococci has been as effective as vancomycin
effective against most Gram positive speciea and has some
anaerobic coverage as well
bacteriostatic against: S. aureus, Enterococcu
bactericidal against most strain of streptococci
ampicillin-sulbactam - <<Answers>>>S. aureus, H. influenze,
E. coli, Klebsiella, Acinetobacter, Enterobacter, and anaerobes
used for intraabdominal infections, gynecological infectios,
and susceptible skin infections
Cefepime - <<Answers>>>Used in treatment of moderate to
severe uncomplicated skin and skin structure infections
caused by S. aureus or Strep. pyogenes
,SURGERY COMAT (2024-2025) EXAM WITH CORRECT
ANSWERS
Trochanteric bursitis - <<Answers>>>Associated with
superficial hip pain related to pressure (lying on affected side)
and use
inflammation of the bursa that overlies the insertion of the
gluteus medius tendon into the greater trochanter
When should use of depolarizing NMJ paralysis agents be
avoided and why? - <<Answers>>>Avoid in:
crush victims, burns, disuse muscle atrophy, denervation
syndrome (Guillain-barre, critical illness polyneuropathy)
Complications: life-threatening cardiac arrhythmias due to
hyperkalemia
Halothane toxicity? - <<Answers>>>Can cause hepatoxicity
due to production of hepatotoxic metabolites
Etomatide toxicity? - <<Answers>>>Blocks 11B-hydroxylase
is inhibited and can cause severe adrenal insufficiency in the
elderly or in severely ill patients
Nitrous oxide metabolic SE? - <<Answers>>>Inactivates B12
and can lead to methionine synthase inhibition, resulting in
neurotoxicity (e.g. peripheral neuropathy) in particular in
patients with pre-existing B12 deficiency
, SURGERY COMAT (2024-2025) EXAM WITH CORRECT
ANSWERS
Clinical presentation of psoas abscess? -
<<Answers>>>History of skin infection with Lower
abdominal pain that radiates to the groin and presents with
pain to deep palpation
Causes of paralytic ileus? - <<Answers>>>Abdominal
surgery, retroperitoneal/abdominal hemorrhage or
inflammation, ischemia, electrolyte abnormalties
nauses, vomiting, vague abdominal pain with abdominal
series showing no clear transition point in the dilated bowel
treatment: bowel rest, supportive care
prepatellar bursitis - <<Answers>>>localized anterior knee
pain associated with mild swelling and erythema often related
to repeated use such as kneeling in professions (ie. maid,
concrete or carpet laying)
most common bursitis associated with infection
Rapid sequence intubation indications? -
<<Answers>>>Unconscious patients that require ventilation
assistance
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