Surgical Subspecialties

Question 1

What is a CABG procedure?

Answer 1

coronary artery bypass graft

Question 2

What is the most common artery used when doing a CABG procedure?

Answer 2

mammary artery

Question 3

The use of the term dissection in “Aortic arch dissection” refers to what?

Answer 3

tearing of the wall of the aortic arch

Question 4

What anesthetic concerns are there with CV cases?

Answer 4

general anesth
sternotomy
cario-pulmonary bypass
invasive monitoring
chest tubes

Question 5

When doing thoracic cases, what is the most common position?

Answer 5

lateral decubitus

Question 6

What kind of tube is used for one-lung ventilation?

Answer 6

double lumen tubes

Question 7

What anesthetic concerns are there with thoracic cases?

Answer 7

general anesth
sternotomy
invasive monitoring
chest tubes

Question 8

How do you confirm a double lumen tube placement?

Answer 8

Fiber optic scope

Question 9

What procedure in neurosurgery cases puts that bone back onto skull at the end of the surgery?

Answer 9

Cranioplasty

Question 10

What anesthetic concerns are there with neurosurgery cases?

Answer 10

GA/local/mac
invasive monitoring
hyperventilation: keeps EtCO2 28-33 which decreases cerebral blood flow
positioning
very deeply paralyzed

Question 11

What is burst suppression?

Answer 11

Where propofol is given to make brain electrical activity 0 which decreases need for O2 and blood supply

Question 12

What do you have to monitor closely when using burst suppression?

Answer 12

Blood pressure

Question 13

What is min intracranial pressure?

Answer 13

> 15 mmHg

Question 14

In ortho cases, what is the maximum amount of time you want to leave tourniquet up?

Answer 14

2 hours

Question 15

With tourniquet pain, what is the remedy?

Answer 15

Only remedy is to turn pressure from tourniquet down.

Hypotension results from release of tourniquet

Question 16

When doing Optho cases, what gas should never be used and what can the pt not do for days after surgery?

Answer 16

No N2O because of tendency to go into air pocket

No getting on airplanes b/c same reason with pressure fluctuations

Question 17

What is the oculocardiac reflex?

Answer 17

When lateral muscle of eye is pulled on that causes severe drop in HR
Surgeon must release or get atropine ready

Question 18

What is claudication?

Answer 18

stenosis in vasculature of legs that causes the pins and needles sensation after sitting on the leg

Question 19

When doing a cholecystectomy, what are you working on?

Answer 19

gall bladder

Question 20

What gas is used to insufflate the abdomen during laparascopic cases?

Answer 20

CO2

Question 21

What anesthetic concerns are there with laparascopic cases?

Answer 21

GA
abdominal insufflation
Positioning KEY
EtCO2 increases

Question 22

What position would you place the patient in a lap gastic bypass?

Answer 22

reverse trendelenburg

Question 23

What position would place a patient for a lap pelvic surgery?

Answer 23

Trendelenburg

Question 24

What must all patients undergoing a lap case get?

Answer 24

FOLEY

must be aware of bladder pain and tear

Question 25

For transplant cases, how long is the kidney good for?

Answer 25

24 hours

Question 26

For dialysis patients, the iv must go on the _______ side of the fistula?

Answer 26

opposite

Question 27

For transplant cases, how long is the heart good for?

Answer 27

4 hours

Question 28

For transplant cases, how long is the liver good for?

Answer 28

12 hours

Question 29

For transplant cases, how long are the lungs good for?

Answer 29

Not very | very delicate and very sensitive

Question 30

For transplant cases, all surgeries need an artline except?

Answer 30

Kidney transplants

Question 31

What do you want to keep the volume status at of a patient undergoing kidney/liver transplant?

Answer 31

Hypervolemic

Question 32

What do you want to keep the volume status at of a pt undergoing a heart transplant?

Answer 32

Hypovolemic

Question 33

What drug do you not want to pregnant patients?

Answer 33

Versed | can cause birth defects

Question 34

When giving fentanyl to mother, what must be accounted for in fetus?

Answer 34

Respiratory depression b/c drug crosses placenta

Question 35

When positioning during labor, what is the key thing to remember?

Answer 35

Place a pillow under right hip to slide the weight of the baby off the vena cava which helps elevate BP

Question 36

When doing blocks for OB, which is more of the motor block?

Answer 36

Spinal block

Question 37

When doing blocks for OB, which is more of the sensory block?

Answer 37

Epidural placement

Question 38

What is the APGAR test used for?

Answer 38

measure of the baby vitals after birth

Question 39

What does procedure that ends at -scopy do?

Answer 39

Looking at the organ/area

Question 40

What does the procedure that ends with -ectomy do?

Answer 40

Takes the organ out