Postoperative Care Quiz
Postoperative Care Quiz
Test your knowledge on postoperative care and surgical complications with our comprehensive quiz. Designed for medical students, healthcare professionals, and anyone interested in surgical practices, this quiz covers crucial topics essential for understanding patient care.
Features:
- Multiple choice questions
- Covering various aspects of surgical care
- Immediate feedback on your answers
Which method is NOT used for the treatment of the postoperative seroma:
A. Compression dressing
B. Evacuation by needle aspiration
C. Exploration in the operating room and ligation of lymphatic vessels
D. Diuretic administration
First line treatment in an adult with idiopathic thrombocytopenic purpura includes
A. Retuximan
B. IV immunoglobulin
C. Desmopressin
D. Splenectomy
Prevention of postoperative pneumonia includes:
A. Maintaining the airway clear of secretions
B. Early oral feeding
C. Suppressing the cough
D. Liquid diet
Prevention of postoperative pneumonia includes:
A. Administration of diuretics
B. Liquid diet
C. Encourage coughing
D. Plasma transfusion
Folowing factors affect wound healing EXCEPT
A. Antibiotics
B. Hypoperfusion of tissues
C. Advanced age
D. Steroid use
Wounds could be classified as all of the following EXCEPT:
A. Mechanical
B. Caused by radiation
C. Thermal
D. Congenital
What percentage of the body is made up of water
A. 30-40%
B. 70-80%
C. 10-20%
D. 50-60%
Shaving of the operative field is recommended:
A. Before hospitalization at patients home
B. Immediately before the operation
. Best scars are seen in:
A. Infants
B. Children
C. Very old people
D. Adults
Adverse effects of opioids are all of the following EXCEPT:
A. Decreased peristalsis
B. Nausea & vomiting
C. Hypoglycemia
D. Respiratory depression
Bleeding from cut bone can be controlled by
A. Tourniquet
B. Packing a wax
C. Ligature
D. Vascular clamp
Choose and match the correct diagnosis: A 7-year-old boy with nut allergy develops stridor and collapses after eating a snack. He requires airway and breathing support. His BP is 60/38 mmHg
A. Septic shock
B. Anaphylactic shock
C. Hypovolernic shock – hemorrhagic
D. Cardiogenic shock
. In Glasgow Coma Scale all of the following are considered EXCEPT
A. Motor response
B. Verbal response
C. Eye movement
D. Sensory response
Following points are true for the necrotizing fasciitis EXCEPT:
A. Treatment - Oral antibiotics
B. Treatment - Removal of all necrotized skin and fascia
C. Characterized by high mortality rate
D. Is caused by the septic thrombosis of the vessels
The shock is clinically best assessed by:
A. Central vein pressure
B. Sweeting
C. Blood pressure
D. Urine output
Delayed wound healing is expected in following patient group:
A. Receiving large doses of ascorbic acid
B. Diabetes mellitus
C. Constipation
D. Wrestlers
. Delayed wound healing is expected in following patient group:
A. Protein depletion
B. Receiving large doses of corticosteroids
C. Epilepsy
D. Chemotherapy
High risk of thromboembolism has a patient with all of the following condition EXCEPT
A. Cancer
B. Obesity
C. Myocardial infarction
D. INR>2.5
In the usual preparation for general surgery, the patient may be
A. Given specifically ordered oral medications with couple glasses of water
B. Given ice chips
C. NPO for 12 to 14 hours before
D. Allowed to brush teeth and swallow water
All vegetative bacteria and most resistant dry spores are destroyed by the following methods of sterilization EXCEPT:
A. Autoclaving
B. Dry heat
C. Ethylene oxide gas
D. Boiling
Which of the following can be used to mitigate cortisol effects on wound healing
A. Vitamin E
B. Vitamin A
C. Vitamin B12
D. Vitamin C
Transfusion therapy means the intravenous administration of all the following fluids EXCEPT
A. Plasma
B. Red blood cells
C. Ringer-Lactate solution
D. Cryoprecipitate
Delayed wound healing is NOT associated with the following:
A. Receiving large doses of corticosteroids
B. Pneumothorax
C. Protein depletion
D. Chemotherapy
The following points are tue for Split-thickness skin graft EXCEPT
A. Is harvested using dermatomes
B. Needs vascular anastomosis for blood supply
C. Consists of epidermis and part of dermis
D. May be "meshed" to cover larger area
Signs of postoperative wound hematoma are all of the following EXCEPT:
A. Blood leakage between stitches
B. Vomitus
C. Discoloration of the wound edges
D. Swelling of wound area
Wound heals by secondary intention when:
A. Wound edges are separated
B. The wound is suture
C. Incised or cut wounds
D. There is no infection
Early postoperative complications are all of the following EXCEPT
A. Pneumonia
B. Urinary tract infection
C. Keloid formation
D. Postoperative wound infection
Which of the following conditions is NOT a risk factor for the wound dehiscence:
A. Corticosteroids
B. Arterial hypertension
C. Obesity
D. Microcirculatory disorders diabetes Melius., uremia. Immunosuppression.jaundice. sepsis. hypoalbuminemia., cancer
Failure of healing of the gastrointestinal wall sutures could lead to the following complications EXCEPT:
A. Peritonitis
B. Intrastiominalabscees
C. Fistula formation
D. Intestinal obstruction
Which layer of the intestine has the greatest tensile strength (i.e. Ability to hold sutures)?
A. Muscularis
B. Serosa
C. Mucosa
D. Submucosa
Which of the following shoul be performed in a patient with a suspected Marjolin ulcer?
A. Zinc supplementation
B. Oral tetracycline for 6 weeks
C. Hyperbaric therapy
D. Biopsy
Transfusion of one unit of RBCs generally increases hemoglobin level by
A. 0.5 g/dL
B. 5 g/dL
C. 3 g/dL
D. 1 g/dL
Which of the following is the cation present in largest amounts in intracellular fluid?
A. Sodium
B. Chloride
C. Potassium
D. Calcium
Which of the following is the treatment of the severe hyperkalemia?
A. Oral glucose
B. Dialysis
C. Vitamin A
D. NPO
Physical examination of the patient is the part of
A. Subjective examination
B. Objective examination
There are 18 types of collagen in human body. Which two are the most important in wound healing?
A. Type VI and VII
B. Type III and VIII
C. Type I and III
D. Type II and X
Treatment options of gastric dilation includes following
A. Opioids
B. Antibiotics
C. Steroids
D. Decompression with nasogastric tube
. Pulmonary aspiration could be caused by:
A. Sellik's maneuver
B. Preoperative fasting
C. Tracheal intubation
D. Head down position
Phases of bone healing are all of the following EXCEPT:
A. Soft callus formation
B. Remodeling
C. Hard callus formation
D. Epithelisation
Hemophilia C is caused by deficiency of
A. Factor XI
B. Factor X
C. Factor VIll
D. Factor IX
Autoclaving parameters are:
A. 2 atm (140oC) 45 min
B. 11atm (161oc) 25 min
C. 1 atm (100oC) 15 min
D. 2 atm (121oC) 15 min
. Joseph Lister, british surgeon was a pioneer of
A. Plastic surgery
B. Anatomy
C. Anesthesia
D. Antiseptics
. Examples of deep wound infections are following EXCEPT:
A. Abscess in the Douglass pouch
B. Abscess under the axillary skin
C. Abscess under diaphragm
D. Abscess under fiscal
Wound heals by secondary intention during following circumstances EXCEPT:
A. The wound is infected
B. Wound is clean and sutured
C. Wound is packed with sterile gauze
D. Sutures are applied after granulation tissue formation
Folowing factors affect wound healing EXCEPT
A. Wound irrigation
B. Diabetes mellitus
C. Malnutrition
D. Vitamin deficiencies
Folowing factors affect wound healing EXCEPT:
A. Steroid use
B. Hypoperfusion of tissues
C. Advanced age
D. Antibiotics
Folowing factors affect wound healing EXCEPT:
A. Cancer
B. Cardiac failure
C. Vitamins
D. Chemotherapeutic antimetabolite drug
Axonotmesis is:
A. Interruption of axonal continuity but preservation of Schwann cell basal lamina
B. Complete transection of nerve
C. Focal demyelination of nerve
D. Congenital absence of nerve
Laparotomy belongs to the following wound types EXCEPT:
A. Incision
B. Mechanical
C. Abrasion
D. Open
During the hemostasis phase of wound healing main cell type found in the wound is:
A. Platelets
B. Macrophages
C. Fibroblasts
D. Neutrophils
During the late inflamation phase of wound healing the main cell type found in the wound is:
A. Platelets
B. Macrophages
C. Fibroblasts
D. Neutrophils
During the early inflamation phase of wound healing the main cell type found in the wound is:
A. Platelets
B. Macrophages
C. Fibroblasts
D. Neutrophils
During the proliferation phase of wound healing the main cell type found in the wound is:
A. Platelets
B. Macrophages
C. Fibroblasts
D. Neutrophils
Disatvantages of dry heat sterilisation are all of the following EXCEPT:
A. Dulls sharp and cutting instruments
B. Burn fabric, plastic or rubber material
C. Spoils metal instruments
D. Does not destroy dry spores
Compromised immune competence is expected in all of the following groups EXCEPT
A. Having joint dislocated
B. Receiving corticosteroids
C. Malnutrated patients
D. Organ transplant recipients
Symptoms of Class III hypovolemia (loss of 30-40% of blood volume) are:
A. Face hyperemia, bradycardia
B. Dry mouth, normal pulse pressure
C. Tachycardia and decreased pulse pressure but, normal BP (Class II)
D. Tachycardia, tachypnea, hypotension, oliguria, and changes in mental status
A patient presents to the emergency room with a temperature of 39°C, heart rate of 115, and respiratory rate of 25. There are no localised simptoms and the work-up does not reveal any specific source for fever. Which of the following best discribes the patient's condition?
A. SIRS
B. Septic shock
C. Infectin
D. Sepsis
Which of the following is an early ECG change seen in hyperkalemia?
A. Flattened P wave
B. Peaked T waves
C. Sine wave formation
D. Prolonged PR interval
Surgeon should receive an immunization to protect them from infection with
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Human immunodeficiency virus
Risk of the thromboembolism is increased in the patients with the following conditions EXCEPT:
A. Cancer
B. Prior history of thrombosis
C. Obesity
D. Parotitis*
This question is not from the 'Wound healing' chapter. Delayed wound healing is NOT associated with the following:
A. Protein depletion
B. Receiving large doses of corticosteroids
C. Pneumothorax
D. Chemotherapy
After surgery, convalescent period of recovery usually occurs in:
A. ICU
B. Patirnt's home
C. Wards
D. PACU
Gastric dilation is prevented by one of the following methods:
A. Nasogastric tube placement
B. Smoking casation
C. Laxatives
D. Preoperative low calory diet
. Pulmonary aspiration is prevented by all of the following methods EXCEPT
A. Smoking cesation
B. Selliks maneuver
C. Preoperative fasting
D. Proton pump inhibitor administration
Shaving of the operative field is recommended:
A. Before hospitalization at patients home
B. Immediately before the operation
The sterilization device is:
A. Cleaner
B. Boiler
C. Autoclave
D. Steamer
General medical state ASA1 means:
A. Mild diseases only without substantive functional limitations.
B. Healthy, non-smoking, no or minimal alcohol use
C. Constant threat to life
D. Not expected to survive without the operation
The severity of pain is estimated by:
A. Blood pressure
B. All of these methods
C. Asking the patient
D. Puls rate
When using the incentive spirometer the patient must:
A. Blow
B. Aspirate
Multiple clotting factor deficiencies are corrected by one of the following:
A. Fresh frssen plasma transfusion
B. Granulocyte mass transfusion
C. Red blood cell transfusion
D. Platelet concentrate transfusion
Negative effects of the opioids are all of the following EXCEPT: (!!!
A. Respiratory depression
B. Altered mental state
C. Constipation
D. Diarrhea
Delirium tremens is the postoperative complication of the following:
A. Alcoholism
B. Malnutrition
C. Diabetes
D. Appendicitis
Complications of the subclavian catheter are all of the following EXCEPT
A. Cardiac arrhithmias
B. Arterial damage
C. Pneumothorax
D. Melena
Highest temperature is used during sterillisation with
A. Ethilen oxide
B. Boiling
C. Dry heat
D. Autoclave
The reason of the pressure ulcer is:
A. Failure to turn the patient from side to side*
B. Burn
C. Bone fracture
D. Diabetes mellitus
Opioid narcotics could aggravate postoperative period by causing:Opioid narcotics could aggravate postoperative period by causing:
A. Respiratory stimulation
B. Decreased peristalsis
C. Diarrhea
D. Wound dehiscence
Melena or melana is the sign of:
A. Upper Gl bleeding
B. Lung injury
C. Anal bleeding
D. Goiter
Urinary retention after surgery is treated by
A. Bladder catheterization
B. Diuretics
Prevention of the postoperative thromboembolism includes: (
A. Subclavian vein catheterization
B. Long stay in bed
C. 5% glucose
D. Low molecular weight heparin
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