Wa/Or Acs 2019 Session IV

1. Which of the following is NOT a component of the ERAS pathway?

Resuming liquids POD #2

Pre-op Carbohydrate Loading

Epidural Catheter

Routine thoracostomy placement

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WA/OR ACS Session IV, Sunday, June 16, 2019

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2. When can left thoracoabdominal esophagectomy be considered in the treatment of esophageal cancer?

In patients with distal large or bulky tumors only.

Only in young patients that can tolerate a thoracotomy.

When the anastomosis will be placed in the lower thorax.

In any suitable patient.

3. During a standardized post-operative check-up, a patient presenting with abdominal pain answers the medical student's questions with long, disorganized responses. Training in which history-taking skill might improve this medical student's encounter?

Active listening

Facilitation techniques

Asking open-ended questions

Demonstrating empathy and reassurance

4. 47 year old White female presents to HMC status post bicycle accident on the Burke Gilman trail as another bikeshare rider crossed her path. Physical exam reveals superficial abrasions on right arm and chin. Which of the following statements is correct?

Exposure to bikeshare has no effect on risk or severity of facial injury

Exposure to bikeshare increased her risk but not severity of facial injuries

Exposure to bikeshare decreased her risk and severity of facial injuries

Exposure to bikeshare increased her risk and severity of facial injuries

5. You have just finished performing a below-knee amputation on a 31 year-old male following a gunshot wound to the left lower extremity. What is the most appropriate positioning for the residual limb following surgery?

Knee at 45 degrees flexion for patient comfort

Knee at full flexion to prevent quadriceps spasticity

Knee at 180 degrees extension with a rigid immobilizer

Flat on the bed with an elastic bandage wrap

6. In our study, anastomotic leak is most likely to occur with which technique?

Hartmann's Procedure

Stapled Anastomosis

Hand-sewn Anastomosis

Right colonic anastomosis

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Jun 12, 2019

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Jun 06, 2019

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