Podcast
Questions and Answers
What endocrine metabolic reactions occur in response to surgical stress?
What endocrine metabolic reactions occur in response to surgical stress?
- Norepinephrine and insulin secretion
- Epinephrine and cortisol secretion (correct)
- Insulin and cortisol secretion
- Insulin and glucagon secretion
Why should elective surgery be avoided in patients with blood sugar levels greater than 200 mg/dl?
Why should elective surgery be avoided in patients with blood sugar levels greater than 200 mg/dl?
- Reduced stress hormone release during surgery
- Decreased risk of postoperative infection
- Risk of hypoglycemia during surgery
- Compromised healing due to inhibited insulin production (correct)
What is the recommended strategy for managing diabetes mellitus in preparation for surgery?
What is the recommended strategy for managing diabetes mellitus in preparation for surgery?
- Avoid insulin injections on the day of surgery
- Give half the insulin dose before surgery and the other half after surgery (correct)
- Delay surgery until blood sugar levels normalize
- Administer full insulin dose preoperatively
Why should joint surgery be avoided during flare-ups in arthritis patients?
Why should joint surgery be avoided during flare-ups in arthritis patients?
What type of patient should rheumatoid joint surgery be goal-oriented for?
What type of patient should rheumatoid joint surgery be goal-oriented for?
Why is it important to assess for atlantoaxial subluxation in arthritis patients before surgery?
Why is it important to assess for atlantoaxial subluxation in arthritis patients before surgery?
What is the primary consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is NOT a common consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is NOT a common consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary goal of preoperative management for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary goal of preoperative management for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is a key consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is a key consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary reason for obtaining a thorough medical history and physical examination in patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary reason for obtaining a thorough medical history and physical examination in patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is NOT a common laboratory study performed preoperatively for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is NOT a common laboratory study performed preoperatively for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary goal of fluid replacement therapy for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary goal of fluid replacement therapy for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is a common consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is a common consideration for patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary reason for obtaining radiographic studies in patients with diabetes mellitus undergoing foot and ankle surgery?
What is the primary reason for obtaining radiographic studies in patients with diabetes mellitus undergoing foot and ankle surgery?
Which of the following is a common complication associated with diabetes mellitus that can impact foot and ankle surgery?
Which of the following is a common complication associated with diabetes mellitus that can impact foot and ankle surgery?
Which medication should be continued in patients with rheumatoid arthritis to decrease arthritic flare-ups?
Which medication should be continued in patients with rheumatoid arthritis to decrease arthritic flare-ups?
What is the recommended prophylactic antibiotic for joint replacement surgery in patients with immunosuppression?
What is the recommended prophylactic antibiotic for joint replacement surgery in patients with immunosuppression?
What condition is present in 40% of rheumatoid arthritis patients?
What condition is present in 40% of rheumatoid arthritis patients?
What is the recommended treatment for preventing postoperative gout attacks in patients with gout?
What is the recommended treatment for preventing postoperative gout attacks in patients with gout?
Which factor is NOT considered a risk factor for increased medical and surgical risk in patients with hypertension?
Which factor is NOT considered a risk factor for increased medical and surgical risk in patients with hypertension?
What is the recommended antibiotic prophylaxis for patients with rheumatic heart disease or mitral valve prolapse undergoing dental procedures?
What is the recommended antibiotic prophylaxis for patients with rheumatic heart disease or mitral valve prolapse undergoing dental procedures?
What is the recommended time frame to avoid elective surgery after a myocardial infarction (MI) in patients with ischemic heart disease?
What is the recommended time frame to avoid elective surgery after a myocardial infarction (MI) in patients with ischemic heart disease?
Which medication should be avoided in patients with hepatic disease due to its potential hepatotoxicity?
Which medication should be avoided in patients with hepatic disease due to its potential hepatotoxicity?
What is the recommended dose calculation for pediatric patients based on Clark's rule?
What is the recommended dose calculation for pediatric patients based on Clark's rule?
Which statement is TRUE regarding geriatric patients undergoing surgery?
Which statement is TRUE regarding geriatric patients undergoing surgery?
