General Discussions

[size=20px]A 15-year old patient with polytrauma has been intubated in the intensive care unit for one week. He develops a fever and thick yellow sputum. His white blood cell count is 19,000. A chest radiograph shows left lower lobe infiltrate. Initial treatment for this presumed ventilator associated pneumonia should include A antifungal therapy. B antiviral therapy. C anti-Pseudomonas therapy. D proton pump inhibitor. E awaiting results of lower respiratory tract sputum sample.[/size]

[size=20px]When is human error more likely to occur? A. At the start of the day B. If the WHO checklist is followed C. When the team has been briefed D. When you are angry with other team members E. After a lunch break[/size]

[size=20px]Following a total abdominal colectomy for ulcerative colitis, the pain service recommends that the patient receive postoperative gabapentin instead of a morphine patient controlled analgesia. Which of the following statements about gabapentin is true? A respiratory suppression is a major side effect B it is absorbed in the ileum C it is adminsered in a continuous infusion D it can be used with ketorolac[/size]

[size=20px]Which of the following situations raises the likelihood of a medical error? A. Getting married B. Eating too much at lunchtime C. Returning to work after a weekend break D. Starting a job at a new hospital E. Trying to finish a busy operating list as you have an important meeting to attend[/size]

[size=20px]Which of the following should NOT be done during team meets before OR? A. Making introductions B. Assigning roles to team members in the event of an emergency C. Telling the team that, as you are the lead surgeon, your instructions should always be followed D. Asking team members to intervene if they feel uncomfortable during the procedure E. Giving praise when something has gone well[/size]

First one with correct answer with justification win. [size=20px]A 37 week gestation infant with duodenal atresia is transferred from a referring hospital. The pediatric surgical intern is called to write admission orders. The initial intravenous fluids for this newborn should be A D5W. B D10W. C D5 0.2 NaCl. D D5 0.2 NaCl with 10 mEq KCl/L. E D10 0.2 NaCl.[/size]

First one with correct answer with justification win. You are asked to consult on the full term newborn female pictured below. [size=20px]You suggest that the appropriate diagnosis in this patient with hemihypertrophy is A Sturge-Weber syndrome. B Klippel-Trenaunany syndrome. C Proteus syndrome. D Beckwith-Wiedemann syndrome. E Stewart-Bluefarb syndrome.[/size]

First one with correct answer with justification win. A 12-year girl is seen in the emergency department after a sledding accident. She is asymptomatic and her abdomen is not tender but an epigastric mass is appreciated. A computerized tomography scan is obtained and the findings lead to a magnetic resonance scan. [center][/center] [size=20px]The most likely diagnosis in this patient with a liver mass is A focal nodular hyperplasia. B posttraumatic hematoma. C hemorrhage into a hemangioendothelioma. D mesenchymal hamartoma.[/size]

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