RNFA

2 normal finding of metastasis post op in breast CA - ANS-Green/Blue tinted urine

Blue tinted areola

A substance that accepts H+ ions - ANS-Base

A substance that donates H+ ions to a solution - ANS-Acid

Absorbable suture - ANS-Vicryl

Gut chromic
Monocryl
PDS

After carotid case how would you test for stroke - ANS-Squeeze hand/ move toes
Stick out tongue

Best tests for a carotid dz - ANS-Angiogram

But ultrasound most commonly used

Blood clots at capillary beds - ANS-Trousseau' syndrome

C-section needs to be numb at what level of the spine - ANS-T 5-10

C5 function - ANS-Biceps/Deltoid

C6 function - ANS-Brachioraidal

C7 - ANS-Triceps

Cardiovert which rhythms - ANS-Stable catch

Afib

Common cause of carotid injury - ANS-Embolization of debri

Cranial nerve 1 - ANS-Olfactory

Cranial nerve 2 - ANS-Visual acuity Optic

Cranial nerve that involves visual field - ANS-2-Optic

Dimensia difference with Dilemia - ANS-Difficulty focusing

Don't shock which rhythms - ANS-Asystole

During pregnancy how much does your cardiac output increase - ANS-30%

Each liter of fluid given lowers body temp by - ANS-0.25

Early sign of sepsis - ANS-Decreased urine output

Facial expressions/sensation tests which cranial nerves - ANS-V, Vll

Factors that lead to SSI - ANS-Hx of previous surgery

Prolonged surgery time
Hypoalbuminemia
Hx of COPD

First phase of tissue injury - ANS-Inflammatio

Gag flex tests which nerve - ANS-Glossopharyngeal

Gold standard treatment for disco genie back pain - ANS-Spinal fusion

Hesselbachs triangle is made of what boundaries? - ANS-Inferior Epigastric Artery, inguinal, and
reclusive abdominal

Hesselbox triangle made up of - ANS-Inferior epigastic artery,

Retus Abdominal
Inguinal

How do we diagnose pancreatic cancer - ANS-CT, ERCP, MRI

How do you follow/monitor up with pt before and after carotid surgery - ANS-Every 6 months
ultrasound

How do you know the hypoglossal in a carotid has been damaged? - ANS-Tongue deviation

How do you prep for carotid - ANS-Stern also knotch to ear lobe

How do you treat A-fib - ANS-Beta blocker, calcium channel blocker

How do you treat pulseless v-tach or V-fib - ANS-Defibrillate

How many cervical vertebrae are there - ANS-7

If pt. Wakes from endarectomy with deficits what do you first - ANS-Re-explore the
endarterectomy

If there is a tumor in tail of pancreas what stage is it - ANS-Stage 4

If using CO2 and increase to 15 can do what - ANS-Air canary beds to cause coagulation

If you loose function in your pinky you have a what - ANS-Spinal not epidermal

In a carotid case pt. Strokes and has weakness on the left ....where is the brain injury? -
ANS-On the right

In a pregnant women how much blood flow goes to the uterus - ANS-20%

In assessing the abdomen which do you do first?

Ascultate, palate, percuss - ANS-Auscultate

In Hypoglossal injury tongue points to side of injury

T/F - ANS-True

Intervention therapy for MI - ANS-MONA therapy - MS, O2, Nitroglycerin, ASA

Marginal mandibular facial nerve function (3) - ANS--Supplies motor function to lower lip
Usually courses inferior to the rim of the mandible
Is in close proximity to importance facial artery lymph nodes along the mandible rim

Most common leg sores - ANS-Venous related

Most damaging injury to tissue - ANS-Crushing injury

Name the six sections of nursing process - ANS-Assessment

Diagnosis
Outcome
Planning
Implementation
Evaluation

Name three primary modes of treatment for carotid dz - ANS-ASA, Endarectomy, stent never a
balloon

Non absorbable - ANS-Prolene

Silk
Nylon
Ethilon
Ethibond

Normal Bicarbonate level - ANS-22-26

Normal HCO3 - ANS-22-26

Normal pCO2 - ANS-35-45

Normal PH - ANS-7.34-7.45

Normal PO2 - ANS-75-100

Number of knots for prolene - ANS-7-10

Number of knots for silk - ANS-4

Number three f knots for Vicryl - ANS-4

Ph> 7.45 - ANS-Alkalosis

Preferred placement of lap scope - ANS-Palmers point

Preferred placement of laparoscopic surgery scope - ANS-Palmers point

Pregnant put cardiac output increases how much - ANS-30%

Puffing out cheeks tests which cranial nerve - ANS-7 Facial

Recommended breast conservation for which pt. - ANS-Unifocal Tumor

Romberg test is which cranial nerve - ANS-8 Acoustic whisper test

Routine surgical complication with wipple - ANS-New onset diabetes blood clot

Shockable rhythms - ANS-Vibe

Puleless vtach

Shrugging shoulders is which cranial nerve - ANS-11-spinal accessory

Swallow and gag tests which cranial nerve - ANS-IX, x, xll

Test for carotid inexpensive? - ANS-Doppler, ultra sound

The pulling sensation in lower abdomen after child birth is do to what - ANS-Illioinguinal nerve
Iliophypogastric nerve

The radical neck dissection removes what three things - ANS-Sternocleidomastoid muscle
Internal jugular vein
Spinal accessory nerve

This is important in what case to always preserve the spinal accessory nerve and is performed
using similar neck incisions as a radical neck dissection - ANS-A modified radical neck
dissection

This takes days of work to regulate H+ ions - ANS-Kidneys

This takes minutes to hours to work to regulate H+ ions - ANS-Lungs

Three carotid complications - ANS-Tongue deviation

Facial numbness
Hoarness

Weakness in muscle group c 7 effects what - ANS-Triceps

What are normal Glucose levels - ANS-80-108

What do most anesthetic do to the nervous system - ANS-Reduce activity of the sympathetic
nervous system

What do we not place cricothyroidectomy if we can help it - ANS-That is where the vocal cords
are and we don't want to damage them

What do we use to block pain for pancreatic pt - ANS-Nerve block

What do we use to see function of gallbladder - ANS-CCK

What do you hear at Erb's point - ANS-Point of maximum heart function

What do you need to be careful of when doing thorocotomy - ANS-That there is a nerve and
vein running under each rib. You want to approach though top of. Rib to avoid hitting them

What do you need to remember to do with a patient getting a ALIF - ANS-Place pulse ox on left
foot

What does a Weber test test for - ANS-Physical assessment that tests lateralization with a
tuning fork

What does anesthesia need for thoracotomy - ANS-Double lumen tube

What does distinction of neck. Wins tell you - ANS-Cardio genie shock

What does the Mini-Cog test - ANS-Dementia Alzheimer's- they draw hands on a clock

What does the Rinne test - ANS-Bone conduction with running fork

What gives blood supply to retus muscles - ANS-Inferior epigastic artery

What is a aneurysm call that does not go through all three layers - ANS-Pseudo aneurysm

What is a circumferential aneurysm called - ANS-Fusiform

What is a clinical way to check for carotid dz? - ANS-Bruie with 25% over carotid

What is a volatile gas that can convert a liquid to a gas to be excreted by the lungs -
ANS-Carbonic acid

What is amaurosis? - ANS-Ocular symptoms that is like a sheet being pulled over a portion of
your vision

What is study used for tibial fracture - ANS-Ct scan

What is the 4th leading cause of death - ANS-Carotid dz

What is the 5th leading of adult cancer death - ANS-Pancreatic adenocarcinoma

What is the best screening test for AAA - ANS-Duplex (Ultrasound)

What is the difference in a TIA and a stroke - ANS-TIA lasts 30 min-2 hours symptoms resolve.
Stroke does not resolve MRI will show damage

What is the early sign of malignant hyperthermia - ANS-Increased end title co2

What is the goal of breast reduction - ANS-Preserve blood supply to the nipple

What is the study of choice for tibial fracture? - ANS-CT Scan

What is the vagus nerve responsible for - ANS-Parasympathetic: carotid reflex, stomach and
intestines secretions, peristalsis

What is your Glascowcoma scale if you are a level 1 trauma - ANS-<9

What issues do peds under 10 have with cardiac out put - ANS-It does not change
What landmark is of value in Laparscopic GYN sx - ANS-Round ligament

What nerve does the modified neck dissection? - ANS-Spinal Accessory Nerve

What order do you asses the abdomen - ANS-Look, auscultate, percuss, palpate

What percentage of communication is verbal - ANS-7%

What should we ask patients to stop before surgery - ANS-Smoking because of wound healing

What size of Abdominal Aorta do we reapir - ANS-5.5 cm

What temperature does methylene Methacolate need to be at - ANS-65-68 degrees

What two things should suture selection take into effect - ANS-Post op swelling
Tension that will be placed on itm

What's a FAST exam for - ANS-Abdominal bleeding exam for trauma patients

What's a good idea to do before placing a versa needle in the abdomen for Trocars - ANS-Place
NG tube

What's a late sign of MH - ANS-Increase temperature

Where do we get the best anesthesia effects for child birth - ANS-T-10 numb at umbilicus

Where does the vagus nerve lye that you have to be careful of? - ANS-Under the external artery

Which area of nursing process do you want to involve family? - ANS-Assessment

Which artery can be sacrificed for wipple - ANS-GDA Gastrodeudernal artery

Which Carotid artery has branches on it external or internal - ANS-External

Which cranial nerve is shrug shoulders - ANS-11

Which gas is volital? - ANS-Carbonic acid

Which has less infections monofilament or braided suture - ANS-Monofilament

Which nerve has large veins coursing over it laterally in the submandibular triangle -
ANS-Hypoglossal
Which organ excretes bicarb - ANS-Kidney

Which patients are most likely to rupture there Abdominal Aortic Aneurysm - ANS-Smoker
Hypertension
COPD

Which patients do we not use a aortic graph in - ANS-Pt with infection

Which SSI involves skin or subcutaneous tissue - ANS-Superficial SSI

Which suture is natural no absorbable - ANS-Silk

Which two nerves do you have to be careful of when assisting in a carotid? - ANS-Hypoglossal
Vagus

Who is at risk for retroperoteal rupture - ANS-BMI under 40

Who should we involve as much as possible in the nursing process? - ANS-6

Why would you want coated suture - ANS-Slower absorption