Surgery and Anaesthesia

Multiple choice From questions 1 to 7 identify the appropriate definition of each type surgical process method 1) Otomy? a) Making a hole b) Cut into c) Fusion d) Breakdown 2) Ostomy a) Making a hole b) Cut into c) Fusion d) Breakdown 3) Desis a) Opeing b) Fusion c) Cut into d) Breakdown 4) Plasty? a) Fusion b) Removal of c) repair d) Suturing 5) Olysis a) Repair b) Make a hole c) Suturing d) Breakdown 6) Oscopy a) Look at b) Opening c) Removal of d) Cut into 7) Ectomy a) Removal of b) Fuse c) Breakdown d) Repair 8) Which if the following are true with regards to a pre-operative assessment a) Identify risk factors b) Plan/modify post-op management c) Identify patient fitness for surgery

d) All the above 9) Which of the following is true regarding general anaesthesia? a) Drug induced irreversible depression of the CNS b) Drug induced reversible depression of the CNS c) Given at the level of T4 d) B and C 10) a) Heightened response to external stimuli b) Loss of response to external stimuli c) Involves the components of induction, pre med, maintenance and reversal in that order d) C and B 11) Which of the followins true regarding the epidualr pain relief a) At the level of T2 b) Affects small fibres second c) Affects pain and temperature first d) Affects large fibres first 12) Which of the following is true regarding the respiratory dysfunction as a post-op complication a) Decreases respiratory rate b) Increased Tidal volume c) Ventilation to non dependent lung d) All the above

Short answer 1) What does the location of the patient for post-operative care depend on? 2) What are the differences between general anaesthesia and regional anaesthesia?

3) Describe the effects of general anaesthesia on the cardiovascular system, respiratory system and gastrointestinal system. 4) List some of the post operative complications associated with surgery.

5) What is a PCA? Explain its purpose and how it is used.

Long response Explain the concept of post-operative pulmonary complication (PPC), highlighting those which are clinically significant and discuss the PERI-operative risk factors that can contribute to PPCs