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NRNP 6560 Final Exam Review General Pre and Post Op Care Hemoglobin in relation to surgery Predictors of increased morbidity and mortality post-operatively Risks factors for poor wound healing Medications the patient should take on the morning of surgery Positioning in the PACU Neck, Esophagus, and Diaphragm Sudden sensorineural hearing loss (SSHL) diagnosis and treatment Otitis Externa - secondary treatment Non-Hodgkin's lymphoma- treatment related complications Achalasia risk factors Traumatic diaphragmatic hernia repair Cardiology EKG interpretation of different types of MI according to the leads presenting with signs of ischemia Society of Thoracic Surgeon’s statistics and synopsis regarding patient outcomes after coronary artery bypass grafting and mortality INR management Mitral stenosis with catheter-based balloon mitral valvotomy and reduction of the transvalvular pressure gradient Types of aortic aneurysms and immediate surgery Pulmonary and Shock Fatty Lipoma Thymoma and autoimmune disorders Positive TB skin test and when treatment is needed Cardiac pressures related to shock and PE Treatment for neurogenic shock, distributive-septic shock, and cardiogenic shock Acute Abdomen, Stomach/Duodenum, Appendix Disorders Abdominal pain and epigastric pain workup and presentation Symptoms of colicky pain Gas stoppage sign Pancreatitis labs ureteral colic s/s Perforated bowel s/s Rebound tenderness Diverticulitis s/s When is a pelvic exam indicated and when can it be deferred? Gastric resection and how vitamins absorption is affected Post-op care of abdominal surgery Gastroparesis perforated ulcer s/s and resection and hospital complications vagotomy gastrinoma s/s peptic ulcer disease s/s and management gastrectomy and bezoar formation Zollinger-Ellison syndrome Pyloric obstruction s/s Liver/Biliary Track, Pancreas, Spleen Resection of the liver and regeneration- follow up monitoring pregnant women and spontaneous hepatic rupture s/s hepatic hemangiomas hepatic adenomas s/s portal hypertension with alcoholic liver disease s/s acutely bleeding varices treatment Budd-Chiari syndrome s/s Von Willebrand's disease Paracentesis and subsequent analysis of the fluid ascites s/s and treatment chemical mediators of hepatic encephalopathy, protein intake Extrahepatic obstruction s/s Cholelithiasis s/s and treatment Biliary colic s/s acute pancreatitis s/s and causes Hypospadias and circumcision Administration of the American Urological Association (AUA) Symptom Scale-When is it needed? microscopic hematuria- s/s and treatment acute pyelonephritis s/s Bladder distention treatment Tuberculosis and UTI s/s Posterior compartment syndrome- s/s and treatment Menorrhagia diagnosis Ectopic pregnancy- s/s and treatments Neurology, Orthopedics, Plastic/Reconstructive Use of plain film x-rays with head injuries Hypotension and head injury - risk of mortality Cushing’s triad s/s Closed head injury s/s and treatment Acute subdural hematoma on CT scan Concussion definition s/s and treatment Brain Trauma Foundation recommendations for intracranial pressure monitoring Crush injuries - s/s and treatment Fasciotomy open fractures - treatment transverse process fractures - treatment Flexion-distraction injuries - causes Pelvic fracture - s/s Scapular fracture - treatment Proximal humerus fracture full thickness grafts - when to use Treatment of hypertrophic scar Seborrheic keratosis - treatment Verrucae lesions - s/s and treatment Actinic keratosis - s/s and treatment Time frame for suturing injuries Oncology. Organ Transplant, Medical/Ethical tumor nomenclature various methods of tumor biopsy Proctocolectomy - when is it needed Partial response to neoadjuvant chemotherapy Monoclonal antibodies uses and advantages Acute post-radiation effects with throat cancer Organ donation - when is a patient not a candidate for organ donation? Use of Corticosteroids in post-transplant patients Donation guidelines Treatment strategies for bradyarrhythmias in post-heart transplant patients Bone marrow transplant - treatment for prevention of rejection Kidney transplant - treatment First line treatment of acute rejection of liver Ethical principles beneficence, nonmaleficence, veracity Counseling rape victims Informed Consent and cognitively impaired patients End of life considerations