Perio OP Management Chronic Kidney disease

Q) 45 year old male is on chronic dialysis for MGN. He is due to undergo Right colonic resection for ca caecum. Which of the following parameters will be of least worry to the anesthetists due to chronic kidney disease?

a) Cardiac

b) Fluid and electrolyte

c) Coagulational

d) Pulmonary

Peri Op management MCQs

 

Virchow’s triad

Q) Which of the following does not form a part of Virchow's triad?

a) Endothelial damage

b) Slow blood flow

c) Platelet defects

d) Hypercoagulable state


"More Questions on Periop Management"

c Platelet defects

Virchow triad (venous stasis, endothelial injury, and hypercoagulability) describes the factors contributing to venous clot formation and thromboembolism

Platelet defects are associated with arterial thrombosis and not venous

He is known as "the father of modern pathology" and as the founder of social medicine, and to his colleagues, the "Pope of medicine"

Dumping Syndrome

Q) What is the mechanism of action of Octreotide in dumping syndrome ?

a) Acceleration of gastric emptying

b) Shortening of small bowel transit time

c) Inhibition of endocrine secretions

d) All the above

Answer: C

  • Octreotide alleviates both early and late dumping symptoms through inhibition of hormone mediators.
  • It also delays gastric emptying time and inhibits splanchnic vasodilation.

Shack, 8th, 722.

  • These peptides not only inhibit gastric emptying but also affect small bowel motility so that intestinal transit of the ingested meal is prolonged.

Sabistan, 21st, 1217.

Snippets

  • Late dumping occurs 1 to 3 hours after a meal and is less common.
  • The basic defect of late dumping is also rapid gastric emptying; however, it is related specifically to carbohydrates being delivered rapidly into the proximal intestine.
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