Practice Test Geeks(ABFAS) American Board of Foot and Ankle Surgery Practice Test
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Emergency Response Procedures Flashcards

7 cards from real ABFAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Emergency Response Procedures flashcards as text

  1. A patient undergoing elective bunionectomy with spinal anesthesia develops sudden hypotension (BP 72/40 mmHg) and bradycardia (HR 42 bpm). This presentation is most consistent with:

    Answer: High spinal block causing sympathectomy

    High spinal block causing a sympathectomy produces hypotension from vasodilation and bradycardia from blockade of cardiac accelerator fibers (T1-T4).

  2. In managing a patient with suspected pulmonary embolism after foot and ankle surgery, which scoring system is commonly used to assess pre-test probability?

    Answer: Wells PE Clinical Prediction Rule

    The Wells PE Clinical Prediction Rule stratifies patients into low, moderate, and high probability categories to guide the diagnostic workup for pulmonary embolism.

  3. A patient on direct oral anticoagulants (DOACs) for atrial fibrillation requires emergent foot debridement. Which agent reverses the anticoagulant effect of dabigatran?

    Answer: Idarucizumab

    Idarucizumab (Praxbind) is a monoclonal antibody fragment that specifically and rapidly reverses dabigatran anticoagulation.

  4. Following a calcaneal fracture repair, a patient develops signs of fat embolism syndrome including petechiae, hypoxia, and confusion. The petechiae are characteristically located in which area?

    Answer: Upper chest, axillae, conjunctivae, and oral mucosa

    Fat embolism syndrome classically causes petechiae in the upper thorax, axillae, conjunctivae, and oral mucosa due to capillary occlusion in these non-dependent regions.

  5. A patient with no known drug allergies develops intraoperative bronchospasm, urticaria, and hypotension after receiving IV cefazolin. After epinephrine administration, which medication should be given next?

    Answer: IV diphenhydramine 25-50 mg and IV corticosteroids

    After epinephrine, IV diphenhydramine (H1 blocker) and corticosteroids are given as secondary treatment for anaphylaxis to block histamine effects and reduce biphasic reaction risk.

  6. A patient with Type 2 diabetes on metformin is scheduled for an elective procedure requiring IV contrast. Metformin should be held postoperatively because of the risk of:

    Answer: Lactic acidosis if contrast-induced nephropathy occurs

    Metformin is held because contrast-induced nephropathy can reduce its renal clearance, leading to accumulation and potentially fatal lactic acidosis.

  7. In a surgical patient who develops intraoperative cardiac arrest, the recommended compression-to-ventilation ratio for a single rescuer performing CPR is:

    Answer: 30:2

    Current AHA guidelines recommend a 30:2 compression-to-ventilation ratio for single-rescuer CPR to maximize chest compression fraction.