PAEA Surgery End Of Rotation (EOR) Practice Exam

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Prepare for the PAEA Surgery EOR Exam. Test your knowledge with flashcards and multiple choice questions, with hints and detailed explanations. Gear up for your surgical rotation success!

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What is the initial treatment for a patient with pyloric stenosis?

Surgical intervention
Hydration and correction of alkalosis
Antibiotic therapy
Intravenous nutrition

The correct answer is: Hydration and correction of alkalosis

The initial treatment for a patient with pyloric stenosis focuses on addressing the dehydration and electrolyte imbalances that often accompany this condition, specifically metabolic alkalosis caused by vomiting. Pyloric stenosis leads to the obstruction of the pylorus, resulting in frequent vomiting, which can lead to significant fluid loss and subsequent dehydration. Before any surgical intervention, which is the definitive treatment for pyloric stenosis, it is essential to ensure that the patient is hemodynamically stable. This means that the primary focus is on rehydration and the correction of any metabolic imbalances. The medical team will typically administer intravenous fluids to restore hydration and may also replace lost electrolytes such as potassium and chloride. Monitoring and managing the patient's acid-base status is critical to prepare them for surgery safely. Consequently, although surgical intervention is ultimately necessary, the plan starts with the stabilization of the patient’s condition through hydration and correction of alkalosis. This ensures that the patient is in the best possible condition for any subsequent surgical procedure.