ACE 2013-10b Flashcards

0
Q

Criteria that is common to both Modified Aldrete Scoring System (MASS) and Post Anesthetic Discharge Scoring System (PADSS)

A

Activity

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1
Q

Other than age, what are risk factors for postop apnea?

A

Anemia, stressors like hypothermia and pain

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2
Q

Absolute contraindication to electroconvulsive therapy

A

Pheochromocytoma

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3
Q

Reason for bradycardia with low spinal anesthesia

A

Reverse Bainbridge reflex: inhibition of stretch receptor reflex from atrial wall

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4
Q

Peak serum levels of lidocaine occurs how many hours after tumescent technique for liposuction

A

12-14 hrs

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5
Q

Obesity hypoventilation syndrome’s triad of features

A

1) Obesity, BMI > 30
2) daytime awake hypercapnia, pco2 > 45
3) sleep disordered breathing

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6
Q

EEG waves of patient receiving dexmedetomidine

A

Resembles normal sleep with moderate slowing

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7
Q

EEG waves of a patient receiving high dose opioids

A

Delta waves

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8
Q

Methamphetamine metabolism

A

Liver, predominantly by CYP2D6

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9
Q

Why doesn’t succinylcholine cross placenta to the fetus

A

High degree of ionization

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10
Q

Highest risk factor for postop cognitive dysfunction

A

Advanced age

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11
Q

IV therapy for metastatic bone pain when PO meds are insufficient

A

Samarium-153, a radiopharmaceutical

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12
Q

Half life of midazolam

A

2 hrs

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13
Q

Spinal anesthesia to T3 level decreases what lung volume

A

Expiratory reserve volume which means reduction of vital capacity. Results from paralysis of abdominal and intercostal muscles.

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14
Q

Emergent delivery of baby is indicated for fetal scalp blood pH less than

A

7.2

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15
Q

Agent of choice as alternative anticoagulation strategy in patients with HIT

A

Argatroban, a direct thrombin inhibitor

16
Q

Vertebral landmark used to perform a stellate ganglion block

A

Chassaignac tubercle, the transverse process of C6

17
Q

Vertebral landmark for celiac plexus block

A

Inferior aspect of anterolateral T12 vertebral body

18
Q

Drug used to decrease risk of the bleeding in a patient with subarachnoid hemorrhage, but also increases risk of ischemic events or stroke

A

Tranexamic acid

19
Q

Heliox mixture is helpful to increase gas flow because of decrease of what property

A

Density

20
Q

Serotonin syndrome clinical signs

A

Agitation, delirium, hyperthermia, tachycardia, tremor, muscle rigidity

21
Q

Vincristine side effect

A

Neurotoxicity

22
Q

Bleomycin toxicity

A

Pulmonary

23
Q

Cisplatin toxicity

A

Renal dysfunction, peripheral neuropathy

24
Q

What abnormal physiologic parameters may increase likelihood of provoking oculocardiac reflex

A

Hypercapnia and hypoxemia

25
Q

Purpose of dispersive pad (sticky pad) used with monopolar electrocautery

A

Reduce current density