ACE exam 5 Flashcards by Katelynn Champagne

optimal depth for ETT through trach

5-6 cm

How well did you know this?

Not at all

Perfectly

Kawasaki dx, cardiac concerns?

coronary artery aneusyms

How well did you know this?

Not at all

Perfectly

damage to which plexus after spine surgery in men cause retrograde ejaculation

superior hypogastric plexus

How well did you know this?

Not at all

Perfectly

Epoprostenol

Prostaglandin that is used for pulm HTN

How well did you know this?

Not at all

Perfectly

NG and pulm HTN

slight dec in PVR, however vasodilation more in large vessels -> not used in pulm HTN

How well did you know this?

Not at all

Perfectly

Nifedipine and pulm HTN

great choice! pulm HTN

How well did you know this?

Not at all

Perfectly

Tx for pulm HTN

inh Nitric oxide
Iloprost
Epoprostenol l(prostacyclin) -> used in critially ill PHTN
Nifedipine
Bosentan
Sildenafil
Ramipril

How well did you know this?

Not at all

Perfectly

What is a bayonet artifcat

speed of u/s through muscle and adipose is different, so longer for the u/s to reach th eneedl ethrough adipose -> so it looks like the needle is slanted

How well did you know this?

Not at all

Perfectly

Inc risk of oculocardiac reflex

-lower age
-propofol based anesthetic
-hypercarbia
-hypoxia

How well did you know this?

Not at all

Perfectly

which pressure is closest to alveolar pressure

plateau pressure

How well did you know this?

Not at all

Perfectly

what pressure means lung volume

mean airway pressure

How well did you know this?

Not at all

Perfectly

Treatment of HTN W/ acute cocaine intoxication

Nicardipine

How well did you know this?

Not at all

Perfectly

if kid swallows battery when to do operation?

911 now

How well did you know this?

Not at all

Perfectly

First Ig to body’s immune def in blood

IgM

How well did you know this?

Not at all

Perfectly

Slip error

occurs during routine familiar task that requires no thought
-drawing up the wrong medication into a labeled syringe

How well did you know this?

Not at all

Perfectly

lapse error

occurs during a multistep task and is due to a memory failure
-ex: forgetting to flush port of central line

How well did you know this?

Not at all

Perfectly

latent error

occurs upstream of event and is not direct cause of the error
-equipment failure, organizational process or room layout
-ex: layout of cart hard to find 911 meds

How well did you know this?

Not at all

Perfectly

what medication inc SSEPs

ketamine

How well did you know this?

Not at all

Perfectly

biggest contributor to LVOT obstruction in HOCM

systolic anterior motion of the mV

How well did you know this?

Not at all

Perfectly

Inc CBF

hypercarbia
hypoxia
**no change w/ metabolic alk or acidosis

How well did you know this?

Not at all

Perfectly

benefit of prone positioning

dec atelectasis in dorsal regions of lungs

How well did you know this?

Not at all

Perfectly

risk of prone

high freq of pressure ulcers
-diplacement of ETT

How well did you know this?

Not at all

Perfectly

Inc in CVP that occurs w/ inspiration, what dx?

Constrictive pericarditis

How well did you know this?

Not at all

Perfectly

jaundice newborns 12-48 hours after birth

physiologic jaundice

How well did you know this?

Not at all

Perfectly

jaundice new borns 36 hrs of birth to beyond 10 days

pathologic jaundice

jaundeice 4-7 after birth

breast milk jaundice

ES liver dx

inc cardiac output low SVR prolonged QT interval

APGAR

Appearance Pulse Grimace Activity Respiration

RF for postop neuropathies

men extremes of weight preexisting neuro symp DM PVD alcohol tobacco arthritis

ACh Receptor downregulation

Myasthenia gravis AChE poisoning organophosphate poisoning

what population is slipped capital femoral epiphysis most ljikely to occur

obese adolescents

mitral valve TEE w/ 2 straight lines and circle

mechanical valve

RF w/ metformin

severe lactic acidosis -pts w/ liver dysfxn, dehydrated, HF, sepsis, or AKI at risk

Pain relief from Mg

NMDA antagonist

VL v DL in trauma, what part of VL is better?

view of laryngeal structures

what synapses on sphenopalatine ganglion?

preganglionic parasympathetic

what tocolytic does NOT cause pulm edema?

Indomethacin COX inh!!

NSAID effect on kidney

vasoconstriction of afferent arteriole

what medication is most likely to cause necrotis skin issues if prob w/ IV catheter?

Promethazine

QI Process measures

determine if specific steps or parts of the system that have been implemented are working as planned

QI outcome measures

focus on the impact of the change that has been implemented

Balancing measures

review the process chcange and ensure that other outcomes are not adversely affected

high ICP, low BP, how to treat high ICP

hypertonic saline

to limit risk w/ cautery

smoke evacuators on field

MC postop complication of pituitary tumor removal

Dec ADH

coronary vasospasm tx

CCB or NG

Complete suppresion of EEG temp

18-20 degrees

Pringle Maneuver hemodynamics

Dec CI Inc SVR Inc MAP

International color for oxygen

white

why more in office anesthesia?

Dec cost

When is surgical MI most likely to occur?

w/i 72 hours after surgery

Greatest contributor of heat loss in anesthesia

radiation

best way to minimize post op CABG renal issues

maintain euvolemia

lowest acoustic impedence in u/s

air then fat then blood

most likely to improve pts perception of visit?

SIT DOWN

What does AKI cuase?

diffuse release of inflammatory mediators throughout body

RF for low cardiac output syndrome after cardiac surgery

Age > 65 LVEF < 50% ON pump CABG DM CKD long CPB duration 911 surgery

indicators beir block worked

motor block sensation of heat paresthesias pale skin numbness

INc HR dennervated heart

isoproteronol

what prolongs durationn of naloxegol

ketoconazole

Highest CO2 conc

reservoir bag

uncuffed ETT airway resistasnce

dec compared to cuffed ETT

hallmark symp of pulm artery catheter causing pulm artery rupture

hemoptysis

RF for PAC pulm a rupture

advanced age hypothermia anticoagulation preexisting pulm HTN

acute cannibas intox, effect on intraop temp

hypothermic

holliday and segar method of choosing maintenance fluids

4-2-1

what could a bair hugger not fix?

the rate of death -but less surgical site infxns and shivering, less blood loss and less cardiac complications

Reversal agent for dabigatran

Idarucizumab

relative contraindication for LVAD

PFO -LVAD will dec pressure in L side of heart, could case a R to L shunt

MCC of acute liver failure in the US

acetaminophen poisoning

Pompe dx

impedes breakdown of glycogen into glucose -issues w/ heart and skeletal muscle -HOCM, weakness of skeletal and resp muscles -juvenile form: enlargement of the tongue intubation difficutl

RF for epidural hematoma w/ LMWH

female >65 2x daily <12 hrs after catheter renal insuff

MOA summatriptan

serotonin agonist

what neuro dx exacerbated w/ inc in temp

best meds to use w/ poor CYP2D6 metabolizers

hydromorphone morphine oxymorphone

Pt w/ AICD and PM dpt and needs surgery, next step

reprogram the device

ASA req to be an expert witness

actively practicing anesthesia license to opractice medicine

EPO made wehre

kidneys

Why does N95 work better than surgical mask

tight fit

Inc risk of postop a fib

esophageal, thoracic, or abd surgery

how long does national practitioner data bank maintain its info?

permanently

most likely to injure phrenic n

radiofreq ablation

to determine myocardial viability

cardiac MRI

trigeminal neuralgia autonomia: parasymp activation

lacrimation, conjunctival injxn, nasal congestion, forehead sweating

why obese people when table unlocked fall up

change in fulcrum

protect brain w aortic arch surgery

deep hypothermia

place infrared sensory for CPB whwere?

Glabellum forehead

Brainscape's Knowledge GenomeTM

ACE exam 5 Flashcards

Brainscape's Knowledge Genome^TM