Anesthesia Flashcards

1
Q

preoperative anxiety relieved by

A

good anesthesiologist

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2
Q

H2 antagonists prevent aspiration pneumonitis

A

increasing pH of gastric cntents

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3
Q

most common complication after extubation

A

laryngospasm

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4
Q

spinal anesthesia site

A

between arachnoid and pia mater of the cord

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5
Q

spinal HA characteristic

A

goes away when the patient lies down

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6
Q

most common cause of hypotension postanesthesia

A

hypovolemia

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7
Q

most effective way to preserve myocardial perfusion in ischemic heart

A

HR as low as possible

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8
Q

MVP at risk of

A

fatal arrhythmia

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9
Q

quits smoking 3 days prior to surgery

A

improved O2 delivery to tissues

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10
Q

T1DM blood glucose control decreases

A

wound infection

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11
Q

greatest concern in hyperthyroidism

A

stress may lead to severe arrhythmia and hypertension

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12
Q

increases sickling and vascular occlusion

A

hypovolemia

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13
Q

central nervous system excitement after injection

A

IV injection

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14
Q

most potent opioid

A

sufentanil

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15
Q

narcotic causes least respiratory depression

A

all are alike

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16
Q

most likely cause anterograde amnesia

A

midazolam

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17
Q

induction agent permits earliest return to normal function

A

propofol

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18
Q

reliable monitor of adequacy of ventilation

A

capnography

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19
Q

shows ischemic episodes during anesthesia

A

II and V5

20
Q

patient controlled analgesia advantage

A

patient does not experience wide swings in level of pain

21
Q

breath sounds, tracheostoma

A

place ET tube in tracheostoma and begin mechanical ventilation

22
Q

etiology of respiratory distress

A

regurgitation and aspiration of gastric tube infused tube feedings

23
Q

best method of securing airway when anterior neck injury, hoarseness

A

tracheostomy

24
Q

bowel resection post op increased HR and low BP

A

normal saline infusion

25
Q

CPR pH of 7.25

A

hyperventilate the patient

26
Q

fetal heart deceleration associated

A

fetal head compressions or umbilical cord compressions

27
Q

sign of cyanide toxicity during nitroprusside therapy

A

increased mixed venous PO2

28
Q

reaction to ester anesthetics, most likely to provoke allergic or anaphylactic reaction

A

tetracaine

29
Q

lorazepam in patient with liver transplant

A

conjugated extrahepatically

30
Q

sevoflurane rapid recovery

A

low blood:gas partition coefficient

31
Q

pre-existing conditions predisposes to new onset third degree heart block

A

LBBB

32
Q

early development of polyuria, hypotension, low sodium in urine

A

SIADH

33
Q

elongated crescent shaped erythrocytes

A

volume load with crystalloid

34
Q

most likely cause respiratory distress

A

residual muscle paralysis

35
Q

difficult to intubate

A

short thyromental distance and prominent incisors

36
Q

ASA physical status classification is matched to correct patient description-ASA IV

A

severe systemic disease that limits activity and is a constant threat to life

37
Q

improve preoperative respiratory function

A

plasmapharesis

38
Q

most common upper extremity peripheral nerve injury during general anesthesia

A

ulnar

39
Q

can pass through BBB

A

atropine

40
Q

vasoconstriction least likely following sympathomimetic

A

isoprotenerol

41
Q

most important factor determining spread of local anesthetic after spinal injection

A

total dose of injected drug

42
Q

best describes fetal pulmonary vascualr resistance

A

high compared to systemic vascular resistance

43
Q

most characteristic of spinal anestheric

A

has an almost sympathetic blockage before a motor block

44
Q

true of spinal anesthetic placement procedure

A

intubation equipment should be readily available

45
Q

pin point pupils and responds to painful stimulation

A

naloxone

46
Q

incorrect statement

A

morphine is 10x more potent than fentanyl

47
Q

most characteristic of epidural anesthetic

A

total spinal could occur with an epidural if you puncture the dura