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Board Vitals APMLE III > Anesthesia > Flashcards

Anesthesia Flashcards

1
Q

Third stage (plane 1)

A

onset of automatic respiration to the cessation of eyeball movements

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2
Q

Third stage (plane 2)

A

cessation of eyeballs movements to beginning of paralysis of intercostal muscles)

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3
Q

Third stage (plane 3)

A

beginning to the end of intercostal muscle paralysis

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4
Q

Third stage (plane 4)

A

complete intercostal paralysis to complete diaphragmatic paralysis

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5
Q

Side effects of spinal anesthesia

A

hypotension, urinary retention, infection, palsies, headaches (but less with pencil point needles)

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6
Q

Best inhaled anesthetic for asthma patients

A

Sevoflurane

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7
Q

Most commonly used inhaled anesthetics

A

NO (gas), isoflurane, desflurane, sevoflurane

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8
Q

Associated with increased risk of malignant hyperthermia

A

isoflurane and sevoflurane (halogenated inhaled)

succinylcholine (depolarizing muscle relaxant)

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9
Q

Halogenated inhaled gases liver toxicity in order

A

Most –> least

Halothane, Sevoflurane, Isoflurane, desflurane

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10
Q

Halogenated inhaled gas not used in USA

A

enflurane

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11
Q

Most cardioprotective halogenated inhaled gas

A

Isoflurane

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12
Q

DOC for local anesthetic induced arythmias

A

amiodarone

Next: procainamide and lidocaine

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13
Q

Preop testing lab results should be how old?

A

4-6 months

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14
Q

Why should ASA be held 5-7 days prior to surgery

A

due to its irreversible inhibitor of platelet anticyclooxygenase

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15
Q

Why should metformin be discontinued prior to sx?

A

acidosis

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16
Q

Why should clopidrogel be discontinued prior to sx?

A

due to its irreversible antiplatelet effect

17
Q

Why should lipid lowering meds be discontinued prior to sx?

A

risk of rhabdomyolosis

18
Q

Epinephrine contraindications

A

thyrotoxicosis, CAD, severe PVD, vasospastic conditions, tricyclic antidepressants (monoamine oxidase inhibitors)

19
Q

Allergy commonly associated with spina bifida, atopic dermatitis and chronic urologic problems

A

latex allergy

20
Q

Recommendations for VTE prophylaxis with neuroaxial anesthesia

A

precautions to reduce risk of bleeding:

wait 10-12 hrs after prophylactic dose of LMWH before inserting epidural catheter

wait 10-12 hrs after last dose before removing catheter

wait at least 2 hrs after last dose before restarting LMWH

21
Q

Sevoflurane

A

sweet smelling

induction and maintenance

22
Q

Desflurane

A

foul odor

bronchoconstriction for people w/ lung problems

23
Q

Isoflurane

A

pungent odor
bronchodilator
breath holding, coughing, laryngospasm

24
Q

Enflurane

A

nephrotoxic, causes seizures

MAC 1.7%

Board Vitals APMLE III (7 decks)

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