ANSTH - PROP Flashcards

1
Q

The ff are true regarding the preop visit EXCEPT

a. detailed medical history, current drug therapy, complete PE, and lab results should be done/reviewed
b. History of atopy should be reviewed.
c. targeted PE at CNS, CV, lungs and upper airway must be done
d. previous exposure. experience with anesthesia, and family history of problems with anesthesia
e. NOTA
f. AOTA

A

E

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2
Q

3 components of the pre-op visit

A
  • assessment of medical status of the patient
  • plan of anesthetic care
  • plan with patient/legal guardian
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3
Q

ASA classification of normal and healthy patient

A

ASA 1

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4
Q

ASA classification of dead patient

A

ASA 6

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5
Q

ASA classification of patient with severe systemic diseasee

A

ASA 3

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6
Q

ASA classification of patient with mild systemic ds

A

ASA 2

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7
Q

ASA classification patient with severe systemic disease that is a constant threat to life

A

ASA 4

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8
Q

ASA classification of a moribund patient who is not expected to survive without operation

A

ASA 5

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9
Q

ASA classification of normal patient in emergency

A

ASA 1E

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10
Q

Mallampati scoring system:

soft palate, fauces, portion of uvula

A

II

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11
Q

Mallampati scoring system:

hard palate only

A

IV

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12
Q

Mallampati scoring system:

soft palate, fauces, uvula, pillars

A

I

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13
Q

Mallampati scoring system:

soft palate, base of uvula

A

III

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14
Q

The ff are predictors of difficult intuation EXCEPT

a. Obesity
b. Immobility of the neck
c. Interincisor distance of <4cm
d. large overbite
e. Thyromental distance <7cm

A

E. <6.5 cm

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15
Q

% mortality of ASA Class 1

A

0.1%

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16
Q

% mortality of ASA Class 2

A

0.2%

17
Q

% mortality of ASA Class 3

A

1.8%

18
Q

% mortality of ASA Class 4

A

7.8%

19
Q

% mortality of ASA Class 5

A

9.4%

20
Q

% mortality of ASA Class 6

A

100% - already dead

21
Q

The ff predict difficult intubation EXCEPT

a. Mallampati Class 3
b. Low BMI
c. Immobility of the neck
d. Can fit less than 4 finger breadths vertically inside open mouth
e. Large overbite

A

B. Obesity predicts difficult intubation

22
Q

Risk of perioperative death due to MI in px without IHD

A

1%

23
Q

Risk of perioperative death due to MI in px with IHD

A

3%

24
Q

% of mortality due to cardiac causes in Pxs undergoing surgery for peripheral vascular disease

A

29%

25
Q

Risk factors for CAD (4)

A
CLSD
Hypercholesterolemia
Hyperlipidemia
Smoking
Diabetes mellitus
26
Q

The ff are cardiovascular risk factors EXCEPT

a. DM
b. Hyperhomocysteinemia
c. Advanced age
d. male sex
e. sedentary lifestyle

A

NOTA; all are true

27
Q

True about renal disease and anesthesia EXCEPT

a. acute renal failure may result from hypovolemia
b. Glomerulonephritis is most likely cause of ARF in the perioperative period
c. all anesthetic drugs are associated with decrease in renal blood flow
d. NOTA

A

B - acute tubular necrosis

28
Q

True about Anesthesia in patients with hepatobiliary disease EXCEPT
a. regional anesthesia is useful in patients with advanced liver disease
b. Halothane is associated with halothane hepatitis
c. Desflurane is the most hepatotoxic
d. NOTA
AOTA

A

C. Desflurane is least hepatotoxic

29
Q

What are the 3 most prevalent metabolic and endocrine disease in patients undergoing surgery

A

DM
Hypothyroidism
Obesity

30
Q

True about Anesthesia in patients with CNS disease EXCEPT

a. CT/MRI may show midline shift and this may indicate expanding brain lesion
b. Prevention of sudden increases in BP is important in patients with increased intracranial pressure
c. Propofol does not alter autoregulation of CBF
d. opioids increase CBF, decrease ICP in head trauma px

A

D. Dec CBF, Inc ICP

31
Q

Reversal of neuromuscular blockade is achieved by giving these reversal agents

A

PEN
pyridostigmine
Edrophonium
Neostigmine

32
Q

What is the fifth vital sign?

A

Pain

33
Q

A hereditary life-threatening hypermetabolic acute disorder developing during or after receiving GA. Triggered by succinylcholine and all volatile anesthetics (sevoflurane, desflurane)

A

Malignant Hyperthermia

34
Q

MGT for malignant hyperthermia

A
Call for help
STop volatile anesthetics
give 100% O2
Hyperventilate
Giver bicarbonate
Dantrolene
Treate HyperK
avoid CCB