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Comprehensive exam Spring 21 (retake) > Basic exam 1 > Flashcards

Basic exam 1 Flashcards

1
Q

What class ULBT is it when the Lower incisors cannot reach the vermilion border?

A

Class II

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2
Q

What class Mallampati is it when the soft palate and base of the uvula are visible?

A

Class III

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3
Q

What is visible for a Mallampati Class I?

A

the entire palatal arch, including the bilateral faucial pillars, are visible down to their bases.

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4
Q

What is visible for a Mallampati Class II?

A

the upper part of the faucial pillars and most of the uvula are visible.

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5
Q

What is visible for a Mallampati Class IV?

A

only the hard palate is visible.

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6
Q

Is the CRNA responsible for surgical incision?

A

No (obviously not)

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7
Q

First thing you do when you take pt. into the OR?

A

Place the pulse Ox.

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8
Q

What is the contraindication on extubating an obese patient who was a difficult intubation?

A

Deep extubation

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9
Q

Tell me the structures you pass through when doing a midline approach for an epidural?

A 
Skin
Subcutaneous Fat
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Epidural space
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10
Q

Tell me the structures you pass through when doing a midline approach for a Spinal?

A 
Skin
Subcutaneous Fat
Supraspinous ligament
Interspinous ligament
Ligamentum flavum
Dura Mater
Arachnoid membrane
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11
Q

A spinal is given and the patient has upper extremity weakness, numbness, hypotension, mydriasis, etc. An astute SRNA student would be prepared to?

A

Prepare to intubate

you have administered a high spinal it would seem

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12
Q

Conservative measures regarding treatment of a post dural puncture headache would include the following: (choose two)

A

Fluids
500mg caffeine
bed rest
analgesics

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13
Q

STOP BANG is used to assess?

A

OSA

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14
Q

Where is the subarachnoid space located?

A

Spinal space

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15
Q

The structure after supraspinous ligamentum?

A

intraspinous ligamentum

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16
Q

Name some factors that affect spinal anesthesia?

A

DOSE

type of needle

site of injection (dermatome level)

direction of the needle

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17
Q

Grandma comes in for surgery and takes xanax 2 mg TID. What do you give her?

A

give 2mg IV versed

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18
Q

A reassuring sign for an incisor distance is what?

A

equal to or greater than 3 cm in an adult

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19
Q

If you have an unsuccessful intubation attempt what is next?

A

Face mask ventilation

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20
Q

What is the most influential factor affecting the level of spinal anesthesia?

A

dosage amount (DOSE)

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21
Q

Bupivacaine 0.75% (plain) length of duration is?

A

120 minutes

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22
Q

NPO Time for infant Formula?

A

6 hours

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23
Q

The utility of a test depends on its sensitivity and specificity: (CHOOSE TWO)

A

Specific tests have a low rate of false-positive results, and Rarely identify an abnormality when one is not present.

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24
Q

What artery runs along lateral edge of the cricothyroid membrane

A

Superior thyroid artery

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25
Describe what the compression during cricoid pressure is achieving in relation to the esophagus?
compression of the esophagus posteriorly upon the vertebrae (not the trachea)
26
Which nerves are the parasympathetic nerves?
III, VII, IX, X (3,7,9,10) | 1973
27
How to check for laryngeal edema in PACU?
Suction the oral pharynx and deflate the ETT cuff to evaluate the ability to breathe around the ETT
28
If your patient is shivering post-operatively which medication should be given?
Meperidine 12.5 mg IV
29
What are the three endogenous catecholamines?
Epi norepi dopamine
30
Do cholinergic drugs or anticholinergic drugs cause cardiac dysrhythmias?
anticholinergics | cholinergic DO NOT
31
Does Robinol cause CNS depression/ toxicity?
No
32
risk factors for PONV?
``` Hx of PONV Female under the age of 50 post op opioid use nonsmoker surgeries that include eye, middle ear, chole, gyno Duration of surgery volatile anesthetic use abd distention ```
33
What can you do to assess for pharyngeal edema before extubating?
suction and then deflate the cuff
34
How to calculate cut length of an ETT for a child?
age/2 then add 14 (cm) | 4/2 = 2 +14 = 16cm
35
How to calculate tube size for a child?
age/4 then add 4 (mm) | 4/4 = 1 +4 =5mm
36
Where is the MAC blade placed?
Vallecula
37
BMI greater than 42 would make you what ASA status?
ASA 3
38
Patient was drinking water, how long must you wait for surgery now?
2 hours
39
Thyromental distance is desired to be?
greater than or equal to 3 FB from the mentum to the upper thyroid
40
Injury after a subtotal thyroidectomy where you have hoarseness is caused by damage to (Pick 2)
Unilateral Recurrent Nerve Damage (Common) Superior Laryngeal Nerve Damage (Rare)
41
Laryngospasm physiologically is caused by?
innervation of the sensory nerve of SLN (internal SLN)
42
OB epidural insertion level is?
L2 through L5
43
How much pressure for cricoid pressure?
30 newtons | 3-5 kg
44
35 year old with A1C of 11.5 and has missed her doctor’s appointment last week. Presents to the hospital experiencing malaise, fatigue, fever. What should a vigilant SRNA do (this is an elective surgery)
Cancel the case after consulting with surgeon
45
What are some common cardiac issues that may cause post-op complications? (choose 2)
Cr > 2.0 DM with insulin dependence
46
What kind of patients are at risk for pulmonary complications?
ASA Class III
47
What kind of patients are at risk for respiratory issues post-op? (choose 3)
Alcohol consumption Smoking High BMI
48
When providing PPV via a facemask it is important to keep pressure below what?
20
49
A 35 year old female informs you that she has a pseudocholinesterase deficiency. What medication should you take out of your anesthetic plan?
Succinylcholine
50
After a failed attempt at laryngoscopy, what should you do next according to the difficult airway algorithm?
BMV
51
The rate of emergence from anesthesia is directly proportional to ____________ and inversely proportional to _________.
Alveolar ventilation Blood solubility
52
Recovery from anesthesia should be assessed when?
once at least 48 hours afterwards if still inpatient
53
The larynx has how many cartilages?
9
54
You are preparing to do a cricothyrotomy, the SRNA would describe the Superior thyroid artery to be found? (2)
Running along the lateral edge of the cricothyroid membrane. Crossing the upper cricothyroid membrane
55
A patient with unilateral recurrent laryngeal damage, this would display as?
paralysis of the ipsilateral vocal cord, causing deterioration in voice quality.
56
Have a patient with deteriorating voice and difficulty breathing, O2 sat is dropping and is currently 90%, what are the two possible reasons for this?
Bilateral recurrent laryngeal nerve damage Hypocalcemia
57
Spinal cord in adults ends at?
L1-L2
58
Why does shivering occur in relation to recovery time of specific systems?
The spinal cord will recover quicker than the brain.
59
46 year old male who is transgender (male to female) undergoing an elective surgery, what testing is needed?
EKG
60
Big girl who wants bigger boobies and had symptoms of DKA A1C of 11.7 and did not follow up with PCP, what do you do?
Consult with surgeon and cancel case
61
Adult Larynx is located where?
C3-C6
62
42 year old male having orthopedic surgery with a PMH of DVT, is he a low, medium, high or very high risk for DVT?
Very high risk
63
What anti secretion medication does not cause CNS toxicity?
Robinol
64
``` What size LMA would you use for some who weighs the following weights? <5kg 5-10kg 10-20kg 20-30kg 30-50kg 50-70kg 70-100kg >100kg ```
- 1 → <5 kg - 1.5 → 5-10 kg - 2 → 10-20 kg - 2.5 → 20-30 kg - 3 → 30-50 kg - 4 → 50-70 kg - 5 → 70-100 kg - 6 → >100 kg
65
What medication has the greatest anti secretion effects?
scopolamine
66
When you can see the epiglottis only what is your grade view?
grade III
67
Increase in HR during anesthesia, what are your initial thought?
depth of anesthesia not adequate what else could be increasing my HR (maybe pain)

Comprehensive exam Spring 21 (retake) (5 decks)

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