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Boardvitals Flashcards

1
Q

Benzos cause

A

Hyperpolarization of the cell membrane

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2
Q

Order to act on infant if APGAR score is low

A

Stimulating
Then ventilation then
Chest compressions then
Epi

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3
Q

Pre excitation of a fib give

A

Procainamide

AV nodal blockers like calcium channel or beta blockers are bad bc they prolong conduction time in AV node which could lead to Afib

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4
Q

Dilation of pupils from

A

Fibers that arise from short and long ciliary nerves that originate from superior cervical ganglion

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5
Q

Ziconitide MOA

A

Site of action includes dorsal horn lamina of spinal cord

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6
Q

Sch 1 drug

A

Solely abuse potential with no medical use

Sch 2 is cocaine bc it has high abuse potential but has medical usage

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7
Q

Larynx sits at the level of the

A

C3-C6 vertebrae

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8
Q

How many sacral nerves are there

A

5

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9
Q

Pin fixation systems like Mayfield clamp can lead to

A

Pressure ulcers

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10
Q

Pneumoperitoneum can cause an increase in

A

SVR

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11
Q

Sinus tachycardia is specific sign of

A

Myocardial contusion

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12
Q

Causes of rhabdomyolysis which can show up a few days post surgery

A

Prolonged tourniquet time
Postop surgical trauma

Urine will be red to brown

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13
Q

Never place a magnet on a device without

A

Knowing the effect of the maneuver

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14
Q

Which blood product highest risk for bacterial contamination

A

Plts

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15
Q

Botulism toxin blocks

A

Release of AcH

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16
Q

Repetitive muscle exertion may temporarily correct

A

Lambert Eaton syndrome

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17
Q

Opioid side effect only from parasympathetic system

A

Constipation

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18
Q

In ARDS want tidal volume with decrease in plateau pressure to a goal of

A

<30

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19
Q

No significant ketoacidosis is seen with HHS so

A

PH is normal whereas it is low in DKA

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20
Q

PVC and red rubber tubes are

A

Flammable

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21
Q

Desflurane inhalation agent of choice for

A

Chronic liver disease

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22
Q

Chronic liver disease requires more induction meds due to

A

Higher Vd

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23
Q

Laparoscopic surgery higher drop in

A

BP then open procedures

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24
Q

Nerve conduction velocity increases with

A

Application of heat

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25
Q

Don’t do heat therapy as can increase Edema and

A

Bleeding acutely

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26
Q

Surfactant

A

Lowers surface tension
Produced by type 2 alveolar cells
Helps prevent alveolar flooding

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27
Q

AS

A

High LV pressure and low normal LV volume

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28
Q

Hallmark of MS is

A

Cerebral or spinal plaque which consists of discrete regions of axonal degeneration and myelination

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29
Q

Facet arthropathy as cause of back pain

A

Do diagnostic medial branch block

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30
Q

Risk factors for PDPH

A 
Female
Pregnancy
Prior headaches
Younger adults
Low BMI
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31
Q

Artery of Adamkiewicz dermatome

A

T8-L1

Does anterior two thirds of spinal cord

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32
Q

Ketoconazole has

A

Cytochrome P450 inhibitory effects

It inhibits CYP3A4 which metabolizes lidocaine

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33
Q

Enteral nutrition max protein

A

1.7 g/kg/day on patients on CRRT and 0.8-1 g/kg/d in noncatabolic AKI patients without need for dialysis

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34
Q

Atropine is a

A

Muscarinic blocker

Can decrease sweating which can present as hyperthermia

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35
Q

Lesser occipital nerve is

A

Lateral to the greater occipital nerve

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36
Q

Least compensated acidosis or alkalosis in body is

A

Metabolic alkalosis bc pulmonary system will not hypoventilate higher than PaC02 of 55

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37
Q

Long thoracic nerve from the

A

Anterior Rami of C5-C7 nerve roots

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38
Q

Acute cocaine use is associated with an increase in

A

MAC

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39
Q

Cigarette use has no effect on

A

MAC value

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40
Q

Hydrocortisone has mineralocorticoid activity whereas dexamethasone does not

A

Causes fluid retention

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41
Q

Gold standard for measuring lung volume

A

Body plethysmography

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42
Q

Wall stress is proportional to

A

Pressure and radius and inversely proportional to thickness

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43
Q

Nerve crosses neck of fibula

A

Common peroneal

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44
Q

Dry cough can start after

A

Ace inhibitor is started

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45
Q

American College no prophylactic abx for

A

Diagnostic laparoscopy

Operative lap

IUD insertion

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46
Q

Half life of morphine is

A

Prolonged in neonates

Immature cytochrome p450

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47
Q

Ectothiophate irreversibly inhibits

A

Plasma cholinesterase so don’t give succ

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48
Q

Cruzdfelt Jakob disease

A

Can cause EEG changes

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49
Q

Proximaltourniqyet deflated once we know the

A

Distal is good

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50
Q

Younger child is at lower risk for

A

PONV

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51
Q

Intrathecal fentanyl acts at

A

Substantia gelatinosa

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52
Q

Respiratory alkalosis in

A

Pregnancy and some compensation with bicarbonate

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53
Q

An u please vent abnormal evoked sensation

A

Dysthesia

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54
Q

Somatic pain

A

Pain carried by sensory fibers

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55
Q

Atrial pacing can’t be determined in prescience of

A

A fib

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56
Q

Umbilical veins brings oxygenated blood from placenta to

A

Fetus

Has highest oxygen content within fetal circulation

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57
Q

Mallampati 4 only see the

A

Hard palate

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58
Q

Mallampati type 3 see

A

Soft and hard palate

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59
Q

Secondary hyperparathyroidism

A

Low calcium

High PTH

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60
Q

Tramadol is a

A

Mu opioid receptor agonist

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61
Q

DIC is associate with

A

Increased PT

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62
Q

SBP mainly due to

A

Gram negatives

Staph is very unlikely to cause it

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63
Q

Prostate bony metastasis to spine treat with

A

External beam radiation therapy

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64
Q

Norepinephrine offset due to

A

Neuronal cell reuptake

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65
Q

TFA and bromide for from hepatic transformation of

A

Halthone

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66
Q

Recommended ACT level prior to iniation of cardiac bypass is

A

480

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67
Q

ACT target for peripheral vascular surgery is

A

Greater then 200

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68
Q

After 500U/kg of heparin and still not high enough ACT give

A

FFP or antithrombin 3 complex

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69
Q

How many coccygeal spinal nerves

A

1

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70
Q

Ondansetron has greatest antiemetic effect if given at

A

End of surgery

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71
Q

Worse rhythm for long term survival

A

Asystole

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72
Q

Ethacrynic acid is not a

A

Sulfonamide whereas lasix is

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73
Q

Distal third of humerus fractures affect

A

Radial nerve

Affects C6-C8 and can cause wrist drop

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74
Q

Resistance is a feature of direct current

A

Direct

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75
Q

For regional procedures need to have

A

ECG from beginning to end

Can do BP every 5 minutes

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76
Q

Herpes simplex outbreak requires emergent

A

C section

Can usually use regional

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77
Q

What is recommended after anesthesia provider comes back after taking LOA from substance abuse

A

Frequent urine testing

Mainstay for monitoring

If need be, add fentanyl and propofol to drugs to check

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78
Q

Celiac plexus block main side effect

A

Orthostatic hypotension for 5 days

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79
Q

Increasing pulmonary pressures

A

As you go lower down lung

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80
Q

CPDA1 contains citrate which is an

A

Anticoagulant

Has shelf life of 35 days

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81
Q

Risk factors for PONV

A

Female sex
Non smoker, history of PONV,
Volatilevanesthetic use, nitrous use, prolonged surgery

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82
Q

Toradol half life is

A

5-6 hours

Ketorolac only 3-5 days max due to decreased total body clearance and renal impairment

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83
Q

Peribulbar block involves

A

Injection of larger volume of local anesthetic

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84
Q

Lateral aspect of foot is innervated by

A

Sural nerve

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85
Q

Prolonged C02 pneumoperitoneum can lead to

A

Significant reduction of portal venous blood flow

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86
Q

Morphine is not metabolized by CYP2D6

A

Yea

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87
Q

At what level of spinal cord or higher will autonomic hyperreflexia occur

A

T6

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88
Q

Pathological effects of autonomic hyperreflexia

A

Hypertension, bradycardia, cutaneous vasoconstriction below site of lesion and cutaneous vasodilation above

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89
Q

Acute PE treatment is

A

LMWH

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90
Q

PE

A

Blood clot within pulmonary artery

Initial treatment is with LMWH

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91
Q

Radiation intensity decreases as

A

Inverse square of distance from radiation source

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92
Q

After transposition of the great arteries, most common cause of cyanotic heart disease in first four hours of life is

A

Pulmonary atresia

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93
Q

Pulmonary atresia newborns present with a

A

PDA

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94
Q

WideQRS

Peaked t waves think

A

Hyperkalemia

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95
Q

Epidural steroids or oral antivirals for

A

Herpes zoster although none has shown full benefits

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96
Q

Cervical spondylotic myelopathy be careful of

A

Neck hyper extension

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97
Q

Acromegaly is associated with

A

OSA

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98
Q

Acromegaly

A

GH is oversecreted in anterior pituitary

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99
Q

Mixed venous is checked at the

A

Pulmonary artery

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100
Q

In what zone is perfusion pressure equal to arterial-alveolar pressure

A

West zone 2

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101
Q

Blood transfusion most highlybtransmissable viral organism

A

Hepatitis B

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102
Q

Guidelines suggest similar fasting times for

A

General and regional anestgesia

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103
Q

RDDs should be worn at

A

Collar level or on lead apron depending on manufacturer

Don’t store RDDs next to x ray equipmrnt

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104
Q

Clonidine is known to cause a

A

Reflexive bradycardia

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105
Q

Hydralazine only affects

A

Arterioles and not the veins

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106
Q

TEE absolute contraindication

A

Zenker diverticulum

So is active bleeding esophageal varices

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107
Q

Intrascalene often misses the

A

Ulnar nerve

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108
Q

During strabismus surgery surgeon pulls at extraocular muscles causing bradycardia

The ophthalmic branch of the trigeminal nerve enters the

A

Gasserion ganglion

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109
Q

5 minute APGAR score of

A

7-10 is reassuring

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110
Q

Hetastarch has direct inhibitory effects on factor

A

8

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111
Q

4 Ts for HIT

A

Thrombocytopenia plt decreases of more then 50%
Timing, thrombosis and other causes of thrombocytopenia

The PF4/Heparin ELISA test sensitivity of nearly 100%

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112
Q

Oral morphine to tramadol conversion is

A

10 to 1

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113
Q

Ginkgo destroys platelets

A

Ginger increases intraop bleeding as well

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114
Q

Sensory innervation to oropharynx is done by CN

A

9

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115
Q

To do cricothyrotomy palpate

A

Thyroid and cricoid cartiledge and go in between

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116
Q

Don’t do cricothyrodtomy on patients less then

A

6

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117
Q

Hypocalcemia can lead to

A

Laryngospasm

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118
Q

TRALI presents as

A

Acute hypoxia and noncardiac pulmonary edema occurring within 6 hours of blood product transfusion

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119
Q

Awareness monitors are unreliable in patients at

A

Extremes of age(neonates, infants, or very elderly)

120
Q

Procainamide can

A

Slow conduction across accessory pathway and potentially treat A fib

121
Q

Most common complication of tourniquet use is

A

Nerve injury

122
Q

Max dose of lido with Epi is

A

7 mg/kg

Without Epi is 4-5 mg/kg

Safe dose of bupivicaine or ropi is 3mg/kg

123
Q

Pneumoperitoneum from C02 can lead to peritoneal stretching which stimulates the vagus nerve leading to

A

Bradycardia

Don’t give anticholinergic like glyco or atropine with pt with glaucoma

Isoprenaline a beta agonist can be used to increase HR

124
Q

Amiodarone 300mg is

A

Second line for V fib if epinephrine is ineffective

125
Q

Procainamide

A

Class 1a sodium channel blocker

Used for SVT

Can be associated with drug induced lupus

126
Q

Drug induced SLE

A

Antihistone antibody

127
Q

Amiodarone prolongs repolarization ad used for atrial and ventricular arrhythmias

A

Ocular changes and changes in skin tone have been described from amiodarone

128
Q

Veno veno bypass for liver transplantation

A

Minimizes hypotension

Augments preload during vena cava clamping

129
Q

Splanchic blood flow best preserved using

A

Norepinephrine

130
Q

Vasopressin caution because of its adverse effects on

A

Gut perfusion

131
Q

Most common cause of preventable birth defects in US

A

Alcohol

132
Q

Drug use particularly with cocaine, heroin increases

A

Risk of stroke

IV heroin is associated with strokes due to septic emboli from endocarditis

133
Q

Hydroflouric acid

A

Can lead to torsades de pointe

134
Q

IV vitamin K works faster to lower INR than

A

Oral vitamin K

135
Q

A practitioner wearing leader protective gear should stand on side

A

Containing X-ray intensifier when obtaining lateral views

136
Q

Cervical spine X-ray not needed for

A

Cervical spine X-ray

137
Q

Cardiac risk index

A

Include hx of stroke

138
Q

Premature infant with retinopathy of immaturity

A

Anestgesia with mid of anesthetic and analgesic medications at lower doses

139
Q

Paradoxical adduction of vocal cords on inspiration

A

Reassurance and breathing techniques

140
Q

Roc is metabolized by liver

A

CYP450 75% and 10% by kidneys

141
Q

Precedex leads to

A

Suppression of the release of norepinephrine from the presynaptic receptors at the alpha adrenergic synapse

142
Q

Placing chest tube on right side with falling hgb is a sign of

A

Injury to the liver

143
Q

Intercostal injury is

A

Fast bleeding and drop in hgb or it tamponades itself fast

144
Q

NYHA classification deals with

A

Cardiac failure

145
Q

Cardiac cath does not require

A

Endocarditis prophylaxis

146
Q

Rebreathing can be due to

A

Faulty expiratory valves

147
Q

Postconceotual age<60 weeks

A

No ambulatory surgery

Also ASA3 or 4

148
Q

Decrease distance of patient from image intensifier to lower

A

Radiation exposure

149
Q

There is a physiologic tachycardia of

A

Pregnancy

150
Q

If asthmatic becomes hypotensive suddenly think air trapping or auto peep

A

First step is to disconnect from ventilator to let trapped air escape

151
Q

Patients become real hypotensuve when they require

A

Sedation

152
Q

Morphine has

A

Delayed onset so not good for active labor

153
Q

Post herpetic neuralgia

A

Atrophy of the dorsal horn and necrosis of the dorsal root ganglion

154
Q

Post herpetic neuralgia first line

A

TCA

Usually in opthalmic portion of dorsal root ganglion

155
Q

ESWLithotripsy is contraindicated in patients with

A

Bleeding disorder

156
Q

Pregnancy is absolute contraindication to

A

EWSL

157
Q

EWSL is in warm water and leads to

A

Vasodilation and increase in cardiac output

158
Q

P450 CYP2D6

A

Breakdown codeine and oxycodone

159
Q

Pure sensory strokes

A

Due to thalamus

Can cause contra lateral loss of sensation on one side of body if thalamus messed up

160
Q

Decreased IOP from

A

Opioids

161
Q

Adrenal androgen production is controlled by

A

ACTH

And can lead to hirsutism when in excess

162
Q

Turbulent flow is proportional to square of

A

Pressure

163
Q

What heart sound is not heard in patients with a fib

A

S4

Due to atrial kick against stiffened ventricle

164
Q

Pa02=

A

Fi02 x patm- pC02/.8

165
Q

Cardioversion is electric shock synchronized to the

A

R wave

166
Q

Annual limit of radiation to providers should be

A

5 REM

167
Q

Sickle cell trait is a relative contraindication to

A

Tourniquet usage

168
Q

Nitrous oxide use

A

Increases uptake of volatile anesthetics and makes inhalational induction faster

169
Q

First stage of labor pain can be treated by

A

Bilateral para cervical block

170
Q

Primarily responsible for hepatic buffer response

A

Adenosine

171
Q

Pregnant patients should not be offered

A

Food as can lead to aspiration

Can have modest fluids up to 2 hours before induction of anesthesia

172
Q

Gas embolus

A

Place on 100% Fi02
Deflate abdomen
Move to left lateral and hyperventilate

173
Q

PCI better than fibrinolytics if can get to facility within

A

90 min

Load at outside facility with plavix 600mg once

174
Q

SVR

A

MAP-CVP x 80/CO

175
Q

3rd letter is

A

Response to sensing

176
Q

Rate modulation should be turned off before

A

Proceeding to operating room by reprogramming pacemaker

177
Q

If more cold reaches probe of pulmonary catheter then

A

Cardiac output will be underestimated

178
Q

Hocm

A

Decreased contractility and HR is better with increased preload and Afterload

179
Q

Work of ventricle is

A

Product of volume times pressure and therefore area inside a standard pressure volume loop

180
Q

Valsalva or increased pressure on vena cava leads to

A

Decreased venous return

181
Q

Inspiration augments

A

Venous return due to negative pressure generated in thoracic cavity

182
Q

Early prosthetic valve endocarditis is caused by

A

S aureus

183
Q

Digoxin increases myocardial contractility

A

Inhibition of sodium potassium ATP

184
Q

Heparin must bind antithrombin to have

A

Anticoagulant effect

185
Q

Reduced heart rate variability in

A

Transplanted heart

186
Q

Major intracellular receptor of nitric oxide is

A

CGMP

187
Q

Can get central venous sample from

A

PAC to measure mixed venous and can’t do with TEE

188
Q

V5 lead should be placed at

A

Anterior axillary line fifth intercostal space

189
Q

Don’t want MR patient to get

A

Bradycardia

190
Q

Blood flow is inverse to

A

Length of vessel

191
Q

Blood flow is directly proportional to

A

Radius to the fourth power

192
Q

NYHA3

A

Marked limitation of physical activity and comfortable at rest

193
Q

To get shoulder if no intrascalene wanted target

A

Axillary nerve block and suprascapular

194
Q

Periop hypothermia in shivering patients requiring neuraxial anesthesia due to

A

Core to periphery heat redistribution

195
Q

Each degree in temp down decreases metabolic rate by

A

6-8%

196
Q

Spinal associated HTN in pregnant females

A

Phenylephrine

197
Q

Bubble of SF6 lasts about

A

3 weeks in the eye

198
Q

IV induction faster when patient has

A

Right to left shunt

199
Q

Mid humerus fracture think

A

Radial nerve

200
Q

Increased alVEDP is seen with

A

Aortic stenosis

201
Q

Niacin need to check

A

Plasma Uric acid levels

202
Q

Post pyloric stenosis surgery pts at risk for

A

Respiratory depression

203
Q

Increase in mixed venous is seen with

A

Hypothermia

204
Q

Serum thyroid levels do not increase in

A

Stress situation

Cortisol, glucagon, Epi, ADH do

205
Q

Sotalol leads to

A

QT prolong

206
Q

Retrobulbar block affects CN

A

2 3 5 and 6

207
Q

Triceps reflex is

A

C7-C8

208
Q

Parathyroid hormone leads to

A

Bone demineralization

209
Q

PTH increases serum calcium and decreases phosphate

A

At most sites

210
Q

Increase in GFR increases

A

Excretion of mannitol

211
Q

Gabapentin leads to

A

Memory impairment and tremors

212
Q

Pregabalin leads to

A

Peripheral edema

213
Q

Carbamazepine

A

Ataxia, sedation, nausea, liver damage, skin rash

214
Q

Lidocaine with Epi max dosage

A

7 mg/kg

215
Q

Opioid induced constipation is via the

A

Peripheral nervous system alone

216
Q

If patient with v fib are amenable to surgical or catheter ablation procedures

A

Should not undergo AICD placement

217
Q

Botulism toxin

A

Prevents release of Ach from presynaptic nerve terminal

218
Q

Upper again contrast study is good standard for diagnosing

A

Volvulus

219
Q

Patients with deenervated hearts are super sensitive to the affects of

A

Adenosine

220
Q

Infants

A

Large tounge

Anterior larynx

221
Q

Narrowest part of infant airway is at

A

Cricoid cartiledge

222
Q

Iv anesthetics termination of effect is through

A

Redistribution

223
Q

Definitive treatment for preeclampsia is

A

Give birth

224
Q

Keep patients on beta blocker and clonidine on

A

Day of surgery

Don’t start beta blocker

225
Q

Universal donor blood

A

O negative blood

AB positive plasma

226
Q

Pregnant women

A

Decreased FRC

227
Q

Parasympathetic NS

A

GI tract
SA node
Uterus

228
Q

Norepinephrine

A

Sympathetic postganglionic

229
Q

Alpha2

A

Inhibits norepinephrine release

230
Q

Synethetic chatecholamines

A

Dobutamine

Isoproterenol

231
Q

Methylation by PMNT converts norepinephrine to

A

Epinephrine

232
Q

Reduces death after MI

A

Atenolol

233
Q

Beta 2 antagonism

A

Dobutamine or isoproterenol can fix

234
Q

Glycopyrolate doesn’t cross

A

BBB

235
Q

No more then

A

20 meQ of K

236
Q

PR and QRS prolonged with

A

Hyperkalemia

237
Q

Hyperkalemia above 6 have to treat before doing

A

Elective procedure

238
Q

IO line

A

Proximal humerus
Proximal tibia
Distal tibia
Sternum

239
Q

Platelets greater risk for

A

Bacterial contamination

240
Q

TRALI

A

Non cardiogenic pulmonary edema

241
Q

Blood transfused with CDPA-1 survives

A

24 hours and AS-1 42 hours

242
Q

TRALI

A

Pulmonary arterial occlusion pressure<18

Bilateral infiltrates on chest radiograph

243
Q

No diuresis or steroids

A

Trali

244
Q

D antigen

A

Rh positive

245
Q

Crossmatch it mixing blood with

A

Donor blood to see in vitro compatability and detects more unique antibodies

246
Q

Banked blood complications

A

Hyperkalemia
Hypocalcemia
Acidosis
Impaired oxygen delivery due to reduced 2-3 dpg

247
Q

Transmucosal at base of tonsillar pillars gets

A

CN9

248
Q

Laryngeal strider is a common cause of edema

A

Post Extubation

249
Q

When minute ventilation greater than fresh gas flow you

A

Rebreath gas

250
Q

No choloroprocaine intrathecal leads to

A

Adhesive arachoiditis

251
Q

Oculocardiac reflex is CN

A

5 and 10

252
Q

PH stat

A

Adds C02 when hypothermic during CB bypass

253
Q

PH stat more likely

A

Emboli bc co2 added leads to cerebral vasodilation

254
Q

Ischemic changes in AVM parietal lobe monitor with

A

Ssep and meps

255
Q

Succ dosing

A

Based on TBW

256
Q

Peribulbar is safer than retrobulbar bc far from

A

Vital structures

257
Q

RA is not associated with

A

Bronchospasm

258
Q

Do not reduce HR in

A

Cardiac tamponade

259
Q

Coronary perfusion pressure

A

Aortic diastolic pressure - LV diastolic pressure

260
Q

Carotid sinuses are

A

Baroceptors

Chemoceptors carotid bodies

261
Q

First things after smoking cessation

A

Carboxyhemoglobin lower and shift of O2 dissociation curve to right!

262
Q

Acidosis right shift due to

A

Bohr effects

263
Q

ECT leads to increase in

A

ICP or CBF

264
Q

Ecstasy leads to cardiovascular collapse

A

Collapse

265
Q

Glitazones can lead to

A

CHF

266
Q

IGF1 for

A

Acromegaly

267
Q

No effect on inotropy or stroke volume

A

Diuretic

268
Q

Milrinone with

A

Inotropy and vasodilation

269
Q

Volatile anesthetics decrease

A

IOP

270
Q

Hypoalbumin increases

A

Free fraction of benzodiazepines so lower dose required

271
Q

NO inactivated by

A

Hgb

272
Q

Don’t let venous reservoir of CPB machine go empty can lead to

A

Air embolus

273
Q

Hypothermia leads to

A

Potentiate neuromuscular blockade

274
Q

Can use RA as place to take

A

Venous blood from CPB machine

275
Q

SSEP from dorsal column to

A

Post central gyrus

276
Q

Decreases amplitude increases latency of ssep

A

Volatile anesthetics

277
Q

Opioids don’t effect

A

SSEP

SSEP amplitude down 50% is not good or latency by 10%

278
Q

Hypothermia increases

A

Latency of sseps

279
Q

ETc02 more effective at finding venous air embolus then

A

ECG

280
Q

SVR increase with

A

Abdominal insufflation and cardiac output and venous return down

FRC and vital capacity decreased as well

281
Q

R on T if intrinsic above pacemaker and in

A

Asynchronous mode

282
Q

FFP reduces

A

Dilutional coagulopathy

283
Q

High Leak pressure replace with

A

Smaller tube

284
Q

Left hepatevtomy is better than

A

Right and easier to do

285
Q

Helium is

A

Brown and carbon dioxide is gray

286
Q

FRC

A

Amount left after normal expiration

287
Q

DLCOdecreased

A

Restrictive lung disease

288
Q

Cricoid lowers

A

Les tone

289
Q

Increased DLCO

A

CHF exercise increased blood volume increased co

290
Q

6 hours for subq heparin

12 for

A

Sub q lovenox

291
Q

Subglottoc secretion drainage tube and head up to prevent

A

Ventilator associated pneumonia

292
Q

Bronchial hyperactivity after virus can last

A

6 weeks after URI

293
Q

Normal osmolality

A

290

294
Q

Lactated ringers into bicarbonate leading to

A

Metabolic alkalosis

295
Q

For burn

A

Crystalloid

4 x kg body weight x % burn

Give half in first 8 hours

296
Q

No tourniquet if

A

Sickle cell, peripheral vascular disease

297
Q

Physostigmine for

A

Central nervous system problem due to scop

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Areviewbook (12 decks)

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