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Comp Exams > CE08 > Flashcards

CE08 Flashcards

1
Q

Calculation of BMI

A

Weight in kg/height in meters squared

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2
Q

Cause for prolonged neuromuscular blockade following administration of succinylcholine

A

Pseudocholinesterase deficiency

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3
Q

Arterial cannulation location that cannot test collateral circulation

A

Femoral

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4
Q

Appropriate insufflation pressures for laparoscopic surgery

A

10-15mmHg

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5
Q

Appropriate balloon inflation volume for a PA catheter

A

1.5ml

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6
Q

Starting dose for norepi infusion

A

4-12mcg/min

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7
Q

Error caused by slow injection of CO injectate

A

Falsely high reading

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8
Q

Injection port for thermodilution CO measurement

A

Proximal port

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9
Q

Management for hemorrhage in a patient on clopidogrel

A

Platelets

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10
Q

Calculation of pulse pressure

A

Systolic-diastolic

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11
Q

What is opisthotonus

A

State of severe hyperextension and spasticity in which an individual’s head, neck and spinal column enter into full arching

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12
Q

When arterial pressure is monitored using a catheter in the dorsalis pedis artery instead of radial, what effect will be seen in the dorsalis pedis measurments?

A

Systolic raises, diastolic falls, pulse pressure widens

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13
Q

Dose of methylene blue used to treat methemoglobinemia

A

2mg/kg

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14
Q

Time to peak effect of morphine following IV administration

A

45-90 minutes

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15
Q

Contraindication for ketorolac in renal insufficiency

A

Creatinine 1.2

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16
Q

Order of metabolism of volatile anesthetics from most to least

A

Sevo, iso, des

17
Q

Major electrolyte imbalance that can be caused by hydrochlorothiazide

A

Hypokalemia

18
Q

Effect of hypothermia on duration of action of non-depolarizing NMB

A

Prolonged effect

19
Q

Range of BMI values classified as overweight

A

25-30

20
Q

Range of BMI values classified as obese

A

30-40

21
Q

BMI values considered morbidly obese

A

Over 40

22
Q

A patient with a pulmonary artery catheter in place is suspected of having tricuspid regurgitation. How would you confirm this?

A

Look at CVP waveform in right atrium

23
Q

When electrocardiography is used to position a central venous catheter, entry of the catheter’s tip into the right atrium would be indicated by what appearance on the ECG

A

Biphasic P waves

24
Q

After successfully placing an introducer into a patient’s left internal jugular vein, the tip of the PA catheter is introduced into the introducer. How far should the PA catheter be advanced before the balloon is inflated?

A

20cm

25
Q

Once you have donned sterile gown and gloves, how must your arms and hands be positioned?

A

Above the waist

26
Q

Which accessible arterial sites are NOT appropriate for long-term arterial cannulation? Why?

A

Femoral artery due to risk of infection

27
Q

Which arterial sites can NOT be cannulated?

A
  • Carotid

- Brachial

28
Q

What would a normal NMB motor threshold be for an anesthetized, euthermic patient?

A

15mA

29
Q

What initial dosage infusion rate for norepinephrine would be most efficacious and safe to produce an increase in both SVR and MAP?

A

5mcg/min

30
Q

If general anesthesia is being maintained with isoflurane in a mixture of nitrous oxide 1.5L/min and oxygen 1.5L/min, what determines the partial pressure of the isoflurane being administered?

A

Temperature

31
Q

A 48 year old women with CAD is undergoing general anesthesia for laparoscopic cholecystectomy when she begins having multifocal PVCs. What drug and dose should be administered first to treat this problem?

A

Lidocaine 1mg/kg

32
Q

During a central venous access procedure, the carotid artery is cannulated instead of the jugular vein. BP is 116/80mmHg. How high in cm will blood rise in the IV extension set tubing?

A

Calculate patient’s MAP and convert to cmH2O. This patient’s MAP is 92mmHg which is 125cmH2O

33
Q

How should instruments coming in contact with a patient’s mucosa be cleaned

A

High disinfection

34
Q

How should you suture a CVP catheter to a patients skin

A

Suture it to their dermis and epidermis

35
Q

Incidence of mortality related to postop respiratory depression

A

55%

36
Q

Most frequent etiologies of anaphylaxis in anesthesia practice

A
  1. NMB drugs
  2. Latex
  3. Antibiotics
37
Q

Is an APL valve a resistive valve or a threshold resistor valve?

A

Resistive valve

38
Q

How many electrodes do you need to monitor V5

A

4

39
Q

ASA classification for a patient with mild to moderate systemic disturbances with or without relation to scheduled surgery or procedures

A

2

Comp Exams (5 decks)

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