Class Questions Flashcards
1
Q
1. Edema occurs even in non- injured tissues with injury of how much TBSA? >10-15% >25-30% >20-50% >75%
A
> 25-30%
2
Q
- Two hours after sustaining extensive burns of the head, neck and chest in a house fire, a patient has stridor and difficulty breathing. The most appropriate management is:
administration of aerosolized epinephrine
administration of helium and oxygen
endotracheal intubation
intravenous injection of dexamethasone
A
endotracheal intubation
3
Q
3. What medication is most likely to be used for RSI of a major burn patient 5 days after injury? 2 mg/kg Succinylcholine 0.6 mg/kg Roc 1.5 mg/kg Roc 1 mg/kg Succinylcholine
A
1.5 mg/kg Roc
4
Q
4. A 70 kg adult male burn patient with severe burns to body (27% TBSA) is coming in for emergent surgery to I&D the necrosed skin and assess other damages. Using the Parkland formula, how much fluid should he receive in the first 8 hours (not including maintenance/ surgery fluids they’re already going to receive)? 7560ml 3780 ml 1890 ml 945 ml
A
3780 ml
5
Q
1. Which Tumor suppressor gene is mostly correlated with oncogene functions? p12 e52 p53 p35
A
p53
6
Q
2. Which therapy is not associated with treatment of cancer? cryotherapy cyberknife inhalational chemotherapy
A
inhalational
7
Q
3. What type drug therapy is most effective for bone cancer patients? Morphine NSAID Anticonvulsants Tricyclic antidepressant drugs
A
NSAID
8
Q
4. When considering a anesthetic plans for a cancer patient, which anesthetic method may help reduce overall administration of opioids? General MAC TIVA Neuraxial
A
Neuraxial
9
Q
- Patients that are malnourished are at a higher risk of ______
a) hyperthermia
b) hypertension
c) hypothermia
hyperkalemia
A
c) hypothermia
10
Q
- hyperventilation in malnourished patients can further lower what levels ?
a) calcium
b) sodium
c) potassium
d) chloride
A
c) potassium
11
Q
- What is the potentially life-threatening condition caused by excessive serotonergic activity in the nervous system?
a. Malignant Hyperthermia
b. Serotonin Syndrome
c. Neuroleptic Malignant Syndrome
d. Anticholinergic Toxidrome
A
b.Serotonin Syndrome
12
Q
- If your patient is taking Monoamine Oxidase Inhibitors (MAOIs), which drug is safe to use?
a. Meperidine
b. Ketamine
c. Epinephrine with regional anesthesia
d. Benzodiazepines
A
d.Benzodiazepines
13
Q
- A patient taking anti-psychotics had a recent increase in drug dosage, and is scheduled to undergo a laparoscopic hysterectomy. What condition are you specifically concerned of?
a. Serotonin Syndrome
b. Anticholinergic Toxidrome
c. Neuroleptic Malignant Syndrome
d. Malignant Hyperthermia
A
c.Neuroleptic Malignant Syndrome
14
Q
- Which of the following is a main treatment for Neuroleptic Malignant Syndrome?
a. Cyproheptadine
b. Bromocriptine
c. Chlorpromazine
d. Olanzapine
A
b.Bromocriptine
15
Q
1. Normal intraabdominal pressure is 2–5 mm Hg. Intraabdominal pressure is \_\_\_\_\_ in critically ill patients, typically \_\_\_\_\_\_mmHg. A) Lower, 0-2mmHg B) the same, 2-5mmHg C) Higher, 5-7mmHg D) Higher, 10-12mmHg
A
C) Higher, 5-7mmHg
16
Q
- What symptoms known as the lethal triad may result in death for trauma patients?
A) hypertension, proteinuria, and edema
B) hypothermia, coagulopathy, and acidosis
C) persistent inflammation, protease–antiprotease imbalance, and oxidative stress
D) bradycardia, irregular respirations, and a widened pulse pressure
A
B) hypothermia, coagulopathy, and acidosis
17
Q
3. You have a patient with a blood pressure of 100/55 mmhg, HR of 92, and an IAP of 12mm Hg, what is their abdominal perfusion pressure? A) 58 B) 73 C) 80 D) 82
A
A) 58
18
Q
- The following anesthesia procedure carries the greatest risk of bloodstream infection:
a. Arterial line placement
b. Peripheral venous cannulation
c. Epidural catheter placement
d. Central venous catheter placement
A
d. Central venous catheter placement
19
Q
- The primary anesthetic implication of a patient with an active Tetanus infection is:
a. Polyuria caused by decreased ADH release
b. Hypoglycemia secondary to insulin release
b. Possible airway difficulty due to muscle spasms
d. Limited cervical spine mobility
A
b. Possible airway difficulty due to muscle spasms
20
Q
- A patient presents with an active Tuberculosis infection for an elective laparoscopic prostatectomy. What is included in your preoperative management of this patient?
a. Administer breathing treatments including albuterol to optimize the patient.
b. Move forward with the case after ordering pulmonary function tests.
c. Postpone the case until patient is not infectious.
d. Place patient in a negative pressure operating room and continue with the case.
A
c. Postpone the case until patient is not infectious.
21
Q
The primary symptom of GSD Type 1 (Von Gierke disease) is which of the following? A) Hyperglycemia B) Metabolic alkalosis C) Hypoglycemia D) Thrombocytopenia
A
C) Hypoglycemia
22
Q
An astute anesthetist notices a copper-colored ring around a patient's cornea. Further workup includes a history of liver dysfunction and movement disorders (dystonia). Which of the following inborn error of metabolism should be expected? A) Wilsons Disease B) Von Gierke Disease C) Maple Syrup Urine Disease D) Hemochromatosis
A
A) Wilsons Disease
23
Q
In which of the following inborn error of metabolism are we most concerned for monitoring for and preventing hypoglycemia? A) Wilsons Disease B) Lesch-Nyhan C) Maple Syrup Urine Disease D) Hemochromatosis
A
C) Maple Syrup Urine Disease
24
Q
- Alcohol acts on _____ receptor similar to ______ drug class.
a. Beta, beta blockers
b. GABA, opioids
c. GABA, benzodiazepines
d. Alpha, barbiturates
A
c.GABA, benzodiazepines
25
Q
- Acute overdose of benzodiazepine is treated with
a. Narcan
b. Flumazenil
c. Furosemide
d. Dantrolene
A
b.Flumazenil
26
Q
- Which of the following is NOT a true statement regarding opioid addiction?
a. NSAIDs and clonidine are appropriate supplements for analgesia.
b. Opioid administration should be terminated perioperatively, and reversal agents should be administered instead.
c. Long-term use of opioids will cause tolerance and increase anesthetic requirements.
d. Naloxone (reversal agent) can be administered intranasally or IV.
A
b.Opioid administration should be terminated perioperatively, and reversal agents should be administered instead.
27
Q
- Cocaine blocks the postsynaptic reuptake of what two neurotransmitters?
a. Serotonin and dopamine
b. Epinephrine and dopamine
c. Dopamine and norepinephrine
d. Norepinephrine and serotonin
A
c.Dopamine and norepinephrine
28
Q
Which of the following is NOT a potential qualification for SIRS in the diagnosis of sepsis? WBC >12,000 or <4,000 pH <7.1 Temp >38C or <36C Tachycardia RR>20/PaCO2 <32
A
pH <7.1
29
Q
2. What is the recommended ventilator setting for patients with pneumonia? Tidal Volume ( mL/kg IBW)) PIP(cmH2O)
6-8 25
2-4 25
4-6 30
6-8 30
2-4 35
A
6-8 30
