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CBR Clinical Skill > Clinical Skill/Critical Care in NC_1 > Flashcards

Clinical Skill/Critical Care in NC_1 Flashcards

1
Q
  1. increases cerebral blood flow (CBF) and cerebral metabolic rate of oxygen consumption (CRM02)
    a. enflurane
    b. etomidate
    c. halothane
    d. Isoflurane
    e. ketamine
    f. thiopental
A

E. ketamine

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2
Q
  1. Of the volatile anesthetics, it increases CBF the least.
    a. enflurane
    b. etomidate
    c. halothane
    d. Isoflurane
    e. ketamine
    f. thiopental
A

D. Isoflurane

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3
Q
  1. dissociative anesthetic
    a. enflurane
    b. etomidate
    c. halothane
    d. Isoflurane
    e. ketamine
    f. thiopental
A

E. ketamine

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4
Q
  1. decreases CBF and CRM02 and produces cardiovascular depression
    a. enflurane
    b. etomidate
    c. halothane
    d. Isoflurane
    e. ketamine
    f. thiopental
A

F. thiopental

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5
Q
  1. decreases CBF and CRM02 and suppresses adrenocortical response to stress
    a. enflurane
    b. etomidate
    c. halothane
    d. Isoflurane
    e. ketamine
    f. thiopental
A

B. etomidate

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6
Q
  1. Which antiemetic medication lowers seizure threshold
    a. Phenergan
    b. droperidol
    c. Tigan
    d. Zofran
    e. Reglan
A

A. Phenergan

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7
Q 
8.The most appropriate drug to administer to a stable patient with a narrow complex supraventricular tachycardia (no serious signs or symptoms) after vagal
stimulation is
a.	adenosine
b.	figoxin
c.	procainamide
d.	quinidine
e.	verapamil
A

A. adenosine

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8
Q
  1. Each is true of fat embolism except
    a. Cerebral manifestations frequently occur in the absence of pulmonary manifestations.
    b. Increased serum lipase occurs in up to half of all patients.
    c. Petechia over the shoulders and chest is a classic finding.
    d. Symptoms typically occur 12 to 48 hours after trauma.
    e. Tachycardia and tachypnea are characteristic.
A

A. Cerebral manifestations frequently occur in the absence of pulmonary manifestations

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9
Q
  1. Gamma irradiation of blood helps prevent
    a. graft-versus-host disease
    b. hemolytic transfusion reactions
    c. hepatitis B transmission
    d. nonhemolytic transfusion reactions
    e. transfusion siderosis
A

A. graft-versus-host disease

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10
Q
  1. Citrate toxicity from massive transfusions results from the
    a. binding of free ionized Ca2+
    b. decrease of 2,3-diphosphoglyceric acid (DPG) levels
    c. inactivation of factors 5 and 8
    d. interaction with platelets, rendering them dysfunctional
    e. precipitation of autoimmune hemolytic anemia
A

A. binding of free ionized Ca2+

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11
Q
  1. Cortisol is suppressed with low-dose dexamethasone.
    a. Cushing’s disease
    b. ectopic adrenocorticotropic hormone (ACTH) production
    c. both
    d. neither
A

D. neither

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12
Q
  1. Cortisol is suppressed with high-dose dexamethasone.
    a. Cushing’s disease
    b. ectopic adrenocorticotropic hormone (ACTH) production
    c. both
    d. neither
A

A. Cushing’s disease

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13
Q
  1. Increase in urinary 17- hydroxycorticosteroids after a metyrapone test.
    a. Cushing’s disease
    b. ectopic adrenocorticotropic hormone (ACTH) production
    c. both
    d. neither
A

A. Cushing’s disease

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14
Q
  1. Which of the following scenarios reflects hypochromic, microcytic anemia?
    a. decreased mean corpuscular volume (MCV) and decreased total iron binding capacity (TIBC)
    b. decreased MCV and increased TIBC
    c. decreased MCV and normal TIBC
    d. increased MCV and decreased TIBC
    e. increased MCV and increased TIBC
A

B. decreased MCV and increased TIBC

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15
Q 
16. Prolongation of bleeding time usually occurs in
I. von Willebrand's disease
II. use of nonsteroidal anti-inflammatory agents
III. uremia
IV. factor VII deficiency
a.	I. II,III
b.	I, Ill
c.	II, IV
d.	IV
e.	all of the above
A

A.
I. von Willebrand’s disease
II. use of nonsteroidal anti-inflammatory agents
III. uremia

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16
Q 
17 Drugs that antagonize the anticoagulant effect of warfarin (Coumadin) include
I. choletyramine
II. phenobarbital
III. rifampin
IV. cimetidine
a.	I,II, III
b.	I, III
c.	II, IV
d.	IV
e.	all of the above
A

A.
I. choletyramine
II. phenobarbital
III. rifampin

17
Q 
18. Contraindications to the use of thiazide diuretics include
I. diabetes mellitus
II. hyperuricemia
III. primary aldosteronism
IV. lupus erythematosus
a.	I,II,III
b.	I, III
c.	II, IV
d.	IV
e.	all of the above
A

A.
I. diabetes mellitus
II. hyperuricemia
III. primary aldosteronism

18
Q
  1. Plasma levels of phenytoin (Dilantin) are increased by all of the following except
    a. carbamazepine
    b. cimetidine
    c. Coumadin
    d. isoniazide
    e. sulfonamides
A

A. carbamazepine

19
Q
  1. The most common electrocardiogram (EKG) finding in patients with pulmonary emboli is
    a. a peaked T wave
    b. an S1-Q3-T3 pattern
    c. rightward shift of the QRS axis
    d. sinus tachycardia (ST) and T wave changes
    e. tachycardia
A

D. sinus tachycardia (ST) and T wave changes

CBR Clinical Skill (5 decks)

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