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Comp 1 Flashcards

1
Q

What dermatome level needs to be blocked for a c section?

A

T4

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2
Q

What dermatome level needs to be blocked for a total hip or vaginal birth??

A

T10

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3
Q

What dermatome level needs to be blocked for a LE surgery?

A

L1

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4
Q

What dermatome level needs to be blocked for an appendectomy?

A

T7

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5
Q

Which level does jugular venous oximetry need to be measured at?

A

C1-C2

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6
Q

After giving two large loading doses of heparin, the ACT comes back at 200 and 230 seconds. What is the appropriate next step?

A

Give FFP

Likely deficient in AT3

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7
Q

What is a normal resting EF of an elderly patient?

A

Should remain normal

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8
Q

What is the sub ambient alarm on the vent? What triggers it?

A

If the circuit falls below atmospheric pressure.

Ex: NG placed in trachea that is suctioning

Inhalation against a collapsed bag

Blocked inspiratory limb during exhalation

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9
Q

What signs & symptoms are seen in a celiac plexus block?

A

Diarrhea
Orthostatic hypotension
Back pain
Hiccups

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10
Q

Prostaglandin E1 administered for which congenital heart defect?

A

Pulmonary atresia

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11
Q

What is an indication of autonomic neuropathy in a patient with uncontrolled diabetes?

A

Resting pulse of more than 100 bpm

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12
Q

What is the safest way for a mother to deliver with an EF of 35%?

A

Epidural for a vaginal delivery

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13
Q

Which nerve does the fascia iliaca block?

A

Lateral femoral cutaneous

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14
Q

A smaller volume of injectate or if the injectate is too cold, will the CO be under or overestimated?

A

Overestimated CO

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15
Q

Can an LMA be used for tonsillar or palatal surgery?

A

Yes

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16
Q

Can an LMA be used with a history of reactive airway or chronic obstructive lung disease?

A

Yes it can be used

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17
Q

If a BP cuff is below the level of the heart, will it over or under estimate?

A

It will overestim

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18
Q

Which reading is altered during a carotid endarterectomy?

A

EEG
Electroencephalogram

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19
Q

How many CM past the incisors should a doppler be placed?

A

35

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20
Q

Which type of ETT is safest with a laser?

A

Stainless steel

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21
Q

Are interventions more or less common with an Endovascular repair vs open?

A

More interventions are needed with an endovascular repair

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22
Q

What is the most common cause of LOC 24 hours after a subarachnoid hemorrhage?

A

rebleeding

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23
Q

Cancer related pain is most likely caused from?

A

Tumor invasion into the tissue with primary afferent neurons

24
Q

Most common complication of occupational radiation exposure is?

A

Cataract formation

25
TEG
26
On TEG, if the maximum amplitude is decreased, what is happening? Treatment?
Thrombocytopenia Give Plts
27
What is the most common cause of transfusion related mortality?
TRALI
28
How many hours for P50 to return to normal after quitting smoking?
12
29
Which fiber transmits burning pain?
C fibers
30
APGAR score
31
Does ANG II cause efferent or afferent arteriole constriction?
efferent
32
How many attempts till it's considered a failed intubation?
2-4 or 5-10 minutes
33
What happens to fibrinogen levels during pregnancy?
They double Pregnancy is considered a compensated DIC state or hypercoagulable
34
What is the treatment for aspirin toxicity?
Hemodialysis
35
Treatment for Tylenol overdose?
Acetylcysteine
36
Which spinal nerve will be affected with an L4-L5 disc herniation?
L4
37
Which lab tests should be tested for a pheochromocytoma?
VMA (vanillylmandelic acid) Metanephrine
38
If the TEG time is delayed, the patient is likely deficient in? Treatment?
Coagulation factors Give FFP
39
Onset time of IV and PO famotidine?
PO - 60 minutes IV - 30 minutes
40
How much does the BP change for every inch below the level of the heart?
2 mmHG
41
Do the elderly have an increased resting sympathetic tone? Responsiveness?
increased tone Decreased responsiveness
42
Risk factors for relapse.
Family history Psych illnesses
43
A patient has a magnet on their defibrillator and develops a life threatening arrythmia, what do you do?
Remove the magnet and allow it to shock
44
Will CO2 or Sevo rebreathing happen if the FGF is changed from 2 to 0.25?
SEVO rebreathing will occur
45
Black box warning for carbamazepine?
Aplastic anemia
46
What is the first change to the respiratory system at higher altitudes?
Pulmonary hyperventilation
47
Which factors increase preterm labor?
Multiple gestations
48
What is an acceptable leak pressure on a pediatric ETT? If there is a large leak, what should be done?
< 25 cm H20 If a large leak - replace ETT with a smaller size
49
What is the first and second line uterotonic?
Oxytocin 3-5 units IV Methylergonovine 0.2 mg IM
50
Which uterotonic is given PR
Misoprostol 800 mcg
51
What is the third line uterotonic?
Prostaglandin (hemobate or carboprost)
52
What is the MOA of pregabalin?
Voltage gated calcium channel blockade
53
What is almost always indicated before a n epidural is placed?
Plt count
54
As the blood pressure cuff is moved distally, does the diastolic increase or decrease?
Decreases
55
Which nerve innervates the foot and is blocked during an ankle block?
Saphenous
56
Which cardiac lesion is most commonly associated with a continuous machine-like murmur heard over the upper left sternal border?
Patent ductus arteriosus

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