Difficult/Extra cards

Question 1

Increases A1 acid glycoprotein:

Answer 1

surgical stress, MI, chronic pain, RA, advanced age

Question 2

What activates Adenylate cyclase?

Inhibits?

What does activating/inhibiting do?

Answer 2

Activate: B(1,2),V2, H2

Inhibits: M(2,4), A2

Activating increases cAMP, inhibiting decreases

(cAMP decreases Calcium -> bronchodilation)

Question 3

What activates Phospholipase C? What does that do?

Answer 3

Activates: H1, A1, V1, M135 increases IP3, DAG, Calcium (Increase IP3 -> increase Calcium -> bronchoconstriction)

Question 4

where is the site of action for immobility for inhaled anesthetics

Answer 4

ventral horn

Question 5

in which 3 regions of the brain do halogenated anesthetics produce unconsciousness

Answer 5

cerebral cortex

thalamus

reticular activating system

Question 6

in which 2 regions of the brain do halogenated anesthetics produce amnesia

Answer 6

AH!

amygdala

hippocampus

Question 7

Tetralogy of fallot is characterized by these 4 things: What is best induction agent?

Answer 7

VAPR

• VSD
• Aorta that overrides RV and LV
• Pulmonic stenosis
• RV hypertrophy

Ketamine best induction agent

Question 8

Minimize right to left shunt by:

Answer 8

Increase Preload and SVR

Decrease PVR

Maintain HR + Contractility

Question 9

Causes of hypocalcemia

Answer 9

hyperventilation

albumin

citrated blood products

Question 10

what is the most common cause of postpartum hemorrhage?

Answer 10

Uterine Atony Caused By:

multiparty, multiple gestations, polyhydramnios, prolonged oxytocin infusion prior to surgery

Question 11

what are the risk factors for placental abruption

Answer 11

PIH, preeclampsia, chronic hypertension, cocaine use, smoking, excessive etoh use

Question 12

what conditions increase the risk of abnormal placental implantation?

Answer 12

placenta previa and previous c/s

Question 13

DIC in pregnancy is associated with?

Answer 13

• Amniotic fluid embolism
• Placental abruption
• Intrauterine fetal demise

Question 14

Neonate directly after birth: Normal spo2 is ___. It should rise to ___ after 10 minutes. Supplemental o2?

Answer 14

60%

90%

f assisting is needed, use room air as 100% fio2 can accompany an inflammatory response

Question 15

Neonate rescussitation: Emergency meds can be given 3 routes:

Answer 15

• Umbilical vein
• Endotracheal
• Intraosseous

only after 90 seconds of CPR. Start CPR with HR <60

Question 16

Chronic aortic insufficiency (regurg/incomptence) does what to heart pressures?

Answer 16

Increased LVEDV/LVESV

Question 17

Answer 17