Diseases and weirdness

Question 1

Dibucaine number indicative of heterozygous atypical pseudocholinesterase

Answer 1

40-70

Question 2

Dibucaine number indicative of homozygous atypical pseudocholinesterase

Answer 2

20

Question 3

Factors affecting the Child Pugh score

Answer 3

Hepatic Encephalopathy
Ascites

T bili
Albumin
PT/INR

HE drinks Ale on TAP

Question 4

Hemodynamic goals for brain-dead donors for organ procurement

Answer 4

Hematocrit 30%
UOP 1cc/kg/hr or more
MAP 60+
EF 45% or more

Question 5

Management of acute mountain sickness

Answer 5

Acetazolamide
Hyperbaric chamber
Descent
Oxygen
Water (hydration)
Non-Benzo sleep aids

Question 6

Treatment of organophosphate poisoning

Answer 6

Pralidoxime chloride
Atropine
Decontamination
Supportive care

Question 7

What is the leading cause of perioperative mortality in obese pts?

Answer 7

DVT

Question 8

A sudden decrease in etCO2 and SpO2 after tourniquet release should raise suspicion for what?

Answer 8

PE

Question 9

Factors affecting the MELD score

Answer 9

INR
Creatinine
Sodium
Bilirubin
Dialysis

I Crush Several Beers Daily

Question 10

Firstline therapy for Extrapyramidal symptoms

Answer 10

Anti-cholinergics

Question 11

High risk conditions for infective endocarditis (5)

Answer 11

• H/o infective endocarditis
• Prosthetic heart valves
• Unrepaired cyanotic CHD
• Completely repaired congenital heart defect during the first 6mos after procedure
• Repaired CHD with residual deficits at or adjacent to the site of prosthetic material
• Cardiac transplant recipients with valvular disease

Question 12

Even mild hypothermia can lead to what negative PT outcomes?

Answer 12

Increased rates of wound infection, delayed healing, increased blood loss, threefold increase in cardiac morbidity