Exam 2 Flashcards
In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery?
24hrs
Which medication will induce remission in patients with Ulcerative Colitis and Crohn’s disease?
5-Acetylsalicylic acid
An adenocarcinoma esophageal tumor is located?
at the distal esophagus.
A 34-year-old patient diagnosed with acute pancreatitis is scheduled for surgery in the morning. The patient has the following laboratory values:
WBC 18,000
Platelets 150,000
AST 376
BUN 22
What is the patient’s risk of mortality?
20%
For patients with a history of esophageal diverticula, what are the anesthetic concerns? (Select 2).
- Apply cricoid pressure during induction.
- Increased risk of aspiration.
- Insert nasogastric tube post-induction.
- Elevate the head of bed during induction.
- Increased risk of aspiration.
- Elevate the head of bed during induction.
A diagnosis of Grave’s disease is consistent with:
Elevated TSH.
weight loss.
somnolence.
decreased T4.
Weight loss
Signs and symptoms of scleroderma include: (Select 2).
diffuse pitting edema.
diarrhea.
small bowel hypomotility.
decreased pulmonary compliance.
C & D
Which statement BEST characterizes myasthenia gravis?
Rigidity after exposure to volatile anesthetics.
Muscle weakness that improves with repeated effort.
Delayed muscle relaxation.
Fatiguability of skeletal muscle with repetitive use.
D
What are treatments indicated for a patient with rheumatoid arthritis?
Corticosteroids and DMARDS.
Immunoglobulin injections and DMARDS.
Alternating heat and cold therapies.
Plasmapheresis and thymectomy.
A
In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery:
12 hours.
8 hours.
4 hours.
24 hours.
D
All of the anesthetic considerations are indicated in a patient with hyperparathyroidism EXCEPT:
intravenous fluid administration.
administration of 40 mg of rocuronim.
pre-operative ECG.
avoiding the use of midazolam pre-operatively.
B
Which anesthetic plan is ideal for a patient with systemic lupus erythematosus?
Administer metoclopramide
Prepare patient for possible post-operative ventilator.
Order pre-operative CBC and ECG.
Avoid the use of volatile anesthetics.
C
Which statement BEST describes acromegaly?
Occurs due to a tumor in the posterior pituitary gland.
Decreased amount of neuromuscular blockers is recommended.
Hypoglycemia is a frequent concern.
An insufficiency of growth hormone.
B
Preoperative findings of Duchenne muscular dystrophy include:
sinus bradycardia.
kyphoscoliosis.
gastrointestinal hypermotility.
decreased serum creatinine kinase.
B
Anesthetic considerations for syndrome of inappropriate anti-diuretic hormone (SIADH) include: (Select 2).
stress dose of dexmethisone.
administration of pre-operative midazolam.
titrating intravenous fluid.
measurement of urine osmolality.
C & D
