final review Flashcards
side effects of histamine include
increased myocardial contractility
all of the following are considered early signs of bladder performation durint TURP of bladder tumor in the patient under spinal anesthesia
poor return of irrigating fluid
hypertension
tachycardia
NO HYPOTENSION
what are vitamin K dependent factors?
II, VII, IX, X
the extrinsic pathway of the hemostatic response is initiated by the release of a group of proteins know as
Tissue Factor
You are providing general endotracheal anesthesia to a patient undergoing laparoscopic cholecystectomy and intraoperative cholangiogram study. During the procedure, the surgeon states that he is unable to perform the cholangiogram due to spasm of the Sphincter of Oddi. Which of the following medications would potentially relieve spasm of the Sphincter of Oddi?
glucagon
True or False-Cholecystokinin is produced by cells in the mucosa of the small intestine and is released in response to the presence of fats in the intestinal contents.
True
Which of the following are associated with an anaphylactic reaction?
Histamine release, Compliment activation, prostaglandin release-all of the above
Which of the following statements regarding hemophilia is false?
A-Hemophilia A is a sex linked disorder
B-Hemophilia B is also known as Christmas Disease
C-Patients with hemophilia A are deficient in Factor VIII
D-Factor VIII is known as Christmas Factor
D-Factor VIII is known as Christmas Factor
A patient scheduled for vascular surgery has evidence of myocardium at risk for ischemia on preoperative diagnostic imaging studies. How can you decrease the risk of perioperative ischemia?
Perioperative Beta Blockade
Antibodies are specific proteins called ___________ that can recognize and bind to a specific antigen
Immunoglobulins
Which of the following bladder irrigation solutions may cause hyperglycemia? A-Sorbitol B-Glycine C-Mannitol D-0.9%NS
Sorbitol-hyperglycemia
Glycine-blindness
Mannitol-osmotic diuresis causing hypervolemia
Which of the following enzyme tests is most specific for the liver? LDH GST AST ALT
ALT-liver
AST-pancreas
GST-found to be an indicator of hepatocyte injury in transplantation, toxicity and viral infections (not the right answer)
LDH-released during tissue damage
A patient undergoing TURP begins to exhibit widening of the QRS complex and ST segment elevation on the electrocardiogram. Based on this evidence, you would estimate the serum sodium to be:
115
Cerebral autoregulation is effective over what range of mean arterial pressures (MAP) in the healthy patient?
MAP=60-160
Which of the following is associated with the highest incidence of postoperative renal failure in the patient undergoing abdominal aortic aneurysm repair?
Suprarenal clamping
Which anesthesia related factor does not increase patient risk for gastric aspiration? A-lithotomy B-Reverse trend C-Smoking D-pregnancy
B-reverse trendelenberg
Bladder perforation in the patient undergoing transurethral surgery is clinically manifest in all of the following ways except:
A-referred pain to abdominal or shoulder region
B-N/V
C-sweating
D-hypertension
E-all of the above
E-All of the above
What is the cause of transient blindness after transurethral resection of the prostate (TURP)?
Systemic Absorption of Glycine
A patient received a subarachnoid block for a TURP. What dermatome level needs to be reached in order to provide surgical anesthesia for this procedure?
T-10 sensory
Which of the following cyclooxygenase inhibitors irreversibly affects the function of the platelet? A-Tylenol B-Motrin C-Aspirin D-Celebrex
C-Aspirin
All of the following treatments can be given to a patient with von Willebrand's disease to raise von Willebrand's factor (vWF) levels except: (select two) A-DDAVP B-six pack of platelets C-cryoprecipitate D-Factor VII
Factor VII and Six pack of platelets will not raise vWF but cryo and DDVAP will
Which of the following blood pressure changes occurs in response to aortic cross clamping?
Hypertension proximal to clamp
Induction of general anesthesia for this procedure carries the highest risk for aspiration: A-airway mgmt for epiglotitis B-Tonsillectomy C-Parathyroidectomy D-Zenkers
Zenker’s diverticulectomy
Red blood cells begin to sickle in the patient with sickle-cell disease when the partial pressure of oxygen falls below:
PaO2=30-40mmHG