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*My APEX > From practice tests #1 > Flashcards

From practice tests #1 Flashcards

1
Q
A
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2
Q

means increased BUN levels

A

Azotemia

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3
Q

Peds ACLS epi doses

A
  1. 01-0.03 mg/kg IV
  2. 05-0.1 mg/kg Tracheal
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4
Q

area anesthetized by glossopharyngeal nerve block

A
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5
Q

Order of arteries from aorta

A

L/R coronary > Innominate >

Left Common carotid > Left subclavian

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6
Q

another name for B12

A

Colabamin

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7
Q

FiO2s from NC

A
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8
Q

Increased PIP with normal plateau pressures?

A

Bronchospasm

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9
Q

Pacer/ICD + Magnet does?

A

Pacer: Defaults to Asyncronous pacing

ICD: Shock disabled

Pacer/ICD: Shock disabled

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10
Q

2 nerve blocks for knee surgery?

A
  • Femoral
  • Sciatic
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11
Q

What anticogaulant has a specific reversal?

A

Dabigatran

Reversal: Idarucizumab

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12
Q

Absolute contraindications for ESWL?

A
  • Pregnant
  • Bleed risk
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13
Q

Hypocalcemia seen after thyroidectomy with inadvertent parathyroid removal how long post-op?

A

Typically 24-48h

can be as early as 6-12h

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14
Q

another name for hearing loss

A

Hypoacusis

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15
Q

another name for lumbar plexus block?

A

Psoas block

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16
Q

Narcan and intrathecal opioids. Pruritis treatments?

A
  • does not reverse analgesia but does treat pruritis

Other treatments for pruritis include:

  • propofol
  • zofran
  • droperidol
  • partial opioid agonists
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17
Q

What class?

  • Tirofiban
  • Eptifibatide
  • Abciximab
A
  • Glycoprotein IIb/IIIa antagonists
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18
Q

Half Lives:

  • Factor 7
  • Antithrombin
  • Fibrinogen
A

Factor 7: 3-6h

Antithrombin: 48-72h

Fibrinogen: 72-120h

19
Q

Class?

  • Clopidogrel
  • Ticlopidine
  • Prasugrel
  • Ticegralor
A

Thienopyridine Derivitives

ADP inhibitors

20
Q

Shock power in Peds

A

1st: 2 J/kg
2nd: 4 J/kg
more: 4-10 J/kg

21
Q

Deadspace/Shunt effects on PaO2 and PaCO2

A

Deadspace effects PaCO2

Shunt effects PaO2

22
Q

HIV Seroconversion

A
  • IV Stick 0.3%
  • Mucosal 0.09%
23
Q

Class?

  • Argatroban
  • Bivalirudin
  • Hirudin
A

Thrombin inhbitors

24
Q

Most MIs happen when?

A

Within 48h post-op

25
Q

Aortic regurg on ALine? Called?

A
26
Q

Can increase RVOT obstruction?

A

Increased

  • HR
  • Contractility

Decreased

  • Preload
  • Afterload
27
Q

B.Blockade in setting of acute _____ can precipitate what?

A

Increased SVR

Heart failure

28
Q

Highly resistant to Narcan?

A

Buprenorphine

29
Q

First sign of MH in spontaneous breathing patient?

A

Increased Mv (increased RR, TV)

30
Q

Class?

  • Fondaparinux
A

Factor 10 inhibitor

  • DC 4 days ahead
31
Q

Parathyroid and Calcium?

A

hyper - increased Ca

hypo - decreased Ca (and parathyroidectomy)

32
Q

Cardiac biomarker with shortest halflife?

A

CKMB

33
Q

Subclavian steal syndrome reverses through what artery?

A

Ipsilateral (same side) vertebral artery

34
Q

Vessels/area effected:

  • Kawasaki (mucocutaneous lymph node syndrome)
  • Takayasu
  • Thromboangitis obliterans (called?)
  • Wegeners granulamatosis
  • Brugada syndrome
  • WPW
A
  • Coronary (primarily in children) red strawberry tongue
  • Proximal aorta
  • small/medium arteries (Beurgers disease)
  • Airway mucosa (Vasculitis, friable tissue) - downsize ETT
  • Na channelopathy - sudden nocturnal death VT/VF common in Southeast asian males
  • Bypasses AV node via accessory pathway (Kent’s bundle)
35
Q

S/E of tramadol?

A
  • Seizures
  • N/V
  • loses efficacy with zofran
36
Q

Class:

  • tPA
  • Streptokinase
A

Plasminogen activators

37
Q

DOA of LA’s: Long, Int, Short

A

Long:

  • Bupiv
  • Ropiv
  • Tetracaine

Int:

  • Lido
  • Mepivicaine

Short:

  • Procaine
  • Chlorprocaine
38
Q

Complications of PA catheter insertion

A
  • Complete heart block
  • RBBB (perf’d through RV)
  • Pulm. infarct
39
Q

Seizures can be prolonged by?

A

HAKE

  • Hypocarbia
  • Alfentanyl + propofol
  • Ketamine
  • Etomidate
40
Q

Pts on pre-op anticholinesterases (think Alzheimers, MG) will respond to NMBs how?

A

Increased DOA Succ

Decreased DOA NDNMB

41
Q

Ankylosing Spondylitis S/S?

A

RC-PAC

  • Restrictive (kyphosis)
  • Cervical fusions
  • Pulm fibrosis
  • Aortic regurg
  • Conduction blockade
42
Q

Foot Nerves

A

Those with S are Sensory

Superficial Peroneal

Sural

Saphenous

43
Q

term for injecting NS into epidural, compression of spinal space for rostral spread/higher block allowing lower dose

A

Epidural volume extension technique

44
Q

Class?

  • Amicar
  • TXA
A

Plasminogen activation inhibitor

*My APEX (10 decks)

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