High yield respiratory APEX for foundations final

Question 1

Risk of intraoperative MI in general population

Answer 1

0.3%

Question 2

Risk of intraoperative MI within 3 month

Answer 2

30%

Question 3

Risk of intraoperative MI within 6 monhs

Answer 3

6%

Question 4

When is MI risk the highest ?

Answer 4

30 days

Question 5

How long to wait for surgery after an MI

Answer 5

4-6 weeks

Question 6

What diagnosis is the greatest risk for non cardiac intraop MI?

Answer 6

Aortic stenosis

Question 7

Who is at greatest risk for aspiration

Answer 7

GERD
Obesity
Pregnant
DM
Hiatal hernia
SBO
Active nausea
Previous bypass- no OG

Question 8

ASA status

Answer 8

1- healthy, non smoking, minimal alcohol
2- BMI 30-40
3- BMI >40
4- MI within 3 months,
5- AAA, massive trauma, IC bleed, MODS,
6- donor

Question 9

Most common cause of allergic reaction

Answer 9

Roc

Question 10

Bleeding supps

Answer 10

Ginkgo, garlic, ginseng, fish oil

Question 11

How long to hold ASA

Answer 11

7 days

Question 12

How long to hold NSAIDS

Answer 12

1-2 daysHow

Question 13

long to hold plavix

Answer 13

7 days

Question 14

What lab is needed before spinal or epidural

Answer 14

platelets

Question 15

STOP BANG

Answer 15

OSA screen
Snoring
Tired
Observed apnea
Pressure of blood high
-
B BMI 35
A age 50
N neck >40cm
G gender of male
0-3 low risk
4- high risk

Question 16

Lip bite test

Answer 16

1 good 3 bad

Question 17

AO extension good and bad

Answer 17

Good 35
Bad 23

Question 18

AO flexion and extension degrees

Answer 18

90-135

Question 19

Conditions that impair AO mobility (8)

Answer 19

RA
DM
Downs
Klippel feil
Surgical fixation
Trauma
Ankylosing spond
DJD

Question 20

BONES

Answer 20

mask
beard
obesity
no teeth
eldery
sleep apnea

Question 21

LEMON

Answer 21

laryngoscopy and intubation
Look at airway
Evaluate 332
Mallampati
Obstruction
Neck mobility

Question 22

RODS

Answer 22

SGA
Restricted mouth opening
Obstruction
Distorted airway
Stiff lungs

Question 23

SHORT

Answer 23

difficult surgical airway
surgery history
hematoma
obesity
radiation
tumor

Question 24

In order of mac values

Answer 24

Halothane- 1.2
Iso-1.5
Sevo- 2
Des-6
N2o- 106

Question 25

What can injur the L RLN only

Answer 25

PDA ligation
LA enlargement from MS
AAA
thoracic tumor

Question 26

Airway blocks

Answer 26

CN9- palatoglossal 1ml
SLN- greater cornu of hyoid 2ml
RLN- cricothyroid 3-5 ml

Question 27

IM succ dose

Answer 27

Adult- 4 ml/kg
infant- 5ml/kg

Question 28

CV vs CC

Answer 28

CV- place above RV where closing begins
CC- CV+RV

Question 29

Albumin less than ___ risk for PPC

Answer 29

3.5

Question 29

What 4 conditions increase pvr

Answer 29

hypoxia
hypercarbia
acidosis
hypothermia

Question 30

The glidescope has what degree of bend

Answer 30

60

Question 31

Best drug for awake intubatino

Answer 31

precedex
remifent
ketamine
versed

Question 32

Tensor palatine function

Answer 32

Open nasopharynx

Question 33

Genioglossus funciton

Answer 33

oropharync

Question 34

hyoid funciton

Answer 34

open hypopharynx

Question 35

Most common cause of increased deadspace under GA

Answer 35

Reduction in Cardiac output

Question 36

What is the inapropriate drug to give during bronchospasm

Answer 36

montelukast

Question 37

Normal DLCO

Answer 37

17-25 ml
Tells us about surface area and thickness

Question 38

Most common findings PE

Answer 38

tachycardia, tachypnea

Question 39

When is retrograde intubation usually used?

Answer 39

C spine injury