Kahoot Flashcards
What is the functional unit of the kidney?
Nephron
Combined blood flow through both kidneys account for _____% of total cardiac output
20%
What 3 things influence renal arterial tone?
Angiotensin, norepinephrine, epi
What is normal BUN concentration?
10-20 mg/dl
What is the normal serum creatinine concentration in males and females?
Males: 0.8-1.3 mg/dl
Females: 0.6-1.0 mg/dl
What is normal creatinine clearance measurements?
110-150 ml/min
Succs may increase K+ by ____
0.5 meq
What 3 risk factors accurately predict likelihood of post op acute renal failure?
- Pre existing renal disease
- history of CHF
- history of advanced age
These drug
These drugs undergo hepatic metabolism and conjugation prior to elimination in the urine
A. Pavulon
B. Succs
C. Benzos
D. Opiods
A, C, D
Which kidney sits lower in the retroperitoneum?
Right
Glomerular capillaries blood flow is provided by a single ____ arteriole and drained by a single ____ arteriole
Afferent
Efferent
What is the acceptable urine output in the OR?
0.5 ml/kg/hr
What is renin secreted by?
Juxtaglomerular appartus
How many nephrons does each kidney contain?
1-1.2 million
T/F
The liver is the largest internal organ in the body
True
What are the metabolic functions of the liver?
- Carb metabolism
- Protein metabolism
- Fat metabolism
- Roc metabolism
The liver performs what things?
- Forms many compounds from carb intermediaries
- Conversion of galactose and fructose to glucose
- Gluconeogenesis
- Storage of large amounts of glycogen
What is the most common cause of cirrhosis?
ETOH abuse
What is the most common cause of liver disease requiring transplant?
Alcoholic liver disease
Cirrhotic pts should be volume resuscitated with what?
Colloids
What is the HVPG associated with development of varices?
10
What plt count requires preop replacement?
<50,000
___ increases MAC for isoflurane
Alcoholism
T/F
Anesthetic drugs may cause post op liver dysfunction to be exaggerated
True
Plasma cholinesterase may be ____ in severe liver disease
Decreased
Manifestations of alcohol withdraw occur in _____ hrs after receiving no alcohol intake
24-72 hrs
T/F
Hep A is the most commonly transmitted blood borne pathogen
False
Cholangitis characterized by “beads on a string” appearance of the large bile ducts?
Primary sclerosing cholangitis
Subfalcine herniation involves the:
Falx Cerebri
Methods that decrease ICP include
- Hyperventilation
- EVD
- Encouraging jugular outflow
T/F
Propofol causes cerebral vasodilation, which increases CBF
False
Myasthenia gravis is characterized by antibodies against what?
Nicotinic acetylcholine receptors
Which syndrome would be most sensitive to Roc?
A. MG
B. MS
C. Eaton Lambert syndrome
D. Myotonia
C
Acetylcholinesterase inhibitors prolong the action of what?
Depolarizing NMB
Esther local anesthetics
Gliomas are a type of:
Astrocytoma
CVA with symptoms of aphasia would indicate occlusion in which artery?
MCA
Risk factors for cerebral aneurysms include:
HTN
Cocaine use
Birth control pills
Cerebral vasospasms are most likely to occur _____ days after SAH
3-15 days
Tuberous sclerosis is associated with tumors in which locations?
Mouth
Liver
Kidney
Face
T/F
Neuraxial anesthesia is preferred in neurofibromatosis
False (bc of spinal tumors)
How does acetazolamide effect CSF production?
Decreases
Anesthesia implications for TBI include:
C-spine stabilization
Hyperventilation
RSI
