Kahoot - Exam 3

Question 1

What is the functional unit of the kidney?

Answer 1

Nephron

Question 2

Combined blood flow through both kidneys account for _____% of total cardiac output

Answer 2

20%

Question 3

What 3 things influence renal arterial tone?

Answer 3

Angiotensin, norepinephrine, epi

Question 4

What is normal BUN concentration?

Answer 4

10-20 mg/dl

Question 5

What is the normal serum creatinine concentration in males and females?

Answer 5

Males: 0.8-1.3 mg/dl
Females: 0.6-1.0 mg/dl

Question 6

What is normal creatinine clearance measurements?

Answer 6

110-150 ml/min

Question 7

Succs may increase K+ by ____

Answer 7

0.5 meq

Question 8

What 3 risk factors accurately predict likelihood of post op acute renal failure?

Answer 8

• Pre existing renal disease
• history of CHF
• history of advanced age

Question 9

These drug

Question 10

These drugs undergo hepatic metabolism and conjugation prior to elimination in the urine
A. Pavulon
B. Succs
C. Benzos
D. Opiods

Answer 10

A, C, D

Question 11

Which kidney sits lower in the retroperitoneum?

Answer 11

Right

Question 12

Glomerular capillaries blood flow is provided by a single ____ arteriole and drained by a single ____ arteriole

Answer 12

Afferent
Efferent

Question 13

What is the acceptable urine output in the OR?

Answer 13

0.5 ml/kg/hr

Question 14

What is renin secreted by?

Answer 14

Juxtaglomerular appartus

Question 15

How many nephrons does each kidney contain?

Answer 15

1-1.2 million

Question 16

T/F
The liver is the largest internal organ in the body

Answer 16

True

Question 17

What are the metabolic functions of the liver?

Answer 17

• Carb metabolism
• Protein metabolism
• Fat metabolism
• Roc metabolism

Question 18

The liver performs what things?

Answer 18

• Forms many compounds from carb intermediaries
• Conversion of galactose and fructose to glucose
• Gluconeogenesis
• Storage of large amounts of glycogen

Question 19

What is the most common cause of cirrhosis?

Answer 19

ETOH abuse

Question 20

What is the most common cause of liver disease requiring transplant?

Answer 20

Alcoholic liver disease

Question 21

Cirrhotic pts should be volume resuscitated with what?

Answer 21

Colloids

Question 22

What is the HVPG associated with development of varices?

Answer 22

10

Question 23

What plt count requires preop replacement?

Answer 23

<50,000

Question 24

___ increases MAC for isoflurane

Answer 24

Alcoholism

Question 25

T/F Anesthetic drugs may cause post op liver dysfunction to be exaggerated

Answer 25

True

Question 26

Plasma cholinesterase may be ____ in severe liver disease

Answer 26

Decreased

Question 27

Manifestations of alcohol withdraw occur in _____ hrs after receiving no alcohol intake

Answer 27

24-72 hrs

Question 28

T/F Hep A is the most commonly transmitted blood borne pathogen

Answer 28

False

Question 29

Cholangitis characterized by "beads on a string" appearance of the large bile ducts?

Answer 29

Primary sclerosing cholangitis

Question 30

Subfalcine herniation involves the:

Answer 30

Falx Cerebri

Question 31

Methods that decrease ICP include

Answer 31

- Hyperventilation - EVD - Encouraging jugular outflow

Question 32

T/F Propofol causes cerebral vasodilation, which increases CBF

Answer 32

False

Question 33

Myasthenia gravis is characterized by antibodies against what?

Answer 33

Nicotinic acetylcholine receptors

Question 34

Which syndrome would be most sensitive to Roc? A. MG B. MS C. Eaton Lambert syndrome D. Myotonia

Answer 34

C

Question 35

Acetylcholinesterase inhibitors prolong the action of what?

Answer 35

Depolarizing NMB Esther local anesthetics

Question 36

Gliomas are a type of:

Answer 36

Astrocytoma

Question 37

CVA with symptoms of aphasia would indicate occlusion in which artery?

Answer 37

MCA

Question 38

Risk factors for cerebral aneurysms include:

Answer 38

HTN Cocaine use Birth control pills

Question 39

Cerebral vasospasms are most likely to occur _____ days after SAH

Answer 39

3-15 days

Question 40

Tuberous sclerosis is associated with tumors in which locations?

Answer 40

Mouth Liver Kidney Face

Question 41

T/F Neuraxial anesthesia is preferred in neurofibromatosis

Answer 41

False (bc of spinal tumors)

Question 42

How does acetazolamide effect CSF production?

Answer 42

Decreases

Question 43

Anesthesia implications for TBI include:

Answer 43

C-spine stabilization Hyperventilation RSI