Kahoot Questions (Exam III) Flashcards
T/F… A normal BUN concentration is 10 - 20 mg/dL?
True
Which of the following drugs undergo hepatic metabolism and conjugation prior to elimination in the urine:
A. Pavulon
B. Benzodiazepines
C. Anectine
D. Opioids
A, B, and D
The ideal volatile anesthetic for renal patients is…
Forane (Isoflurane)
Angiotensin, norepinephrine, and ______ influence renal artery tone.
Epinephrine
Which kidney sits lower in the retroperitoneum?
Right
The primary source of urea is the….
liver.
Which of the following is not a layer of the kidney?
A. Renal Capsule
B. Renal Fascia
C. Adipose Capsule
D. Fibrous Capsule
C. Adipose Capsule is not part of the kidney
A patient’s creatinine clearance was measured at 110 - 150ml/min. Is this normal or not?
Normal
What is secreted by the juxtaglomerular apparatus?
Renin
T/F… creatinine clearance will measure 40-60 ml/min in mild renal impairment.
True
What degree of renal impairment is noted by a creatinine clearance of 25-40 ml/min?
Moderate renal impairment
Why are stents placed for a gynecologic case?
- ↓ risk of UTI
- Easier to locate the ureters
Is male serum creatinine typically lower than female’s?
No
- Male: 0.8 - 1.3 mg/dL
- Female: 0.6 - 1 mg/dL
T/F… acceptable urine output in the OR is 0.5 ml/kg/hr, unless the patient is on bypass and then the requirement is 1 ml/kg/hr.
True
Succinylcholine may increase K⁺ by ___ mEq.
0.5
Which of the following factors does not accurately predict the likelihood of postoperative acute renal failure?
a. Pre-existing renal disease
b. Advanced age
C. CHF
D. Past hypokalemia
D. Past hypokalemia does not predict likelihood of post-op renal failure.
Which of the following drugs can cause hepatitis?
a. Analgesics
b. Anticonvulsants
c. VAAs
d. Tranquilizers
All the above
What liver surgical procedure is associated with the highest mortality?
Laparotomy
Manifestations of EtOH withdrawal can occur within __________ hours after no alcohol intake.
24 - 72
What is the largest (non-skin) organ in the body?
Liver
T/F… Hepatitis A is the most commonly transmitted blood-borne pathogen.
False. Hepatitis B is.
T/F… Cirrhotic patients should be resuscitated with LR or NS.
False. Cirrhotic patients should receive colloids (albumin)
Which of the following is not a metabolic function of the liver?
a. Carbohydrate metabolism
b. Fat metabolism
c. Protein metabolism
d. Rocuronium metabolism
Trick question. All the above are metabolic functions of the liver
PT measures the _______ pathway.
extrinsic
What cellular portion of the liver cleans blood?
Kupffer cells
A platelet count of less than _______ requires pre-operative replacement.
50,000
T/F… Chronic alcoholism increases MAC for isoflurane, likely due to cross-tolerance.
True
What is the most common cause of liver cirrhosis?
EtOH
T/F… Anesthetic drugs may cause post-operative liver dysfunction to be exaggerated.
True
Cirrhosis results in splenomegaly, esophageal varices, and left heart failure.
False. RHF not LHF.
Plasma cholinesterase may be _____ in severe liver disease.
decreased
A PACU patient develops a hematoma after carotid surgery with airway obstruction, what is the best treatment?
Surgical decompression
Which anesthetic technique is preferred for carotid surgery?
Regional so we can monitor for stroke.
Which type of Stanford dissection does not involve the ascending aorta?
a. A
b. B
c. 1
d. 3
b. Stanford type B
Which of the following is a both a risk factor for vascular disease and a complication of its development?
a. Diabetes
b. HTN
c. Renal Failure
d. Smoking
B. Hypertension
Which of the following is a characteristic of of anterior spinal artery syndrome?
a. paralysis of the upper extremities
b. loss of bowel and bladder function
c. loss of touch and proprioception
b. loss of bowel and bladder function
The risk of pneumonia is how many times higher in smokers than non-smokers?
Twice as high
Activation of which reflex may cause bradycardia in a carotid surgery patient?
Baroreceptor reflex
Which blood product is most likely to cause TRALI?
Plasma
Which is more predominant, RH+ or RH- ?
RH+
Which blood product contains the largest amount of fibrinogen?
Cryoprecipitate
Which blood type offers the most donor capability?
O-
Administration of which product type (O+ or O-) may cause incompatibility and require Rhogam treatment?
O+
Which chemical is added to blood products as a preservative?
CPDA-1
Which TEG value measures fibrinolysis?
LY30
Does Ca⁺⁺ gluconate or Ca⁺⁺ chloride contain more calcium?
Ca⁺⁺ chloride
