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Spring 2025 - H&P Assessment > Kahoots - Exam IV > Flashcards

Kahoots - Exam IV Flashcards

1
Q

Surgery is indicated for aortic aneurysm that exceeds?

A

5.5cm, >10mm per year

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2
Q

Anterior spinal artery syndrome is characterized by?

A

Loss of motor function, autonomic dysfunction

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3
Q

The most common cause of ASA syndrome includes?

A
  • Atherosclerosis
  • Aortic aneurysms
  • Aortic dissections
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4
Q

Ascending aortic aneurysms include?

A
  • Debakey 1
  • Debakey 2
  • Stanford A
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5
Q

The most common deficit associated with aortic replacement requiring cardiopulmonary bypass is?

A

Neurologic

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6
Q

Which population is aortic dissection most common?

A
  • Men
  • Women in 3rd trimester pregnancy
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7
Q

Most AAA rupture into?

A

Left retroperitoneum

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8
Q

Primary cause of mortality related to surgeries of thoracic aorta include?

A
  • CVA
  • MI
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9
Q

Most commonly, cardiogenic embolisms originate from?

A
  • Left atrial thrombus
  • Left ventricle thrombus
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10
Q

Subclavian steal syndrome leads to?

A

Retrograde blood flow in the ipsilateral SCA

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11
Q

Superficial thrombophlebitis and DVTs are most seen with almost half of patients undergoing which specific surgery?

A

Total hip replacements

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12
Q

Which is true regarding LMWH vs unfractionated heparin?

A

longer half-life, not reversible

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13
Q

Patients with a history of TIA have a ___ times greater risk for CVA:

A

10

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14
Q

Cerebral O2 consumption/metabolic rate is mostly affected by?

A
  • Depth of anesthesia
  • Temp
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15
Q

What is the lifespan of nonactivated platelets?

A

8-12 days

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16
Q

The platelet activation phase occurs?

A

Upon interaction with collagen and TF

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17
Q

Which element is an essential part of coagulation tenase-complexes?

A

Calcium

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18
Q

Prothrombinase complex is composed of which factors?

A
  • Factor Xa
  • Factor Va + calcium ion
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19
Q

Which factor activates factor IX?

A
  • TF/VIIa complex
  • XIa
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20
Q

Phase 2 hemostasis is primarily initiated by?

A

Extrinsic pathway

21
Q

Which system mainly amplifies thrombin generation?

A

Intrinsic pathway

22
Q

Prothrombinase complexes convert?

A
  • Factor II to IIa
  • Prothrombin to thrombin
23
Q

Coagulation counter-mechanisms include?

A
  • Protein C
  • Tissue factor pathway inhibitor
  • Serine protease inhibitors
  • TPA and urokinase
24
Q

Supplements that cause blood thinning include?

A
  • Turmeric
  • Vitamin E
25
vWF prevents degradation of which factor?
VIII (8)
26
Which lab value may be abnormal in hemophilia?
PT/PTT
27
Which clotting factors are not produced in the liver?
VIII (8)
28
Which anticoagulation factors are produced in the liver?
* Protein S * Protein C * Antithrombin
29
Anemia of chronic kidney is due to?
EPO deficiency
30
Lab findings associated with DIC include?
* Thrombocytopenia * Increased fibrin degradation * Increased fibrin * Prolonged PT/PTT
31
What is the innermost layer of the GI tract?
Mucosa
32
Which is the best test to detect gastroparesis?
Gastric Emptying study
33
Which type of Achalasia is associated with the worst outcomes?
Type 3
34
What is the most effective non-surgical treatment for achalasia?
Pneumatic dilation
35
Normal LES pressure is?
29 mmHg
36
The descending colon and distal GI tract are innervated by the?
Hypogastric plexus
37
Which of the following describes an independent nervous system, which controls motility, secretion and blood flow?
Enteric nervous system
38
Which feature of the myenteric plexus controls motility?
* Enteric neurons * Interstitial cells of Cajal * Smooth muscle cells
39
Which of the following presents a major anesthesia challenge in colonoscopy?
Dehydration
40
Which hormones play a role in gastric motility?
* Gastrin * Gastrin inhibitory peptide * Motilin
41
Common causes of gastric ulcers include?
* H. Pylori * ETOH * NSAIDS
42
Which of the following are beneficial preoperative interventions for Zollinger Ellison syndrome?
* PPI * RSI * Correct electrolytes * Suction at HOB
43
Symptoms associated with Crohn’s disease include?
* Malabsorption * Ileocolitis * Steatorrhea
44
IBD treatments include?
* 5-acetylsalicylic acid * Steroids * Rifaximin
45
Which drugs should be given prior to resection of a carcinoid tumor?
Octreotide
46
There are 6 anterior pituitary hormones, they include:
* Prolactin * TSH * Growth hormone * ACTH * Follicle stimulating hormone (FSH) * Luteinizing hormone (LH)
47
The 2 posterior pituitary hormones are ____:
* Oxytocin * ADH
48
DI is characterized by excessive urine production: True or False?
True
49
SIADH is inappropriate release of ADH seen with ____?
* Lung cancer * Porphyria * Hypothyroidism * Intracranial tumors

Spring 2025 - H&P Assessment (10 decks)

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