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*My APEX > MNEUMONICS > Flashcards

MNEUMONICS Flashcards

1
Q

Kids Syndromes: Macroglossia, small Mandibles, Cervical spine anomolies

A

Big Tongue - Beckwith syndrome, Trisomy 21

Please Get That Chin - Pierre Robins, Goldenhar, Treacher Collins, Cri Du Chat

Kids Try Gold - Klippel Feil, Trisomy 21, Glodenhar

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2
Q

Crycothyroid

A

CrycoThyroid

Cords Tense

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3
Q

Thyroarytenoid

A

They Relax

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4
Q

Posterior Crycoarytenoid

A

Posterior CrycoArytenoid - Please Come Apart

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5
Q

Lateral Crycoarytenoid

A

Lets Close Airway

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6
Q

Active Exhalation

A

I let the air out of my TIRE

Transverse abdominus

Internal oblique

Rectus abdominus

External Oblique

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7
Q

Increases Closing Volume

A

CLOSE-P

COPD

LV Failure

Obesity

Supine

Extremes of age

Pregnancy

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8
Q

Difficult mask ventilation

A

BONES

Beard

Obesity

No teeth

Elderly

Snoring

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9
Q

Motor Function Upper Extremity

A

Pusher, Pull Em, Pinch Me, Pinch U

Radial - extend forearm

Musculocutaneous - flex forearm

Median - pinch index finger (or palm)

Ulnar - pinch pinky

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10
Q

Motor function of Foot

A

TIPPED

Tibial: Inversion, Plantar flexion

Peroneal: Eversion, Dorsiflexion

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11
Q

PEDS: 25-50% of pts also suffer from other congenital anomolies

A

VACTERL

Vertebral defects

Imperforated Anus

Cardiac Anomolies

Trachoesophageal fistula

Esophageal atresia

Renal Dysplasia

Limb anomolies

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12
Q

S/E of Acetylcholinesterase Inhibitors

A

DUMBBELLS

  • Diarrhea
  • Urination
  • Miosis
  • Bradycardia
  • Bronchoconstricion
  • Emesis
  • Lacrimation
  • Laxation
  • Salivation
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13
Q

Mapleson circuits: Spontaneous vs Controlled

A

Spontaneous - All Dogs Can Bite

Controlled - Dog Bites Can Ache

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14
Q

Can exacerbate Systemic Lupus Erythmatous (SLE)

A

PISSED CHIMP

  • Pregnancy
  • Infection
  • Surgery
  • Stress
  • Enalapril
  • D-penicillamine
  • Captopril
  • Hydralazine
  • Isoniazid
  • Methyldopa
  • Procainamide
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15
Q

Risk of Torsades

A

POINTES

  • Phenothiazines (-azines)
  • Other (methadone, droperidol, amio)
  • Intrathecal bleed
  • No known causes
  • Type I antiarrhythmics (Quinidine, Procainamide, Disopyramide, Lidocaine, Phenytoin, Flecainide, Propafenone)
  • Electrolytes (decreased K, Ca, Mg)
  • Syndromes (Timothy, Romano-Ward)
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16
Q

Femoral Triangle

A

SAIL

  • Sartorius
  • Adductor Longus
  • Inguinal Ligament
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17
Q

Water Divided

A

60 - 40/20 - 15/15

  • 60% of total weight
  • 40% of that is ICF, 20% ECF
  • 15% of ECF is Interstitial, 5% plasma
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18
Q

Causes of non-gap acidosis

A

HARD-UP

  • Hypoaldosteronism
  • Acetazolomide
  • Renal tubular acidosis
  • Diarrhea
  • Uretosigmoidal Fistula
  • Pancreatic fistula

*Also large NaCl infusions

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19
Q

Clotting Factors

A

Foolish People Try Climbing Long Slopes After Christmas, Some People Have Fallen

  • Fibrinogen
  • Prothrombin
  • Tissue Factor
  • Calcium
  • Labile (proaccelerin)
  • Stabile (proconvertin)
  • Antiheamophilic (factor A)
  • Christmas Factor (factor B)
  • Stuart-Prower
  • Plasma thromboplastin antecedent
  • Hageman
  • Fibrin stabilizing factor
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20
Q

Hormones released from Anterior Pituitary

A

FLAT PIG

  • Follicle stimulating hormone
  • Leutinizing Hormone
  • Adrenocorticotropic Hormone
  • Thyroid stimulating hormone
  • ProlactIn
  • Growth Hormone
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21
Q

Fetal Heart tones

A

VEAL CHOP

Variable - Cord

Early - Head

Accelerations - OK

Late - Placental Insufficiency

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22
Q

Gas Laws

A

Can These Girls Possibly Be Virgins

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23
Q

Cyanotic Shunt (R –> L)

A

5 Ts

  • Tetrallogy of Fallot
  • Transposition of great arteries
  • Tricuspid valve anomoly (Ebsteins Anomoly)
  • Truncus arteriosus
  • Total anomolous pulmonary venous congestion
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24
Q

Epiglottitis S/S

A

4 D’s

  • Drooling
  • Dysphonia
  • Dyspnea
  • Dysphagia
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25
Q

CHARGE Association

A

CHARGE

  • Colobomo (hole in eye)
  • Heart defects
  • Choanal Atresia (Nasal obstruction)
  • Retardation of growth
  • Genitourinary problems
  • Ear anomolies
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26
Q

DiGeorge Syndrome

A

CATCH 22

  • Cardiac defects
  • Abnormal Face
  • Thymic Hypoplasia
  • Cleft palate
  • Hypocalcemia
  • 22q11.2 gene deleted
27
Q

Drug (Usually Local anesthetic) Absorption sites (fastest to slowest)

A

I - I - I Cant possibly Enjoy Slow Sloppy Sex

  • Inhaled
  • IV
  • Intercostal
  • Caudal
  • Paravertebral
  • Epidural
  • Spinal/Bracheal
  • Sciatic/femoral
  • Subcutaneous
28
Q

12 Cranial Nerves

A

On Old Olympus Towering Tops A Fin And German Viewed Some Hops

  • Olfactory
  • Optic
  • Oculomotor
  • Trochlear
  • Trigeminal
  • Abducens
  • Facial
  • Acoustic/vestibular
  • Glossopharyngeal
  • Vagus
  • Spinal Accessory
  • Hypoglossal
29
Q

Sensory/Motor/Both for CN’s:

A

Some Say Marry Money But My Brother Says Big Boobs Matter Most

I SENSORY
II S
III MOTOR
IV M
V BOTH
VI M
VII B
VIII S
IX B
X B
XI M
XII M

30
Q

Flow of CSF from the choroid plexus through the brain:

A

Love My 3 Silly 4-Lorn Magpies

Lateral Ventricle
Monroe (foramon)
3rd Ventricle
Sylvius (Aqueduct)
4th Ventricle
Luschka (foramina(2))
Magendie

31
Q

Placental Transfer: what drug qualities transfer to baby….

A

LUMP

Lipid solubility (Hi will tx)
Unionized (Will tx)
Molecular Weight (lo will tx)
Protein bound (will not)
32
Q

Drugs that do not cross the placenta…

A

He Is Going Nowhere Soon

Heparin
Insulin
Glycopyrolate
NDMR
Succinylcholine

33
Q

oil:gas Coefficients of volatile agents:(hi to low) also, MAC: Low-Hi

A

Happymeals I Eat - Shall Die Now

(hi-low) also, MAC: Low-Hi

  • Halothane 224 (mac:0.77%)
  • Isoflurane 90 (1.2%)
  • Enflurane ?
  • Sevoflurane 47 (1.7%)
  • Desflurane 18.7 (6.67%)
  • Nitrous 1.4 (104%)
34
Q

Opioid receptors: Mu-1

A

BMUSE

  • Bradycardia
  • Miosis
  • Urinary retention
  • Supraspinal analgesia
  • Euphoria
35
Q

Opioid receptors: Mu-2

A

RAINS

Respiratory depression
addiction
Itching
Nausea vomiting constipation
Spinal analgesia

36
Q

Opioid receptors: Kappa

A

Same Shit Different Day

Spinal analgesia
Sedation
Dysphoria
Dependence

37
Q

Opioid Receptors: Delta

A

RAPS

Respiratory depression
Addiction
Poorly understood
super spinal analgesia

38
Q

Lumbar Plexus

A

I invariably get lazy on Fridays

Iliohypogastric [L1]

Ilioinguinal [L1]

Genitofemoral [L1, L2]

Lateral femoral cutaneous [L2, L3]

Obtruator [L2, L3, L4]

Femoral [L2, L3, L4]

39
Q

Diuretics

A

COLT PA

Carbonic anhydrase (proximal)
Osmoic (proximal)
Loop (thick ascending LOH)
Thiazide (Distal)

Potassium sparing (collecting duct)
Aldosterone antagonist (collecting duct)
40
Q

Thyroid Storm Drugs

A

4 B’s

  • Block synthesis (methmiazole, carbimazole, PTU, potassium iodide)
  • Block release (radioactive iodine, K iodide)
  • Block T4 to T3 conversion (PTU, Propranolol)
  • Beta Blocker(propranolol, esmolol)
41
Q

Longer, longer, longer, drop, then you have a

A

wenkebach
Mobitz 1

42
Q

If some “P”’s just don’t get through, then you have a…

A

Mobitz II

43
Q

Drugs that can be administered down ETT

A

NAVEL

  • Narcan
  • Atropine
  • Valium
  • Epinephrine
  • Lidocain
44
Q

CYP Inhibitors

A

SICK EGO

  • SSRIs
  • Isoniazid
  • Cimetidine/Ranitidine
  • Ketoconazole
  • Erythromycin
  • Grapefruit
  • Omeprozole
45
Q

CYP Inducers

A

CRAP BT

  • Carbamezapine
  • Rifampin
  • Alcohol (ethanol)
  • Phenytoin
  • Barbituates
  • Tobacco smoke
46
Q

drugs that are metabolized by non-specific plasma esterases?

A

Aacree

  • Aspirin
  • Atracurium (and hoffman)
  • Clevidipine
  • Remifentanyl
  • Esmolol
  • Etomidate (also hepatic)
47
Q

what are examples of drugs that follow zero-order kinetics?

A

THAWD

  • theophylline
  • heparin
  • aspirin
  • warfarin
  • dilantin
48
Q

what drugs do you need to avoid with acute intermittent porphyria?

A

BHEG

  • barbs
  • hydralazine
  • etomidate
  • glucocorticoids
49
Q

what other drugs can cause methemoglobinemia?

A

2NP’S

  • nitroprusside
  • NTG
  • phenytoin
  • sulfonamides

In addition to benzocaine and prilocaine

50
Q

what drugs reduce pseudocholinesterase activity?

A

CORE MENN

  • Cyclophosphamide (chemo drug)
  • Oral bcp/ estrogen
  • Reglan
  • Esmolol
  • MAOI
  • Echothiophate
  • Neostigmine
  • Nitrogen mustard
51
Q

What conditions reduce Pseudocholinesterase?

A

MAP SNOB

  • Malnutrition
  • Atypical PChE
  • Pregnancy
  • Severe Liver Disesase
  • Neoplasm
  • Old age
  • Burns
52
Q

Inceases PVR (what decreases?) also meds?

A

HE-SLAPP-VH

HE SLAPP Very Hard

  • Hypoxia
  • Elevated airway pressures
  • Surgical stress (deep anesthesia)
  • Low Fio2
  • Acidosis
  • PEEP
  • Polycythemia (anemia)
  • Vasoconstrictors
  • Hypercarbia

Drugs: N20, Ketamine, Des

Decreased PVR is opposite - in parenthases if not obvious

53
Q

Osmolarity of TURP syndrome? S/S?

A

Hypo-osmolar

Triple H-BANS

  • HTN (fluid overload)
  • Hyponatremia
  • Hemolysis
  • Bradycardia
  • AMS
  • N/V
  • Seizures
54
Q

Hypercalcemia

A

H-NAPS

  • HTN
  • Nausea
  • Abd pain
  • Psychosis
  • Seizures
55
Q

Hypocalcemia

A

LPM-CT

  • Laryngospasm
  • Parasthesias and tetany (nerve irritability)
  • Muscle cramps
  • Chvosteks (tapping angle of jaw -> facial nerve contraction of masseter muscle)
  • Troussseaus (upper extremity bp cuff for 3 mins -> spasm)
56
Q

Debakey AAA classification

A

BAD

  • Both - Type I
  • Ascending - Type II
  • Descending - Type III
57
Q

Nitric oxide production increased by:

A

V-STABSS

  • Vasoactive intestinal peptide
  • Shear stress
  • Thrombin
  • ACh
  • Bradykinin
  • Substance P
  • Serotonin
58
Q

Glossopharyngeal block will anesthetize what structures:

A

POST VA

  • Posterior 1/3 of tongue
  • Oropharynx
  • Soft palate
  • Tonsils
  • Vallecula
  • Anterior epiglottis
59
Q

Drugs that cause Hypokalemia

A

BITE

  • Beta 2 agonists
  • Insulin
  • Theophyline
  • Epi

(and also the common culprits: Steroids, Loop and thiazide diuretics)

60
Q

Ankylosing Spondylitis S/S?

A

RC-PAC

  • Restrictive (kyphosis)
  • Cervical fusions
  • Pulm fibrosis
  • Aortic regurg
  • Conduction blockade
61
Q

Non-selective cox inhibitors?

A

DIN

  • Diclofinac
  • Ibuprophen
  • Naproxen
62
Q

cross sensitivity to Latex?

A

PACTT-FEW

  • Potato
  • Avocado
  • Chestnut
  • Tropical fruit
  • Tomato
  • Figs
  • Eggplant
  • Wheat
63
Q

Causes of gap-acidosis

A

MUDPILES

  • Methanol
  • Uremia
  • DKA
  • Paraldehyde
  • Isoniazid
  • Lacatate (dec DO2, sepsis, cyanide poisoning)
  • Ethanol, ethylene glycol
  • Salicylates (inhibits Krebs cycle)

*My APEX (10 decks)

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