mock exam 2

Question 1

pHTN is defined as mean PAP of _______ and PAOP of ________

Answer 1

25mmHg at least and a PAOP of no more than 15mmHg

Question 2

when properly placed, the distal tip of the LMA will sit at the

Answer 2

cricopharyngeus muscle (upper esophageal sphincter)

Question 3

max pressure for a pro seal LMA

Answer 3

30cmH2O

Question 4

acute intrinsic restrictive lung disease can be caused by

Answer 4

aspiration pneumonia, pulmonary edema, ARDS

Question 5

PaO2 equation

Answer 5

=FiO2 x (Pb-pH2O) - (PaCO2/RQ)

Question 6

pulsus parvus

Answer 6

aortic stenosis

Question 7

bisferiens pulse

Answer 7

aortic regurgitation

Question 8

pulsus alternans

Answer 8

systolic LV failure

Question 9

nitroprusside primarily works on

Answer 9

arteries and veins

Question 10

NTG primarily works on

Answer 10

venues

Question 11

what changes in SSEP suggest increased risk of nerve injury?

Answer 11

10% increase in latency
50% decrease in amplitude

Question 12

loading dose=

Answer 12

(Vd x desired CP) / bioavailability

Question 13

clearance is inversely proportional to

Answer 13

half life, concentration in central compartment

Question 14

how to treat acute exacerbation of intermittent porphyria

Answer 14

glucose and heme arginate

Question 15

what to avoid with acute intermittent porphyria (drugs)

Answer 15

all barbiturates and etomidate

Question 16

nitrous oxide activates the

Answer 16

SNS. it increases BP, HR, and SVR

Question 17

EMLA cream is a mixture of

Answer 17

2.5% lidocaine and 2.5% PRILOCAINE*

Question 18

substantia gelatinosa resides in

Answer 18

rexed laminae II and III and in the dorsal horn

Question 19

speed of local anesthetic uptake after injection from slowest to fastest (sites)

Answer 19

l

Question 20

examples of hydrophilic opioids that remains in the CSF and increases block level

Answer 20

morphine, meperidine, hydromorphone

Question 21

examples of lipophilic opioid that go from CSF to systemic circulation and limits the height of the block

Answer 21

fentanyl, sufentanil

Question 22

mass spectrometry measures the concentration of an anesthetic by

Answer 22

bombarding the gas sample with electrons

Question 23

where is CSF reabsorbed?

Answer 23

arachnoid villi of the superior saggital sinus

Question 24

where is CSF produced?

Answer 24

choroid plexus of all 4 cerebral ventricles at a rate of 30mL/hour

Question 25

diseases that increase the risk of MH include

Answer 25

central core disease minicore disease king-den borough syndrome

Question 26

what is another name for intercristal line

Answer 26

tuffiers line (L4)

Question 27

what does PTT and PT look like in a pateint with hemophilia a

Answer 27

PTT prolonged, PT normal

Question 28

treatment to restore factor 8 deficiency in patients with hemophilia a includes

Answer 28

FFP, Cryo, factor 8 concentrate, recombinant factor 8

Question 29

hemophilia b patients lack which factor?

Answer 29

IX

Question 30

describe von willdesbrand factor issue

Answer 30

there are enough platelets but they do not function well in the absence of vWF (qualitative issue)

Question 31

what is the tx for vWF factor

Answer 31

DDAVP, factor 8

Question 32

examples of non gap metabolic acidosis causes include

Answer 32

diarrhea, renal tubular necrosis, excessive sodium chloride administration (due to loss of HCO3- or excessive chloride)

Question 33

the zone glomerulosa secretes

Answer 33

aldosterone

Question 34

the zona fasciculate secretes

Answer 34

cortisol

Question 35

the zona reticularis secretes

Answer 35

androgens

Question 36

what suggests a pre renal cause of oliguria

Answer 36

urine sodium <20mEq/L fractional excretion of sodium less than 1%

Question 37

the renal cortex contains

Answer 37

glomerulus proximal tubules distal tubules

Question 38

the renal medulla contains

Answer 38

loop of henle collecting ducts

Question 39

addisons disease is associated with

Answer 39

hypoadrenalism

Question 40

conns disease is associated with

Answer 40

hyperaldosteronism

Question 41

graves disease is associated with

Answer 41

hyperthyroidism

Question 42

average amount of irrigation absorbed during a TURP

Answer 42

10-30ml/min

Question 43

what does gastrin stimulate

Answer 43

pepsinogen secretion

Question 44

what does cholecystokinin stimulate

Answer 44

gallbladder contraction

Question 45

what does secretin stimulate

Answer 45

bile flow

Question 46

what does motion stimulate

Answer 46

upper GI motility

Question 47

if the fetus has polyhydraminos, you should be suspicious for

Answer 47

tracheoesophageal fistula

Question 48

in a full term pregnant patient, mac is reduced by

Answer 48

40%

Question 49

what pulmonary functions will increase during pregnancy?

Answer 49

tidal volume and inspiratory reserve volume

Question 50

Fahrenheit =

Answer 50

(C x 1.8) + 32

Question 51

Gay Lussac's Law

Answer 51

volume is constant

Question 52

which nerve is responsible for plantar flexion

Answer 52

tibial nerve

Question 53

which nerve is responsible for dorsiflexion

Answer 53

peroneal nerve