Mock exam 2 Flashcards

1
Q

Side effects of levodopa

A

Orthostatic HOTN- think dopamine vasodilates to get kidney more blood
Hypokalemia from increased pee from dopamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

SSEP changes suggesting nerve injury

A

50% decreased in amplitude
10% increase in latency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Hemophilias and the lab they affect

A

A- 8- PTT
B- 9
C- 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TURP- How much irrigation is absorbed?

A

20ml/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Greatest risk factors for 30-day mortality

A

ASA 4
age >90
Renal impairement
ICU stay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Gastrin does what?

A

Stimulates pepsinogen secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Secretin does what?

A

Stimulates bile flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

S&S pancreatitis

A

Thrombophlebitis
Pericaridal effusion
Myocardial depression
Hypovolemia/ renal failure from bradykinin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Formula for coupling gas flow

A

(FGF in ml) x (I/E) / (RR) +vt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Best NMBs for cardiac patients

A

Roc and Vec
Atra- histamine
Panc- increases HR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Pneumoperitineum will do what?

A

Increase MAP from high CO2
Decrease CO
Increase ICP
Increase Aa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pulsus parvus seen with ___

A

AS
Aortic stenosis
PArvus- think sick and slow- it means the A line has low amplitude

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pulsus alternans is seen with __

A

Systolic LV failure
Alternans means its alternating shape, coming from an incoming complete failure to squeeze

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Autonomic hyperreflexia S&S

A

HTN brady-
Constrict below
Dilate above
LV failure
Seziures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Addisons disease needs to

A

ADD adrenalism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Conns disease

A

Hyperaldosteronism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment for von willebrand

A

DDAVP
8 concentrate
Cryo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Samters triad

A

Aspirin induced respiratory disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Can you give toradol in bronchitis?

A

Yes- dont give in asthmatics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

I think i can educate but fucking school should!!

A

IV
Tracheal
Interpleural/ costal
Caudal
Epidural
Brachial plexus
Femoral
Sciatic
Subq is slowwwww

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

MUDPILES

A

GAP acidosis >14
Methanol
Uremia
DKA
Pareldehyde
Isoniziad
Lactic
Ethanol
Salicylates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

HARDUP

A

Non gap acidosis <14
Hypoaldosteronism
Acetazolamide
Renal tubular acidosis
Diarrhea
Uterosigmoid fistula
Pancreatic fistula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Metabolic syndrome

A

Obesity
HTN
DM2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Pickwickian syndrome

A

AKA obesity hypoventilation syndrome
Terminal consequence of OSA

25
Q

Peripheral nerves- A

A

Motor
Touch
Tone
Slow pain

26
Q

Hypothyroid S&S

A

HOTN/ hypovolemia
aspiration
Hypothermia

27
Q

How long should N2O be avoided following air surgery for Silicone, Air bubble, and Sulfur

A

Silicone
Air
Sulfur

28
Q

What is and when is a delta wave present?

A

Premature upstroke of R wave
WPW

29
Q

Anti vs orthdromic QRS

A

Anti- wide
Ortho- narrow

30
Q

How to treat tetanus

A

Debridement of infection
Antitoxin
Intubation- nasal?

31
Q

EMLA is made up of

A

2.5% prilocaine
2.5% lidocaine

32
Q

EMLA can cause __

A

Left shift
Methemogolbinemia
More toxic in children

33
Q

Which antigen do AB’s have?

A

None!
Thats why we can receive it all

34
Q

Mass spectrometry

A

Measures anesthetic with MASS ELECTRONS

35
Q

Measuring the hemiparetic limb with TOF yields what?

A

Falsely elevated- you think theyre reversed when they arent
Do not use

36
Q

Where is CSF absorbed?

A

Arachnoid villa in the SSS

37
Q

Where is CSF produced?

A

Choroid plexus in all ventricles

38
Q

How does insulin decrease K?

A

Shifts K into liver and skeletal muscle

39
Q

Triggers of sickle cell

A

A PhD can still get sickle cell
A PHD
Pain
Hypothermia
Acidosis
Dehydration

40
Q

How to calculate a desired plasma concentration?

A

(Vd x kg x desired concentration)
Divided by bioavailability

41
Q

Farenhiet to celsius formula

A

F= C x 1.8 +32

42
Q

The zonas

A

GFR
Salt Sugar Sex

43
Q

Hydrophilic opioids

A

Meperdine
Morphine
Dilaudid

44
Q

Lipophilic opioids

A

Fent
Sufent

45
Q

Where to measure adductor pollicus muscle TOF?

A

Where we do- ulnar nerve on forearm

46
Q

Bier block tourniquet must stay on for _

A

20 minutes

47
Q

“15” rule

A

For LMA and laparoscopics
<15 degree trend
<15 abdominal pressure
<15 minute duration

48
Q

Diseases that increase MH risk

A

King denborogh
Central core
Minicore

49
Q

What helps gout patients?

A

Bicarb helps excretion
Liberal fluids flush crystals
Allopurinol inhibits conversion
Colchicine reduces the inflammation

50
Q

Best agents for NEC in babies

A

Prevent HOTN
Ketamine
Fent

51
Q

What is in the renal medulla?

A

Bottom
Loop of henle
Collecting ducts

52
Q

What is in the renal cortex?

A

Glomerulus
Proximal and distal tubules

53
Q

Does Vt increase in pregnants?

A

Yes- even though its a RLD

54
Q

According to poiseuille, how much will flow increase if the radius is doubles or tripled?

A

1- 1 (1^4)
2- 16x increase (2^4)
3- 81x increase(3^4)

55
Q

M2 receptor

A

Bradcardia
Opposite of B2

56
Q

Plantar flexion =

A

Plant your toes

57
Q

Where is the fluid in babies?

A

ECF- plasma !

58
Q

Proseal allows how much PPV pressure?

A

30
Proseal has a drain and allows for higher pressure