numba one

Question 1

Does the aging process affect basal function of most organs?

Answer 1

No, but functional reserve and ability to compensate for physiologic stress is reduced

Question 2

How do you manage a pt on beta blockers? what are complications of interruption of therapy

Answer 2

take on day of surgery, continue post op. complications: rebound HTN, tachycardia, MI

Question 3

what are the most clinically helpful indices obtained from spirometry

Answer 3

FVC, FEV1, FEC1/FVC,

Question 4

what is the least likely of all induction agents to result in nausea and vomiting

Answer 4

propofol

Question 5

Is termination of IV anesthetics due to redistribution or biotransformation/breakdown

Answer 5

redistribution

Question 6

The systolic bp in the radial artery may be ______ (higher/lower) than the central aorta

Answer 6

20-50 mmHg higher

Question 7

What potentiates the CV toxicity of cocaine?

Answer 7

ketamine–AVOID

Question 8

What physiologic alterations INCREASE during pregnancy

Answer 8

CO
HR
plasma volume
minute ventilation 
O2 consumption
hypercoaguable state

Question 9

What physiologic alterations decrease during pregnancy

Answer 9

SVR
dilution anemia
loss of FRC

Question 10

Pacemaker coding system first letter

Answer 10

chamber paced

Question 11

Pacemaker coding system second letter

Answer 11

chamber where sensing occurs

Question 12

Pacemaker coding system third letter

Answer 12

sensing in chambers

Question 13

Pacemaker coding system fourth letter

Answer 13

rate responsiveness

Question 14

Who has a high incidence of CAD with atypical or silent presentation?

Answer 14

diabetics

Question 15

Is a WBC useful in differentiating btw viral and bacterial illness in a febrile pt

Answer 15

no

Question 16

What must be ruled out in the setting of nasal bone fracture

Answer 16

septal hematoma

Question 17

complications of untreated septal hematoma

Answer 17

septal abscess
septal perforation
saddle nose deformity

Question 18

most common causes of bacterial sinusitis

Answer 18

s. pneumoniae
h. influenza
m. catarrhalis

Question 19

When do you use surgical tx for TMD

Answer 19

internal derangement of the TMJ, not musculoskeletal disorders

Question 20

what is the single most important factor for facial nerve regeneration

Answer 20

whether the nerve lost function slowly over days or immediately at the time of trauma

Question 21

most common parotid viral infection

Answer 21

mumps

less common: CMV, EBV

Question 22

most common parotid bacterial infection

Answer 22

s. aureus

less common: s. pneumonia, e. coli, h. flu,

Question 23

what can lead to mediastinitus and death if not immediately treated

Answer 23

danger space infection (between alar fascia and preverterbral space)

Question 24

where is the most common landmark for ID of the facial nerve during parotidectomy

Answer 24

tympanomastoid suture line

Question 25

malignant lymph node in neck--what should dx work up be

Answer 25

bx of nasopharynx, tongue base valleculae, pyriform sinus, tonsils

Question 26

t/f: radiotherapy is more effective when given concomitantly with chemo in tx of head and neck SCC

Answer 26

true

Question 27

what is phenol used for and what are its risks

Answer 27

skin resurfacing cardiotoxic, hepatotoxic, nephrotoxic

Question 28

what color indicates you have reached the reticular dermis when using CO2 diode laser

Answer 28

yellow-chamois

Question 29

where can rhytidectomy correct wrinkling

Answer 29

only lower two thirds of face and neckline