Quiz 1

Question 1

Adipose tissue considered an _______

Answer 1

organ

Question 2

BMI calculations

Answer 2

Weight(kg)/height(m2)

(Weight[lbs}/Height[in2]) X 703

Question 3

BMI class (ASA)

Answer 3

25-29.9 	Overweight
30-34.9	Obese Class I
35-39.9	Obese Class II 
40-44.9	Obese Class III/Morbidly Extreme Obese
>45	Obese Class IV/Severe Obesity

Question 4

Lean Body Weight (LBW)

Answer 4

IBW x 1.3

Question 5

Ideal Body Weight (IBW)

Answer 5

Broca’s Index

• Male = Height(cm) – 100
• Female = Height(cm) – 105

Question 6

look at slide 7 (obesity)

Answer 6

.

Question 7

Increased Cardiac Output of ____ for each kg of fat

Answer 7

0.1 L/min

Question 8

why increased risk htn in obesity

Answer 8

• Increased blood viscosity
• hyperinsulinemia
• increased mineralocorticoids
• sodium reabsorption
• compression of kidneys
• impaired sodium excretion
• RAA activation

Question 9

In obesity, what in lungs decreased? Increased?

Answer 9

Decreased:

• FRC
• ERV
• VC
• TLC

Increased:
Dead space

Question 10

Gold standard test for OSA is

Answer 10

polysomnography (PSG)

Question 11

look at slide 24 (obesity)

Answer 11

.

Question 12

Obese changes in pharmacologic measures

Answer 12

Increased:

• Vd
• blood volume
• CO

Decreased:
-Total body water

Question 13

Drugs IBW vs TBW. Examples of TBW?

Answer 13

IBW - low lipophilicity
TBW - high lipophilicity (most of the time)

(digoxin, remifentanil, procainamide)

Question 14

propofol dosing

Answer 14

Induction - LBW

Maintenance - TBW

Question 15

Succinylcholine dosing

Answer 15

TBW

Question 16

NDNMB dosing

Answer 16

IBW

Question 17

Fentanyl/sufentanyl

Answer 17

Loading - TBW

Maintenance - LBW

Question 18

Remifentanyl

Answer 18

IBW

Question 19

look at slide 34 (obesity)

Answer 19

.

Question 20

Look at slide 2 (thermal injury)

Answer 20

.

Question 21

major burn criteria (4)

Answer 21

• 2nd degree >10% for adults, >20% extremes of age
• 3rd degree >10%
• Electrical Burn*
• One complicated with inhalation

Question 22

Mortality estimate for burns (2)

Answer 22

• Age + TBSA% = (>115 mortality is >80%)

- Doubled if inhalation injury

Question 23

Look at slide 7-8 (thermal injury)

Answer 23

.

Question 24

look at slide 14 (thermal injury)

Answer 24

.

Question 25

Hypermetabolic/Hyperhemodynamic Phase of burns

Answer 25

Usually after 48 hours Manifestations: - Hyperthermia - Tachypnea - Tachycardia - Increased serum catecholamines - Increased O2 consumption - Increased Catabolism - Increased basal metabolic rate

Question 26

look at slide 20-21 (thermal injury)

Answer 26

.

Question 27

Ventilation can increase from __ L/min to __ L/min in burns

Answer 27

6 40

Question 28

_______ mL EBL for each 1% debridement

Answer 28

200-400