Symposium pimping questions

Question 1

Where are they arytenoids

Answer 1

The corniculates sit superior of the arytenoids and move to open and close the vocal cords

Question 2

How far above the carina does the ETT sit?

Answer 2

3-5 cm

Question 3

What is the normal depth to a loss of resistance does an epidural?

Answer 3

4-6 cm

Question 4

Ligaments passed for spinal

Answer 4

Supraspinous ligament
interspinous ligament
Ligmenta flavum

Question 5

What nerve and muscle are simulated for a TOF on the arm

Answer 5

Ulnar nerve and adducor pollicis

Question 6

Why do you assess pts Radial TOF

Answer 6

The diaphragm/ airway muscle will lose function before the adductor pollicis so that means you have sufficient blockade to continue with intubation

Question 7

Main side effect of ketamine

Answer 7

secretions, consider for laryngospams

Question 8

Lab to check for toradol

Answer 8

Platelets for bleeding concern

Question 9

Meds that require ideal body weight

Answer 9

Roc, Vec, Panc, Remifent

Question 10

What is MAC

Answer 10

concentration of med that 50% of pts did not move

Question 11

What do you check to ensure the pt is adequately denitrogenated

Answer 11

exhaled oxygen >80%

Question 12

Length to from the IJ and subclavian to the right atrium

Answer 12

RIJ 15
Rsub; 14
LIJ; 18
LSub; 17

Question 13

What are lidocaine and fentanyl given for induction

Answer 13

Block the sympathetic response from intubation

Question 14

What dose of reversal do you give for 1/4, 2/4, 3/4 and 4/4 twitches

Answer 14

2/4; okay to use neostigmine closer to the 0.07 dose;
and a glycopyrolate at .2 mg/ mg of neostigmine used

or use sugammades

Question 15

Max dose of neostigmine

Answer 15

5mg

Question 16

Triad of anesthesia

Answer 16

analgesia, amnesia, akinesia

Question 17

What gauge is a central line

Answer 17

18 gauge with 2 20 gauge lumens

Question 18

What are the ways to confirm cvc placement

Answer 18

cvp wave form
Aspiration
X ray
VBG

Question 19

What are the normal VBG values

Answer 19

Schmidt numbers;
PO2; 40
CO2; 45
pH; 7.4
sat; 40-70%
HCO3; 19-25

Question 20

What is the max pressure of a max seal

Answer 20

20cmH2o; higher than that = opening of the LES

Question 21

What is the flow from the O2 flush valve

Answer 21

35-75 L/min

Question 22

What 2 medications do you give for laryngospasm

Answer 22

succs at 1/10th dose
Propofol 10-20 mg
give positive pressure (press on larsons point)

Question 23

S/s of local intrathecal vs intravenous infilatration

Answer 23

Intrathecal; loss of sensation/ motor within 5 min of administration

IV; circumoral numbess, ringing in the ears, altered mental status-> asysole

Question 24

How are LMAs sized

Answer 24

kg
3; 30-40kg
4; 40-70kg
5; 70-100kg

Question 25

What can you cause by not wiping betadine from the site of a spinal?

Answer 25

arachnoiditis/ aseptic meningitis

Question 26

During neuraxial anesthesia, what is stimulated causing bradycardia/ hypotension?

Answer 26

bezold Jarish reflex

Question 27

what noncardiac med is used to treat the bradycardia/ hypotension with neuraxial anesthesia?

Answer 27

Zofran

Question 28

Reflex we are concerned about with abdominal insufflation?

Answer 28

celiac reflex; The celiac reflex is initiated by traction to the mesentery or other abdominal organs. This reflex is mediated by the vagus nerve and causes bradycardia and hypotension.