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Principles II- Josh > Test #1 REVIEW ******* > Flashcards

Test #1 REVIEW ******* Flashcards

1
Q

Elderly pts display a lower dose requirement for barbs, opioid agonists, and benzo’s
True/ false

A

true

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2
Q

is Asthma associated with increased perioperative complicaions and death in the elderly?

A

no!!
** of the following conditions which one is NOT usually associated with increased perioperative complications and death in the elderly is:
A) ASTHMA

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3
Q

the total lung compacity in the elderly compared to that of a 20 y/o is what?

A

unchanged or slight decreased of 10%

****Comparing Pulmonary lung function in the elderly to that of a 20 y/o, which state ment is correct??
A) total lung capacity unchanged or slight decrease of 10%

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4
Q

Pharmacokinetic qualities of the elderly include what in r/t hepatic function

A

Decreased hepatic function
***Pharmacokinetic qualities of the elderly include what?
A) decreased hepatic function

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5
Q

at the age of 60 the work of breathing for the elderly pt is ____% more?

A

30%
*** the work of breathing in the elderly pt is associated with?
A) 30% more effort at age 60

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6
Q

The baroreceptor reflex is unchanged with age?

true/false

A

false
**** Physiologicall, which statement is FALSE concerning the aged patient?
A) the baroreceptor reflex in unchanged with age

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7
Q

there is a decreased closing capacity with aging? true/false?

A

false
******* Resiratory changes associated with againg include all of the following except?
A) Decreased closing capacity

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8
Q

CO decreasess by 1% per year beyond the age 30. True/false?

A

true
***** which statement is correct with regard to CO in the elderly?
A) Decreases 1% per year beyond age 30

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9
Q

Diminished Cardiac reserve in many elderly patients may be manifested as exaggerated drops in blood pressure during induction of general anesthesia. True/false

A

True

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10
Q

Many elderly pts experience varying degrees of acute confusion state, delerium, r cognitive dysfunction postoperatively. True/False

A

True

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11
Q

The brain achieves its maximal weight at age what?

A

30

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12
Q

The pulm function in the aged compared to the 20 y/o has a total lung capacity that is reduced by ______%

A

10%
**** Comparing pulmonary function in the aged to that in a 20 y/o, the correct response is?
A) total lung capacity is reduced by 10%

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13
Q

the elimination half-life of pancuronium is similar to that of a 30 y/o? true/false?

A

false
*** which statement is NOT correct regarding the aged patient?
A) the elimination half-life of pancuronium is similar to that of a 30 y/o

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14
Q

The elimination half-life of midazolam in the geriatric pt is twice that of the young adult male. true/false?

A

True
*** the elimination half-life of midazolam in the geriatric pt is?
A) twice that of the young adult male

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15
Q

the narcotic of choice for intraoperative use in the geriatric patient is what?

A

Fentanyl

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16
Q

In the absence of disease, resting systolic cardiac function appears to be preserved even in octogenarians. true/false?

A

True

17
Q

Initial requirements for NDMR in the geriatric pt are the same as the younger adult. true/false?

A

True
**Initial requirements for NDMR in the geriatric pt are:
A) the same as the younger adult

18
Q

Which formula below is used to calculate IBW of a female?

A

Height (cm) - 105

19
Q

Obesity is identified as BMI greater than or equal to what?

A

30 kg/m^2

20
Q

What is the incidence of obesity among adults in the US?

A

30%

21
Q

it is extremly important to assess your obese pt prior to sx for a family history of cancer. True/False

A

false!!
**** when assessing your obese pt prior to surgery, all of the following are extremly important EXCEPT:
A) family history of cancer

22
Q

The safest position to induce anesthesia in the obese pt is supine (completely flat). True/False

A

False

23
Q

Pickwician sysndrome if associated with with decreased O2 consumption. True/False?

A

False
*****Pickwician Syndrome is associated with all of the following except:
A) decreased 02 consumption

24
Q

The obese pt should be extubated when?

A

A) all of the above must occur
(basically I don’t have the answers but of couse Awake, 5 sec head lift, 4/4 TOF, follows commands, trying to rip the tube out, TV at baseline, etc)

25
Q

LMA mask airways are absolutly contraindicated in obese pt’s. True/False

A

False

Principles II- Josh (17 decks)

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