Test #2 Autoimmune ARTICLES- Dwayne

Question 1

The majority of carcinoid tumors are located where/

Answer 1

GI tract (appendix, rectum, and ileum)
Bronchial tree

Question 2

carcinoid tumors

Answer 2

Slow growing, small bowel tumors

Question 3

Which tumor bypass the liver

Answer 3

Bone, hepatic, gonadal, pulmonary

Question 4

S/S of carcinoid tumors

Answer 4

hypotension, HTN, Flushing (most reported), broncho-constriction, diarrhea

Question 5

carcinoid tumors produce excess of what?

Answer 5

Serotonin (the most) histamine and kinins

Question 6

Serotonin can cause HTN and Hypotension why?

Answer 6

Indirect stimulation of Norepi release

Question 7

Serotonin is metabolized by?

Answer 7

MOA and aldehyde dehydrogenase

Question 8

Most common test to diagnose carcinoid tumors is

Answer 8

5-HIAA 24 hr urine assay

Question 9

Treatment for carcinoid tumors is

Answer 9

octreotide and surgical removal

Question 10

Octreotide

Answer 10

synthetic somatostatin with a long 1/2 life

Question 11

What NMB is recommended for these Pts

Answer 11

Vec r/t cardiovascular stability

Question 12

Most common complication during surgery?

Answer 12

cardiovascular instability

Question 13

carcinoid tumors cardiovascular effects what side of the heart

Answer 13

Right side

Question 14

Avoid what drugs R/T histamine release in these pts?

Answer 14

morphine and actracurium

Question 15

SLE is what? systemic Lupus Erythemiatosus

Answer 15

chronic inflammatory disease of unknown cause that effects jpints, kidneys, lungs, nervous system and serous membranes

Question 16

2 antibodies common for SLE

Answer 16

anti-double-stranded DNA antibodies and anti-Sm antibodies

Question 17

what test is the best diagnostic test for SLE

Answer 17

(ANA) antinuclear antibody test

Question 18

Weight gain in SLE is due to

Answer 18

Hypoalbuminemia, water and salt retention

Question 19

earliest S/S of Lupus is?

Answer 19

joint pain in 90% of Pt’s

Question 20

Most common lesion in Lupus is?

Answer 20

Butterfly rash over face

Question 21

RA Assessment

Answer 21

Neck and airway assessment crucial, for subluxation of the atlanto-axial joint 25%

Question 22

RA S/S

Answer 22

joint pain w nodules, worse in the morning but improving with activity, fatigue, wt loss, depression and disability 25% of RA Pts

Question 23

atlanto-axial subluxation

Answer 23

80% anterior, 5% posterior, Vertical 10-20%

Question 24

Airway envolvement

Answer 24

Cricoarytnoid joints, w nodules may distort anatomy, ROM of Neck and TMJ mobility may interfere w mouth opening

Question 25

All RA Pts should have what test

Answer 25

C Spine xray

Question 26

Most common symptom of atlanto-axial subluxation is

Answer 26

pain radiating to the occiput the paraesthesia to the shoulders and arms with head movement

Question 27

Thyroidectomy are at high risk for what post-op?

Answer 27

PONV