Test 4 Kahoots Flashcards

1
Q

Surgery is indicated for aortic aneurysm that exceeds?

A

5.5cm, >10mm per year

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2
Q

Anterior spinal artery syndrome is characterized by?

A

Loss of motor function, autonomic dysfunction

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3
Q

The most common cause of ASA syndrome includes?

A
  • Atherosclerosis
  • Aortic aneurysms
  • Aortic dissections
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4
Q

Ascending aortic aneurysms include?

A
  • Debakey 1
  • Debakey 2
  • Stanford A
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5
Q

The most common deficit associated with aortic replacement requiring cardiopulmonary bypass is?

A

Neurologic

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6
Q

Which population is aortic dissection most common?

A
  • Men
  • Women in 3rd trimester pregnancy
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7
Q

Most AAA rupture into?

A

Left retroperitoneum

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8
Q

Primary cause of mortality related to surgeries of thoracic aorta include?

A
  • CVA
  • MI
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9
Q

Most commonly, cardiogenic embolisms originate from?

A
  • Left atrial thrombus
  • Left ventricle thrombus
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10
Q

Subclavian steal syndrome leads to?

A

Retrograde blood flow in the ipsilateral SCA

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11
Q

Superficial thrombophlebitis and DVTs are most seen with almost half of patients undergoing which specific surgery?

A

Total hip replacements

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12
Q

Which is true regarding LMWH vs unfractionated heparin?

A

longer half-life, not reversible

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13
Q

Patients with a history of TIA have a ___ times greater risk for CVA:

A

10

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14
Q

Cerebral O2 consumption/metabolic rate is mostly affected by?

A
  • Depth of anesthesia
  • Temp
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15
Q

What is the lifespan of nonactivated platelets?

A

8-12 days

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16
Q

The platelet activation phase occurs?

A

Upon interaction with collagen and TF

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17
Q

Which element is an essential part of coagulation tenase-complexes?

A

Calcium

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18
Q

Prothrombinase complex is composed of which factors?

A
  • Factor Xa
  • Factor Va
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19
Q

Which factor activates factor IX?

A
  • TF/VIIa complex
  • XIa
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20
Q

Phase 2 hemostasis is primarily initiated by?

A

Extrinsic pathway

21
Q

Which system mainly amplifies thrombin generation?

A

Intrinsic pathway

22
Q

Prothrombinase complexes convert?

A
  • Factor II to IIa
  • Prothrombin to thrombin
23
Q

Coagulation counter-mechanisms include?

A
  • Protein C
  • Tissue factor pathway inhibitor
  • Serine protease inhibitors
  • TPA and urokinase
24
Q

Supplements that cause blood thinning include?

A
  • Turmeric
  • Vitamin E
25
Q

vWF prevents degradation of which factor?

26
Q

Which lab value may be abnormal in hemophilia?

27
Q

Which clotting factors are not produced in the liver?

28
Q

Which anticoagulation factors are produced in the liver?

A
  • Protein S
  • Protein C
  • Antithrombin
29
Q

Anemia of chronic kidney is due to?

A

EPO deficiency

30
Q

Lab findings associated with DIC include?

A
  • Thrombocytopenia
  • Increased fibrin degradation
  • Increased fibrin
  • Prolonged PT/PTT
31
Q

What is the innermost layer of the GI tract?

32
Q

Which is the best test to detect gastroparesis?

A

Gastric Emptying study

33
Q

Which type of Achalasia is associated with the worst outcomes?

34
Q

What is the most effective non-surgical treatment for achalasia?

A

Pneumatic dilation

35
Q

Normal LES pressure is?

36
Q

The descending colon and distal GI tract are innervated by the?

A

Hypogastric plexus

37
Q

Which of the following describes an independent nervous system, which controls motility, secretion and blood flow?

A

Enteric nervous system

38
Q

Which feature of the myenteric plexus controls motility?

A
  • Enteric neurons
  • Interstitial cells of Cajal
  • Smooth muscle cells
39
Q

Which of the following presents a major anesthesia challenge in colonoscopy?

A

Dehydration

40
Q

Which hormones play a role in gastric motility?

A
  • Gastrin
  • Gastrin inhibitory peptide
  • Motilin
41
Q

Common causes of gastric ulcers include?

A
  • H. Pylori
  • ETOH
  • NSAIDS
42
Q

Which of the following are beneficial preoperative interventions for Zollinger Ellison syndrome?

A
  • PPI
  • RSI
  • Correct electrolytes
  • Suction at HOB
43
Q

Symptoms associated with Crohn’s disease include?

A
  • Malabsorption
  • Ileocolitis
  • Steatorrhea
44
Q

IBD treatments include?

A
  • 5-acetylsalicylic acid
  • Steroids
  • Rifaximin
45
Q

Which drugs should be given prior to resection of a carcinoid tumor?

A

Octreotide

46
Q

There are 6 anterior pituitary hormones, they include:

A
  • Prolactin
  • TSH
  • Growth hormone
  • ACTH
  • Follicle stimulating hormone (FSH)
  • Luteinizing hormone (LH)
47
Q

The 2 posterior pituitary hormones are ____:

A
  • Oxytocin
  • ADH
48
Q

DI is characterized by excessive urine production: True or False?

49
Q

SIADH is inappropriate release of ADH seen with ____?

A
  • Lung cancer
  • Porphyria
  • Hypothyroidism
  • Intracranial tumors