Test 4 Kahoots Flashcards
Surgery is indicated for aortic aneurysm that exceeds?
5.5cm, >10mm per year
Anterior spinal artery syndrome is characterized by?
Loss of motor function, autonomic dysfunction
The most common cause of ASA syndrome includes?
- Atherosclerosis
- Aortic aneurysms
- Aortic dissections
Ascending aortic aneurysms include?
- Debakey 1
- Debakey 2
- Stanford A
The most common deficit associated with aortic replacement requiring cardiopulmonary bypass is?
Neurologic
Which population is aortic dissection most common?
- Men
- Women in 3rd trimester pregnancy
Most AAA rupture into?
Left retroperitoneum
Primary cause of mortality related to surgeries of thoracic aorta include?
- CVA
- MI
Most commonly, cardiogenic embolisms originate from?
- Left atrial thrombus
- Left ventricle thrombus
Subclavian steal syndrome leads to?
Retrograde blood flow in the ipsilateral SCA
Superficial thrombophlebitis and DVTs are most seen with almost half of patients undergoing which specific surgery?
Total hip replacements
Which is true regarding LMWH vs unfractionated heparin?
longer half-life, not reversible
Patients with a history of TIA have a ___ times greater risk for CVA:
10
Cerebral O2 consumption/metabolic rate is mostly affected by?
- Depth of anesthesia
- Temp
What is the lifespan of nonactivated platelets?
8-12 days
The platelet activation phase occurs?
Upon interaction with collagen and TF
Which element is an essential part of coagulation tenase-complexes?
Calcium
Prothrombinase complex is composed of which factors?
- Factor Xa
- Factor Va
Which factor activates factor IX?
- TF/VIIa complex
- XIa
Phase 2 hemostasis is primarily initiated by?
Extrinsic pathway
Which system mainly amplifies thrombin generation?
Intrinsic pathway
Prothrombinase complexes convert?
- Factor II to IIa
- Prothrombin to thrombin
Coagulation counter-mechanisms include?
- Protein C
- Tissue factor pathway inhibitor
- Serine protease inhibitors
- TPA and urokinase
Supplements that cause blood thinning include?
- Turmeric
- Vitamin E
vWF prevents degradation of which factor?
VIII (8)
Which lab value may be abnormal in hemophilia?
PT/PTT
Which clotting factors are not produced in the liver?
VIII (8)
Which anticoagulation factors are produced in the liver?
- Protein S
- Protein C
- Antithrombin
Anemia of chronic kidney is due to?
EPO deficiency
Lab findings associated with DIC include?
- Thrombocytopenia
- Increased fibrin degradation
- Increased fibrin
- Prolonged PT/PTT
What is the innermost layer of the GI tract?
Mucosa
Which is the best test to detect gastroparesis?
Gastric Emptying study
Which type of Achalasia is associated with the worst outcomes?
Type 3
What is the most effective non-surgical treatment for achalasia?
Pneumatic dilation
Normal LES pressure is?
29 mmHg
The descending colon and distal GI tract are innervated by the?
Hypogastric plexus
Which of the following describes an independent nervous system, which controls motility, secretion and blood flow?
Enteric nervous system
Which feature of the myenteric plexus controls motility?
- Enteric neurons
- Interstitial cells of Cajal
- Smooth muscle cells
Which of the following presents a major anesthesia challenge in colonoscopy?
Dehydration
Which hormones play a role in gastric motility?
- Gastrin
- Gastrin inhibitory peptide
- Motilin
Common causes of gastric ulcers include?
- H. Pylori
- ETOH
- NSAIDS
Which of the following are beneficial preoperative interventions for Zollinger Ellison syndrome?
- PPI
- RSI
- Correct electrolytes
- Suction at HOB
Symptoms associated with Crohn’s disease include?
- Malabsorption
- Ileocolitis
- Steatorrhea
IBD treatments include?
- 5-acetylsalicylic acid
- Steroids
- Rifaximin
Which drugs should be given prior to resection of a carcinoid tumor?
Octreotide
There are 6 anterior pituitary hormones, they include:
- Prolactin
- TSH
- Growth hormone
- ACTH
- Follicle stimulating hormone (FSH)
- Luteinizing hormone (LH)
The 2 posterior pituitary hormones are ____:
- Oxytocin
- ADH
DI is characterized by excessive urine production: True or False?
True
SIADH is inappropriate release of ADH seen with ____?
- Lung cancer
- Porphyria
- Hypothyroidism
- Intracranial tumors