Unit 11

Question 1

Why during a C section must you cover T4-T6 dermatomes?

Answer 1

Somatic pain impulses from diaphragmatic stimulation via intercostal nerves

Through the celiac plexus

Question 2

How do ACE inhibitors affect an OB patient?

Answer 2

They can cause oligohydramnios

**cause renal dysfunction in fetus

Question 3

What condition occurs in achondroplasia ?

Answer 3

Foramen magnum stenosis - may cause brainstem compression

Occurs in dwarfism

Question 4

What is a major risk factor for placental abruption?

Answer 4

Chronic HTN

Question 5

What age groups need to stay overnight in the hospital after a T&A?

Answer 5

3 and under

Question 6

Best management for an open ureteral reimplantation?

Answer 6

Continuous infusion of a local anesthesia via an indwelling caudal catheter

Question 7

The presence of a vascular ring may mean?

Answer 7

R sided aortic arch

Extubate with caution

Question 8

Which condition is most likely associated with pectus excavatum?

Answer 8

Mitral valve prolapse

also may cause RIGHT ventricular outflow obstruction

Question 9

Does an ETT increase or decrease the risk of respiratory complications in a child with a recent URI?

Answer 9

Increases risk

Question 10

Are premature infants at risk for retinopathy even on room air?

Answer 10

YES

Question 11

What is the normal neonatal PaO2 range?

Answer 11

60-80

Question 12

What is a major risk factor for postoperative apnea in the preterm infant?

Answer 12

Anemia

Question 13

What hematocrit level is defined as anemia?

Answer 13

<30%

Question 14

When does the ductus arteriosus, ductus venosus, and foramen ovale close?

Answer 14

Question 15

gastroschisis vs omphalocele

Answer 15

Question 16

What is a relative contraindication for the use of ergot alkaloids?

Answer 16

Preeclampsia

Question 17

Which drugs should be avoided in reactive airway disease in the laboring patients?

Answer 17

Carborpost

Question 18

When are most seizures most likely to occur in the eclamptic patient?

Answer 18

Anytime intrapartum or within 48 hours of delivery

Question 19

Which respiratory parameter is unchanged in the obese population compared to the nonobese?

Answer 19

Closing capacity

Question 20

Is there an increase or decrease in oxygen consumption when mechanical ventilation is initiated in the obese population?

Answer 20

There is a decrease

Question 21

RV in the obese vs nonobese?

Answer 21

Stays the same

Question 22

ERV in the obese vs nonobese?

Answer 22

Decreased in the obese

Question 23

TLV in the obese vs nonobese?

Answer 23

Decreased in the obese

Question 24

VC in the obese vs nonobese?

Answer 24

Decreased in the obese

Question 25

PaCO2 the obese vs nonobese?

Answer 25

No change

Question 26

PaO2 the obese vs nonobese?

Answer 26

Decreased in the obese

Question 27

Lung compliance obese vs nonobese?

Answer 27

Decreased in the obese

Question 28

Nerve block location for a cleft lip repair? Which cranial nerve ?

Answer 28

Infraorbital foramen CN2

Question 29

What is VACTERL?

Answer 29

-Not a syndrome or genetically linked -A group of anomalies seen together Vertebral Anal Cardiac Tracheoesophageal fistula Renal Limb

Question 30

A single vertebral artery is associated with what condition?

Answer 30

VACTERL If suspected, needs to be screened before anesthesia is given

Question 31

How does pregnancy affect beta-adrenergic agonists?

Answer 31

Decreased sensitivity