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Levi's Class 2014 > Week 2 > Flashcards

Week 2 Flashcards

1
Q

What are the sensory nerves for the ear:

A
  • auriculotemporal nerve
  • greater auricular nerve
  • auricular branch of vagus nerve
  • tympanic nerve
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2
Q

What is it called when the ossicles and mastoid bone are infected?

A

cholesteatoma

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3
Q

What types of endotracheal tunes would be best for ear surgery:

A
  • South Facing tube (RAE)

- Reinforced Tube

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4
Q

What type of nerve monitoring would be used during close facial nerve procedures?

A

-Nerve integration monitor

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5
Q

T/F: Partial or complete NMR (muscle relaxant) blockade abolishes nerve activity.

A

True

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6
Q

What is ASA I hypotensive technique:

A
  • MAP 50 - 60
  • intraoposystoic > preop diastolic
  • HR 60
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7
Q

What are some nasal sinuses surgeries:

A
  • Endocopically FESS
  • Nasal antrostomy
  • Caldwell-Luc
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8
Q

What is the optimal time frame to fix nasal fractures?

A

-within 10 days after swelling has gone down

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9
Q

What is Samter’s Triad?

A
  • asthma
  • NSAID (aspirin) sensitivity
  • Nasal polyps
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10
Q

What will occur with Samter’s Triad?

A

broncho spasms

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11
Q

How does cocaine potentiate sympathetic activity?

A
  • Blocks the reuptake of epi at sympathetic nerve terminal
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12
Q

What is a Coroner’s Clot?

A

-A blood clot that form during ENT surgery and is not cleared after extubation of patient, which then aspirates caused occlusion of the airway.

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13
Q

What anatomical parts of the body would be worked on during intraoral procedure?

A
  • Tonsillectomy
  • adenoidectomy
  • palatal surgery
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14
Q

What is Waldeyer’s Ring?

A
  • Tonsils and adenoids lymphoid tissue around the pharynx
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15
Q

What may occur minutes to hours after relief or airway obstruction in children?

A

-pulmonary edema

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16
Q

What is the dose of decadrone?

A
  • 0.05 to 0.15 mg/kg
  • max dose 20 mg
  • (some surgeons may use 0.5 mg/kg)
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17
Q

What is the incidence for post extubation laryngospasm and stridor?

A
  • 12 - 25 %
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18
Q

Primary bleeds occurs how long after a tonsillectomy?

A
  • 6 hours
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19
Q

When is the second most common time bleeds occurs after a tonsillectomy?

A

7 to 8 days post-op due to scab falling off

20
Q

What is the optimal FiO2 when using a potential heat source that possibly could cause a fire.

21
Q

What color lens does a YAG laser use?

22
Q

What color lens does a argon laser use?

23
Q

What color lens does a CO2 laser use?

24
Q

What are the appropriate steps for an airway fire?

A
  • Disconnect circuit
  • Extubate, ventilate with a new circuit
  • Reintubate
  • Maintain anesthesia with IV agents
25
What is the PSI of O2 when using jet ventilation?
30 to 50 P.S.I.
26
What are some points about supraglottic jet vent?
- Above the vocal cords | - Cannot monitor EtCO2
27
What risk are more prevalent in supraglottic jet ventilaton
- pneumomediastinum - pneumothoraz -pneumothora - -SQ emphysema
28
What risk are more prevalent in subglottic jet ventilation?
-barotrauma
29
How many respiration ah minute does HFPPV do a minute.
-60 to 100
30
How many respiraton ah minutes does HFJV
100 - 200 less than dead space
31
What are the four d's?
- dysphagia - dysphonia - dyspnea - drooling
32
What is the gold standand for OSA:
- CPAP | - BiPAP
33
What is hypoapnea?
- >30% drop in airflow to baseline for more than 10 seconds | - > 4% drop in oxygen sats
34
What is apnea?
- airflow ceases for 10 seconds or more
35
A polysomnography diagnosis sleep apnea.
YES
36
Categorize the apnea hypopnea Index (AHI).
- 0-5 event is none - 6-20 event is mild - 21 - 40 events is moderate > 40 events is severe
37
What is are the characteristics for OSA patients:
- male - > 50 years of age - neck circumference >17 inches - snorer - >35 BMI
38
What does frequent apnea + hypopnea leads to:
-framented sleep
39
The reticular activating system is stimulated leading to sympathetic hyperactivity due to apnea + hypopnea.
YES
40
What does apnea + hyponea cause with systemic inflammation?
- increase c reactive protein - interleukin-6 - endothelial dysfunction - metabolic dysregulation all leading to CV, neuropsych and endocrine disorders
41
How is endocrine affected by OSA?
- glucose intolerance - diabetes - obesity - GERD
42
How is CV affected by OSA?
-HTN -arrhythmias -CAD -nocturnal angina MI CHF Pulm HTN
43
How is neuropsychologic affected by OSA?
- daytime somnolence - cognitive impairment - accident proneness - anxiety/depression
44
What is a uvulopalatopharyngoplasty?
-enlarging retropalatial airway
45
What two nerves must be recognized during thyroidectomy?
- RLN | - SLN

Levi's Class 2014 (16 decks)

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