From practice tests #1

Question 1

Answer 1

Question 2

means increased BUN levels

Answer 2

Azotemia

Question 3

Peds ACLS epi doses

Answer 3

0. 01-0.03 mg/kg IV
1. 05-0.1 mg/kg Tracheal

Question 4

area anesthetized by glossopharyngeal nerve block

Answer 4

Question 5

Order of arteries from aorta

Answer 5

L/R coronary > Innominate >

Left Common carotid > Left subclavian

Question 6

another name for B12

Answer 6

Colabamin

Question 7

FiO2s from NC

Answer 7

Question 8

Increased PIP with normal plateau pressures?

Answer 8

Bronchospasm

Question 9

Pacer/ICD + Magnet does?

Answer 9

Pacer: Defaults to Asyncronous pacing

ICD: Shock disabled

Pacer/ICD: Shock disabled

Question 10

2 nerve blocks for knee surgery?

Answer 10

• Femoral
• Sciatic

Question 11

What anticogaulant has a specific reversal?

Answer 11

Dabigatran

Reversal: Idarucizumab

Question 12

Absolute contraindications for ESWL?

Answer 12

• Pregnant
• Bleed risk

Question 13

Hypocalcemia seen after thyroidectomy with inadvertent parathyroid removal how long post-op?

Answer 13

Typically 24-48h

can be as early as 6-12h

Question 14

another name for hearing loss

Answer 14

Hypoacusis

Question 15

another name for lumbar plexus block?

Answer 15

Psoas block

Question 16

Narcan and intrathecal opioids. Pruritis treatments?

Answer 16

• does not reverse analgesia but does treat pruritis

Other treatments for pruritis include:

• propofol
• zofran
• droperidol
• partial opioid agonists

Question 17

What class?

• Tirofiban
• Eptifibatide
• Abciximab

Answer 17

• Glycoprotein IIb/IIIa antagonists

Question 18

Half Lives:

• Factor 7
• Antithrombin
• Fibrinogen

Answer 18

Factor 7: 3-6h

Antithrombin: 48-72h

Fibrinogen: 72-120h

Question 19

Class?

• Clopidogrel
• Ticlopidine
• Prasugrel
• Ticegralor

Answer 19

Thienopyridine Derivitives

ADP inhibitors

Question 20

Shock power in Peds

Answer 20

1st: 2 J/kg
2nd: 4 J/kg
more: 4-10 J/kg

Question 21

Deadspace/Shunt effects on PaO2 and PaCO2

Answer 21

Deadspace effects PaCO2

Shunt effects PaO2

Question 22

HIV Seroconversion

Answer 22

• IV Stick 0.3%
• Mucosal 0.09%

Question 23

Class?

• Argatroban
• Bivalirudin
• Hirudin

Answer 23

Thrombin inhbitors

Question 24

Most MIs happen when?

Answer 24

Within 48h post-op

Question 25

Aortic regurg on ALine? Called?

Answer 25

Question 26

Can increase RVOT obstruction?

Answer 26

Increased * HR * Contractility Decreased * Preload * Afterload

Question 27

B.Blockade in setting of acute _____ can precipitate what?

Answer 27

Increased SVR Heart failure

Question 28

Highly resistant to Narcan?

Answer 28

Buprenorphine

Question 29

First sign of MH in spontaneous breathing patient?

Answer 29

Increased Mv (increased RR, TV)

Question 30

Class? * Fondaparinux

Answer 30

Factor 10 inhibitor * DC 4 days ahead

Question 31

Parathyroid and Calcium?

Answer 31

hyper - increased Ca hypo - decreased Ca (and parathyroidectomy)

Question 32

Cardiac biomarker with shortest halflife?

Answer 32

CKMB

Question 33

Subclavian steal syndrome reverses through what artery?

Answer 33

Ipsilateral (same side) vertebral artery

Question 34

Vessels/area effected: * Kawasaki (mucocutaneous lymph node syndrome) * Takayasu * Thromboangitis obliterans (called?) * Wegeners granulamatosis * Brugada syndrome * WPW

Answer 34

* Coronary (primarily in children) red strawberry tongue * Proximal aorta * small/medium arteries (Beurgers disease) * Airway mucosa (Vasculitis, friable tissue) - downsize ETT * Na channelopathy - sudden nocturnal death VT/VF common in Southeast asian males * Bypasses AV node via accessory pathway (Kent's bundle)

Question 35

S/E of tramadol?

Answer 35

* Seizures * N/V * loses efficacy with zofran

Question 36

Class: * tPA * Streptokinase

Answer 36

Plasminogen activators

Question 37

DOA of LA's: Long, Int, Short

Answer 37

Long: * Bupiv * Ropiv * Tetracaine Int: * Lido * Mepivicaine Short: * Procaine * Chlorprocaine

Question 38

Complications of PA catheter insertion

Answer 38

* Complete heart block * RBBB (perf'd through RV) * Pulm. infarct

Question 39

Seizures can be prolonged by?

Answer 39

HAKE * Hypocarbia * Alfentanyl + propofol * Ketamine * Etomidate

Question 40

Pts on pre-op anticholinesterases (think Alzheimers, MG) will respond to NMBs how?

Answer 40

Increased DOA Succ Decreased DOA NDNMB

Question 41

Ankylosing Spondylitis S/S?

Answer 41

RC-PAC * Restrictive (kyphosis) * Cervical fusions * Pulm fibrosis * Aortic regurg * Conduction blockade

Question 42

Foot Nerves

Answer 42

Those with S are Sensory ## Footnote Superficial Peroneal Sural Saphenous

Question 43

term for injecting NS into epidural, compression of spinal space for rostral spread/higher block allowing lower dose

Answer 43

Epidural volume extension technique

Question 44

Class? * Amicar * TXA

Answer 44

Plasminogen activation inhibitor