*My APEX > MNEUMONICS > Flashcards

MNEUMONICS Flashcards

(63 cards)

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1
Q

Kids Syndromes: Macroglossia, small Mandibles, Cervical spine anomolies

A

Big Tongue - Beckwith syndrome, Trisomy 21

Please Get That Chin - Pierre Robins, Goldenhar, Treacher Collins, Cri Du Chat

Kids Try Gold - Klippel Feil, Trisomy 21, Glodenhar

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2
Q

Crycothyroid

A

CrycoThyroid

Cords Tense

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3
Q

Thyroarytenoid

A

They Relax

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4
Q

Posterior Crycoarytenoid

A

Posterior CrycoArytenoid - Please Come Apart

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5
Q

Lateral Crycoarytenoid

A

Lets Close Airway

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6
Q

Active Exhalation

A

I let the air out of my TIRE

Transverse abdominus

Internal oblique

Rectus abdominus

External Oblique

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7
Q

Increases Closing Volume

A

CLOSE-P

COPD

LV Failure

Obesity

Supine

Extremes of age

Pregnancy

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8
Q

Difficult mask ventilation

A

BONES

Beard

Obesity

No teeth

Elderly

Snoring

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9
Q

Motor Function Upper Extremity

A

Pusher, Pull Em, Pinch Me, Pinch U

Radial - extend forearm

Musculocutaneous - flex forearm

Median - pinch index finger (or palm)

Ulnar - pinch pinky

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10
Q

Motor function of Foot

A

TIPPED

Tibial: Inversion, Plantar flexion

Peroneal: Eversion, Dorsiflexion

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11
Q

PEDS: 25-50% of pts also suffer from other congenital anomolies

A

VACTERL

Vertebral defects

Imperforated Anus

Cardiac Anomolies

Trachoesophageal fistula

Esophageal atresia

Renal Dysplasia

Limb anomolies

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12
Q

S/E of Acetylcholinesterase Inhibitors

A

DUMBBELLS

  • Diarrhea
  • Urination
  • Miosis
  • Bradycardia
  • Bronchoconstricion
  • Emesis
  • Lacrimation
  • Laxation
  • Salivation
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13
Q

Mapleson circuits: Spontaneous vs Controlled

A

Spontaneous - All Dogs Can Bite

Controlled - Dog Bites Can Ache

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14
Q

Can exacerbate Systemic Lupus Erythmatous (SLE)

A

PISSED CHIMP

  • Pregnancy
  • Infection
  • Surgery
  • Stress
  • Enalapril
  • D-penicillamine
  • Captopril
  • Hydralazine
  • Isoniazid
  • Methyldopa
  • Procainamide
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15
Q

Risk of Torsades

A

POINTES

  • Phenothiazines (-azines)
  • Other (methadone, droperidol, amio)
  • Intrathecal bleed
  • No known causes
  • Type I antiarrhythmics (Quinidine, Procainamide, Disopyramide, Lidocaine, Phenytoin, Flecainide, Propafenone)
  • Electrolytes (decreased K, Ca, Mg)
  • Syndromes (Timothy, Romano-Ward)
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16
Q

Femoral Triangle

A

SAIL

  • Sartorius
  • Adductor Longus
  • Inguinal Ligament
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17
Q

Water Divided

A

60 - 40/20 - 15/15

  • 60% of total weight
  • 40% of that is ICF, 20% ECF
  • 15% of ECF is Interstitial, 5% plasma
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18
Q

Causes of non-gap acidosis

A

HARD-UP

  • Hypoaldosteronism
  • Acetazolomide
  • Renal tubular acidosis
  • Diarrhea
  • Uretosigmoidal Fistula
  • Pancreatic fistula

*Also large NaCl infusions

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19
Q

Clotting Factors

A

Foolish People Try Climbing Long Slopes After Christmas, Some People Have Fallen

  • Fibrinogen
  • Prothrombin
  • Tissue Factor
  • Calcium
  • Labile (proaccelerin)
  • Stabile (proconvertin)
  • Antiheamophilic (factor A)
  • Christmas Factor (factor B)
  • Stuart-Prower
  • Plasma thromboplastin antecedent
  • Hageman
  • Fibrin stabilizing factor
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20
Q

Hormones released from Anterior Pituitary

A

FLAT PIG

  • Follicle stimulating hormone
  • Leutinizing Hormone
  • Adrenocorticotropic Hormone
  • Thyroid stimulating hormone
  • ProlactIn
  • Growth Hormone
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21
Q

Fetal Heart tones

A

VEAL CHOP

Variable - Cord

Early - Head

Accelerations - OK

Late - Placental Insufficiency

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22
Q

Gas Laws

A

Can These Girls Possibly Be Virgins

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23
Q

Cyanotic Shunt (R –> L)

A

5 Ts

  • Tetrallogy of Fallot
  • Transposition of great arteries
  • Tricuspid valve anomoly (Ebsteins Anomoly)
  • Truncus arteriosus
  • Total anomolous pulmonary venous congestion
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24
Q

Epiglottitis S/S

A

4 D’s

  • Drooling
  • Dysphonia
  • Dyspnea
  • Dysphagia
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25
CHARGE Association
CHARGE * **_C_**olobomo (hole in eye) * **_H_**eart defects * Choanal **_A_**tresia (Nasal obstruction) * **_R_**etardation of growth * **_G_**enitourinary problems * **_E_**ar anomolies
26
DiGeorge Syndrome
CATCH 22 * Cardiac defects * Abnormal Face * Thymic Hypoplasia * Cleft palate * Hypocalcemia * 22q11.2 gene deleted
27
Drug (Usually Local anesthetic) Absorption sites (fastest to slowest)
I - I - I Cant possibly Enjoy Slow Sloppy Sex * Inhaled * IV * Intercostal * Caudal * Paravertebral * Epidural * Spinal/Bracheal * Sciatic/femoral * Subcutaneous
28
12 Cranial Nerves
On Old Olympus Towering Tops A Fin And German Viewed Some Hops * Olfactory * Optic * Oculomotor * Trochlear * Trigeminal * Abducens * Facial * Acoustic/vestibular * Glossopharyngeal * Vagus * Spinal Accessory * Hypoglossal
29
Sensory/Motor/Both for CN's:
Some Say Marry Money But My Brother Says Big Boobs Matter Most ## Footnote I SENSORY II S III MOTOR IV M V BOTH VI M VII B VIII S IX B X B XI M XII M
30
Flow of CSF from the choroid plexus through the brain:
Love My 3 Silly 4-Lorn Magpies ## Footnote Lateral Ventricle Monroe (foramon) 3rd Ventricle Sylvius (Aqueduct) 4th Ventricle Luschka (foramina(2)) Magendie
31
Placental Transfer: what drug qualities transfer to baby....
LUMP ## Footnote ``` Lipid solubility (Hi will tx) Unionized (Will tx) Molecular Weight (lo will tx) Protein bound (will not) ```
32
Drugs that do not cross the placenta...
He Is Going Nowhere Soon ## Footnote Heparin Insulin Glycopyrolate NDMR Succinylcholine
33
oil:gas Coefficients of volatile agents:(hi to low) also, MAC: Low-Hi
Happymeals I Eat - Shall Die Now (hi-low) also, MAC: Low-Hi * Halothane 224 (mac:0.77%) * Isoflurane 90 (1.2%) * Enflurane ? * Sevoflurane 47 (1.7%) * Desflurane 18.7 (6.67%) * Nitrous 1.4 (104%)
34
Opioid receptors: Mu-1
BMUSE * Bradycardia * Miosis * Urinary retention * Supraspinal analgesia * Euphoria
35
Opioid receptors: Mu-2
RAINS ## Footnote Respiratory depression addiction Itching Nausea vomiting constipation Spinal analgesia
36
Opioid receptors: Kappa
Same Shit Different Day ## Footnote Spinal analgesia Sedation Dysphoria Dependence
37
Opioid Receptors: Delta
RAPS ## Footnote Respiratory depression Addiction Poorly understood super spinal analgesia
38
Lumbar Plexus
I invariably get lazy on Fridays ## Footnote Iliohypogastric [L1] Ilioinguinal [L1] Genitofemoral [L1, L2] Lateral femoral cutaneous [L2, L3] Obtruator [L2, L3, L4] Femoral [L2, L3, L4]
39
Diuretics
COLT PA ## Footnote Carbonic anhydrase (proximal) Osmoic (proximal) Loop (thick ascending LOH) Thiazide (Distal) ``` Potassium sparing (collecting duct) Aldosterone antagonist (collecting duct) ```
40
Thyroid Storm Drugs
4 B's * Block synthesis (methmiazole, carbimazole, PTU, potassium iodide) * Block release (radioactive iodine, K iodide) * Block T4 to T3 conversion (PTU, Propranolol) * Beta Blocker(propranolol, esmolol)
41
Longer, longer, longer, drop, then you have a
wenkebach Mobitz 1
42
If some "P"'s just don't get through, then you have a...
Mobitz II
43
Drugs that can be administered down ETT
NAVEL * Narcan * Atropine * Valium * Epinephrine * Lidocain
44
CYP Inhibitors
SICK EGO * SSRIs * Isoniazid * Cimetidine/Ranitidine * Ketoconazole * Erythromycin * Grapefruit * Omeprozole
45
CYP Inducers
CRAP BT * Carbamezapine * Rifampin * Alcohol (ethanol) * Phenytoin * Barbituates * Tobacco smoke
46
drugs that are metabolized by non-specific plasma esterases?
Aacree * Aspirin * Atracurium (and hoffman) * Clevidipine * Remifentanyl * Esmolol * Etomidate (also hepatic)
47
what are examples of drugs that follow zero-order kinetics?
THAWD * theophylline * heparin * aspirin * warfarin * dilantin
48
what drugs do you need to avoid with acute intermittent porphyria?
BHEG * barbs * hydralazine * etomidate * glucocorticoids
49
what other drugs can cause methemoglobinemia?
2NP'S * nitroprusside * NTG * phenytoin * sulfonamides In addition to benzocaine and prilocaine
50
what drugs reduce pseudocholinesterase activity?
CORE MENN * Cyclophosphamide (chemo drug) * Oral bcp/ estrogen * Reglan * Esmolol * MAOI * Echothiophate * Neostigmine * Nitrogen mustard
51
What **conditions** reduce Pseudocholinesterase?
**MAP SNOB** * Malnutrition * Atypical PChE * Pregnancy * Severe Liver Disesase * Neoplasm * Old age * Burns
52
Inceases PVR (what decreases?) also meds?
**HE-SLAPP-VH** **HE SLAPP V**ery **H**ard * **H**ypoxia * **E**levated airway pressures * **S**urgical stress (deep anesthesia) * **L**ow Fio2 * **A**cidosis * **P**EEP * **P**olycythemia (anemia) * **V**asoconstrictors * **H**ypercarbia Drugs: N20, Ketamine, Des Decreased PVR is opposite - in parenthases if not obvious
53
Osmolarity of TURP syndrome? S/S?
Hypo-osmolar Triple H-BANS * HTN (fluid overload) * Hyponatremia * Hemolysis * Bradycardia * AMS * N/V * Seizures
54
Hypercalcemia
H-NAPS * HTN * Nausea * Abd pain * Psychosis * Seizures
55
Hypocalcemia
LPM-CT * Laryngospasm * Parasthesias and tetany (nerve irritability) * Muscle cramps * Chvosteks (tapping angle of jaw -\> facial nerve contraction of masseter muscle) * Troussseaus (upper extremity bp cuff for 3 mins -\> spasm)
56
Debakey AAA classification
BAD * Both - Type I * Ascending - Type II * Descending - Type III
57
Nitric oxide production increased by:
V-STABSS * Vasoactive intestinal peptide * Shear stress * Thrombin * ACh * Bradykinin * Substance P * Serotonin
58
Glossopharyngeal block will anesthetize what structures:
**POST VA** * Posterior 1/3 of tongue * Oropharynx * Soft palate * Tonsils * Vallecula * Anterior epiglottis
59
Drugs that cause Hypokalemia
BITE * Beta 2 agonists * Insulin * Theophyline * Epi (and also the common culprits: Steroids, Loop and thiazide diuretics)
60
Ankylosing Spondylitis S/S?
RC-PAC * Restrictive (kyphosis) * Cervical fusions * Pulm fibrosis * Aortic regurg * Conduction blockade
61
Non-selective cox inhibitors?
DIN * Diclofinac * Ibuprophen * Naproxen
62
cross sensitivity to Latex?
PACTT-FEW * Potato * Avocado * Chestnut * Tropical fruit * Tomato * Figs * Eggplant * Wheat
63
Causes of gap-acidosis
MUDPILES * Methanol * Uremia * DKA * Paraldehyde * Isoniazid * Lacatate (dec DO2, sepsis, cyanide poisoning) * Ethanol, ethylene glycol * Salicylates (inhibits Krebs cycle)
*My APEX
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