Qv General Anesthesia

Front 1

What is the dibucaine number?
Normal
Heterozygous
Homozygous

Back 1

Normal = 80
Heterozygous = 40-60
Homozygous = 20

Front 2

What is the Tracheal capillary pressure?

Back 2

25-35 mmHG

Front 3

What is the waiting period after high dose Lovenox administration before doing neuraxial block?

Back 3

24 hrs

Front 4

Renal failure from fluoride toxicity from VA resembles what?

Back 4

Nephrogenic diabetes insipidus

Front 5

What is the most common cause of postop hypoxemia?

Back 5

V/Q mismatch from small airway collapse and ATX

Front 6

Risk factors for V/Q mismatch?

Back 6

Old aga

Obesity

Obstructive lung disease

Front 7

maneuvers to decrease v/q mismatch and improve lung volumes?

Back 7

sitting position

cough

deep breathing

Front 8

Hypocalcemia from accidental removal of parathyroid gland occurs after what time period?

Back 8

12-24 hrs

Front 9

Trreatment for dystonic reactions to reglan, droperidol, phenergan?

Back 9

Dephenhydramine
or
Benztropine

Front 10

What is the mechanism of median nerve injury?

Back 10

IV injury at AC fossa or neurotoxic drugs such as thiopental

Front 11

Signs of median nerve injury?

Back 11

Inability to adduct thumb and small finger

Front 12

Pheochromocytoma is typically associated with what?

Back 12

Medulllary carcinoid of thyroid

Front 13

Onset of delirium tremens occurs how long after cessation of ETOH?

Back 13

2-4days

Front 14

What is the relative contraindication for a tracheal resection?

Back 14

need for possible mechanical intubation postop.

Front 15

Extreme digitalis sensistivity can occur with what electrolyte abnormality?

Back 15

Hypercalcemia

Front 16

What is the rule to determine how much a 3 yo child weighs?

Back 16

Term baby weighs 3.5kg + 3.5 at 5 mos. At one year 3x birth weight = 10kg. Each year beyond 1 - 6 yr add 2kg.
3 yo = 14kg

Front 17

What is the rule for PO intake before surgery in pediatric population?

Back 17

2 - 4 - 6 - 8 Rule:
2 hrs for clears
4 hrs for breast mild
6 hrs for formula or light meal
8 hrs for solid meals

Front 18

Normal CNS CBF = ?

Back 18

50ml/100g/min

Front 19

Cause of Diabetes Insipidus?

Treatment?

Back 19

Decrease ADH

treat with DDAVP

Front 20

Would damage to bilateral superior laryngeal nerve cause upper airway obstruction?

Back 20

No. Because it innervates the cricothryoid muscle and sensory to the pharynx above the vocal cords

Front 21

What does the PADSS (post -anesthestic discharge scoring system) assess?

Back 21

stable vss
ambulation
controlled pain
absence of n/v
minimal bleeding

Front 22

Symptoms of MH?

Back 22

HTN & Tachycardia
dysrhymthmias
respiratory acidosis
metabolic acidosis
muscle rigidity
rhabdo
fever

Front 23

Disease that can mimic MH?

Back 23

Alcohol withdrawal
NMS
bacteremia
Pheochromocytosis
hyperthyroidism
cocaine toxicity

Front 24

How does bleomycin manifest itself with pulm toxicity?

Back 24

pulmonary fibrosis & hypoxemia

Front 25

What is should be avoided in pt with bleomycin pulm toxicity?

Back 25

high FIO2. Should be <0.3

Front 26

What is injected into the intravitreal for eye surgery?

How long is the wait to decreased risk of increasing intaocular pressure

Back 26

sulfur hexafluoride

10 days

Front 27

What airway complication can occur with pt s/p thyroid sx?

Back 27

Hypocalcemia causing stridor, laryngospasm, and upper airway obstruction.

Front 28

What can be used to decrease shivering?

Back 28

Clonidine & Demerol

Front 29

Side effects of clonidine?

Back 29

bradycardia and dry mouth

Front 30

if pt sat is >90% what is the best way to increase O2 delivery?

Back 30

by transfusing blood

Front 31

What muscle relaxants to avoid with Huntington's chorea? Why?

Back 31

Sux because of decrease concentration of pseudocholinesterases

Front 32

PFTs result that is associated with increased risk for pneumonectomy?

Back 32

FEV1 <50% of FVC
FEV1 < 2L
Max breathing capacity < 50%
RV/TLC >50%
hypercarbia on ABG

Front 33

Is measured PaO2 greater or less when the patient is cooler that the electrode (37 degree C)?

Back 33

Less
6% per degree

Front 34

What properties of muscle relaxants should be avoided in someone with pheochromocytoma?

Back 34

avoid muscle relaxants with histamine release or increase in SNS

Front 35

What is the most commonly damage nerve in the lower extremity?

Back 35

common peroneal nerve

Front 36

symptoms of common peroneal nerve?

Back 36

1)foot drop
2)inability to dorsal extension of toes
3) inability to evert foot

Front 37

Which condition causes flaccid paralaysis with NDMR?
MH or NMS

Back 37

NMS

Front 38

Most common cause of unexpected admission for scheduled outpatient surgery?

Back 38

N/V

Front 39

What is Fenoldopam used for?

Mechanism

Back 39

1)severe hypertension

2)selective dopamine-1 receptor agonist with vasodilating properties

Front 40

How do you replace VIII in hemophiliacs?

Back 40

with Cryoprecipitate

Front 41

%age of VIII necessary for major surgery in hemophiliacs?

Back 41

30%

Front 42

What coagulation test should be done for hemphilia A?

Back 42

PTT

Front 43

ST elevation in lead II and complete heart block would indicate ischemia from which coronary artery?

Back 43

RCA supply the AV node

Front 44

Does hypo/hyperthyroid affect MAC?

Back 44

No

Front 45

What is use to treat carcinoid syndrome?

Back 45

Somatostatin (analog of octreotid)

Front 46

Testicular innvervation is as high as what level?

Back 46

T-10

Front 47

Lowest - highest GCS?

Back 47

3 - 15

Front 48

What will carboxyhemoglobin do to SaO2?

Back 48

falsly elevated