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BioScience II > Exam Review from class -josh > Flashcards

Exam Review from class -josh Flashcards

All taken from Ingrids notes she took

1
Q

ECF volume is controlled by what

A

Aldosterone

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2
Q

ECF osmolarity is controlled by what?

A

ADH

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3
Q

Creatiinine is not reabsorbed by the kidneys, it is a waste product of what?

A

muscle metabolism

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4
Q

does normal creatinine equal good renal fxn?

A

nope could still have decreased GFR

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5
Q

BUN has alot of confounding factors a level of what usually indicats bad GFR

A

> 50 mg/dL

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6
Q

what is teh first thing to go w/ injury to the kidneys?

A

ability to concentrate urine (you can’t concentrate it)

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7
Q

What test is expensive but is a better indication of renal function than creatinine

A

Cystatin C

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8
Q

what is a blanket term to describe bad things that happen to the kidneys?

A

AKI

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9
Q

what is Oliguric AKI UOP

A

< 400 cc/day

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10
Q

What is non-oliguric AKI UOP

A

> 400 cc/day

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11
Q

GFR is determined by what?

A

ultrafiltration coefficient

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12
Q

In the kidneys there are 2 smooth muscle sphincters at teh capillary bed. it can constrict what 2 things

A

Efferent arterioles
or
Afferent arteriole

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13
Q

what is prerenal Azotemia

A

nothing wrong w/ the kidney but something is making them work harder

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14
Q

What is intrarenal Azotemia

A

problem lies within parenchyma

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15
Q

what labs will help you differentiate b/t pre and interrenal Azotemia

A

BUN/Creatinine and osmolality

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16
Q

so if BUN/Creatinine ratio 20 x more BUN than creatine it is what pre or intra renal

A

Prerenal (BUN is dehydration status indicator-creatinine not reabsorbed)

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17
Q

BUN/Creatine ration if 10-20 x more BUN then is it pre or intra renal

A

Intrarenal

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18
Q

if urine osmolality > 500 mOsm/kg what is it pre or inter

A

pre

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19
Q

if urine osmolality is < 400 mOsm/Kg what is it pre or inter renal

A

interrenal

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20
Q

Obstruction of urinary outflow tract is what type of renal faliure?

A

post

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21
Q

does n dopamine work?

A

nope

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22
Q

what drug is know to be renal protective

A

fenoldopam

23
Q

should you give pt’s in AKI diuretics?

A

nope doesnt show to help

24
Q

what does PEEP and pneumoperitineum do to RBF?

A

decreases it

25
Q

what does CPB/ non-pulseatile flow do to renal perfusion? and what does it produce?

A

Decreases it

produces free radicals

26
Q

what drugs are big offenders for pt’s w/ AKI

A

NSAIDs
ace inhibitors
aminoglycosides
immunosupressents

27
Q

why would pt’s w/ AKI get poss RSI and no LMA?

A

delayed gastric emptying

28
Q

basics to TURP syndrome?

A

Open venous sinus in prostate allows absorption of irrigation fluid

29
Q

what clotting factors are pro clot

A

1-13

30
Q

what factors are anticlot

A

protein c/s
Plasmin
Plasminogen
tpa

31
Q

what is a big preop assessment that can show bleeding disorders?

A

ask about bleeding gums

32
Q

what are teh major vitamins involved in anemia

A

B12 & folic Acid

33
Q

what is the most common type of anemia

A

iron deficiency

34
Q

skeletal malformations with increased severty , will cause intubation problems w/ what type of anemia

A

Thalassemia

35
Q

Aplastic anemia will show what with labs?

A

pancytopenia

36
Q

____ or ____ dz can also cause anemia

A

kidney or liver

37
Q

what type of anemia do you get neuro deficits (parasthesia, gait disturbances, decreased reflexes)

A

B12

38
Q

what type of anemia is most common in the surgical world?

A

dilutional anemia

39
Q

1 unit of PRBCs will increase Hgb amd Hct how much

A

Hgb 1 g

HCT 3%

40
Q

what is the biggest trigger for Sickle cell

A

hypoxemia

41
Q

what happens when the ODC when 2,3 DPG decreases

A

shift to left

42
Q

when id teh most common time you will see a decrease in 2,3 DPG levels

A

stored PRBCs

43
Q

what is te biggest factor for 2,3 DPG levels in stored blood

A

storage time

44
Q

10-12 units of cryoprecipitate will increase fibrinogen by how much?

A

100mg/dL

45
Q

stress and anxiety are linked to what GI disturbance?

A

IBS

46
Q

what GI inflammatory affects the entire thickness of the bowel

A

Crohn’s

47
Q

what GI inflammatory disease affects the inner most lining of the COLON

A

Ulcertive colitis

48
Q

what age/sex is most effected by Anorexia?

A

young girls

49
Q

what age/sex is most effected by binging?

A

older males

50
Q

what eating d/o is associated w/ mallory weiss syndrome or gastroesophageal lacerations?

A

Bulimia -b/c you throw up so hard you injure the esophagus

51
Q

what is the basics principles w/ malabsorption syndromes?

A

you body isn’t absorbing what it needs

52
Q

what malabsorption syndrome is associated w/ zollinger ellison syndrome?

A

MEN1

53
Q

what malabsorption syndrome is associated w/ hormone secreting glands?

A

MEN 2

54
Q

what is worse OHS or OSA

A

OHS

BioScience II (39 decks)

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