Kahoot Questions (Exam III) Flashcards

1
Q

T/F… A normal BUN concentration is 10 - 20 mg/dL?

A

True

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2
Q

Which of the following drugs undergo hepatic metabolism and conjugation prior to elimination in the urine:

A. Pavulon
B. Benzodiazepines
C. Anectine
D. Opioids

A

A, B, and D

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3
Q

The ideal volatile anesthetic for renal patients is…

A

Forane (Isoflurane)

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4
Q

Angiotensin, norepinephrine, and ______ influence renal artery tone.

A

Epinephrine

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5
Q

Which kidney sits lower in the retroperitoneum?

A

Right

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6
Q

The primary source of urea is the….

A

liver.

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7
Q

Which of the following is not a layer of the kidney?

A. Renal Capsule
B. Renal Fascia
C. Adipose Capsule
D. Fibrous Capsule

A

C. Adipose Capsule is not part of the kidney

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8
Q

A patient’s creatinine clearance was measured at 110 - 150ml/min. Is this normal or not?

A

Normal

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9
Q

What is secreted by the juxtaglomerular apparatus?

A

Renin

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10
Q

T/F… creatinine clearance will measure 40-60 ml/min in mild renal impairment.

A

True

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11
Q

What degree of renal impairment is noted by a creatinine clearance of 25-40 ml/min?

A

Moderate renal impairment

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12
Q

Why are stents placed for a gynecologic case?

A
  • ↓ risk of UTI
  • Easier to locate the ureters
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13
Q

Is male serum creatinine typically lower than female’s?

A

No

  • Male: 0.8 - 1.3 mg/dL
  • Female: 0.6 - 1 mg/dL
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14
Q

T/F… acceptable urine output in the OR is 0.5 ml/kg/hr, unless the patient is on bypass and then the requirement is 1 ml/kg/hr.

A

True

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15
Q

Succinylcholine may increase K⁺ by ___ mEq.

A

0.5

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16
Q

Which of the following factors does not accurately predict the likelihood of postoperative acute renal failure?

a. Pre-existing renal disease
b. Advanced age
C. CHF
D. Past hypokalemia

A

D. Past hypokalemia does not predict likelihood of post-op renal failure.

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17
Q

Which of the following drugs can cause hepatitis?

a. Analgesics
b. Anticonvulsants
c. VAAs
d. Tranquilizers

A

All the above

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18
Q

What liver surgical procedure is associated with the highest mortality?

A

Laparotomy

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19
Q

Manifestations of EtOH withdrawal can occur within __________ hours after no alcohol intake.

A

24 - 72

20
Q

What is the largest (non-skin) organ in the body?

A

Liver

21
Q

T/F… Hepatitis A is the most commonly transmitted blood-borne pathogen.

A

False. Hepatitis B is.

22
Q

T/F… Cirrhotic patients should be resuscitated with LR or NS.

A

False. Cirrhotic patients should receive colloids (albumin)

23
Q

Which of the following is not a metabolic function of the liver?

a. Carbohydrate metabolism
b. Fat metabolism
c. Protein metabolism
d. Rocuronium metabolism

A

Trick question. All the above are metabolic functions of the liver

24
Q

PT measures the _______ pathway.

A

extrinsic

25
Q

What cellular portion of the liver cleans blood?

A

Kupffer cells

26
Q

A platelet count of less than _______ requires pre-operative replacement.

A

50,000

27
Q

T/F… Chronic alcoholism increases MAC for isoflurane, likely due to cross-tolerance.

A

True

28
Q

What is the most common cause of liver cirrhosis?

A

EtOH

29
Q

T/F… Anesthetic drugs may cause post-operative liver dysfunction to be exaggerated.

A

True

30
Q

Cirrhosis results in splenomegaly, esophageal varices, and left heart failure.

A

False. RHF not LHF.

31
Q

Plasma cholinesterase may be _____ in severe liver disease.

A

decreased

32
Q

A PACU patient develops a hematoma after carotid surgery with airway obstruction, what is the best treatment?

A

Surgical decompression

33
Q

Which anesthetic technique is preferred for carotid surgery?

A

Regional so we can monitor for stroke.

34
Q

Which type of Stanford dissection does not involve the ascending aorta?

a. A
b. B
c. 1
d. 3

A

b. Stanford type B

35
Q

Which of the following is a both a risk factor for vascular disease and a complication of its development?

a. Diabetes
b. HTN
c. Renal Failure
d. Smoking

A

B. Hypertension

36
Q

Which of the following is a characteristic of of anterior spinal artery syndrome?

a. paralysis of the upper extremities
b. loss of bowel and bladder function
c. loss of touch and proprioception

A

b. loss of bowel and bladder function

37
Q

The risk of pneumonia is how many times higher in smokers than non-smokers?

A

Twice as high

38
Q

Activation of which reflex may cause bradycardia in a carotid surgery patient?

A

Baroreceptor reflex

39
Q

Which blood product is most likely to cause TRALI?

A

Plasma

40
Q

Which is more predominant, RH+ or RH- ?

A

RH+

41
Q

Which blood product contains the largest amount of fibrinogen?

A

Cryoprecipitate

42
Q

Which blood type offers the most donor capability?

A

O-

43
Q

Administration of which product type (O+ or O-) may cause incompatibility and require Rhogam treatment?

A

O+

44
Q

Which chemical is added to blood products as a preservative?

A

CPDA-1

45
Q

Which TEG value measures fibrinolysis?

A

LY30

46
Q

Does Ca⁺⁺ gluconate or Ca⁺⁺ chloride contain more calcium?

A

Ca⁺⁺ chloride