3

Question 1

what is an appropriate dose of reversal of neuromuscular blockade of rocuronium in an infant?

neostigmine 50 mcg/kg
pyridostigmine 1 mg/kg
edrophonium 50 mcg/kg
physostigmine 1 mg/kg

Answer 1

neostigmine 50 mcg/kg

Question 2

hyperthermia is a core temp abive

Answer 2

38 C or 100.4 F

Question 3

what spinal segments supply pns innervation to the uteters

Answer 3

s2-s4

Question 4

first stage of labor is usually confined to what dermatomes

Answer 4

t10-L1

Question 5

most common causative diagnosis for patients needing renal transplant

Answer 5

dm

Question 6

what is the most potent stimulus for pulmonary vasoconstriction

Answer 6

hypoxia

Question 7

what lab change is most specific for hepatobiliary obstruction

Answer 7

5 nucleotidase elevation

Question 8

what lab result is consistent with glycogen storage disease

Answer 8

metabolic acidosis

Question 9

what do you do abut the K level with hyperaldosteronism

Answer 9

it causes hypokalemia-> spirnolactone

Question 10

MS- which is true?
-exacerbation with inc in body temp
-excessive accumulation of myelin
-neuropathy due to demyelination of the peripheral nerves
-rapid progression in pt dx after 35

Answer 10

exacerbation with inc in body temp

Question 11

mediastinoscopy can result in decreased blood flow through which vessel

Answer 11

r verterbral artery

Question 12

what increases the risk of sudden bradycardia with strabismus surgery

Answer 12

hypoventilation -> hypercapnia

Question 13

what would you expect to see in a patient changing from erect position to supine

Answer 13

decrease in peripheral vasc resistance; inc in co

Question 14

which is not true about emphysema and bronchitis?
A. bronchitis and emphysema are both forms of COPD
B. emphysema is associated with elevated hct
c. bronchitis is associated with copious suputum production
d. emphysema is associated with decreased elastic reccoil of lungs

Answer 14

B

Question 15

what is the role of principal cells in cortical collecting duct?

Answer 15

secreting potassium

Question 16

true about hpv:
A. onset and resolution are slow
B. triggered by arterial hypoxemia
C. may be inhibited by verapamil
D. diffuse effect throughout the entire pulmonary vasculature

Answer 16

-it occurs and resolves quick
-due to ALVEOLAR hypoxia
-may be inhibited by CCB, nitrates and inhaled anesthetics

Question 17

approx how many L of oxygen does an E cylinder contain?

Answer 17

660

Question 18

where is the majority of Na reabsorbed in the nephron

Answer 18

proximal convoluted tubule

Question 19

AANA code of ethics mandates CRNA accept responsibility conferred by the:

Answer 19

state, profession and society

Question 20

fully soaked lap holds

Answer 20

100-140 of blood

Question 21

which of the following is more likely to produce the pumping effect in an anesthetic vaporizer

Answer 21

oxygen flush valve

Question 22

when monitoring evoked potentials, the delay in response to a stimulus is known as the

Answer 22

latency

Question 23

sns innervation to gi tract arises from the

Answer 23

t5-L2 segments

Question 24

what nerve fiber is most resistant to blcok

Answer 24

a alpha

Question 25

before installing a new oxygen gas cylinder onto the hanger yoke, you must A. document the lot number of the cylinder in the gas supply log B. remove the cylinder valve wrapper C. open the cylidner fully for 2 mins to ensure that gas escapes without obstruction D. turn the anesthesia machine off

Answer 25

B. remove cylinder valve wrapper

Question 26

surgeon turns down the ambient temp to 60F. how does this affect deluvery of anesthetic through tec 7 A, could cause unpredictibly low output B. coudl cause unpredictibily high output C. it would result in either too high or too low an output D. it would have no effect upon the vaporizer output

Answer 26

A. low output tec 7 is accurate between 64 and 95F

Question 27

carbon dioxide absorbent granules should be __ in size

Answer 27

4-8 mesh

Question 28

you are preparing to anesthetize a peds pt with arnold chiari malformation. which of the following is true? A. head extension should be avoided B. pathology involves compression of pituitary gland C. surgical correction typically involves parietal crani D. it involves cephalad displacement of cerebellar vermis

Answer 28

extension of neck should be avoided

Question 29

how much csf is normally in subarach space of spinal canal

Answer 29

30-80 mL

Question 30

which periph nerve stimulator test requires baseline assessment before a neuromuscular blocking agent is administered for comparison

Answer 30

single twitch monitoring

Question 31

what screening test best correlates with bleeding risk in uremic patients

Answer 31

bleeding time

Question 32

which evoked potential monitoring modality is specific to cranial nerve VIII and is particularly useful in acoustic neuroma surgery?

Answer 32

brain auditory evoked potential

Question 33

which of the following statements about respiratory changes during pregnancy are true? A. airway resistance is essentially unchanged B. functional residual capacity increases C. minute ventilation decreases D. dead space increases

Answer 33

A. airway resistance is essentially unchanged

Question 34

after IV fentanyl- there is an inital rapid increase in plasma concentration of the drug from rapid decline in plasma admin. then there is a second, slower decrease in plasma concentration due to A. metabolism by nonspecific esterases B. redistributiion to highly perfused organs C. excretion by the kidneys D. redistribution to adipose tissue

Answer 34

D

Question 35

what type of anesthesia circuit has a reservoir and requires rebreathing of all exhaled gases

Answer 35

closed

Question 36

what surpraspinal regions contribute to the emotional and motivational aspects of pain sensation? pick 2 A. SI somatosensory cortex b. SII somatosensory cortex C. anterior cingulate cortex D. insular cortex

Answer 36

insular cortex and anterior cingulate cortex

Question 37

what is an expected side effect of acetazolamide?

Answer 37

acidemia and dec csf production

Question 38

how long before opioids should naltrexone before opioid administration

Answer 38

3-7

Question 39

what cells in the nephron are responsible for secreting bicarb and reabsorbing hydrogen ions in states of alkalosis

Answer 39

type b intercalculated cells

Question 40

what is true of tec 6 des vaporizer? a. it is heated to 27 C b. it is made of solid copper c. it is presurized to 2 atm d. it is a variable bypass vaporizer

Answer 40

c. it is 39 c pressure os 1500 mmhg or 2 atm

Question 41

dose of nmba for obese pt should be based on

Answer 41

lean body weight

Question 42

what is required in a nonrebreathing circuit?

Answer 42

unidirectional valves

Question 43

what does the composition of the inspired gas mixture a pt recieve depend on?

Answer 43

vaporizer dial setting fgf rate volume of the breathing circuit gas absorbed by the circuit min ventilation and co do not matter

Question 44

what iv dose of amiodarone is recommended in pt with v tach that is resistant to electrical defib

Answer 44

300 mg

Question 45

the largest identifiable and preventable cause of accidents is

Answer 45

fatigue

Question 46

ankle brachial index of what value is indicative of peripheral vascular disease?

Answer 46

0.8

Question 47

compared to the aortic root pressure, as the location of the arterial catheter gets mroe distal, the A. map increases B. sbp decreases c. diastolic increases d. diastolic decreases

Answer 47

diastolic decreases

Question 48

where is the only spot that secretion of hydrogen ions and reabsorption of bicarb ions do not occur

Answer 48

thin segments of loop of henle

Question 49

how do you attenuate the nausea with narcan administration?

Answer 49

admin dose over 2-3 mins

Question 50

what chemical is responsible for mediating nonshivering thermogenesis in the newborn?

Answer 50

NE

Question 51

what is true about the bain circuit? A. it requires fgf equal to 3x the minute ventilation b. it utilizes a small bore gas delivery tube at the patient end of the circuit c. it is a modified mapleson A circuit d. exhalation tubing should provide volume larger than the tidal volume to prevent rebreathing

Answer 51

b

Question 52

plasma half life is inversely proportional to its

Answer 52

rate of clearance