Flashcard review

Question 1

Highest risk groups for latex allergy? Which condition?

Answer 1

1. Spina bifida/myelomeningocele
2. Atopy
3. Health care workers
4. Food allergy to banana, kiwi, pineapple, tomato, mango

Question 2

Does the higher the barrier pressure mean more or less likelihood of reflux?

Answer 2

The higher the pressure, the less likely to cause reflux

Question 3

What decreases gastric barrier pressure?

Question 4

What increases gastric barrier pressure?

Question 5

What is Samter’s triad?

Answer 5

Aspirin exacerbated respiratory disease

• Asthma
• Allergic rhinitis
• Nasal polyps

Question 6

Which two supplements reduce mac?

Answer 6

Kava Kava
Valerian

Question 7

Which supplement can mimic Conn’s?

Answer 7

Licorice

Question 8

Metabolic syndrome

Answer 8

Question 9

How can you reduce atelectasis in obese people?

Answer 9

Keep FiO2 less than 80%

Valsalva breath 40cm H20 for 10 seconds

PEEP or CPAP for 5-10

Question 10

In obesity, HTN is the result of?

Answer 10

Activated RAAS and SNS

Hyperinsulinemia

Elevated cytokine

Question 11

How does CO, SV, HR, and blood volume change in obesity?

Answer 11

Increased CO, SV, and blood volume to feed fat

HR stays the same

Question 12

Which valvular defect is highly suggestive of Pulmonary HTN in the obese population?

Answer 12

Tricuspid regurgitation on TEE

Question 13

Is MAC changed in obesity?

Answer 13

No

Question 14

How are propofol and narcotics dosed?

Answer 14

Propofol
Loading - LBW
Maintenance - TBW

Narcotic
Loading - TBW
Maintenance - LBW

Question 15

How is remifent dosed?

Answer 15

LBW

Question 16

How are succ/cis/atracurium dosed?

Answer 16

TBW

Question 17

How are roc/vec dosed?

Answer 17

LBW

Question 18

Define hypopnea

Answer 18

50% reduction in airflow for 10 seconds, 15 or more times per hour

Question 19

Define OSA

Answer 19

100% reduction in airflow for 10 seconds 5 or more times and a reduction of 4% in SaO2

Question 20

Definitive test for OSA?

Answer 20

Polysomnography

Mild = 5-15 episodes
Moderate = 15-30 episodes
Severe = >30 episodes

Question 21

What tool is used for undiagnosed OSA? What score?

Answer 21

STOPBANG

> 3 means high risk

Question 22

What is obesity hypoventilation syndrome?

Answer 22

Longterm consequence of untreated OSA

APNEA WITHOUT RESPIRATORY EFFORT

Question 23

Which drug should be avoided with an anastomotic leak repair?

Answer 23

Ketorolac - increases the incidence

Question 24

What is Ma Huang?

Answer 24

Natural source of Ephedrine

Question 25

What is orlistat? Complications?

Answer 25

Lipase binder - hinders absorption of fat Impairs Vit D, A, K, E absorption Without Vit K, factors 2,7,9,10 are impaired and may cause bleeding

Question 26

Venous air embolism vs paradoxical air embolism, which one affects the lungs? Which would cause a stroke?

Answer 26

Venous - pulmonary vasculature Paradoxical - stroke

Question 27

What is the best table for a prone patient?

Answer 27

Jackson

Question 28

Which three factors worsen tracheobronchial compression with an anterior mediastinal mass?

Answer 28

1. Supine 2. Induction of GA 3. PPV

Question 29

What happens if an airway is lost in a patient with a anterior mediastinal mass?

Answer 29

Turn them lateral or prone Use a bronchoscope Crash on to fem-fem bypass

Question 30

What is autonomy?

Answer 30

Patient has the right to make their own decisions

Question 31

What s nonmaleficence?

Answer 31

Hippocratic oath- do not inflict harm

Question 32

What is beneficence?

Answer 32

Prevent harm and help the patient

Question 33

6 elements to informed consent?

Answer 33

-Competence -Decision-making capacity -Disclosure of information -Understanding of disclosed information -Voluntary consent -Documentation

Question 34

What four things must be proven in a lawsuit for malpractice?

Answer 34

Duty Breach of duty Causation Damages

Question 35

What is res Ipsa loquitur

Answer 35

Things peak for itself Shifts burden of proof from the plaintiff to defendant

Question 36

Assault vs battery.

Answer 36

Assault - attempt to touch another person Battery - touching someone without consent

Question 37

What is vicarious liability?

Answer 37

Respondeat superior Hospital is responsible for the CRNA

Question 38

Are there currently any schedule 1 drugs in anesthesia? Examples?

Answer 38

No

Question 39

Are there currently any schedule 2 drugs in anesthesia? Examples?

Answer 39

Cocaine Opioids Meth Phencyclidine

Question 40

First thing to do in a lawsuit?

Answer 40

Contact insurance immediately Do not discuss the case with anyone

Question 41

How does someone become an emancipated minor?

Answer 41

-Married -Pregnant or parent -In the military -Economically independent

Question 42

In an emergency situation, can you give a Jehovah's Witness blood without a court order?

Answer 42

Yes

Question 43

Being awake for 24 hours is equal to what BAC?

Answer 43

0.1%

Question 44

When is sleep-related behavior most common?

Answer 44

After 16 hours of a shift Night shifts

Question 45

OSHA limits for noise levels? 8 hour span?

Answer 45

Single - 115dB 8 hour span - 90 dB

Question 46

How long must an addict be out of work for? How long is probation?

Answer 46

1 year 5 year probation

Question 47

First steps if suspect a coworker is using?

Answer 47

Do not let them out of your sight Have a bed available Do not let them decide their treatment Last step, call the police

Question 48

6 steps of high-level care?

Answer 48

Patient centered Safe Effective Timely Efficient Equitable

Question 49

Fluid requirements should be based on IBW, LBW, or TBW?

Answer 49

LBW

Question 50

Which bariatric surgeries place the patient at risk for lifelong nutritional deficiencies?

Answer 50

Jejunoileal bypass Roux-en Y

Question 51

What is the most common cause of Nonalcoholic Steatohepatitis? (NASH)

Answer 51

Obesity

Question 52

Does obesity put you at an increased risk for emesis during induction?

Answer 52

no

Question 53

Why is CO increased in the obese population?

Answer 53

SV increases, not HR

Question 54

Does circulation time increase in the obese population?

Answer 54

No

Question 55

Does the Vd of lipophilic or hydrophilic increase or decrease in the obese population?

Answer 55

Both increase, lipophilic increases much more

Question 56

What is the most sensitive sign of an anastomotic leak?

Answer 56

Unexplained tachycardia

Question 57

Which supplement increases the risk of serotonin syndrome?

Answer 57

Sibutramine S-S