Midterm Flashcards

(58 cards)

1
Q

___ resorbs anteriorly, ___ resorbs posteriorly

A

Mn
Mx

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2
Q

___ resorbs in, ___ resorbs out

A

Mx
Mn

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3
Q

type I takes ___ months to integrate

A

5 months

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4
Q

type ___ takes the shortest amount of time to integrate

A

II (4 months)

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5
Q

___ graft is the GS

A

autogenous

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6
Q

intraoral grafting sites

A

symphysis
ramus

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7
Q

symphysis graft considerations

A

cosmetic concern
larger sizes
type II bone MC
nerve damage more common

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8
Q

GS mesh for GBR

A

PTFE or titanium (non-resorbable)

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9
Q

lateral vs crestal sinus lift indications

A

<4 mm = go lateral
>4 mm = go crestal

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10
Q

how much can you achieve with sinus lift

A

4-8 mm

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11
Q

___ ___ ___ linked to risk for sinus perforation

A

residual ridge height

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12
Q

crestal lift advantages

A

less invasive
minimal graft material

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13
Q

ridge split MC in the ___

A

Mx

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14
Q

minimum width for ridge expansion

A

2-4 mm

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15
Q

delayed ridge split more used in the ___

A

Mn

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16
Q

ridge split expected gain

A

3 mm

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17
Q

zygomatic implants must have at least ___ anterior implants alongside

A

2

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18
Q

zygomatic implant placement

A

PM region
more palatal

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19
Q

components of upper airway

A

naso
oro
laryngo

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20
Q

pallor is due to ___ activation

A

sympathetic

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21
Q

pulse ox determines % of ___ in capillaries

A

oxyhemoglobin

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22
Q

combitube advantages

A

blindly insert
ventilate regardless of placement
double lumen

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23
Q

king laryngotube advantages

A

prevents aspiration

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24
Q

LMA vs king tube

A

LMA does NOT protect from aspiration

KT protects from aspiration and can facilitate intubation

25
ASA II examples
anxious patient older than 60 pregnant euthyroid TH patient controlled T2DM, asthma, epilepsy
26
ASA III examples
controlled T1DM symptomatic TH patient > 6 months since MI/CVA very high BP stable angina controlled CHF or COPD
27
ASA IV examples
unstable angina < 6 months since MI/CVA very very high BP arrythmias uncontrolled T1DM
28
moderate = ___ sedation
conscious
29
opioids cause ___ (eyes)
miosis (from edinger CN III parasympathetics)
30
opioid analgesia is from ___ receptor, whereas sedation is from ___
mu kappa
31
morphine is ___ cleared
renally
32
fent clearance depends on ___ blood flow
hepatic
33
fent advantage and potential adverse event
no histamine rigid chest syndrome
34
naloxone dosage
0.4 mg IV
35
naloxone side effect
catecholamine release if abruptly used
36
flumazenil dosage
0.2 mg per minute
37
propofol results in vaso___
vasodilation
38
N2O effects on catecholamines and heart
stimulates catecholamine myocardial depression
39
N2O effect on respiration
tachypnea
40
N2O effect on renal
decreased urine output
41
N2O is ___ (solubility)
insoluble (rapid onset and recovery)
42
special N2O properties
concentration effect 2nd gas
43
explain diffusion hypoxia
N2O pulls CO2 out of air, resulting in respiratory depression (think COPD situations)
44
N2O inhibits ___ ___, which can cause B12 deficiency
methionine synthase
45
does N2O relax skeletal muscle
no
46
O2 is the ___ cylinder
green
47
N2O is the ___ cylinder
blue
48
O2 psi
1900
49
N2O psi
745
50
___% N2O is equivalent to 10-15 mg morphine
20%
51
cylinder size
E
52
O2 psi vs N2O psi
O2 decreases during use N2O shows 750 until empty
53
minimum O2 %
30%
54
deflated bag means what?
minute volume inadequate vacuum too high
55
overinflated bag means what?
minute volume too high hose obstruction
56
first sign of N2O
light headedness
57
primary determinant of recovery from sedation
responses from patient
58