Mock exam 2

Question 1

Side effects of levodopa

Answer 1

Orthostatic HOTN- think dopamine vasodilates to get kidney more blood
Hypokalemia from increased pee from dopamine

Question 2

SSEP changes suggesting nerve injury

Answer 2

50% decreased in amplitude
10% increase in latency

Question 3

Hemophilias and the lab they affect

Answer 3

A- 8- PTT
B- 9
C- 11

Question 4

TURP- How much irrigation is absorbed?

Answer 4

20ml/min

Question 5

Greatest risk factors for 30-day mortality

Answer 5

ASA 4
age >90
Renal impairement
ICU stay

Question 6

Gastrin does what?

Answer 6

Stimulates pepsinogen secretion

Question 7

Secretin does what?

Answer 7

Stimulates bile flow

Question 8

S&S pancreatitis

Answer 8

Thrombophlebitis
Pericaridal effusion
Myocardial depression
Hypovolemia/ renal failure from bradykinin

Question 9

Formula for coupling gas flow

Answer 9

(FGF in ml) x (I/E) / (RR) +vt

Question 10

Best NMBs for cardiac patients

Answer 10

Roc and Vec
Atra- histamine
Panc- increases HR

Question 11

Pneumoperitineum will do what?

Answer 11

Increase MAP from high CO2
Decrease CO
Increase ICP
Increase Aa

Question 12

Pulsus parvus seen with ___

Answer 12

AS
Aortic stenosis
PArvus- think sick and slow- it means the A line has low amplitude

Question 13

Pulsus alternans is seen with __

Answer 13

Systolic LV failure
Alternans means its alternating shape, coming from an incoming complete failure to squeeze

Question 14

Autonomic hyperreflexia S&S

Answer 14

HTN brady-
Constrict below
Dilate above
LV failure
Seziures

Question 15

Addisons disease needs to

Answer 15

ADD adrenalism

Question 16

Conns disease

Answer 16

Hyperaldosteronism

Question 17

Treatment for von willebrand

Answer 17

DDAVP
8 concentrate
Cryo

Question 18

Samters triad

Answer 18

Aspirin induced respiratory disease

Question 19

Can you give toradol in bronchitis?

Answer 19

Yes- dont give in asthmatics

Question 20

I think i can educate but fucking school should!!

Answer 20

IV
Tracheal
Interpleural/ costal
Caudal
Epidural
Brachial plexus
Femoral
Sciatic
Subq is slowwwww

Question 21

MUDPILES

Answer 21

GAP acidosis >14
Methanol
Uremia
DKA
Pareldehyde
Isoniziad
Lactic
Ethanol
Salicylates

Question 22

HARDUP

Answer 22

Non gap acidosis <14
Hypoaldosteronism
Acetazolamide
Renal tubular acidosis
Diarrhea
Uterosigmoid fistula
Pancreatic fistula

Question 23

Metabolic syndrome

Answer 23

Obesity
HTN
DM2

Question 24

Pickwickian syndrome

Answer 24

AKA obesity hypoventilation syndrome
Terminal consequence of OSA

Question 25

Peripheral nerves- A

Answer 25

Motor Touch Tone Slow pain

Question 26

Hypothyroid S&S

Answer 26

HOTN/ hypovolemia aspiration Hypothermia

Question 27

How long should N2O be avoided following air surgery for Silicone, Air bubble, and Sulfur

Answer 27

Silicone Air Sulfur

Question 28

What is and when is a delta wave present?

Answer 28

Premature upstroke of R wave WPW

Question 29

Anti vs orthdromic QRS

Answer 29

Anti- wide Ortho- narrow

Question 30

How to treat tetanus

Answer 30

Debridement of infection Antitoxin Intubation- nasal?

Question 31

EMLA is made up of

Answer 31

2.5% prilocaine 2.5% lidocaine

Question 32

EMLA can cause __

Answer 32

Left shift Methemogolbinemia More toxic in children

Question 33

Which antigen do AB's have?

Answer 33

None! Thats why we can receive it all

Question 34

Mass spectrometry

Answer 34

Measures anesthetic with MASS ELECTRONS

Question 35

Measuring the hemiparetic limb with TOF yields what?

Answer 35

Falsely elevated- you think theyre reversed when they arent Do not use

Question 36

Where is CSF absorbed?

Answer 36

Arachnoid villa in the SSS

Question 37

Where is CSF produced?

Answer 37

Choroid plexus in all ventricles

Question 38

How does insulin decrease K?

Answer 38

Shifts K into liver and skeletal muscle

Question 39

Triggers of sickle cell

Answer 39

A PhD can still get sickle cell A PHD Pain Hypothermia Acidosis Dehydration

Question 40

How to calculate a desired plasma concentration?

Answer 40

(Vd x kg x desired concentration) Divided by bioavailability

Question 41

Farenhiet to celsius formula

Answer 41

F= C x 1.8 +32

Question 42

The zonas

Answer 42

GFR Salt Sugar Sex

Question 43

Hydrophilic opioids

Answer 43

Meperdine Morphine Dilaudid

Question 44

Lipophilic opioids

Answer 44

Fent Sufent

Question 45

Where to measure adductor pollicus muscle TOF?

Answer 45

Where we do- ulnar nerve on forearm

Question 46

Bier block tourniquet must stay on for _

Answer 46

20 minutes

Question 47

"15" rule

Answer 47

For LMA and laparoscopics <15 degree trend <15 abdominal pressure <15 minute duration

Question 48

Diseases that increase MH risk

Answer 48

King denborogh Central core Minicore

Question 49

What helps gout patients?

Answer 49

Bicarb helps excretion Liberal fluids flush crystals Allopurinol inhibits conversion Colchicine reduces the inflammation

Question 50

Best agents for NEC in babies

Answer 50

Prevent HOTN Ketamine Fent

Question 51

What is in the renal medulla?

Answer 51

Bottom Loop of henle Collecting ducts

Question 52

What is in the renal cortex?

Answer 52

Glomerulus Proximal and distal tubules

Question 53

Does Vt increase in pregnants?

Answer 53

Yes- even though its a RLD

Question 54

According to poiseuille, how much will flow increase if the radius is doubles or tripled?

Answer 54

1- 1 (1^4) 2- 16x increase (2^4) 3- 81x increase(3^4)

Question 55

M2 receptor

Answer 55

Bradcardia Opposite of B2

Question 56

Plantar flexion =

Answer 56

Plant your toes

Question 57

Where is the fluid in babies?

Answer 57

ECF- plasma !

Question 58

Proseal allows how much PPV pressure?

Answer 58

30 Proseal has a drain and allows for higher pressure