Old Exam Questions

Question 1

What is most common valvular defect?

Answer 1

Mitral valve prolapse

Question 2

Total teeth of adult human

Answer 2

32

Question 3

What are the front 4 teeth on top and bottom?

Answer 3

Incisors

Question 4

What is most serious lower respiratory disease found in children?

Answer 4

Respiratory Syncytial Virus (RSV)

Question 5

Fentanyl is _______ times more potent than morphine.

Answer 5

100 times

Question 6

Leading cause of chronic liver disease in US?

Answer 6

Hepatitis C

Question 7

What are the seroconversions of HbV and HcV?

Answer 7

HbV= 30%
HcV = 1.8%

Question 8

Coffee is considered a clear liquid when determining NPO time for how long?

Answer 8

2 hours

Question 9

How often should Anesthesia personnel be screened for TB?

Answer 9

TB test every 12 months

Question 10

What are normal creatinine levels and what do they represent?

Answer 10

0.6-1.3 mg/dl

Normal kidney functions

Question 11

As age increases, creatinine levels go UP/DOWN?

Answer 11

DOWN

Question 12

What is the most important variable to consider when delivering anesthesia?

Answer 12

Adequate perfusion

Question 13

What is the Alveolar O2 equation?

Answer 13

FiO2 (Pb-Ph2O) - (PaCO2/R)

Question 14

Define sterile

Answer 14

Free of microorganisms

Question 15

What test is recommended for patients over 40 years of age?

Answer 15

EKG

Question 16

What are some pre-op Diabetes comorbidities?

Answer 16

HTN, myocardial ischemia, peripheral neuropathy, PVD (peripheral vascular disease), CRI (chronic renal insufficiency)

Question 17

On a liver function panel, what is the best test to indicate liver disease?

Answer 17

ALT

Question 18

What gas is least soluble in blood?

Answer 18

Desflurane

0.42 blood/gas coefficient

Question 19

What is the toxic dose of lidocaine?

Answer 19

5 mg/kg

7mg/kg if w/ epi

Question 20

Normal human plasma osmolarity?

Answer 20

280-310 mOsm / L

Question 21

What is a continual ASA monitoring standard?

Answer 21

Means it is repeated, regular and frequent

Question 22

What is a continuous ASA monitoring standard?

Answer 22

Means it is uninterrupted

Question 23

What is the leading cause of operative mortality in elderly patients?

Answer 23

Perioperative myocardial infarction

Question 24

Anion with the greatest extracellular ion concentration?

Answer 24

Chloride

Question 25

What condition will not effect the MAC of a pt?

Answer 25

Hypo/Hyper thyroid

Question 26

What is the toxic dose of bupivacaine?

Answer 26

2.5 mg/kg | 3 mg/kg w/ epi

Question 27

What is the myocardial REinfarction risk?

Answer 27

5% after 6 months

Question 28

What leads are used to detect a MI and what do you look for/what is seen?

Answer 28

V5 lead | ST segment elevated/depressed

Question 29

What is solubility of Nitrous?

Answer 29

0.47

Question 30

What is solubility of Desflurane?

Answer 30

0.42

Question 31

What is solubility of sevoflurane?

Answer 31

0.63

Question 32

What is solubility of isoflurane?

Answer 32

1.4

Question 33

List the order of anesthetics gases from most soluble to most insoluble.

Answer 33

Iso > Sevo > N2O > Des

Question 34

For redistribution of fluids, what portion of D5W stays intravascular?

Answer 34

0.8 or 8% (did you mean 80%????)

Question 35

What are the precordial (unipolar) leads?

Answer 35

V1-V6

Question 36

List some PRBC transfusion consequences

Answer 36

With each unit, Hct up by 3%] | HgB up by 1 gm/dL

Question 37

What do you do when you perform a negative pressure check of the machine?

Answer 37

Suction bulb test of common gas outlet

Question 38

What is being checked when performing a suction bulb check?

Answer 38

Checks flowmeters | ---I don't think this is right, Wesley

Question 39

If worried about aspiration, what drug can be given to speed up gastric emptying?

Answer 39

Metoclopramide (reglan)

Question 40

If worried about aspiration, what drug can be given as a H2 blocker that will reduce the volume of acid secretions in the stomach?

Answer 40

Pepcid

Question 41

What is non-particulate antacid that can be used to treat an aspiration risk if the pt's pH goes up significantly?

Answer 41

Na citrate

Question 42

What are some contraindications for solutions?

Answer 42

Avoid hespan and LR in diabetics Avoid dextran in renal failure Avoid hetastarch in CHF, renal disease, coagulopathy AND NS CAN CAUSE ACIDOSIS

Question 43

If you increase the anesthetic inhalational uptake, what do you do to the onset time?

Answer 43

SLOWER/ DECREASE

Question 44

What are the normal ranges for NA?

Answer 44

135-145 mEq/L

Question 45

What is the normal range for K?

Answer 45

3.5-5.3 mEq/L

Question 46

What is normal range for Cl?

Answer 46

95-105 mEq/L

Question 47

What is normal range for Bicarb?

Answer 47

20-29 mEq/L >26 = metabolic alkalosis <22 = metabolic acidosis

Question 48

What is normal range for BUN?

Answer 48

10-26 mg/dL

Question 49

What is normal range for creatinine?

Answer 49

0.6-1.3 mg/dL | A double in creatinine = 50% reduction in glomerular filtration rate

Question 50

What is normal range for glucose?

Answer 50

70-115 mg/dL

Question 51

What is normal range for WBC?

Answer 51

4500-11000 high levels indicate infection low levels due to chemo, radiation, or immune disorders

Question 52

What is normal range for HgB?

Answer 52

Females : 12-16 g/dL Males: 13-17g/dL <8g/dL = indicates needs for transfusion

Question 53

What is normal range for Hct?

Answer 53

Females: 36-45% Males: 39-49%

Question 54

What is normal range for a platelet count?

Answer 54

150000 - 450000

Question 55

What is the normal range for prothrombin time (PT)?

Answer 55

10-14 seconds Prolonged PT = low factor 7 / liver damage (factor 7 deficiency is only cause of prolonged PT with a normal PTT)

Question 56

What is normal range for partial thromboplastin time (PTT)?

Answer 56

25-38 seconds | Measures intrinsic clotting factors