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Bioscience II > Random Review for Test > Flashcards

Random Review for Test Flashcards

1
Q

What is acromegaly?

A

syndrome resulting when the anterior pituitary produces excess growth hormone after closure of puberty state….often associated with gigantism

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2
Q

Why is it important to provide a stress dose of corticosteroids for patients with autoimmune disorders on chronic therapy?

A

b\c they are susceptible to cardiovascular collapse b\c they cannot release endogenous cortisol in response to stress

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3
Q

What age group does acromegaly most affect?

A

middle aged men and women

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4
Q

Acromegaly is a ________ disorder.

A

metabolic

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5
Q

Acromegaly causes an increase of the production of what hormone?

A

growth hormone

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6
Q

What are common signs and symptoms of acromegaly?

A

enlargement of hands, feet, head, forehead, jaw, and tongue

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7
Q

Do patients with acromegaly always require a larger ETT?

A

No

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8
Q

What is the affinity of carbon monoxides for Hgb compared to oxygen?

A

200x greater

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9
Q

What portion of the pediatric body in the rule of nine is greater compared to adults?

A

head

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10
Q

In a burn patient, at what point should you avoid succinylcholine?

A

after 24 hours

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11
Q

T/F? You can assume that a burn patient with a pulse oximetry reading of 100% is adequately oxygenated.

A

FALSE

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12
Q

What is the first line treatment for HTN in the phechromocytoma patient prior to surgery?

A

alpha blocker

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13
Q

Is bradycardia indicative of a thyroid storm?

A

no; but hyperthermia, metabolic acidosis, abnormal LFT’s, and atrial fibrillation is

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14
Q

T/F? Careful airway assessment is vital in hypothyroid, but not as important in hyperthyroid.

A

FALSE

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15
Q

Which endocrine disorders are associated with sensitivity to paralytics?

A

cushings, addisons, hypothyroid, hyperthyroid

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16
Q

What 2 hormones are secreted from the posterior pituitary (neurohypophysis)?

A

vasopressin (ADH), oxytocin

17
Q

What is SIADH?

A

syndrome of inappropriate anti diuretic hormone secretion; characterized by excessive release of ADH from the posterior pituitary; often results in dilutional hyponatremia

18
Q

What are some common causes of SIADH?

A

intracranial tumor, porphyria, lung cancer, hypothyroid

19
Q

Is hyperthyroidism a known cause of SIADH?

A

no!! hypothyroidism is

20
Q

What anesthetic technique is inadvisable in patients with multiple sclerosis?

A

spinals

21
Q

What is the gold standard for diagnosing MH?

A

caffeine halothane contracture test (CHCT)

22
Q

What is the earliest sign of MH?

A

increased ETCO2 >55mmHg

23
Q

Why is cardizem not an appropriate drug choice for dysrhythmias associated with MH?

A

b\c it is a CCB

24
Q

What is the correct classification for MH?

A

channelopathy

25
Q

Injury is the leading cause of death between ages 1 and 45 in US. (T/F)

A

TRUE

26
Q

Tertiary survey occurs prior to discharge to reassess and confirm known injuries and identify occult ones. (T/F)

A

TRUE

27
Q

What drugs should be avoided in a chest trauma patient in hypovolemic shock?

A

N2O, atracurium, mivacurium; KETAMINE IS OK

28
Q

T/F? CPP=MAP-ICP

A

TRUE

29
Q

What antiemetic is safe for use in a Parkinsons patient?

A

zofran

30
Q

Which drug alleviates exacerbations of Parkinsons disease?

A

Benadryl d\t its anticholinergic properties

31
Q

What drug is used to lower the seizure threshold?

A

methohexital

32
Q

IBS can be associated with what type of disease process?

A

chronic pain

33
Q

What pain intervention is contraindicated in patients with pain associated with ulcerative colitis (megacolon)?

A

opioids

34
Q

What increases the risk for colorectal cancer?

A

high fat and meat protein

35
Q

What is the most common type of porphyria in the US?

A

acute intermittent porphyria

36
Q

The anesthetic medication to avoid in patient with AIP is:

A

Barbiturates

37
Q

Porphyrias are most commonly found in _____.

A

females from puberty to menopause

Bioscience II (18 decks)

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