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?

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
Injury is the leading cause of death between ages 1 and 45 in US. (T/F)
TRUE
26
Tertiary survey occurs prior to discharge to reassess and confirm known injuries and identify occult ones. (T/F)
TRUE
27
What drugs should be avoided in a chest trauma patient in hypovolemic shock?
N2O, atracurium, mivacurium; KETAMINE IS OK
28
T/F? CPP=MAP-ICP
TRUE
29
What antiemetic is safe for use in a Parkinsons patient?
zofran
30
Which drug alleviates exacerbations of Parkinsons disease?
Benadryl d\t its anticholinergic properties
31
What drug is used to lower the seizure threshold?
methohexital
32
IBS can be associated with what type of disease process?
chronic pain
33
What pain intervention is contraindicated in patients with pain associated with ulcerative colitis (megacolon)?
opioids
34
What increases the risk for colorectal cancer?
high fat and meat protein
35
What is the most common type of porphyria in the US?
acute intermittent porphyria
36
The anesthetic medication to avoid in patient with AIP is:
Barbiturates
37
Porphyrias are most commonly found in _____.
females from puberty to menopause