True Learn - summer concepts

Question 1

If a patient is having Upper Right Quadrant pain after a cholangiopancreatography, what is causing this? What is the treatment?

Answer 1

Opioids can increase biliary colic which increases biliary duct pressure

Naloxone is the treatment but be careful

Question 2

Which hormone is responsible for thyrotoxic cardiomyopathy?

Answer 2

Triiodothyronine

Question 3

What regulates thyroid function?

Answer 3

Thyrotropin-releasing hormone (TRH) which is secreted by the hypothalamus

It promotes the release of thyroid-stimulating hormone (TSH) from the anterior pituitary gland.

TSH binds to receptors on the thyroid gland to enhance production of T3 and T4

Negative feedback loop

Question 4

How is CO2 carried in the blood?

Answer 4

1. Bicarb (70%)
2. Bound to Hgb as carbamino compounds (23%)
3. As CO2 dissolved in the blood (7%)

Question 5

How does Milrinone work? Effects?

Answer 5

PDIII inhibitor

Increases contractility
Increased CO
Decreased LVEDP
Decreased filling pressures
Decreased venous return
Decreased PAP

Question 6

NPO guidelines

Answer 6

Clears - 2 hours
Breast milk - 4 hours

Formula/milk/light meal - 6 hours

Fried, fatty, or meat - 8 hours

Question 7

Main source of energy after fasting for 72 hours?

Answer 7

Ketones

Question 8

How does dopamine affect prolactin?

Answer 8

Decreases its release

So any drug that blocks dopamine increases prolactin

Reglan blocks dopamine

Question 9

Does lidocaine have increased or decreased protein binding

Answer 9

Decreased compared to most local anesthetics

Question 10

Mag chart

Answer 10

Question 11

Most common symptoms of a non IgE mediated response?

Answer 11

Skin rash and fever

Question 12

Most closely associated with 1 - 2 day mortality of inhalational burn?

Answer 12

Carbon monoxide poisoning

Question 13

What level is the carina at?

Answer 13

T5

Question 14

What is Eliquis? How does it work?

Answer 14

Apixaban - direct Xa inhibitor

Prevents blood clots

Question 15

What is the primary inheritance pattern of MH?

Answer 15

Autosomal dominant

Question 16

Which drug modulates opioid receptors with anticholinergic effects?

Answer 16

Imipramine (tricyclic antidepressants)

Question 17

What is the difference between the original dantrolene and ryanodex?

Answer 17

Ryanodex has less mannitol

Question 18

How can you increase the heart rate, RMP, TP, Phase 4?

Answer 18

RMP becomes less negative
TP becomes more negative
Increase slope of phase 4

Question 19

Example of hypoxic pulmonary vasoconstriction?

Answer 19

High altitude pulmonary edema

Question 20

First drug given after suspected nerve agent exposure?

Answer 20

Atropine

Question 21

The frontal lobe controls?

Answer 21

Motor cortex

Question 22

What is the Broca’s area?

Answer 22

Motor control of speech

Question 23

The parietal lobe controls?

Answer 23

Somatic sensory

Question 24

The occipital lobe controls?

Answer 24

Vision

Question 25

The temporal lobe controls?

Answer 25

Understanding Auditory and speech

Question 26

Best way to evaluate recovery of NMB in an infant?

Answer 26

Hip flexion and inspiratory force of -25cm H2O

Question 27

Which neurologic monitor is minimally impacted by volatile anesthetics?

Answer 27

Auditory-evoked potentials

Question 28

Which ETT should be used for a beside trach?

Answer 28

Cuffed-low pressure

Question 29

What likely causes resistance of an ETT advancement over the bronchoscope through the glottis

Answer 29

Tip impinged by right arytenoid cartilage

Question 30

What temperature monitoring site has the largest discrepancy with cerebral temperature monitoring during active rewarming?

Answer 30

Bladder

Question 31

What is the quickest and most efficient way to induce systemic hypothermia of 36C

Answer 31

Endovascular cooling

Question 32

What is the range of frequency of ultrasound?

Answer 32

1-20 MHz

Question 33

Different masks

Answer 33

Question 34

Why is this happening

Answer 34

Loose ECG lead

Question 35

Which EEG waveforms suggest adequate anesthesia depth

Answer 35

Delta and Theta

Question 36

What does the paramagnetic sensor measure?

Answer 36

Oxygen levels

Question 37

Answer 37

incompetent expiratory valve

Question 38

What should the leak measure of an uncuffed ETT on a 4 year old?

Answer 38

20-25

Question 39

Why is desflurane vaporizer heated?

Answer 39

To prevent change in vapor pressure

Question 40

The nitrous/O2 proportioning device keeps a MINIMUM O2 concentration of what?

Answer 40

25%

Question 41

What side effect is more common in a PCA versus nurses giving opioids?

Answer 41

Pruritus - not respiratory depression

Question 42

Is a micro ETT longer or shorter than a standard?

Answer 42

longer

Question 43

What is the most resistant tissue to radiation?

Answer 43

THE BRAIN - I KNOW