Vascular/Pericardial

Question 1

most common abnormality for MI

Answer 1

ST segment

Question 2

2/3/aVF coronary artery

Answer 2

R CA

Question 3

1/avL coronary artery

Answer 3

circumflex

Question 4

1/avL heart

Answer 4

lateral LV

Question 5

V3-5 coronary artery

Answer 5

LAD

Question 6

V3-5 heart

Answer 6

anterolateral LV

Question 7

high risk surgeries (4)

Answer 7

AAA
peripheral vascular
thoracotomy
major abdominal

Question 8

Ischemic heart disease indicators (5)

Answer 8

hx of MI
current angina
positive exercise test
taking nitrates
Q wave

Question 9

CHF indicators (5)

Answer 9

pulm edema
paroxysmal nocturnal dyspnea
Rales
S3 gallop
pulm vascular redistribution

Question 10

cerebrovascular inidcators (2)

Answer 10

CVA
TIA

Question 11

renal indicators

Answer 11

Cr > 2mg/dL

Question 12

diabetic indicators

Answer 12

IDDM

Question 13

avoid decreaing O2 delivery (7)

Answer 13

tachycardia
hypotension
hypocapnia
decr FiO2
anemia
arterial hypoxemia
L shift O2 Hb curve

Question 14

avoid increasing O2 demand (6)

Answer 14

sympathetics
tachycardia
HTN
incr inotropy
incr SVR
incr prelaod

Question 15

PMI S+S

Answer 15

1mm change in ST segment

Question 16

PMI w/elevated SVR

Answer 16

give NTG

Question 17

PMI w/elevated HR

Answer 17

give esmolol

Question 18

PMI w/hypotension

Answer 18

give inotropes

Question 19

avoid (6) in PMI

Answer 19

shivering
pain
hypoxemia
hypercarbia
sepsis
hemorrhage

Question 20

when are aortic aneurysms operated on

Answer 20

> 5cm

Question 21

debakey 1

Answer 21

60%
complete dissection

Question 22

debakey 2

Answer 22

10-15%
ascending

Question 23

debakey 3

Answer 23

25-30% descending

Question 24

stanford A

Answer 24

ascending

Question 25

stanford B

Answer 25

descending

Question 26

which dissections are surgically treated?

Answer 26

ascending aorta aortic arch

Question 27

AAA S+S

Answer 27

hypotension severe back pain pulsatile abdominal mass

Question 28

cause of anterior spinal artery syndrome

Answer 28

aortic cross clamp

Question 29

anterior spinal artery S+S

Answer 29

flaccid paralysis motor dysfunction acute back pain autonomic dysfunction

Question 30

goal MAP above cross clamp

Answer 30

100 mmHg

Question 31

goal MAP below cross clamp

Answer 31

50 mmHg

Question 32

clamping causes

Answer 32

vasoconstriction incr venous return HTN

Question 33

unclamping causes

Answer 33

blood pooling decr venous return hTN

Question 34

how can you differentiate MI and pericarditis?

Answer 34

pericarditis does not impoved with NTG

Question 35

cardiac tamponade S+S (8)

Answer 35

incr CVP hypotension decr ECG voltage sympathetic activation cardiac filling equalization pulsus paradoxus kussmaul's sign beck's triad

Question 35

what determines physiologic manifestations of tamponade

Answer 35

timeframe of fluid accumulation

Question 36

kussmaul's sign

Answer 36

jugular distension on inspiration

Question 37

Beck's triad

Answer 37

muffled heart sounds incr jugular venous pressure hypotension

Question 38

pulsus paradoxus

Answer 38

SBP decr 10 mmHg during inspiration

Question 39

cardiac tamponade managemetn

Answer 39

needle decompression before GETA use ketamine avoid PPV