Review

Neuraxial

100

How can high spinal be avoided? 

Proper dose

Proper position

Proper volume

(final powerpoint slide 34)

200

T1-T4 Dermatome=

Cardioaccelerators 

(final ppt. slide 33)

300

when this fiber is blocked, we will see redness, warmth and flushing. 

B fiber which is blocked first.

(Final Ppt slide 29)

400

Place the Neuraxial blockade in the correct order of what will be blocked first to last.

ANS

Motor

sensory

ANS-->Sensory-->Motor

Slide 30 final ppt

500

T1-T4 blocked causing bradycardia: 

What dose and what meds could treat this issue?

Glycopyrrolate: 0.2 mg IVP

Atropine: 0.5mg IVP

(Regional ppt. Slide 35)

Misc.

100

Ropivicaine is an ester or amide? 

Amide

Two I's

200

A healthy 70 kg, 25-year-old male is undergoing abdominal surgery. His starting hematocrit (Hct) is 45%, and the lowest acceptable Hct is 30%. Calculate the maximum allowable blood loss

1633

use Final PPT slide 20 for equation

300

Geriatric changes, indicate if it increases or decreases for each. 

-chest wall compliance

-recoil

-Lung compliance

-FRC

-Decreased chest wall compliance

-Reduced recoil

-Increased lung compliance

-Increase FRC

(final ppt. slide 14)

400

If end tidal on healthy patient is 40 mmHg what is likely the PaCo2?

43-45 mmHg

(Final ppt. notes slide 13)

500

Laryngospasm, you have done all interventions and want to administer succinylcholine but you lose IV access. What is the IM dose of succinylcholine in this situation?

2-4 mg/kg IM

Final ppt. notes: slide 9

Anesthesia complications

100

Bronchospasm is mediated by what nerve? 

Cranial nerve X

final ppt. slide 10

200

This airway reflex is characterized by involuntary closure of the vocal cords and can be triggered by secretions, airway manipulation, or light anesthesia

Laryngospasm

300

what medications can trigger a bronchospasm? 

Desflurane, betablockers, morphine, atracurium, neostigmine, nsaids, Neostigmine

notes final ppt. slide 10

400

what is a late sign of laryngospasm?

Hypoxemia

500

A 60 kg patient undergoing surgery has lost 900 mL of blood. You plan to replace the blood loss with crystalloids using the standard ratio. How much crystalloid should you administer?

2700 mL

Crystalloids are 3:1

ERAS ppt. slide 17

Airway Anatomy

100

Larynx is located at what levels?

C3-C6

200

Paired cricoid cartilage: 

Corniculate

cuneiform

arytenoids

Final ppt. slide 6

300

this nerve provides sensory to the inferior aspect of the epiglottis up to and including the VC

SLN internal

Final ppt. slide 7

400

Cricothyroid muscle has motor innervation via:

SLN external

500

Suprise:

Oxygen pin index is?

2 and 5

Misc. 2

100

Playing golf, carrying clubs is what met level:

6

Final ppt. slide 4

200

left shift of oxygen hemoglobin curve will increase or decrease affinity of oxygen to hb molecule?

Increase affinity

final ppt. slide 18

300

Sequence order of blockade fibers:

1st: B fibers

2nd: A delta, C fibers

3rd: gamma fibers

4th: A beta fibers

5th: a alpha fibers

Final ppt. slide 30

400

Path of needle for spinal/epidural order:

skin

subcutaneous fat

supraspinous ligament

interspinous ligament

ligamentum flavum

epidural space

dura mater

arachnoid mater

subarachnoid space

final ppt. slide 26

500

autistic child non verbal is a ASA:

III

Final ppt. slide 8