Medications
Coworkers
Analgesia
Airway
Cities
100

This medication is known to cause adrenocortical suppression, nausea, vomiting

Etomidate.

MOA - GABA agonist

Onset of action - < 30s

Dose - 0.3mg/kg

Meyler's Side Effects of Drugs (16th Edition), 2016

100

When I retire from anesthesia, I'm going to open my own restaurant as a pizza chef.

Anthony Montella, CRNA

100

There is no difference between PO and IV tylenol in the reducing perioperative pain. True or False

True.

Cain KE, Iniesta MD, Fellman BM, Suki TS, Siverand A, Corzo C, Lasala JD, Cata JP, Mena GE, Meyer LA, Ramirez PT. Effect of preoperative intravenous vs oral acetaminophen on postoperative opioid consumption in an enhanced recovery after surgery (ERAS) program in patients undergoing open gynecologic oncology surgery. Gynecol Oncol. 2021 Feb;160(2):464-468. doi: 10.1016/j.ygyno.2020.11.024. Epub 2020 Dec 6. PMID: 33298309; PMCID: PMC7861133.

100

If unable to intubate the next step in the difficult airway algorithm is...

Ventilate.

Jeffrey L. Apfelbaum, Carin A. Hagberg, Richard T. Connis, Basem B. Abdelmalak, Madhulika Agarkar, Richard P. Dutton, John E. Fiadjoe, Robert Greif, P. Allan Klock, David Mercier, Sheila N. Myatra, Ellen P. O’Sullivan, William H. Rosenblatt, Massimiliano Sorbello, Avery Tung; 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology 2022; 136:31–81 doi: https://doi.org/10.1097/ALN.0000000000004002

100

This city houses the Liberty Bell

Philadelphia, Pennsylvania

200

This muscle relaxant is long acting and can increase HR.

Pancuronium. Non depolarizing

MOA - inhibits nicotinic AChR

Onset of Action 3-6 mins. Time of action ~ 100-180 mins

Excretion - renal and biliary. (metabolized by liver)

200

I once rode my bike to Alaska

Dr. Suchin Wadhwani

200

TAP blocks are superior to epidurals at reducing pain and opioid consumption. True or False

False

Desai N, El-Boghdadly K, Albrecht E. Epidural vs. transversus abdominis plane block for abdominal surgery - a systematic review, meta-analysis and trial sequential analysis. Anaesthesia. 2021 Jan;76(1):101-117. doi: 10.1111/anae.15068. Epub 2020 May 8. PMID: 32385856.

N M Aly, S M Talaat, M A Menshawi, E R Mohammed, Bilateral Transversus Abdominis Plane Block versus Epidural analgesia for Postoperative Pain Relief in Lower Abdominal Surgery, QJM: An International Journal of Medicine, Volume 113, Issue Supplement_1, March 2020, hcaa039.003, https://doi.org/10.1093/qjmed/hcaa039.003


200

The first attempt intubation success rate with iGels is what percentage..

85%

Bielski A, Smereka J, Madziala M, Golik D, Szarpak L. Comparison of blind intubation with different supraglottic airway devices by inexperienced physicians in several airway scenarios: a manikin study. Eur J Pediatr. 2019 Jun;178(6):871-882. doi: 10.1007/s00431-019-03345-4. Epub 2019 Mar 22. PMID: 30903306; PMCID: PMC6511343.


200

This city is home to the Etherdome.

Boston, Massachussetts

300

This vasopressor is first line for septic shock.

Norepinephrine

International Guidelines for Management of Sepsis and Septic Shock 2021



300

I used to set up and service Port-a-potties

Dr. Terry Gallagher

300

This long acting opioid has NMDA activity

Methadone.

MOA - mu agonist, NMDA blocker, serotonin reuptake inhibitor

Onset of action - 30mins (PO), 10 mins (IV)

Duration of action - 4-5h (PO), 4-8h (IV)

Metabolism - Hepatic, Renally excreted, 

300

In a patient that you are unable to intubate for elective surgery requiring general anesthesia, how would you proceed?

Wake the patient up.

Jeffrey L. Apfelbaum, Carin A. Hagberg, Richard T. Connis, Basem B. Abdelmalak, Madhulika Agarkar, Richard P. Dutton, John E. Fiadjoe, Robert Greif, P. Allan Klock, David Mercier, Sheila N. Myatra, Ellen P. O’Sullivan, William H. Rosenblatt, Massimiliano Sorbello, Avery Tung; 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology 2022; 136:31–81 doi: https://doi.org/10.1097/ALN.0000000000004002

300

The capital of Montana is...

Helena

400

This induction agent causes myocardial depression

400

I'm a professionally trained ballet dancer who's competed in international competitions

Olga Laster, CRNA

400

This local anesthetic has the most cardiotoxicity if overdosed

Bupivacaine


Blocks sodium channels and Dissociates more slowly (compared to other local anesthetics) during diastole

Goyal R, Shukla RN. Local anesthetic systemic toxicity (LAST) - Should we not be concerned? Med J Armed Forces India. 2012 Oct;68(4):371-5. doi: 10.1016/j.mjafi.2012.02.011. Epub 2012 Jul 17. PMID: 24532907; PMCID: PMC3862663.


400

Awake fiberoptic intubation is superior to awake video laryngoscopy. True or False

False. There is no difference and Video laryngoscopy has a shorter intubation time.

Alhomary M, Ramadan E, Curran E, Walsh SR. Videolaryngoscopy vs. fibreoptic bronchoscopy for awake tracheal intubation: a systematic review and meta-analysis. Anaesthesia. 2018 Sep;73(9):1151-1161. doi: 10.1111/anae.14299. Epub 2018 Apr 17. PMID: 29687891.



400

This city is home to the Taj Mahal

Agra, India

500

A bolus of this medication is associated with bradycardia and asystole

Suggamadex

Mirza K, Landoski K, Thakar D, Heir-Singh J, Jackson T, Kassab C. Sugammadex-Associated Hypotension, Bradycardia, Asystole, and Death. Case Rep Anesthesiol. 2020 Jun 10;2020:8767195. doi: 10.1155/2020/8767195. PMID: 32566314; PMCID: PMC7303763.


https://doi.org/10.1016/j.bja.2018.03.003

500

I've run a marathon in all 7 continents

Dr. Shyla Banvi

500

The ceiling dose of ketoralac is..

10mg

Motov S, Yasavolian M, Likourezos A, Pushkar I, Hossain R, Drapkin J, Cohen V, Filk N, Smith A, Huang F, Rockoff B, Homel P, Fromm C. Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial. Ann Emerg Med. 2017 Aug;70(2):177-184. doi: 10.1016/j.annemergmed.2016.10.014. Epub 2016 Dec 16. PMID: 27993418.




500

At this MAC there is concern for increasing intracranial pressure using inhaled anesthetics

1. Inhaled anesthetics uncouple CBF and CRMO2. Therefore at a MAC that is too high you increase CBF.

https://www.openanesthesia.org/cbfcmro2_drug_effects/

500

The first successful heart surgery occurred in this city

Chicago, Illinois