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Exam (elaborations)

APEX Midterm – Questions with Complete Answers

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This document contains a full set of APEX midterm exam questions paired with complete, correct answers. It covers essential topics in pharmacology and anesthesiology, including receptor physiology, catecholamine effects, drug dosing, shock management, and medication-specific clinical implications. The material is structured in a question-and-answer format to support efficient studying and targeted exam preparation.

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1 of 51

Definition



High dose = 10-20 mcg/kg/min
Vasopressor effect - alpha effects overshadow DA and beta effects



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Epinephrine High dose dopamine

, Intermediate dose dopamine Low dose dopamine


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2 of 51

Term



Norepi is an ideal drug for?



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Low SVR states like sepsis or
Fluid overload conditions like
post-cardiopulmonary bypass
congestive heart failure due to
hypotension due to low
excess volume
afterload




High svr states like hypertension or Bradycardia Situations like heart
aortic stenosis due to increased block or sinus arrest due to low heart
afterload rate


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, 3 of 51

Term



Dose of isoproterenol



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0.1-0.5 mcg/kg/min 0.02-0.4 mcg/kg/min




0.02-10.5 mcg/kg/min 0.02-0.5 mcg/kg/min


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4 of 51

Term



Combitube size 41
Patient height = ?



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Cardiogenic shock, because it >6ft
increases afterload and MVO2 DO NOT use in pts less than 6ft

, IV dose = 5-10 mg
alpha 1 & muscarinic
IM dose = 25-50 mg


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5 of 51

Term



Causes increased serum glucose



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Alpha 2 Alpha 1




Alpha 1 & muscarinic Alpha1/Beta 2


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6 of 51

Term



Phenylephrine is a....



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