SEE Exam question with answers
How should you treat subglottic edema? - -Racemic epinephrine
-An OB patient experiences uterine rupture during VBAC. What is the first sign? - -
Severe abdominal pain, tachycardia, or fetal distress.
-What nerves are effected with tic delareaux? - -Tic douloreux (trigeminal
neuraglia) mostly affects trigeminal nerve V, and also CN IX glossopharyngeal.
-The a-wave is absent on CVP wave form. The patient is in what dysrhythmia? - -
Atrial fibrillation.
-A patient experiences shoulder pain during TURP. What is the likely cause? - -
Bladder perforation.
-What is the root of Belladonna? - -Atropine
-What percentage of cardiac output do the vascular rich group comprise? - -70-75%
-What determines potency of a local anesthetic? - -Lipid solubility
-What determines duration of action of a local anesthetic? - -Protein binding
-What drug is a phencyclidine derivative? - -(PCP) Ketamine
-What primarily supplies blood to larynx? - -Superior thyroid (branches into superior
laryngeal artery)
-What are the 3 unpaired cartilages? - -Epiglottis, thyroid, cricoid
-What are the 3 paired cartilages? - -Arytenoid, corniculate, cuneiform
-What does the cricoid cartilage articulate with? - -Thyroid cartilage and arytenoids
-What is the posterior attachment of vocal cords? - -Posterior arytenoids
-What is the sole abductor of the vocal cords? - -Posterior cricoarytenoids are the
only one that OPEN vocal cords
-Damage to the external branch of the superior laryngeal nerve will result in what?
- -Inability to produce a high pitched "C" sound
-WhiDamage to which nerve can result in unopposed adduction, preventing
ventilation and requiring an emergency airway? - -Incomplete bilateral recurrent
laryngeal nerve damage
-The larynx lies at which vertebra? - -C4-6
, -What are local anesthetics marketed as? - -Water soluble hydrochloride salts
(acidic)
-What nerve is injured in lithotomy position if hip is overflowed and abducted? - -
Sciatic (and obturator)
-What are relative contraindications to DLT? - -Disruption of tracheal bronchial tree
or bronchopleural fistula, left mainstream carcinoid tumor, bronchial constriction
from a thoracic aortic aneurysm, pulmonary artery compression from anterior
mediastinal mass
-What are relative contraindications for a PA catheter? - -PNEUMOTHORAX, A FIB,
LBBB, PERICARDITIS. Complete LBBB, WPW, Ebstein malformation, risk for severe
arrhythmia, anticoagulation, proposed pneumonectomy.
-What layer produces aldosterone? - -Glomerulosa (mineralcorticosteroids)
-What layer produces cortisol? - -Fasiculata (glucocorticoids)
-What layer produces androgens? - -Reticularis
-What is the second messenger for nitric oxide? - -cGMP
-What does guanylate cyclase convert to? - -cGMP
-A median nerve block at the elbow will produce analgesia where? - -Palm of hand,
dorsal side of hand
-What is the pika of lidocaine? - -7.7
-At which pH will lidocaine be more ionized?
7.2
7.4
7.7
7.9 - -7.9
-What change to heart rate and cardiac output will clonidine cause? - -Increased HR
Decreased CO (initially, will normalize over time)
-Which volatile agent has the lowest blood gas coefficient? - -Desflurane
Daddy Never Says I Eat Ham
Des=0.42
N2O=0.46
Sevo=0.69
Iso=1.46
Enflurane=1.9
Halothane=2.54
-What is the best gas to use with liver failure? - -Isoflurane
How should you treat subglottic edema? - -Racemic epinephrine
-An OB patient experiences uterine rupture during VBAC. What is the first sign? - -
Severe abdominal pain, tachycardia, or fetal distress.
-What nerves are effected with tic delareaux? - -Tic douloreux (trigeminal
neuraglia) mostly affects trigeminal nerve V, and also CN IX glossopharyngeal.
-The a-wave is absent on CVP wave form. The patient is in what dysrhythmia? - -
Atrial fibrillation.
-A patient experiences shoulder pain during TURP. What is the likely cause? - -
Bladder perforation.
-What is the root of Belladonna? - -Atropine
-What percentage of cardiac output do the vascular rich group comprise? - -70-75%
-What determines potency of a local anesthetic? - -Lipid solubility
-What determines duration of action of a local anesthetic? - -Protein binding
-What drug is a phencyclidine derivative? - -(PCP) Ketamine
-What primarily supplies blood to larynx? - -Superior thyroid (branches into superior
laryngeal artery)
-What are the 3 unpaired cartilages? - -Epiglottis, thyroid, cricoid
-What are the 3 paired cartilages? - -Arytenoid, corniculate, cuneiform
-What does the cricoid cartilage articulate with? - -Thyroid cartilage and arytenoids
-What is the posterior attachment of vocal cords? - -Posterior arytenoids
-What is the sole abductor of the vocal cords? - -Posterior cricoarytenoids are the
only one that OPEN vocal cords
-Damage to the external branch of the superior laryngeal nerve will result in what?
- -Inability to produce a high pitched "C" sound
-WhiDamage to which nerve can result in unopposed adduction, preventing
ventilation and requiring an emergency airway? - -Incomplete bilateral recurrent
laryngeal nerve damage
-The larynx lies at which vertebra? - -C4-6
, -What are local anesthetics marketed as? - -Water soluble hydrochloride salts
(acidic)
-What nerve is injured in lithotomy position if hip is overflowed and abducted? - -
Sciatic (and obturator)
-What are relative contraindications to DLT? - -Disruption of tracheal bronchial tree
or bronchopleural fistula, left mainstream carcinoid tumor, bronchial constriction
from a thoracic aortic aneurysm, pulmonary artery compression from anterior
mediastinal mass
-What are relative contraindications for a PA catheter? - -PNEUMOTHORAX, A FIB,
LBBB, PERICARDITIS. Complete LBBB, WPW, Ebstein malformation, risk for severe
arrhythmia, anticoagulation, proposed pneumonectomy.
-What layer produces aldosterone? - -Glomerulosa (mineralcorticosteroids)
-What layer produces cortisol? - -Fasiculata (glucocorticoids)
-What layer produces androgens? - -Reticularis
-What is the second messenger for nitric oxide? - -cGMP
-What does guanylate cyclase convert to? - -cGMP
-A median nerve block at the elbow will produce analgesia where? - -Palm of hand,
dorsal side of hand
-What is the pika of lidocaine? - -7.7
-At which pH will lidocaine be more ionized?
7.2
7.4
7.7
7.9 - -7.9
-What change to heart rate and cardiac output will clonidine cause? - -Increased HR
Decreased CO (initially, will normalize over time)
-Which volatile agent has the lowest blood gas coefficient? - -Desflurane
Daddy Never Says I Eat Ham
Des=0.42
N2O=0.46
Sevo=0.69
Iso=1.46
Enflurane=1.9
Halothane=2.54
-What is the best gas to use with liver failure? - -Isoflurane
