AKT 24 Comprehensive
Questions with Verified
Answers Graded A+
1. What opioid is least likely to extend QTc? Answer: Fentanyl
2. Food in laboring patients? Answer: Avoid solid food, moderate clear liquids throughout labo
okay (unless high
aspiration risk)
3. Where are leads for implantable loop recorers? Answer: Contained w/in device itself
(so it's self-con- tained on CXR) and no interference w/ cautery/magnet
4. Most common clinical manifestation of multiple system atrophy? Answer:
Orthostatic hypoTN (it's a neurodegen dz)
5. Anes concerns w/ multiple system atrophy? Answer: Intubation (muscle rigidity),
aspiration (gastro- paresis), hemodynamic instability (w/ position, blood loss, pressors/dilators)
6. Safe analgesics in lactation? Answer: Acetaminophen, ibuprofen, naproxen, celecoxib
(not codeine, nor ketorolac)
7. How best Tx generalized sz in awake crani? Answer: Cold irrigation to cortex! (sz can
cause tight brain)
8. Is R- or L-sided thoracotomy assoc'd w/ higher desat risk? Answer: R-sided (L
is 10% smaller
1/
12
, thus most shunt when R-lung down)
9. Does obstructive lung dz increase risk of desat during thoracotomy?
Answer: NO! But restrictive lung dz does!!
10. Hemostatic skin incisions are made with uni- or bipolary cautery?
Answer: Unipolar Answer: ( uses more energy
11. Embolectomy BP goal? Answer: SBP 140-180 unti reperfusion
12. PEEP and dead space? Answer: Increased dead space 2/2 overdistention of alveo
13. Surgical site infection decrease how? Answer: Normothermia, glucose <200,
hyperoxia (FiO2 > 50% in
colorectal, spinal surgery), ABx; shaving hair increases risk (but clipping doesn't)
14. What type of anesthesia likely to cause MS exacerbation? Answer:
Spinal (and hyperthermia, stress); but not inhalational, TIVA, epidural, or nerve block
15. What disinfectant least likely to cause corneal injury? Answer: Povidon
iodine
16. Platelet activating factor is implicated in what life threatening
condition? Answer: -
Bronchoconstriction (and anaphylaxis)
17. Piloerection and perspiration in opioid w/d? Or acute intoxication?
Answer: W/d!
18. Cerebral palsy patients at high
risk for ? Answer: Hypotherymia, hypotTN, delayed
emergence,
aspiration, sz, a/w obstruction
19. What drug to avoid in IVF? Answer: Volatiles
20. Refeeding syndrome changes? Answer: HypoPO4, HypoMg, HypoK
2/
12
Questions with Verified
Answers Graded A+
1. What opioid is least likely to extend QTc? Answer: Fentanyl
2. Food in laboring patients? Answer: Avoid solid food, moderate clear liquids throughout labo
okay (unless high
aspiration risk)
3. Where are leads for implantable loop recorers? Answer: Contained w/in device itself
(so it's self-con- tained on CXR) and no interference w/ cautery/magnet
4. Most common clinical manifestation of multiple system atrophy? Answer:
Orthostatic hypoTN (it's a neurodegen dz)
5. Anes concerns w/ multiple system atrophy? Answer: Intubation (muscle rigidity),
aspiration (gastro- paresis), hemodynamic instability (w/ position, blood loss, pressors/dilators)
6. Safe analgesics in lactation? Answer: Acetaminophen, ibuprofen, naproxen, celecoxib
(not codeine, nor ketorolac)
7. How best Tx generalized sz in awake crani? Answer: Cold irrigation to cortex! (sz can
cause tight brain)
8. Is R- or L-sided thoracotomy assoc'd w/ higher desat risk? Answer: R-sided (L
is 10% smaller
1/
12
, thus most shunt when R-lung down)
9. Does obstructive lung dz increase risk of desat during thoracotomy?
Answer: NO! But restrictive lung dz does!!
10. Hemostatic skin incisions are made with uni- or bipolary cautery?
Answer: Unipolar Answer: ( uses more energy
11. Embolectomy BP goal? Answer: SBP 140-180 unti reperfusion
12. PEEP and dead space? Answer: Increased dead space 2/2 overdistention of alveo
13. Surgical site infection decrease how? Answer: Normothermia, glucose <200,
hyperoxia (FiO2 > 50% in
colorectal, spinal surgery), ABx; shaving hair increases risk (but clipping doesn't)
14. What type of anesthesia likely to cause MS exacerbation? Answer:
Spinal (and hyperthermia, stress); but not inhalational, TIVA, epidural, or nerve block
15. What disinfectant least likely to cause corneal injury? Answer: Povidon
iodine
16. Platelet activating factor is implicated in what life threatening
condition? Answer: -
Bronchoconstriction (and anaphylaxis)
17. Piloerection and perspiration in opioid w/d? Or acute intoxication?
Answer: W/d!
18. Cerebral palsy patients at high
risk for ? Answer: Hypotherymia, hypotTN, delayed
emergence,
aspiration, sz, a/w obstruction
19. What drug to avoid in IVF? Answer: Volatiles
20. Refeeding syndrome changes? Answer: HypoPO4, HypoMg, HypoK
2/
12
