OMSA Final review| 282 QUESTIONS| WITH
COMPLETE SOLUTIONS
What do veta blockers do: - ANSWER Reduce the heart rate and blood pressure
Angina pectoris is due to - ANSWER Lack of blood supply ( the heart is injure)
Name the 2 systems that compromise the anatomic nervous system - ANSWER
Sympathetic (Adrenergic the accelerator ) and parasympathetic (cholinergic the
brakes )
insufficient blood flow through the coronary arteries can result in - ANSWER Angina
Beta one controls the - ANSWER Heart
Follow the pathway of the blood flow through the heart - ANSWER Superior and
inferior vena cava to the right atrium Past the tricuspid Valve and into the right
Ventricle. Past the pulmonic valve to the Pulmonary Artery. To the lungs where it
picks up oxygen. Left atrium, left ventricle, aorta to the rest of the body
Conduction of the nerve impulse is call? - ANSWER Depolarization
The secret of nerve conduction and the action of anesthetic agents is - ANSWER
Sodium ions + and chloride ions -
Where does anesthetic works in the central nervous system? - ANSWER In the
center of emotions, the wakefulness system, Brain stem and hypothalamus
Sympathetic - ANSWER adrenergic, the accelerator in the car, fight or flight
elimination of drugs happens in the - ANSWER Kidneys
Parasympathetic - ANSWER cholinergic, the brakes (couch potato, vegetation state
Increase in saliva is due to stimulation of the - ANSWER Parasympathetic system
The main organ that process the anesthetic drugs and changes the chemical
structure of the drug is - ANSWER The liver
Nerve conduct impulses by - ANSWER Depolarization of the nerve membrane
Anesthetic agents act by - ANSWER Interfering with the depolarization of the
membrane
An increase of heart rate and blood Pressure are due to the stimulation of the -
ANSWER Sympathetic system
, Normally a blood cell is polorized this means - ANSWER There are more positive
ions on the outside of the cell and more negative ions on the inside
Metabolism of drugs occur where? - ANSWER The liver
The organ responsible for eliminating drugs ? - ANSWER Kidneys also lungs,
sweat, saliva and feces
Anesthetic agents act by - ANSWER Interfering with the depolarization of the
membrane
Most rapid method of administering and on set of action - ANSWER Intravenous
administration
Sevoflurane (Ultane) - ANSWER used for pediatric anesthesia because it has a
rapid induction and recovery, non irritant to airway
How long should oxygen be administer after NO2 is turn off - ANSWER 5 to 10
minutes
ethyl chloride - ANSWER Numbs by quickly cooling and freezing the surface to be
injected
topical anesthesia for venipuncture - ANSWER Emla (lidocaine and prilocaine )
need to cover area with tegaderm patch for at least 60 minutes
What are the most common benzodiazepines - ANSWER Diazepam (Valium )
medazolam( versed)
Reversible drug for diazepam(Valium) and versed (medazolam) - ANSWER
Flumazenil 2.20 mg/IV (Romazicon)
What is a disadvantage of using diazepam - ANSWER Insoluble in water, vein
irritation, Half-life 20-40 hrs
Reversible drug for midazolam ( versed) - ANSWER Flumazenil
Morphine Sulfate reversible drug - ANSWER Narcan
Best narcotic medicine for asthmatic patients and with a history of nausea and
vomiting - ANSWER Fentanyl (more potent than morphine) about 100times
A drugs that reduces secretions - ANSWER Atropine (rubinul) inverses heart rate
A drug that reduces swelling - ANSWER Decadron (dexametosome) is a steroid
Shutting off nitrous oxide and allowing the patient to breath room air can result in -
ANSWER Diffusion hypoxia
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