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APEX-1 Mock Exam 1 Questions With 100% Correct Answers 2024
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APEX-1 Mock Exam 1 Questions With 100% Correct Answers 2024
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APEX-1 Mock Exam 1 Questions With 100% Correct Answers 20241. The first part (Aromatic ring) of the Local Anesthetic chain confers ?
2. The second portion (intermediate chain) determines?
3. The third part (Tertiary amine) confers? - Correct Answer-1. Lipid solubility
2. determines method of metabolism and allergic potential
3. Conferes water solubility- this region ionizes
Which local anesthetics have more common allergic reactions? - Correct Answer-ester based LA's
A transverse abdominal plane block would be most beneficial for what types of procedures? - Correct Answer-Open inquinal hernia repair
TAP block provides postoperative analgesia for procedures involving the anterior abdominal wall.
What two options should be used in the "can't breath, can't ventilate scenario? - Correct Answer--Percutaneous transtrantracheal jet ventilation
-surgical cricothyrotomy
What is the only CCB shown to reduce morbidity and mortality associated with vasospasm? - Correct Answer-Nimodipine
1. The posterior cord becomes what nerve?
2. The medial cord gives rise to what nerve?
3. The medial and lateral cords give rise to what nerve? - Correct Answer-1. Radial nerve
2. Ulnar nerve
3. median nerve
Myasthenia gravis is an autoimmune disease that has the pathophysiology of ? - Correct Answer-1. Pregnancy exacerbates the symptoms of the disease
2. Anti-AchR IgG antibodies pass through the placenta
Glucagon increases myocardial contractility by increasing the concentration of cAMP inside cardiac myocytes. 1. What situations is a useful treatment in? 2. and what are some S/E's? - Correct Answer-1. Useful in treating -Beta blocker overdose
-CHF
-Low cardiac output following MI or CPB. 2. N/V are side effects.
Primary hyperparathyroidism results in hyper secretion of PTH by the parathyroid gland.
This increases what electrolyte? - Correct Answer-Calcium
-Calcium > 14 mg/dl is a medical emergency
Signs and symptoms:
-HTN
-Short QT interval
-hypotonia -kidney stones
-N/V
-Cognitive dysfunction
Synthetic function is assessed with what labs values? - Correct Answer-PT
INR
Albumin
Hepatocellular injury is assessed with what lab values? - Correct Answer-AST
ALT
GST
Cholelithiasis is assessed with what lab values? - Correct Answer-Alkaline phosphatase
GGTP (more specific)
A patient on a MAOI such as Phenelzine is safe to get what opioid during surgery? - Correct Answer-Morphine
1. Which law explains why an abdominal aneurysm is more likely to rupture during a period of HTN?
2. Which law describes the laminar flow through a tube? - Correct Answer-Law of Laplace
T= P X R
Poiseuilles law
Which nerve fibers transmit tourniquet pain? - Correct Answer-C fibers
What is the 1st intervention for this? - Correct Answer-FFP
The risk of gas embolism is greatest during what part of an abdominal surgery such as a Lap Choly? - Correct Answer-Greatest during initial insufflation of the abdomen
A left facet joint injection should be inserted on the left pink side - Correct Answer-
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