DNAP 735 P&P Exam 3 Questions With Complete Solutions
A 7.0 ETT is commonly used size for Correct Answer Adult
female
A 7.0 ETT refers to the tube's Correct Answer internal
diameter in mm
A 8.0 ETT is commonly used size for Correct Answer Adult
male
A rise in pulse pressure of only 10 mmHg is associated with
Correct Answer ^ 20% risk of renal, cerebral or coronary events
Acid + Acid= Correct Answer Un-ionized
Addition of bicarb to local anesthetics Correct Answer Speeds
onset of action
Advantage of bipolar electrocautery Correct Answer No return
(grounding) plate is required
Advantages of face masks Correct Answer -lower incidence of
sore throat
-less anesthetic depth required
-no muscle relaxants
-most cost efficient
Advantages of LMAs Correct Answer -ease of insertion
-smoother emergence
-decrease OR pollution
,-avoid complications of intubation
Advantages of nasal airway Correct Answer -can be used on
pts with intact airway reflexes
-can be used to dilate nasal passages for a nasal ETT
An awake extubation should be considered with Correct
Answer -known difficult airways
-multiple risk factors for aspiration
-prone positioned surgeries
Aperture bars LMA Correct Answer Sit at level of larynx
-keeps epiglottis out of the way
Appropriate oral airway size for MOST patients? Correct
Answer 80-100 mm or 8-10 cm
As part of ERAS, preop tylenol dose in adult pt is Correct
Answer 1 gm
Average size female NPA Correct Answer 6
Average size male NPA Correct Answer 7
Average size OPA for female Correct Answer #8
Average size OPA for male Correct Answer #9
Barbiturates distribution Correct Answer -High lipid
solubility/unionized
-rapid CNS uptake
,-1 arm-brain circulation
-onset: 30 secs
Barbiturates excretion Correct Answer Renal: limited to H20
soluble metabolites after biotransformation
Barbiturates MOA Correct Answer Affect neurotransmission in
CNS
Barbiturates termination of effects Correct Answer
Redistribution into per compartments T 1/2 alpha
Base + Base = Correct Answer unionized
Benefits of adding N20 to inhalational induction Correct
Answer Profound sedative effects
-Improves tolerance to inhaled volatile anesthetics
Benefits of performing a regional anesthetic in addition to
general anesthesia Correct Answer reduce chronic post surgical
pain
Benzo excretion Correct Answer Renal: limited to H20 soluble
metabolites
Benzo MOA Correct Answer GABA agonist
affect neurotransmission in CNS
Benzos distribution Correct Answer -high lipid
solubility/unionized
-rapid CNS uptake
, Benzos termination of effects Correct Answer Redistribution to
per compartments responsible for termination of CNS effects
T1/2 alpha
Best criteria for determining effectiveness of an oral airway
Correct Answer unobstructed gas exchange
Bevel of ETT most often faces Correct Answer Left
Blood glucose levels greater than ___ have been associated with
a higher rate of mortality post op Correct Answer 216 mg/dL
C3 is at level of Correct Answer Epiglottis
C6 is at the level of the Correct Answer Larynx
Can you bolus remifentanil Correct Answer NO
-Run as infusion
Celecoxib (Celebrex) Correct Answer COX-2 inhibitor,
NSAID
200 mg PO 2 hrs prior to surgery
Central compartments Correct Answer Brain, heart, liver,
kidneys
-vessel rich group
Clearance formula Correct Answer Cl= rate of elimination
(mg/min)/ plasma drug conc (mg/mL)
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