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APMLE PART 2 - ANESTHESIA | 154 QUESTIONS | WITH ACTUAL SOLUTIONS!!
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APMLE PART 2 - ANESTHESIA | 154 QUESTIONS | WITH ACTUAL SOLUTIONS!!
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APMLE PART 2 -ANESTHESIA | 154
QUESTIONS | WITH
ACTUAL SOLUTIONS!!
APMLE
Evatee 9/29/24 APMLE
,APMLE PART 2 - ANESTHESIA | 154
QUESTIONS | WITH ACTUAL SOLUTIONS!!
What is the sniffing position? Answer - extend the head and flex the neck
Which compound increases the allergic potential of *ester* anesthetics?
Answer - PABA
Local anesthetic mechanism of action that prevents depolarization of the nerve
membrane Answer - blockade of sodium channels
Pre-op eval: Hematocrit levels should be higher than ____% in men Answer -
30%
Pre-op eval: Hematocrit levels should be higher than ____% in women Answer
- 27%
Pre-op eval: Hemaglobin levels should be ______g/dL or higher for elective
surgery Answer - 8 g/dL
Patients taking long standing anti-coagulant therapy *coumadin/warfarin*
should discontinue use _____ days prior surgery Answer - 5 days
Most effective treatment for malignant hyperthermia: Answer - IV dantrolene
sodium
, Intraoperative or postoperative elevations in blood pressure may be treated
with _______ Answer - nifedipine (procardia) 10mg subling
For *severe* elevations in blood pressures intraop, it can be treated with
________ Answer - labelatol (beta blocker)
Any elective surgery should be postponed a minimum _______ months after
myocardial infarction Answer - 6 months
Alternative anesthesia techniques for patients with respiratory concerns:
Answer - intravenous sedation
- midazolam
- meperidine
local/regional nerve blocks
- epidural block
- spinal block
If general anesthesia is indicated in patients with COPD which two anesthetic
agents are favored? Answer - etomidate (amidate)
thiopental sodium (pentothal)
If an inhalation agent is indicated in patients with respiratory disease, which
agent would be indicated? Answer - halothane (flurothane)
T/F: Tourniquets are contraindicated in patients with sickle cell disease Answer
- True
What is preferred anesthetic technique in the geriatric patient? Answer -
regional anesthesia
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