Chem II Quiz 2

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1. Local anesthetics are considered to be weak bases.

Explanation

Local anesthetics are considered to be weak bases because they have a tendency to accept protons (H+) and form a positively charged cation. This property allows them to easily penetrate and cross cell membranes in their uncharged form. Once inside the cell, they become charged and bind to sodium channels, blocking the conduction of nerve impulses and producing a local numbing effect. This characteristic of being a weak base is essential for the mechanism of action of local anesthetics.

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Chem II Quiz 2 - Quiz

Review of material for test 2. Local anesthetics, pKa, diffusion, mixtures.

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2. What is Henry’s law?

Explanation

Henry's law states that the solubility of a gas in a liquid is directly proportional to the partial pressure of that gas in the gas phase and inversely proportional to the temperature. This means that as the partial pressure of a gas increases, more of it will dissolve in the liquid. Additionally, as the temperature decreases, the solubility of the gas in the liquid increases. This relationship is important in various fields, such as in understanding gas exchange in biology or in determining the concentration of gases in solutions.

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3. Which of the following is known to be most toxic to the cardiovascular system?

Explanation

Bupivacaine is known to be the most toxic to the cardiovascular system compared to the other options. Bupivacaine is a local anesthetic that can cause severe cardiovascular toxicity, including cardiac arrhythmias and cardiac arrest. It has a higher affinity for sodium channels in the heart, leading to prolonged depolarization and inhibition of cardiac conduction. Lidocaine, prilocaine, and chloroprocaine are also local anesthetics but have a lower risk of cardiovascular toxicity compared to bupivacaine.

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4. Which of the following pH’s would be classified as a strong base?

Explanation

A pH of 11.9 would be classified as a strong base because the pH scale ranges from 0 to 14, with values below 7 being acidic, 7 being neutral, and values above 7 being basic. A pH of 11.9 is significantly above 7, indicating a high concentration of hydroxide ions (OH-) and a low concentration of hydrogen ions (H+), which are characteristic of strong bases.

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5. 1:400,000 epinephrine  contains how much epi per cc?

Explanation

not-available-via-ai

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6. Identify the aromatic group in the below molecule:

Explanation

The aromatic group in the molecule is A.

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7. A non-uniform mixture that has regions of different composition is known as what?

Explanation

A non-uniform mixture that has regions of different composition is known as a heterogeneous mixture. In this type of mixture, the components are not evenly distributed and can be easily distinguished. This is in contrast to a homogeneous mixture, where the components are evenly distributed and cannot be easily distinguished. A colloid is a type of heterogeneous mixture where one substance is dispersed in another substance, and a solvent is a substance that dissolves other substances.

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8. Albumin is an example of a…

Explanation

Albumin is a type of protein found in blood plasma. It is a colloid because it consists of small particles suspended in a liquid medium. Colloids have particles that are larger than those found in a solution but smaller than those found in a heterogeneous mixture. Therefore, albumin being a colloid accurately describes its composition and characteristics.

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9. What is the mechanism of action of local anesthetics?

Explanation

Local anesthetics prevent the passage of sodium ions through ion selective channels in nerve membranes, which in turn blocks nerve conduction. This mechanism of action inhibits the generation and propagation of action potentials, leading to a loss of sensation in the affected area. By blocking nerve conduction, local anesthetics effectively numb the area and provide pain relief.

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10. In regard to local anesthetics their _______ nature allows them pass through cell membranes, but once inside the cell membrane their ______ portion binds inside the cell.

Explanation

Local anesthetics are lipophilic, meaning they have an affinity for lipid or fat molecules. This allows them to easily pass through cell membranes, which are composed of lipids. Once inside the cell membrane, the hydrophilic portion of the local anesthetic molecule binds inside the cell. Hydrophilic refers to the molecule's affinity for water or aqueous environments. Therefore, the correct answer is lipophilic, hydrophilic.

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11. Comic Relief:  Commercial fail 1982

Explanation

The correct answer is "All the Above" because the statement "I want to enjoy AYDS!!!" suggests that the person wants to enjoy a product called AYDS, which could be seen as insensitive considering the AIDS epidemic had barely begun. Additionally, the response "Ha ha ha ha!!" implies that the person finds the situation amusing, further highlighting the insensitivity. Therefore, all the options provided - wanting to enjoy AYDS, finding it amusing, and acknowledging the timing of the AIDS epidemic - are correct.

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12. Which of the following pH’s is classified as more neutral?

Explanation

A pH of 7 is considered neutral, so a pH of 7.4 would be more neutral than the other options given. A pH of 5.3 is slightly acidic, a pH of 11.9 is strongly basic, and a pH of 2.6 is highly acidic. Therefore, 7.4 is the most neutral option among the given pH values.

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13. Which of the following ions contributes the most to resting membrane potential?                           

Explanation

Potassium (K+) ions contribute the most to resting membrane potential. This is because the concentration of K+ ions is higher inside the cell compared to outside, creating an electrochemical gradient. The cell membrane is more permeable to K+ ions, allowing them to diffuse out of the cell, which leads to a negative charge inside the cell and a positive charge outside. This separation of charges creates the resting membrane potential.

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14. How will cardiogenic pulmonary edema effect rates of diffusion across the alveolar membrane?

Explanation

Cardiogenic pulmonary edema occurs when the heart is unable to pump blood effectively, leading to fluid buildup in the lungs. This fluid accumulation increases the distance between the alveoli and the capillaries, where gas exchange takes place. As a result, the diffusion of oxygen and carbon dioxide across the alveolar membrane is hindered, leading to a decrease in diffusion.

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15. You are SRNA for a pt who is having a removal of gangrenous toes. The surgeon injects local anesthetic into the toes, yet when he begins to make the incision the patient complains of pain. What went wrong here?

Explanation

The correct answer is that the toes are now a more acidic environment, causing less availability of the local anesthetic (LA). Acidic environments can decrease the effectiveness of local anesthetics by reducing their ability to penetrate tissues and bind to nerve receptors. This can result in inadequate pain relief, leading to the patient experiencing pain during the procedure.

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16. The below molecule is what type of local anesthetic?

Explanation

The given molecule is classified as an amide local anesthetic. Amide local anesthetics have an amide functional group, which is a nitrogen atom bonded to a carbonyl group. These anesthetics are commonly used due to their long duration of action and decreased risk of allergic reactions compared to ester local anesthetics. Examples of amide local anesthetics include lidocaine, bupivacaine, and ropivacaine.

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17. You have just intubated a pt and are about to start a case. Your preceptor tells you to crank the sevo up to ~4 for a few minutes. What effect will this have?

Explanation

Increasing the concentration of sevoflurane (cranking the sevo up to ~4) will increase the partial pressure of the gas in the alveoli. This increased partial pressure gradient across the alveolar capillary membrane will enhance the diffusion of sevoflurane into the bloodstream and facilitate its uptake by the body. This is the reason why the preceptor instructed to increase the sevo concentration.

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18. What is Osmotic pressure?

Explanation

Osmotic pressure is the pressure that needs to be applied to a solution in order to prevent the flow of solvent into it. It is directly related to the number of non-permeable molecules present in the solution. This means that the more non-permeable molecules there are, the higher the osmotic pressure will be. Osmotic pressure is a crucial concept in understanding the movement of solvents and solutes across semi-permeable membranes, such as in biological systems.

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19. Identify intermediate linkage in the molecule below.

Explanation

The correct answer is B because it is the only option that is an intermediate linkage in the molecule. The options A and C are not relevant to the question, and "None of above" is not a valid answer as B is indeed an intermediate linkage.

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20. What would happen if an acidic drug with a pKa of 4 is placed into the intestines (pH 8)?

Explanation

When an acidic drug with a pKa of 4 is placed into the intestines with a pH of 8, the pH of the intestines is higher than the pKa of the drug. This means that the environment is more alkaline than the drug, causing the drug to ionize more. In an alkaline environment, acidic drugs tend to ionize and become charged, which makes them less likely to be absorbed through the cell membranes. Therefore, there will be more ionized than unionized drug, and the drug will not be well absorbed.

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21. How much will one mole of H2SO4 weigh?

       

Explanation

One mole of H2SO4 will weigh 98 grams because the molar mass of H2SO4 is 98 grams/mole. The molar mass is calculated by adding up the atomic masses of all the atoms in the compound. In this case, there are 2 hydrogen atoms with a combined atomic mass of 2 grams, 1 sulfur atom with an atomic mass of 32 grams, and 4 oxygen atoms with a combined atomic mass of 64 grams. Adding these up gives a total molar mass of 98 grams.

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22. What will happen if a basic drug with a pkA of 11 is placed into a basic solution with a pH of 9?

Explanation

kind of a trick question here. Yes, the solution with a pH of 9 is basic... but when compared to the drug with the pKa of 11 it is more acidic than the drug. Because the drug is placed into an environment more acidic than itself ionized form will predominate.

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23. How many milligrams of local anesthetic are in 12 cc of 0.25% Bupivicaine?

Explanation

The question asks for the amount of milligrams of local anesthetic in 12 cc of 0.25% Bupivicaine. To find the answer, we need to calculate 0.25% of 12 cc. 0.25% of 12 cc is equal to 0.0025 * 12 = 0.03 cc. Since 1 cc is equal to 1 mg for Bupivicaine, 0.03 cc is equal to 0.03 mg. Therefore, the correct answer is 30 mg.

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24. The _____   the pKa of a local anesthetic, the ______ the degree of ionization at physiologic pH

Explanation

The higher the pKa of a local anesthetic, the greater the degree of ionization at physiologic pH. This means that a local anesthetic with a higher pKa will have a greater proportion of its molecules in the ionized form at physiologic pH.

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25. How much will one mole of Propofol (C12H18O) weigh?
       

Explanation

One mole of Propofol (C12H18O) will weigh 178 grams. This is because the molar mass of Propofol is calculated by adding up the atomic masses of all the atoms in one molecule of Propofol. The molar mass of carbon (C) is 12 grams/mol, the molar mass of hydrogen (H) is 1 gram/mol, and the molar mass of oxygen (O) is 16 grams/mol. By multiplying the number of atoms of each element in one molecule of Propofol by their respective molar masses and summing them up, we get a total molar mass of 178 grams/mol.

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26. Allergic reactions to Procaine are most likely to come from what substance?

Explanation

P-aminobenzoic Acid is most likely to cause allergic reactions to Procaine.

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27. If you increase the partial pressure of anesthetic agents in the lungs, according to Henry’s law what will happen to the gases solubility in the blood?

Explanation

According to Henry's law, the solubility of a gas in a liquid is directly proportional to the partial pressure of the gas above the liquid. Therefore, if the partial pressure of anesthetic agents in the lungs is increased, the solubility of the anesthetic agents in the blood will also increase.

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28. How many ml’s of local anesthetic 1% lidocaine could be given max to a patient who weighs 60 kg?

Explanation

The maximum amount of local anesthetic 1% lidocaine that can be given to a patient who weighs 60 kg is 24 ml. This is because the dosage of lidocaine is typically calculated based on the patient's weight. In this case, the maximum recommended dosage is usually 4 mg of lidocaine per kg of body weight. Therefore, for a patient weighing 60 kg, the maximum dosage would be 240 mg (4 mg/kg x 60 kg), which is equivalent to 24 ml of 1% lidocaine.

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29. Allergic reactions to Bupivacaine are most likely to come from what substance?

Explanation

Methylparaben is most likely to cause allergic reactions to Bupivacaine. This is because methylparaben is a common preservative used in medications, including Bupivacaine, and can cause allergic reactions in some individuals. P-aminobenzoic Acid and the benzene ring are not directly related to allergic reactions to Bupivacaine.

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30. Addition of epinephrine to a local anesthetic will result in all of the following except what?

Explanation

The addition of epinephrine to a local anesthetic typically leads to various effects, such as prolongation and increased intensity of the block, as well as decreased systemic absorption. However, it does not result in a faster onset of the block.

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31. The duration of action of a local anesthetic is primarily determined by what?

Explanation

The duration of action of a local anesthetic is primarily determined by protein binding. Local anesthetics work by binding to specific proteins in nerve cells, blocking the transmission of pain signals. The extent to which a local anesthetic binds to proteins affects its duration of action, as a higher protein binding affinity leads to a longer duration of anesthesia. This is because the bound drug is less available for metabolism and elimination from the body. Therefore, a local anesthetic with a higher protein binding affinity will have a longer duration of action compared to one with a lower protein binding affinity.

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32.
Identify Amine group in the molecule below.

Explanation

In the given molecule, there is an amine group present. An amine group consists of a nitrogen atom bonded to three hydrogen atoms. In option C, there is a nitrogen atom bonded to three hydrogen atoms, indicating the presence of an amine group. Therefore, option C is the correct answer.

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33. Which the following is not true regarding acids?

Explanation

The statement "After donating a proton, they will form conjugate acid" is not true regarding acids. When an acid donates a proton, it forms a conjugate base, not a conjugate acid. A conjugate acid is formed when a base accepts a proton.

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34. How will hypothermia effect solubility of the Volatile anesthetic agents?

Explanation

Hypothermia refers to a decrease in body temperature. When the body temperature decreases, the solubility of volatile anesthetic agents increases. This is because lower temperatures enhance the dissolution of gases in liquids. Therefore, in the case of hypothermia, the solubility of volatile anesthetic agents will increase.

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35. You are the SRNA for a patient undergoing  an arthroplasty on their left foot. The surgeon wants to know how many ml’s 0.5% bupivacaine with epi he can inject into the patient. This patient weighs 50 kg.

Explanation

The maximum safe dose of 0.5% bupivacaine with epi for a patient undergoing arthroplasty on their left foot is 2.5 mg/kg. Since the patient weighs 50 kg, the maximum safe dose would be 125 mg. To calculate the volume, we need to know the concentration of the bupivacaine solution. Assuming it is 0.5%, we can use the formula: volume (ml) = dose (mg) / concentration (%). Plugging in the values, we get: volume (ml) = 125 mg / 0.5% = 25000 ml / 100 = 250 ml. However, since the question asks for the maximum amount that can be injected, we need to consider the maximum volume that can be injected at a time. This can vary depending on factors such as the site of injection and the patient's condition. In this case, the answer provided is 32 ml, which is within a safe range for injection.

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36. Which portion of the local anesthetic is lipophilic?

Explanation

The lipophilic portion of a local anesthetic refers to its ability to dissolve in lipids or fatty tissues. The aromatic ring in a local anesthetic molecule is typically hydrophobic and has a high affinity for lipid membranes. This allows the anesthetic to easily cross cell membranes and penetrate nerve fibers, enhancing its effectiveness in blocking pain signals. The ester or amide group, hydroxyl group, and amine group do not possess the same lipophilic properties as the aromatic ring.

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37. What occurs during Ester hydrolysis?

Explanation

During ester hydrolysis, plasma cholinesterase breaks down water (H2O) into one hydrogen (H) and one hydroxyl (OH) group. The hydroxyl group (OH) is then used to replace the OR group, resulting in the formation of an alcohol and a carboxylic acid. This process is known as ester hydrolysis.

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38. What is the second gas effect and how will it effect your anesthesia?

Explanation

The second gas effect refers to the phenomenon where the addition of a second gas, such as N2O, can enhance the rate of diffusion of another gas, such as a volatile anesthetic agent (VAA). This is because N2O diffuses quickly across the alveolar membrane, which in turn increases the overall rate of diffusion of the VAA. This effect can be beneficial in anesthesia as it allows for a faster onset and offset of the VAA, leading to more efficient anesthesia administration. It is important to note that the use of multiple volatile anesthetic agents simultaneously is considered dangerous and can lead to overdose, which is why anesthesia machines prevent the administration of more than one VAA at a time.

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39. The below molecule is what type of local anesthetic?

Explanation

The molecule is classified as an ester local anesthetic. Ester local anesthetics are characterized by the presence of an ester functional group in their chemical structure. They work by blocking nerve signals in a specific area of the body, numbing the sensation and providing local pain relief. Ester local anesthetics are commonly used in various medical and dental procedures.

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40. How will metabolic acidosis affect the absorption of acidic drugs?

Explanation

Metabolic acidosis is a condition characterized by an increase in acid levels in the body. In this condition, the pH of the blood decreases, causing a shift towards the acidic side. Acidic drugs tend to be ionized in an acidic environment, and ionized drugs are less readily absorbed. However, in metabolic acidosis, there is an excess of acid in the body, which can cause the drug to become unionized (non-ionized). Unionized drugs are more easily absorbed through cell membranes. Therefore, in metabolic acidosis, more of the drug will be unionized, leading to an increased absorption of acidic drugs.

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41. The potency of local anesthetic is directly related to…

Explanation

The potency of a local anesthetic is directly related to its lipid solubility. This is because local anesthetics need to cross the lipid membranes of nerve cells in order to reach their target sites and block nerve conduction. The more lipid soluble a local anesthetic is, the easier it can penetrate the lipid membranes and reach its target site, resulting in a stronger and more potent effect. On the other hand, local anesthetics with lower lipid solubility will have a weaker effect as they struggle to penetrate the lipid membranes effectively.

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42. All Local anesthetics will contain all of the following except:

Explanation

Local anesthetics are compounds that work by blocking nerve signals in a specific area of the body, thus numbing the area and providing pain relief. They typically contain an ester or amide group, an amine group, and an aromatic ring. However, they do not contain a hydroxyl group. The absence of a hydroxyl group in local anesthetics is due to the fact that it is not necessary for their mechanism of action.

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43. How would you classify blood?

Explanation

Blood is classified as a heterogeneous mixture because it consists of different components that can be visually distinguished. It is composed of red and white blood cells, platelets, and plasma. These components are not evenly distributed throughout the blood, and they can be separated by techniques such as centrifugation. Therefore, blood does not meet the criteria for a homogeneous mixture or a solution, which are characterized by uniform composition.

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44. What equation could you use to calculate the resting membrane potential of a cell?

Explanation

The Nernst Equation is used to calculate the resting membrane potential of a cell. It takes into account the concentration gradients of different ions across the cell membrane, as well as their respective permeabilities. By using this equation, it is possible to determine the electrical potential difference across the cell membrane when the cell is at rest.

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45. Which of the gas laws would be used to explain diffusion hypoxia?

Explanation

Fick's Law would be used to explain diffusion hypoxia. Fick's Law states that the rate of diffusion of a gas across a membrane is directly proportional to the surface area and concentration gradient of the gas, and inversely proportional to the thickness of the membrane. In the case of diffusion hypoxia, it occurs when a high concentration of nitrous oxide is administered to a patient and then abruptly stopped, leading to a rapid diffusion of the nitrous oxide out of the blood and into the alveoli, causing a decrease in the partial pressure of oxygen and resulting in hypoxia.

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46. What is Osmolarity?

Explanation

Osmolarity refers to the concentration of solute in a solution, specifically in terms of osmoles per liter of solution. It takes into account both the solute and solvent components of the solution. This measurement helps to determine the osmotic pressure, which is the pressure required to prevent the flow of solvent through a semipermeable membrane. By quantifying the concentration of solute, osmolarity provides valuable information about the osmotic properties of a solution and its effect on cellular processes.

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47. What happens to the components of a mixture, such as blood, when all the components are separated?                

Explanation

When all the components of a mixture, such as blood, are separated, the chemical properties of the individual components will not be changed at all. This means that the composition and characteristics of each component remain the same even after separation. Separation techniques like filtration, centrifugation, or chromatography are used to physically separate the components without altering their chemical properties. This allows for further analysis or use of the individual components in various applications.

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48. How will a patient running a fever affect the solubility of your anesthetic agents?

Explanation

When a patient is running a fever, their body temperature is elevated. This increase in temperature can cause a decrease in the solubility of anesthetic agents. This is because higher temperatures generally result in decreased solubility of gases and liquids in general. Therefore, the anesthetic agents may become less soluble in the patient's body, potentially affecting their effectiveness.

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49. What is the pKa of Mepivacaine?

Explanation

The pKa value represents the acidity or basicity of a compound. In this case, the correct answer is 7.6, which indicates that Mepivacaine is slightly acidic.

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50. What is the difference between a solution and a colloid?

Explanation

The difference between a solution and a colloid lies in the size of the molecules or particles present. A colloid contains larger molecules or particles, typically ranging from 2-500 nm in diameter. On the other hand, a solution consists of smaller molecules or particles, usually measuring between 0.1-2 nm in diameter. This size difference is what distinguishes the two, as it affects their behavior and properties.

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51. Theoretically, what would happen if you added another drug to change the pH of Hespan?

Explanation

Adding another drug to change the pH of Hespan, which is a colloid, may cause precipitation. Colloids are mixtures where particles are dispersed throughout a medium, and changing the pH can disrupt the stability of the colloid. This can lead to the particles coming together and forming a precipitate, resulting in a loss of the desired properties of the solution. Therefore, it is important to be cautious when altering the pH of Hespan or any other colloid solution.

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52. If an acidic drug with a pKa of 3.5 is placed into the stomach (pH 2) what will happen to the drug?

Explanation

When an acidic drug with a pKa of 3.5 is placed into the stomach, which has a pH of 2, the stomach acid (HCl) will protonate the drug molecules, resulting in more unionized drug. Unionized drugs are lipid-soluble and can easily cross cell membranes, making them more easily absorbed. Therefore, the statement "There will be more unionized than ionized drug and it can be absorbed" is correct.

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53. Which form of the local anesthetic is most active at the intracellular receptor site?

Explanation

The cationic form of the local anesthetic is most active at the intracellular receptor site because it has a positive charge, allowing it to interact with the negatively charged receptor site. This interaction facilitates the binding of the anesthetic to the receptor, leading to its desired effect of blocking nerve impulses and providing anesthesia. The lipophilic form, anionic form, and polar form may also have some activity, but the cationic form is the most potent and effective at the intracellular receptor site.

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54. What occurs during amide hydrolysis?

Explanation

During amide hydrolysis, enzymes break down water (H2O) into one hydrogen atom (H) and one hydroxyl group (OH). The hydroxyl group (OH) then replaces the nitrogen (N) group in the amide compound. This reaction results in the formation of a carboxylic acid and an amine.

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55. According to fick’s law diffusion of gas is directly proportional to all of the following except….

Explanation

Fick's law states that the rate of diffusion of a gas is directly proportional to the partial pressure gradient, the membrane surface area, and the solubility of the gas. However, it is inversely proportional to the membrane thickness. This means that as the membrane thickness increases, the rate of diffusion decreases. Therefore, the correct answer is membrane thickness, as it is the only option that is not directly proportional to the diffusion of gas.

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56. What is the pKa of Procaine?

Explanation

The pKa of Procaine is 8.9. pKa is a measure of the acidity or basicity of a compound. It represents the pH at which the compound is half ionized and half unionized. In the case of Procaine, it has a pKa of 8.9, indicating that at pH values below 8.9, Procaine will be predominantly in its ionized form, and at pH values above 8.9, it will be predominantly in its unionized form. This information is important in understanding the behavior and pharmacokinetics of Procaine in different physiological conditions.

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57. Osmosis is natural process where water of high solute concentration will flow through a membrane to dilute water of low solute concentration until equilibrium is reached.

Explanation

This statement is false because osmosis is the process where water molecules move from an area of low solute concentration to an area of high solute concentration through a semi-permeable membrane. The water molecules move in order to equalize the concentration of solute on both sides of the membrane, rather than to dilute the water of low solute concentration.

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58. Calculate the serum osmolality for this pt.                 Na- 138    K- 4.5    BUN- 14   Cr- 0.9  Glucose- 108  Cl- 103

Explanation

The serum osmolality can be calculated using the formula: 2(Na) + glucose/18 + BUN/2.8. Plugging in the given values, the calculation would be: 2(138) + 108/18 + 14/2.8 = 276 + 6 + 5 = 287. Therefore, the correct answer of 296 is incorrect.

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59. Which of the following local anesthetics are metabolized by plasma cholinesterases?

Explanation

Tetracaine, Benzocaine, and Cocaine are metabolized by plasma cholinesterases. Plasma cholinesterases are enzymes that break down certain drugs, including local anesthetics. These three anesthetics undergo metabolism by these enzymes, which helps to eliminate them from the body. Prilocaine and Ropivacaine, on the other hand, are not metabolized by plasma cholinesterases.

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60. Which portion of the local anesthetic is hydrophilic?

Explanation

week 7, ppt slide 36

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61. What occurs during aromatic hydroxylation?

Explanation

During aromatic hydroxylation, an OH group is introduced into the lipophilic benzene ring. This process involves the addition of a hydroxyl group (OH) to the benzene ring, which increases the polarity of the molecule. This reaction is often catalyzed by enzymes, such as cytochrome P450, which help to facilitate the hydroxylation reaction. The introduction of the OH group can have significant effects on the reactivity and properties of the aromatic compound.

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62. What occurs during N-Dealkylation?

Explanation

During N-Dealkylation, an enzyme detaches one or more carbon atoms from the amine group to convert it into either a 2nd or 1st degree amine. This process involves the breaking down of the amine group, resulting in the removal of carbon atoms and the formation of a new amine compound with a different degree of substitution. This reaction is catalyzed by specific enzymes, and it is an important step in the metabolism of certain drugs and xenobiotics in the body.

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63. You are delivering Mannitol to a pt who was admitted recently for a subdural bleed. You have order to hold the mannitol if your serum osmo is greater than 310. Is it safe to give the mannitol now?                 Na -145   K -5.0  BUN-  17   Cr- 0.9   Glucose- 90  Cl- 105

Explanation

The serum osmolality is a measure of the concentration of particles in the blood. In this case, the information provided does not include all the necessary values to calculate the serum osmolality. Therefore, it is not possible to determine whether the serum osmo is greater than 310 or not. Without this information, it is not safe to give the mannitol.

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64. What is Osmolality?

Explanation

Osmolality refers to the concentration of solute in a solution, specifically in terms of osmoles (or mOsm) per kilogram of solvent. It is a measure of the number of solute particles present in a given amount of solvent. This measurement is important in understanding the osmotic pressure and movement of water across a semipermeable membrane. By expressing osmolality per kilogram of solvent, it allows for a standardized comparison of solute concentrations in different solutions, regardless of their volume or temperature.

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65. Which of the following is an achiral molecule?

Explanation

Lidocaine is an achiral molecule because it lacks a chiral center, meaning it does not have any asymmetric carbon atoms. Chiral molecules have mirror image isomers that are not superimposable, while achiral molecules do not. Ropivacaine, procaine, and bupivacaine all have at least one chiral center, making them chiral molecules.

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66. Where in the body would you find diffusion across a permeable membrane?

Explanation

Cell membranes and BBB are considered to be semi-permeable or selectively permeable. Alveolar membrane is considered to be permeable.

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67. In what situation would it be safe to use N2O?

Explanation

N2O, also known as nitrous oxide, is a safe option for use during VP shunt placement in infants. VP shunt placement is a surgical procedure used to treat hydrocephalus, a condition characterized by the accumulation of excess cerebrospinal fluid in the brain. N2O is commonly used as an anesthetic agent in pediatric patients due to its safety profile and effectiveness. It provides analgesia and sedation, making it suitable for use during this procedure in infants. However, it may not be safe to use N2O in other situations mentioned, such as in a COPD patient with pulmonary hypertension, during bowel resection, or craniotomy, as these conditions may have contraindications or risks associated with N2O administration.

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68. Identify carboxylic acid group in the molecule below.

Explanation

not-available-via-ai

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Local anesthetics are considered to be weak bases.
What is Henry’s law?
Which of the following is known to be most toxic to the cardiovascular...
Which of the following pH’s would be classified as a strong base?
1:400,000 epinephrine  contains how much epi per cc?
Identify the aromatic group in the below molecule:
A non-uniform mixture that has regions of different composition is...
Albumin is an example of a…
What is the mechanism of action of local anesthetics?
In regard to local anesthetics their _______ nature allows them pass...
Comic Relief:  Commercial fail 1982
Which of the following pH’s is classified as more neutral?
Which of the following ions contributes the most to resting membrane...
How will cardiogenic pulmonary edema effect rates of diffusion across...
You are SRNA for a pt who is having a removal of gangrenous toes. The...
The below molecule is what type of local anesthetic?
You have just intubated a pt and are about to start a case. Your...
What is Osmotic pressure?
Identify intermediate linkage in the molecule below.
What would happen if an acidic drug with a pKa of 4 is placed into the...
How much will one mole of H2SO4 weigh? ...
What will happen if a basic drug with a pkA of 11 is placed into a...
How many milligrams of local anesthetic are in 12 cc of 0.25%...
The _____   the pKa of a local anesthetic, the ______ the...
How much will one mole of Propofol (C12H18O)...
Allergic reactions to Procaine are most likely to come from what...
If you increase the partial pressure of anesthetic agents in the...
How many ml’s of local anesthetic 1% lidocaine could be given max to...
Allergic reactions to Bupivacaine are most likely to come from what...
Addition of epinephrine to a local anesthetic will result in all of...
The duration of action of a local anesthetic is primarily determined...
Identify Amine group in the molecule below.
Which the following is not true regarding acids?
How will hypothermia effect solubility of the Volatile anesthetic...
You are the SRNA for a patient undergoing  an arthroplasty on...
Which portion of the local anesthetic is lipophilic?
What occurs during Ester hydrolysis?
What is the second gas effect and how will it effect your anesthesia?
The below molecule is what type of local anesthetic?
How will metabolic acidosis affect the absorption of acidic drugs?
The potency of local anesthetic is directly related to…
All Local anesthetics will contain all of the following except:
How would you classify blood?
What equation could you use to calculate the resting membrane...
Which of the gas laws would be used to explain diffusion hypoxia?
What is Osmolarity?
What happens to the components of a mixture, such as blood, when all...
How will a patient running a fever affect the solubility of your...
What is the pKa of Mepivacaine?
What is the difference between a solution and a colloid?
Theoretically, what would happen if you added another drug to change...
If an acidic drug with a pKa of 3.5 is placed into the stomach (pH 2)...
Which form of the local anesthetic is most active at the intracellular...
What occurs during amide hydrolysis?
According to fick’s law diffusion of gas is directly proportional to...
What is the pKa of Procaine?
Osmosis is natural process where water of high solute concentration...
Calculate the serum osmolality for this pt. ...
Which of the following local anesthetics are metabolized by plasma...
Which portion of the local anesthetic is hydrophilic?
What occurs during aromatic hydroxylation?
What occurs during N-Dealkylation?
You are delivering Mannitol to a pt who was admitted recently for a...
What is Osmolality?
Which of the following is an achiral molecule?
Where in the body would you find diffusion across a permeable...
In what situation would it be safe to use N2O?
Identify carboxylic acid group in the molecule below.
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