Otterbein/Grant CRNA Basics 2 = Quiz 1 (Obesity, Osa, Gerd, Ortho/Robotic Surgery)

1. There is decreased total body water content in the elderly population.

True

False

Less lean body mass (muscle) and more adipose tissue results in a decrease in total body water. Watch for hypotension in this population, especially with induction meds and position changes.

Explanation

Less lean body mass (muscle) and more adipose tissue results in a decrease in total body water. Watch for hypotension in this population, especially with induction meds and position changes.

2. Critical values for GERD include: pH <2.5, volume >25 ml (0.4ml/kg), presence of particulate matter.

True

False

3. GERD is symptoms of mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.

True

False

KNOW THIS DEFINITION

Explanation

KNOW THIS DEFINITION

4. An 80 year old female presents for a right knee arthroscopy. You plan to maintain with sevoflurane. Which would be an appropriate dose of sevo to use.

2

2.5

1.5

0.75

MAC decreases by 6% each decade after 40. 24% decrease in MAC = MAC 1.5 in an 80 year old.

Explanation

MAC decreases by 6% each decade after 40. 24% decrease in MAC = MAC 1.5 in an 80 year old.

5. In the obese patient, FRC, expiratory reserve volume, and total lung capacity ________.
There is a _ % decrease in FRC in an obese patient in the supine position compared to a 20% decrease in FRC in the normal patient.

Decreases, 50

Increases, 50

Decreases, 40

Increases, 40

6. The hypothermic patient is more likely to clot due to increased coagulation activity.

True

False

More likely to bleed due to coagulation dysfunction.

Explanation

More likely to bleed due to coagulation dysfunction.

7. An alteration seen in the elderly includes

Increased lean body mass

Increased total body fat

An increase in the basal metabolic rate

Higher incidences of shivering

8. Along with confusion, dyspnea, and hypoxia, petechiae noted on the chest, upper extremities, axillae, and conjunctiva can signify the presence of a

Venous air embolism

Septic embolism

Fat embolism

Notensive, ungood patient

Typically presents 72 hours after a long bone or pelvic fracture.

I guess D could be correct!

Explanation

Typically presents 72 hours after a long bone or pelvic fracture.

I guess D could be correct!

9. Tight fluid management is necessary in robotic cases to prevent:

Hyperthermia

Blindness

Airway edema

increased IOP in steep Trendelenburg increases the incidence of blindness
excess fluids can cause HYPOthermia and increase bleeding risk

Explanation

increased IOP in steep Trendelenburg increases the incidence of blindness
excess fluids can cause HYPOthermia and increase bleeding risk

Submit

10. Match the following

IBW men

IBW women

LBW

Dosed on LBW

Dosed on TBW

Submit

11. A complication of laparoscopy can include venous air embolism. Treatment includes:

Releasing pneumoperitoneum

Placing in right lateral decubitus

100% O2 administration

CVC placement to extract air/CO2

The patient is placed in the left lateral decubitus in Trendelenburg to trap the air embolus and prevent its migration into the PA.

Explanation

The patient is placed in the left lateral decubitus in Trendelenburg to trap the air embolus and prevent its migration into the PA.

Submit

12. Due to dysregulation in the thalamus, the elderly population loses core body temperature faster than younger populations.

True

False

Thermoregulation is controlled in the HYPOTHALAMUS.

Explanation

Thermoregulation is controlled in the HYPOTHALAMUS.

13. Syndrome X , or "metabolic syndrome" must include three of which of the following FIVE indicators:

Large waist circumference

High triglyceride levels

Low HDL

High HDL

Glucose intolerance

HTN

Insulin requirements

Metabolic syndrome = large waist circumference (apple-shaped or male-central obesity), high triglycerides, low HDL (high-density lipoproteins), glucose intolerance, and hypertension. There is a higher risk of acquiring type II DM with metabolic syndrome/syndrome X.

Explanation

Metabolic syndrome = large waist circumference (apple-shaped or male-central obesity), high triglycerides, low HDL (high-density lipoproteins), glucose intolerance, and hypertension. There is a higher risk of acquiring type II DM with metabolic syndrome/syndrome X.

Submit

14. Match the following

Decrease LES pressure

Directly irritate gastric mucosa

Stimulate acid secretions

Drugs that decrease LES pressure

Submit

16. Populations at risk for OSA include:

BMI>30

Female

Middle-Aged

Neck girth of >15in for men and >14in for women

Evening alcohol consumption or sleeping aids

Male, middle-aged, obese (BMI>30), neck girth of >17in for men and >16in for women, evening alcohol consumption/sleeping aids

Explanation

Male, middle-aged, obese (BMI>30), neck girth of >17in for men and >16in for women, evening alcohol consumption/sleeping aids

Submit

Otterbein/Grant CRNA Basics 2 = Quiz 1 (Obesity, Osa, Gerd, Ortho/Robotic Surgery)

1. There is decreased total body water content in the elderly population.

2.

What first name or nickname would you like us to use?

2. Critical values for GERD include: pH <2.5, volume >25 ml (0.4ml/kg), presence of particulate matter.

3. GERD is symptoms of mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.

4. An 80 year old female presents for a right knee arthroscopy. You plan to maintain with sevoflurane. Which would be an appropriate dose of sevo to use.

5. In the obese patient, FRC, expiratory reserve volume, and total lung capacity ________.
There is a _ % decrease in FRC in an obese patient in the supine position compared to a 20% decrease in FRC in the normal patient.

6. The hypothermic patient is more likely to clot due to increased coagulation activity.

7. An alteration seen in the elderly includes

8. Along with confusion, dyspnea, and hypoxia, petechiae noted on the chest, upper extremities, axillae, and conjunctiva can signify the presence of a

9. Tight fluid management is necessary in robotic cases to prevent:

10. Match the following

11. A complication of laparoscopy can include venous air embolism. Treatment includes:

12. Due to dysregulation in the thalamus, the elderly population loses core body temperature faster than younger populations.

13. Syndrome X , or "metabolic syndrome" must include three of which of the following FIVE indicators:

14. Match the following

15. Fluid management should include <_______ml of fluid in a robotic case to decrease IOP and airway edema.

16. Populations at risk for OSA include:

Otterbein/Grant CRNA Basics 2 = Quiz 1 (Obesity, Osa, Gerd, Ortho/Robotic Surgery)

1. There is decreased total body water content in the elderly population.

2.

What first name or nickname would you like us to use?

2. Critical values for GERD include: pH <2.5, volume >25 ml (0.4ml/kg), presence of particulate matter.

3. GERD is symptoms of mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.

4. An 80 year old female presents for a right knee arthroscopy. You plan to maintain with sevoflurane. Which would be an appropriate dose of sevo to use.

5. In the obese patient, FRC, expiratory reserve volume, and total lung capacity ____________.There is a _____ % decrease in FRC in an obese patient in the supine position compared to a 20% decrease in FRC in the normal patient.

6. The hypothermic patient is more likely to clot due to increased coagulation activity.

7. An alteration seen in the elderly includes

8. Along with confusion, dyspnea, and hypoxia, petechiae noted on the chest, upper extremities, axillae, and conjunctiva can signify the presence of a

9. Tight fluid management is necessary in robotic cases to prevent:

10. Match the following

11. A complication of laparoscopy can include venous air embolism. Treatment includes:

12. Due to dysregulation in the thalamus, the elderly population loses core body temperature faster than younger populations.

13. Syndrome X , or "metabolic syndrome" must include three of which of the following FIVE indicators:

14. Match the following

15. Fluid management should include <_______ml of fluid in a robotic case to decrease IOP and airway edema.

16. Populations at risk for OSA include:

5. In the obese patient, FRC, expiratory reserve volume, and total lung capacity ________.
There is a _ % decrease in FRC in an obese patient in the supine position compared to a 20% decrease in FRC in the normal patient.