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

16 Questions | By Mm223508 | Updated: Mar 19, 2022 | Attempts: 226

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Questions and Answers

1.

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.
- A.
  
  2
- B.
  
  2.5
- C.
  
  1.5
- D.
  
  0.75
Correct Answer
C. 1.5

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

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2.

An alteration seen in the elderly includes
- A.
  
  Increased lean body mass
- B.
  
  Increased total body fat
- C.
  
  An increase in the basal metabolic rate
- D.
  
  Higher incidences of shivering
Correct Answer
B. Increased total body fat
3.

There is decreased total body water content in the elderly population.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

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.

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4.

Due to dysregulation in the thalamus, the elderly population loses core body temperature faster than younger populations.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
Thermoregulation is controlled in the HYPOTHALAMUS.

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5.

The hypothermic patient is more likely to clot due to increased coagulation activity.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
More likely to bleed due to coagulation dysfunction.

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6.

Populations at risk for OSA include:
- A.
  
  BMI>30
- B.
  
  Female
- C.
  
  Middle-Aged
- D.
  
  Neck girth of >15in for men and >14in for women
- E.
  
  Evening alcohol consumption or sleeping aids
Correct Answer(s)
A. BMI>30
C. Middle-Aged
E. Evening alcohol consumption or sleeping aids

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

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7.

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.
- A.
  
  Decreases, 50
- B.
  
  Increases, 50
- C.
  
  Decreases, 40
- D.
  
  Increases, 40
Correct Answer
A. Decreases, 50
8.

Syndrome X , or "metabolic syndrome" must include three of which of the following FIVE indicators:
- A.
  
  Large waist circumference
- B.
  
  High triglyceride levels
- C.
  
  Low HDL
- D.
  
  High HDL
- E.
  
  Glucose intolerance
- F.
  
  HTN
- G.
  
  Insulin requirements
Correct Answer(s)
A. Large waist circumference
B. High triglyceride levels
C. Low HDL
E. Glucose intolerance
F. HTN

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.

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9.

GERD is symptoms of mucosal damage produced by the abnormal reflux of gastric contents into the esophagus.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
KNOW THIS DEFINITION

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10.

Critical values for GERD include: pH <2.5, volume >25 ml (0.4ml/kg), presence of particulate matter.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True
11.

A complication of laparoscopy can include venous air embolism. Treatment includes:
- A.
  
  Releasing pneumoperitoneum
- B.
  
  Placing in right lateral decubitus
- C.
  
  100% O2 administration
- D.
  
  CVC placement to extract air/CO2
Correct Answer(s)
A. Releasing pneumoperitoneum
C. 100% O2 administration
D. CVC placement to extract air/CO2

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

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12.

Tight fluid management is necessary in robotic cases to prevent:
- A.
  
  Hyperthermia
- B.
  
  Blindness
- C.
  
  Airway edema
Correct Answer(s)
B. Blindness
C. Airway edema

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

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13.

Along with confusion, dyspnea, and hypoxia, petechiae noted on the chest, upper extremities, axillae, and conjunctiva can signify the presence of a
- A.
  
  Venous air embolism
- B.
  
  Septic embolism
- C.
  
  Fat embolism
- D.
  
  Notensive, ungood patient
Correct Answer
C. Fat embolism

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

I guess D could be correct!

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14.

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

Correct Answer
2000

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Current Version
Mar 19, 2022

Quiz Edited by
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May 23, 2017

Quiz Created by
Mm223508

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

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.

An alteration seen in the elderly includes

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

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

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

Populations at risk for OSA include:

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.

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

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

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

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

Tight fluid management is necessary in robotic cases to prevent:

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

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

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

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.

An alteration seen in the elderly includes

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

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

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

Populations at risk for OSA include:

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.

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

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

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

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

Tight fluid management is necessary in robotic cases to prevent:

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

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

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.