Otterbein/Grant CRNA A&p Final Review - No Diagrams
51 Questions
| Total Attempts: 86
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Questions and Answers
- 1.Fetal hgb is the main O2 transport protein until 6 months of age. It binds to oxygen with a _______ affinity compared to adult Hgb.
- A.
Greater
- B.
Lesser
- 2.The metabolic demands of a newborn are __ mL/kg/min, which is double that of an adult.
- 3.Newborns have immature contractile proteins, their cardiac output is extremely ___________ dependent.
- A.
Heart rate
- B.
Volume
- 4.The alveoli are immature until a child is 8-10 years old. In a newborn, the ratio of alveolar surface to body surface is 1/3 of an adult's, but their minute ventilation is twice that on an adult. This is due to their increased:
- A.
Respiratory rate
- B.
Tidal volume
- 5.Due to their relying on chemical thermogenesis (brown fat breakdown) instead of shivering, newborns are at a decreased risk of hypothermia intraoperatively.
- A.
True
- B.
False
- 6.Newborns have the _______ total body water compared to weight.
- A.
Highest
- B.
Lowest
- 7.Glomerular filtration rate in a newborn is:
- A.
Decreased
- B.
Increased
- C.
The same as an adult
- 8.In a newborn, nerve myelination is incomplete so conduction is slower but the distance impulses have to travel is shorter.
- A.
True
- B.
False
- 9.Newborns are at a decreased risk of brain hemorrhage compared to adults.
- A.
True
- B.
False
- 10.The release of antidiuretic hormone is stimulate when plasma osmolarity ________, or blood volume ___________.
- A.
Increases, decreases
- B.
Increases, increases
- C.
Decreases, decreases
- D.
Decreases, increases
- 11.Which of the following hormones have a POSITIVE feedback loop?
- A.
Oxytocin
- B.
TSH
- C.
Cortisol
- D.
ACTH
- 12.Glucocorticoid secretion is controlled via a positive feedback loop with ACTH from the anterior pituitary.
- A.
True
- B.
False
- 13.Glucocorticoids _____ glucose production while ________ inflammatory responses.
- A.
Increase, decreasing
- B.
Decrease, decreasing
- C.
Increase, increasing
- D.
Decrease, increasing
- 14.Insulin has a circulatory half-life of 5-8 minutes due to the necessity to respond rapidly to changes in blood glucose levels.
- A.
True
- B.
False
- 15.Insulin decreases the uptake of K+, mag, and phos.
- A.
True
- B.
False
- 16.Over 90% of thyroid hormones released from the thyroid gland epithelial cells is T4, which is converted to the more active form, T3, at the target tissue. It's 99% protein bound when circulating.
- A.
True
- B.
False
- 17.Cortisol can cause muscle wasting.
- A.
True
- B.
False
- 18.The liver receives 50% of cardiac output.
- A.
True
- B.
False
- 19.Positive pressure ventilation, hypoxemia, hypercarbia, sympathetic stimuli, CHF, fluid overload, cirrhosis and anesthesia all _________ hepatic blood flow.
- A.
Decrease
- B.
Increase
- 20.With a decrease in hepatic venous pressure due to hypovolemia/hemorrhage, blood shifts from the hepatic veins and sinusoids into the central circulation - increasing the circulating blood volume by as much as 500 mL's, close to 10% of TBV.
- A.
True
- B.
False
- 21.Glucocorticoids, catecholamines, glucagon, and thyroid hormone have this effect on gluconeogenesis, the opposite of insulin's effect on the process.
- A.
Enhance
- B.
Inhibit
- 22.The SNS stimulation caused by surgical stress stimulates:
- A.
Glycogenolysis
- B.
Gluconeogenesis
- C.
Insulin
- 23.Gastric barrier pressure is calculated as lower esophageal sphincter pressure minus intragastric pressure.
- A.
True
- B.
False
- 24.Secretion of hydrochloric acid in the stomach depends on stimulation of receptors in the membrane of the parietal cells. Histamine, acetylcholine, vagal stimulation, and gastrin all _______ the secretion of hydrochloric acid.
- A.
Increase
- B.
Decrease
- 25.The ____________ is the functional unit of the kidney.
Questions: 92 | Attempts: 69 | Last updated: Mar 17, 2022
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Sample QuestionWhich of the following induction agents is contraindicated with an intracranial hemorrhage?
Borderline too short and sweet. ;)
Questions: 14 | Attempts: 45 | Last updated: Mar 16, 2022
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Sample QuestionWhich of the following is not considered a severe dysrhythmia?
Short and sweet (hopefully)
Questions: 12 | Attempts: 42 | Last updated: Mar 20, 2022
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Sample QuestionAs the QRS complex progresses from V1-V6, S wave amplitude _________ and R wave amplitude ___________.
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