Otterbein/Grant CRNA Basics II Lung Stuff
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- 1.FEV1 is more predictive of COPD severity than the FEV1/FVC ratio.
- A.
True
- B.
False
- 2.Home O2 recommended if Pao2 is less than __ mmHg, the hematocrit is more than 55% or there is evidence of cor pulmonale.
- 3.Which of the following lung diseases is described as an abnormal, permanent enlargement of the alveoli causing irreversible damage to alveolar tissue without obvious fibrosis.
- A.
Emphysema
- B.
Chronic bronchitis
- C.
Asthma
- D.
ARDS
- 4.B2 agonists are helpful in curing emphysema.
- A.
True
- B.
False
- 5.Chronic bronchitis results in polycythemia
- A.
True
- B.
False
- 6.Which disease causes more structural lung damage?
- A.
Emphysema
- B.
Chronic bronchitis
- 7.Which condition is best described as: Decreased airway lumen diameter due to mucus and inflammation.
- A.
Chronic bronchitis
- B.
Emphysema
- C.
Cystic fibrosis
- D.
Pneumothorax
- 8.Optimal timing of smoking cessation is:
- A.
6 weeks
- B.
2 weeks
- C.
1 week
- D.
12 hours
- 9.Which level is the highest at which it is safe to provide spinal anesthesia to a patient with COPD?
- A.
T6
- B.
T4
- C.
T12
- D.
L1
- 10.Which of the following surgery types have the greatest decrease in FRC and PaO2 as well as the highest post-op pulmonary complications?
- A.
Upper abdominal
- B.
Extremity
- C.
Cervical
- D.
Eye
- 11.Patients with pre-op FEV1/FVC ratios of less than 0.5 or with a pre-op Paco2 of more than __ mmHg are likely to need post-op mechanical ventilation
- 12.Most common ABG findings during an asthma exacerbation:
- A.
Respiratory alkalosis
- B.
Respiratory acidosis
- C.
Metabolic acidosis
- D.
Normal blood gas
- 13.All of the following drugs should be avoided in a patient with asthma except:
- A.
Fentanyl
- B.
Morphine
- C.
Labetolol
- D.
Atracurium
- 14.Ketamine decreases airway secretions.
- A.
True
- B.
False
- 15.Beta blockers cause:
- A.
Bronchoconstriction
- B.
Bronchodilation
- C.
Tachycardia
- D.
Hypertension
- 16.Which of the following can cause unopposed histamine release and bronchospasm?
- A.
Ranitidine
- B.
Cimetidine
- C.
Diphenhydramine
- D.
Famotodine
- 17.Which of the following indicate an asthma attack during the intraoperative period?
- A.
High PIP
- B.
Low PIP
- C.
Blunted etCO2 waveform
- D.
Hypoxemia
- 18.Your pediatric patient presents with a symptomatic acute upper respiratory tract infection. How long should elective surgery be delayed in order for airway reactivity to recover?
- A.
6 weeks
- B.
2 days
- C.
24 hours
- D.
1 year
- 19.Which of the following would you be most likely to avoid while caring for a patient with cystic fibrosis?
- A.
Anticholinergic drugs
- B.
B2 agonists
- C.
Vitamin K
- D.
IV fluid
- 20.Tracheal stenosis can occur after prolonged ETT intubation and becomes symptomatic when the lumen of the trachea is less than __ mm.
- 21.Which of the following should be avoided when treating a patient with pulmonary hypertension?
- A.
Ketamine
- B.
Desflurane
- C.
Inhaled nitric oxide
- D.
Acidosis
- 22.With restrictive disease: All lung volumes are ________ and flow rates and ratios are normal.
- A.
Reduced
- B.
Increased
- C.
Normal
- 23.When is aspiration most likely to occur?
- A.
Induction/intubation
- B.
Emergence within 5 minutes of extubation
- C.
Maintenance phase of anesthesia
- D.
Pre-operatively
- 24.Arterial hypocarbia is the most consistent and reliable clinical finding in aspiration pneumonia.
- A.
True
- B.
False
- 25.Antibiotics should always be initiated after aspiration occurs.
- A.
True
- B.
False
Questions: 55 | Attempts: 44 | Last updated: Mar 18, 2022
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Sample QuestionIndications for using regional anesthesia include: avoiding general anesthesia, obstetric procedures, urology procedures, orthopedic procedures, patient choice, and pulmonary/cardiac issues.
Questions: 40 | Attempts: 38 | Last updated: Mar 21, 2022
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Sample QuestionLasers depend on _______ to deliver energy.
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