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86 Cards in this Set
- Front
- Back
1. Preop interview includes all except:
a. YOUR EXPERIENCE/TRAINING b. system review c. parent interview/concerns, d. ?) |
a. YOUR EXPERIENCE/TRAINING
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2. Preop interview concerned with all of the following except:
a. Surgical History of Mother Prior to Pregnancy b. Prenatal c. Postnatal d. NICU/PICU |
a. Surgical History of Mother Prior to Pregnancy
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3. URI you will see all of the following except:
a. Cough b. Laryngospasm c. Bronchospasm d. Vomiting |
d. Vomiting
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5. Pathologic murmur characteristics
a. Pansystolic b. Loud c. Late systole d. All of the above |
d. All of the above
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6. What system is dominant in the neonate?
Sympathetic Parasympathetic Autonomic |
Parasympathetic
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7. What is not responsible for hypotension?
a. Increased resistance to sympathomimetics b. Parasympathetic dominant c. Decrease catecholamine stores d. Nonactivation of sympathetic nervous system |
a. Increased resistance to sympathomimetics
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8. All are physiological difference of neonates :
a. Increased HR b. Decreased BP c. Decreased LV compliance d. Strong respiratory muscles |
d. Strong respiratory muscles
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9. Pharmacological differences of neonates except:
a. Decrease VD b. Immature hepatic c. Decreased protein binding d. ? |
a. Decrease VD
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Cardiac output is dependent upon ___________?
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heart rate
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11. All of the following are shunts except:
a. Foramen ovale b. Ductus arteriosis c. Ductus venosis d. Foramen of Morgani |
d. Foramen of Morgani
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Pulmonary circulation:
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5-10%
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All are difference between adults and neonates except:
a. Short epiglottis b. Short trachea/neck c. Large head d. Anterior larynx |
a. Short epiglottis
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14. Functional closure of DA
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1-8
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15. Causes of transitional circulation except
a. Decrease PVR b. Increase SVR c. Increase aortic pressure d. Thrombosis of 2 umbilical veins |
d. Thrombosis of 2 umbilical veins
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16. Fetal circulation (in regards to pulmonary vascular resistance [PVR] and SVR)
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increase PVR with decrease SVR
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17. All cause hypothermia except:
a. Brown fat b. Thin skin c. High BSA d. Low fat ratio |
a. Brown fat
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18. All of the following will prevent hypothermia except
a. Keep >25 celcius b. Warm IV fluid c. Blankets d. Increase fresh gas flows |
d. Increase fresh gas flows
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19. Clear liquids NPO requirement
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2 hours
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20. An awake intubation is indicated in all of the following except
a. Vomiting b. Critically ill c. Inguinal hernia d. Full stomach |
c. Inguinal hernia
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21. The patient meets extubation criteria with all of the following except
a. Reversal agent given b. Eyes open c. Purposeful movement d. Crying |
a. Reversal agent given
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22. Fluid maintenance calculations
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421 rule
Over 20kg use (kg + 40) |
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Succ is indicated in all of the following situations except:
a. Emergencies b. Rapid sequence c. Difficult airway d. ? |
d. ?
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25. The IM dose of Succ –
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4-5 mg/kg
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26. ROP is:
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fibrovascular proliferation overlying the retina
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27. ROP Sat?
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SpO2 90-95% (too high O2 is bad)
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Apnea of prematurity is:
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conception to 55 weeks (we learned to 60 weeks)
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29. Caudal block does all of the following except?
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poor postop pain relief
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30. All of the following are surgeries performed during the first week of life except:
a. TEF b. Inguinal hernia c. CDH d. Omphalocele |
b. Inguinal hernia
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31. All of the following are obvious at birth except:
a. TEF b. Omphalocele c. Gastroschisis d. Meningomyelocele |
a. TEF
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32. CDH incidence
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1:5000
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33. CDH mortality
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40-50%
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34. Hallmark signs of CDH except:
a. Hypoxia at birth b. Scaphoid abdomen c. Bowel sounds in chest d. ? |
d. ?
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35. PPHN – fetal circulation:
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right to left shunt
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36. All of the following are characteristics of Omphalocele except:
a. At the base of the umbilicus b. Herniated sac of lateral abdominal wall c. Many other congenital abnormalities d. Hypoxia at birth |
d. Hypoxia at birth
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37. Gastroschisis has all of the characteristics except:
a. Lateral abdominal wall defect b. Snake like intestines – no sac c. Isolated finding not assoc with other abnormalities d. Hypoxia at birth |
d. Hypoxia at birth
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38. All of the following are the 3 “C’s” of TEF except:
a. Cough b. Crying c. Cyanosis d. Choking |
b. Crying
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Which condition will surgery take place within the first month?
a. NEC b. PDA c. Pyloric Stenosis d. All of the above |
d. All of the above
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42. NEC caused by all of the following except:
a. Intenstinal ischemia b. Bacteria colonization c. Excessive protein substrate d. Poor feeding techniques |
d. Poor feeding techniques
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43. NEC associated with all of the following except:
a. Metabolic alkalosis b. Peritonitis c. Necrosis/gangrene d. Hypovolemia |
a. Metabolic alkalosis
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44. PS is characterized by:
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persistant vomiting at 3-5 week
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PDA results in:
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large left to right shunt w/RV failure
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46. Hydrocephalus preanesthesia assessment would include all of the following except:
a. Bowel sounds b. Gag c. LOC d. NPO |
a. Bowel sounds
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Incidence that PDA is found on autopsy of adults:
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25%
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1. Cyanotic disorders, pick 3:
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TOF, transposition of great arteries, TAPVR
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2. VSD is what type of shunt
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L to R
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3. Acyanotic is what type of shunt
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R to L
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4. TOF has what 2 characteristics
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…..RVH & VSD
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8. Atropine dose for Bradycardia
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0.02 mg/kg
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9. Epi dose
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0.01 mg/kg
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Surgeon requests torodol for the patient, what is the dose?
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0.5 mg/kg
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11. Decadron dose for 10 kg pt
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1.5 mg
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12. OR nurse wants to give rectal Acetaminophen 120 mg, what do you do?
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Give it, within dose range
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13. Dose of versed for 20 kg pt
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0.5 mg/kg=10 mg PO
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14. Zofran dose for pt 10 kg
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2.0 mg (use lower dose range per linda)
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15. Pt has recent URI but no fever, no wheeze w/clear nasal drainage
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proceed w/case
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16. Active URI, pt susceptible to:
a. laryngospasm b. stridor c. croup d. wheezes e. all of the above |
all of the above (laryngospasm, stridor, croup, wheezes, etc)
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17. Why is an adult semi-closed system not good for a pediatric patient <10kg?
a. Increase dead space b. I:E valve=increase WOB c. Absorber too big for TV d. All of the above |
All of the above (increase dead space, I:E valve=increase WOB, absorber too big for TV)
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18. Tube diameter formula?
Age 6 size? |
age + 16 / 4 = mm ETT size
5.5 |
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19. IV fluid maintenance for pt weighing 35 kg
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75 ml/hr
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20. Induction w/inhalation ratio
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N2O 70% and O2 30%
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Emergence Criteria:
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Opens mouth to oral stim, tries to take out tube, moves legs/arms purposefully….not irregular breathing pattern
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22. Deep extubation
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not on pts <2 years old
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23. Asthma
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reversible, airway inflammation, increase airway responsiveness….not decreased alveolar size
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24. Agents that release histamine except
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Ketamine
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25. All are susceptible to MH except
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CP
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26. CP = rhonchi in lower airways r/t:
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…..chronic aspiration and problems mobilizing secretions
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27. Low FRC in infants leads to:
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rapid desaturation
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28. Why do we give less NMBA to infants
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….immature NMJ
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29. The patient that you just gave SUX to arrests, you should suspect
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hyperkalemia
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30. Most pedi arrests are r/t
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medications
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31. Trisomy 21 characteristics except:
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….absent adenotonillar
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32. Muscular dystrophy is characterized by….
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….progressive weakness and loss of striated muscle
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35. Sickle cell patients you want to avoid:
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hypovolemia, hypothermia & hypoxemia (hypotension too)
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36. All of the following are true re: sickle cell except:
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except: do not give narcotics
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37. All of the following make you suspect increased bleeding tendencies except…
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quick clotting
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38. Appendectomy…
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RSI
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40. Peritonsilar abscess in pt w/patent airway and working IV
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RSI
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41. Pt extubated and develops laryngospasm
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give small dose SUX
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42. Emergence delirium want to rule out other causes such as
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all of the above or all except Bradycardia
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43. All of the following are appropriate to give for PONV except:
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Fentanyl
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44. Epiglottitis Induction?
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inhalation induction w/ENT present
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45. Stridor
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….(leak 10-25 cm, occurs 1-4 year olds) NOT uncuffed ETT moving up and down trachea
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46. Advantages of IV induction over inhalation induction except:
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maximizing Stage II
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47. Pt is on steroids and uses a MDI at home. What do you do
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….give a pre-op breathing tx
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48. All of the following contribute to PONV except
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….Propofol
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49. Dose for 2 year old Fentanyl
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1-2 mcg/kg
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