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Flashcards in Random Review for Test Deck (37)
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1

What is acromegaly?

syndrome resulting when the anterior pituitary produces excess growth hormone after closure of puberty state....often associated with gigantism

2

Why is it important to provide a stress dose of corticosteroids for patients with autoimmune disorders on chronic therapy?

b\c they are susceptible to cardiovascular collapse b\c they cannot release endogenous cortisol in response to stress

3

What age group does acromegaly most affect?

middle aged men and women

4

Acromegaly is a ________ disorder.

metabolic

5

Acromegaly causes an increase of the production of what hormone?

growth hormone

6

What are common signs and symptoms of acromegaly?

enlargement of hands, feet, head, forehead, jaw, and tongue

7

Do patients with acromegaly always require a larger ETT?

No

8

What is the affinity of carbon monoxides for Hgb compared to oxygen?

200x greater

9

What portion of the pediatric body in the rule of nine is greater compared to adults?

head

10

In a burn patient, at what point should you avoid succinylcholine?

after 24 hours

11

T/F? You can assume that a burn patient with a pulse oximetry reading of 100% is adequately oxygenated.

FALSE

12

What is the first line treatment for HTN in the phechromocytoma patient prior to surgery?

alpha blocker

13

Is bradycardia indicative of a thyroid storm?

no; but hyperthermia, metabolic acidosis, abnormal LFT's, and atrial fibrillation is

14

T/F? Careful airway assessment is vital in hypothyroid, but not as important in hyperthyroid.

FALSE

15

Which endocrine disorders are associated with sensitivity to paralytics?

cushings, addisons, hypothyroid, hyperthyroid

16

What 2 hormones are secreted from the posterior pituitary (neurohypophysis)?

vasopressin (ADH), oxytocin

17

What is SIADH?

syndrome of inappropriate anti diuretic hormone secretion; characterized by excessive release of ADH from the posterior pituitary; often results in dilutional hyponatremia

18

What are some common causes of SIADH?

intracranial tumor, porphyria, lung cancer, hypothyroid

19

Is hyperthyroidism a known cause of SIADH?

no!! hypothyroidism is

20

What anesthetic technique is inadvisable in patients with multiple sclerosis?

spinals

21

What is the gold standard for diagnosing MH?

caffeine halothane contracture test (CHCT)

22

What is the earliest sign of MH?

increased ETCO2 >55mmHg

23

Why is cardizem not an appropriate drug choice for dysrhythmias associated with MH?

b\c it is a CCB

24

What is the correct classification for MH?

channelopathy

25

Injury is the leading cause of death between ages 1 and 45 in US. (T/F)

TRUE

26

Tertiary survey occurs prior to discharge to reassess and confirm known injuries and identify occult ones. (T/F)

TRUE

27

What drugs should be avoided in a chest trauma patient in hypovolemic shock?

N2O, atracurium, mivacurium; KETAMINE IS OK

28

T/F? CPP=MAP-ICP

TRUE

29

What antiemetic is safe for use in a Parkinsons patient?

zofran

30

Which drug alleviates exacerbations of Parkinsons disease?

Benadryl d\t its anticholinergic properties