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Inhaled anesthetics

Inhaled anesthetics
35問 • 1年前
  • ユーザ名非公開
    • 通報

    問題一覧

  • 1

    How many fluorine atoms does Isoflurane have?

    5

  • 2

    How many fluorine atoms does Desflurane have?

    6

  • 3

    How many fluorine atoms does Sevoflurane have?

    7

  • 4

    What correlates with potency of our inhalational gases?

    Oil:gas solubility

  • 5

    Vapor Pressure is directly proportionate to ______

    Temperature

  • 6

    Which law states the total gas pressure in a container is equal to the sum of the partial pressures exerted by each gas?

    Dalton’s Law

  • 7

    Select the correct choices that best accurately describe agents with a low blood:gas solubility: (3)

    Decreased uptake into the blood, Increased rate of rise, Faster onset

  • 8

    Which 3 factors determine anesthetic uptake into the blood?

    Agent solubility, Partial pressure difference between alveoli and the blood, Cardiac Output

  • 9

    Which 3 factors reduce the rate of rise of FA/FI?

    Increased cardiac output, Increased FRC, Decreased FGF

  • 10

    Which tissue groups receive 75% of cardiac output?

    Vessel rich group

  • 11

    Which tissue group accounts for 50% of body mass?

    Muscle group

  • 12

    Which concept BEST explains why the rate of rise of FA/FI is faster for nitrous oxide than desflurane?

    Concentrating effect

  • 13

    Right-to-left intracardiac shunt causes: (2)

    Slower induction with a volatile agent, Faster induction with an IV agent

  • 14

    Which 2 factors have the MOST significant impact on anesthetic uptake into the blood?

    Cardiac output, Blood:gas solubility

  • 15

    What is the blood:gas partition coefficient of nitrogen?

    0.014

  • 16

    Choose the factors that increase MAC (3)

    Chronic alcohol consumption, Infants 1-6 months, Hyperthermia

  • 17

    Select the factors that have no effect on MAC: (3)

    Gender, Duration, Hyperthyroidism

  • 18

    The Meyer-Overton rule states:

    Lipid solubility is directly proportional to potency

  • 19

    Modern theory of anesthetic action suggests inhaled anesthetic: (2)

    Interact with stereoselective receptors, Facilitate GABA transmission

  • 20

    Choose the receptors that inhalational gases will STIMULATE

    GABA-A receptor, Glycine channel, Potassium channel

  • 21

    Choose the receptors that inhalational gasses will INHIBIT:

    NMDA receptors, Dendritic spine function and motility, Nicotinic receptors

  • 22

    What is the most important site of volatile anesthetic action in the brain?

    GABA-A receptor

  • 23

    The primary site where halogenated anesthetics produce immobility is the ventral horn of the spinal cord

    True

  • 24

    Which site of action do we see the pharmacodynamic effect, amnesia, with volatile anesthetics ?

    Hippocampus

  • 25

    Choose the regions that volatile anesthetics will produce unconsciousness: (3)

    Cerebral cortex, Thalamus, Reticular activating system

  • 26

    Choose the 2 best choices below that describe cardiovascular effects regarding halogenated anesthetics:

    Reduce MAP in a dose-dependent fashion, Decrease contractility in a dose-dependent fashion

  • 27

    Regarding the modern halogenated anesthetics in the adult at 1 MAC:

    Respiratory rate increases

  • 28

    As the carotid bodies relay afferent input to the respiratory center through CN9, the aortic bodies relay afferent traffic through CN ___

    10

  • 29

    Which of the halogenated ethers impairs the hypoxic drive the LEAST?

    Desflurane

  • 30

    Electrical activity and cellular homeostasis help define:

    CMRO2

  • 31

    Halogenated ethers affect somatosensory evoked potentials by: (2)

    Decreasing amplitude, Increasing latency

  • 32

    SSEPs monitor the integrity of the:

    Dorsal column

  • 33

    MEPs monitor the integrity of the:

    Corticospinal tract

  • 34

    Decreased by volatile agents, amplitude that drops more than ___ indicates concern for nerve ischemia

    50%

  • 35

    Increased by volatile anesthetics, latency that increases more than ___ indicates concern for nerve ischemia

    10%

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    問題一覧

  • 1

    How many fluorine atoms does Isoflurane have?

    5

  • 2

    How many fluorine atoms does Desflurane have?

    6

  • 3

    How many fluorine atoms does Sevoflurane have?

    7

  • 4

    What correlates with potency of our inhalational gases?

    Oil:gas solubility

  • 5

    Vapor Pressure is directly proportionate to ______

    Temperature

  • 6

    Which law states the total gas pressure in a container is equal to the sum of the partial pressures exerted by each gas?

    Dalton’s Law

  • 7

    Select the correct choices that best accurately describe agents with a low blood:gas solubility: (3)

    Decreased uptake into the blood, Increased rate of rise, Faster onset

  • 8

    Which 3 factors determine anesthetic uptake into the blood?

    Agent solubility, Partial pressure difference between alveoli and the blood, Cardiac Output

  • 9

    Which 3 factors reduce the rate of rise of FA/FI?

    Increased cardiac output, Increased FRC, Decreased FGF

  • 10

    Which tissue groups receive 75% of cardiac output?

    Vessel rich group

  • 11

    Which tissue group accounts for 50% of body mass?

    Muscle group

  • 12

    Which concept BEST explains why the rate of rise of FA/FI is faster for nitrous oxide than desflurane?

    Concentrating effect

  • 13

    Right-to-left intracardiac shunt causes: (2)

    Slower induction with a volatile agent, Faster induction with an IV agent

  • 14

    Which 2 factors have the MOST significant impact on anesthetic uptake into the blood?

    Cardiac output, Blood:gas solubility

  • 15

    What is the blood:gas partition coefficient of nitrogen?

    0.014

  • 16

    Choose the factors that increase MAC (3)

    Chronic alcohol consumption, Infants 1-6 months, Hyperthermia

  • 17

    Select the factors that have no effect on MAC: (3)

    Gender, Duration, Hyperthyroidism

  • 18

    The Meyer-Overton rule states:

    Lipid solubility is directly proportional to potency

  • 19

    Modern theory of anesthetic action suggests inhaled anesthetic: (2)

    Interact with stereoselective receptors, Facilitate GABA transmission

  • 20

    Choose the receptors that inhalational gases will STIMULATE

    GABA-A receptor, Glycine channel, Potassium channel

  • 21

    Choose the receptors that inhalational gasses will INHIBIT:

    NMDA receptors, Dendritic spine function and motility, Nicotinic receptors

  • 22

    What is the most important site of volatile anesthetic action in the brain?

    GABA-A receptor

  • 23

    The primary site where halogenated anesthetics produce immobility is the ventral horn of the spinal cord

    True

  • 24

    Which site of action do we see the pharmacodynamic effect, amnesia, with volatile anesthetics ?

    Hippocampus

  • 25

    Choose the regions that volatile anesthetics will produce unconsciousness: (3)

    Cerebral cortex, Thalamus, Reticular activating system

  • 26

    Choose the 2 best choices below that describe cardiovascular effects regarding halogenated anesthetics:

    Reduce MAP in a dose-dependent fashion, Decrease contractility in a dose-dependent fashion

  • 27

    Regarding the modern halogenated anesthetics in the adult at 1 MAC:

    Respiratory rate increases

  • 28

    As the carotid bodies relay afferent input to the respiratory center through CN9, the aortic bodies relay afferent traffic through CN ___

    10

  • 29

    Which of the halogenated ethers impairs the hypoxic drive the LEAST?

    Desflurane

  • 30

    Electrical activity and cellular homeostasis help define:

    CMRO2

  • 31

    Halogenated ethers affect somatosensory evoked potentials by: (2)

    Decreasing amplitude, Increasing latency

  • 32

    SSEPs monitor the integrity of the:

    Dorsal column

  • 33

    MEPs monitor the integrity of the:

    Corticospinal tract

  • 34

    Decreased by volatile agents, amplitude that drops more than ___ indicates concern for nerve ischemia

    50%

  • 35

    Increased by volatile anesthetics, latency that increases more than ___ indicates concern for nerve ischemia

    10%