Practice Pimp Questions

Download Report

Transcript Practice Pimp Questions

Practice Pimp Questions
These are samples of basic simple
level one pimp questions
Rules








Work hard
Always be early and stay late
Be honest
Never ever let your preceptor beat you to the room
Always have a nice clean and perfect set up
Be ready for world war three, it is better to have to put stuff back than to
be asked by your preceptor where stuff is at
Never ever say “this is how we did it at……..”
Never ever say “I like to or will do it this way (unless specifically asked)



A local anesthetic (what ever the drug) X is at a
concentration of 2%; with 1:200,000 epi and you give 3
cc of drug X
How many mg of local are you giving
How many mcg of epi per cc and total

We all know that demerol stops postoperative shivering, what is the
mechanism of action?


Labetolol and carvedilol both act on why
types of receptors?
What % mix?


Neosynphrine raises BP and lowers heart
rate by what mechanism?
Explain?

A pt presents with a cocaine OD (know
signs and symptoms) what is the
mechansim of cocaine and what
medication(s) do you avoid and why?

Explain cricoid pressure and explain how
to do it?

Treatments for High K level




You are born with how many alveoli?
You develop at what rate?
When does this end?
What total number of alveoli?

Always be ready for what?

Always be ready for??????


What percentage relationship is there
between the PCN and cephlapsorins in
cross reactivity?
Reactions are based on what?

What drugs work on the NMDA receptor?
Three drugs?

What neurotransmitter does it block?


Sulfa allergy do not use what diuretic and
why?

Dose of this drug?

Sulfa allergy—what food question?


Why do you ask? Allergic to eggs, corn,
soy products?
Why do you ask? Allergic to hazelnuts,
chestnuts, bananas and avocodos?

MH affects what receptor?

Drug to treat and dose?

Treatment of laryngeal spasm?


Three most taxing cardiac effects inorder?
(what causes the most risk of MI)

Methemoglobinemia
What is it and what triggers it?

What is the treatment


What local anesthetics are the most
cardiotoxic in order?



MACs
Define what is a mac
What are the macs of each agent

What is the FA/FI ration

Calculate the Peds ETT size

Hypotensive post spinal
Tell me why a spinal? Why that location?
Why hypotensive?

Etomidate inhibits what enzyme?

Avoid in what groups of people?

Why use?

(decreased BP) DECREASED HR post
spinal--- why a decreased HR?

What else will be coming?

What do you do?

Your always ready for what?

Aortic stenosis? Spinal?

Why or why not?



ETT tube is confirmed by what three
mechanism (not x-ray)?
What is the best answer?
No breath sounds in the left? What
happened?

Clondine?

Acts where?

Good for what?

Patient with renal failure—

What paralytics do you avoid and why?

What paralytics do you use and why?


Non-drug related treatment for nausea?
What anesthesia choices can you do for
patients prone to nausea?

Retrobulbar block?

Afferent?
Efferent?

What happens?



Why do we not give repeated doses of
sux?
What mechanism?



Explain why we reverse paralytics and use
a train of four?
What drugs?
What do we use the drugs we use, the
way we use them?

How do you introduce yourself to the
patient?

Patient is scared of “recall” how do you
handle this?

General

Regional

Thoughts of music


Cricoid is at what level peds and what
level in adults?
Why is this important?

Full E cylinder Oxygen

Tell me about flows and content?

Full - at 10 liters how long until empty

What is the “cool-Joule” effect?

Flush valve is how many liters per/second

High/intermdiate/low

At what pressure does it come in from the
wall and what decreases the level to what
level?

What is fail safe?

Why is it important?

What is the three most importantly missed
things in a machine check?

Good luck