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Anaesthesia – Keywords A • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Abdominal compartment syndrome: diagnosis ABG: COPD ABG: morbid obesity and vomiting ABG: opioid effect ABG: pregnancy ABG: pulmonary embolism ABG: respiratory acidosis/metabolic alkalosis ABG: salicylate toxicity ABG values: measured vs calculated ACC/AHA guidelines for peri-operative CV evaluation ACE inhibitors: mechanism of action ACE Inhibitors: myocardial infarct survival ACE inhibitors: side effects ACE-I: contra-indication Acetaminophen toxicity Acetazolamide: lab findings Acetazolamide: mechanism of action Acetylcholine receptor: anatomy Acetylcholine release: physiology Acidosis: nonanion gap differential diagnosis ACLS: ETT confirmation ACLS in pregnancy Action potential: ion channels Acute mountain sickness: treatment Acute septic shock Acute tubular necrosis: diagnosis Addiction: definition Addiction: risk factors Addison disease: blood chemistry Addison’s disease: peri-operative treatment Adrenal insufficiency: lab finding Advanced multiple sclerosis: anaesthetic drugs Aerobic vs anaerobic glycolysis Age-related P50 Aging: cardiovascular physiology Aging: CNS changes Aging: pulmonary physiology AICD malfunction: causes AIMS: EMR Air embolism: diagnosis Air embolism: treatment Air trapping: ventilator management Airway assessment: co-existing disease Airway fire Airway fire: management Airway: innervation Airway: paediatric vs adult Albumin: Na+ concentration 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Albuterol vs ipratropium pharmacology Alpha blockers: selectivity ALS: anaesthetic concerns Alveolar gas equation: altitude Alveolar gas exchange Ambulatory surgery: costs Ambulatory surgery: discharge delays Amiloride: electrolyte effects Amiloride: physiological effects Amiodarone: haemodynamic effect Amiodarone: side effects Amniotic fluid embolus: diagnosis Anaphylaxis: diagnosis and treatment Anaphylaxis: epinephrine treatment Anaemia and coagulation Anaemia compensation Anaesthetic drugs and IOP Anaesthetic management: asthma Anaesthetic management: penetrating eye injury Anaesthetic techniques: suspected MH Anaesthesia for ECT: lidocaine effect Anaesthesia techniques: 1st stage labour Anaesthesia: uterine muscle tone Anaesthesiologist drug abuse: fentanyl Anaesthesiologists: substance abuse Anaesthetic absorption: regional anesthetic techniques Anaesthetic uptake: right-to-left shunt Anaesthetic uptake: solubility co-efficient Anion gap acidosis Ankle block: anatomy Ankylosing spondylitis: epidural risks Anterior cerebral artery stroke effects Anterior hypothalamus injury: surgery Anterior mediastinal mass: effects Antibiotic crossreactivity Anticholinesterase poisoning: treatment Anticholinesterases in CRF Antiphospholipid synd: management in labour Antiplatelet drugs: comparison Antithrombotic drugs: duration Antithrombotic drugs: pre-operative management Aortic clamping: ischaemia mechanism Aortic crossclamp: CV complications Aortic insufficiency: haemodynamic treatment Aortic insufficiency: medical management Aortic stenosis: A fib therapy Aortic stenosis: hypotension treatment ARDS: ventilator management ARDS: optimal tidal volume ARDS: prone position mech. Arginine vasopressin 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Arterial waveform: peripheral vs central AS and arrhythmias ASA guidelines: sedation ASA physical status ASA PS class 2 vs 3 Ascending vent bellows advantages Ascites: pulmonary effects Ascites: PFTs Aspiration management: LMA Aspirin toxicity: treatment Aspirin: platelet effect ASRA guidelines: Epidural catheter removal Asthma: postpartum haemorrhage treatment Atelectasis during anaesthesia: etiology Atlantoaxial instability: causes Atrial flutter: pharmacological treatment Automated drug delivery devices Automated vs paper anaesthesia records Autonomic dysreflexia: risk factors Autonomic dysreflexia symptoms Autonomic hyperreflexia Autonomic hyperreflexia: risk factors Autonomic hyperreflexia: signs Autonomic innervation: upper extremity Autonomic neurotransmitters AV pacing: haemodynamic effect AVM embolisation/management Awake acute blood loss acid-base Awareness: equipment issues Axillary block: limitations Axillary block: complications Axillary block: median nerve rescue block 1 February 2016 B • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Beta-blockers: properties Baclofen toxicity: treatment Barb coma: EEG endpoint Barbiturate enzyme induction Becker’s muscular dystrophy: rhabdomyolisis Benzocaine and methemoglobinaemia Benzodiazepines: respiratory effects Beta-thalassaemia: newborn Bicarb admin: CO2 effect Bilateral carotid endarterectomy: physiology Biological warfare Bivent pacing: indications Blood brain barrier: fluid transfer Blood gas co-efficient Blood oxygen transport Blood: crossmatch Botox: pain relief mechanism Bowel distention Brachial artery catheter: chest X-ray Bradycardia and heart transplant Bradycardia during carotid surgery Brain death pathophysiology Brain stem surg manip: hypertension Brain: ketone metabolism Bronchial blocker: advantages Bronchodilation: anaesthetic drugs Bronchomotor tone: catecholamines Bronchopleural fistula: ventilator management Bronchospasm triggers: ETT Bronchospasm: acute treatment Bronchospasm: mechanical ventilation diagnosis Bupivacaine toxicity therapy Burn management: carbon monoxide toxicity Burns: CO poisoning differential diagnosis Burns: fluid management Burst suppression Butyrylcholinesterase: deficiency Butyrylcholinesterase: substrates 1 February 2016 C • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • C-section: morbidity Calcium channel blocker: NM blockade Calcium chelation: transfusion Calcium: ECG changes Calculation pulmonary vs systemic vascular resistance Cancer pain: WHO ladder Capnogram waveform: obstruction Carbamazepine toxicity Carbon monoxide poisoning: diagnosis Carbon monoxide poisoning: treatment Carcinoid crisis: treatment Carcinoid syndrome Cardiac anatomy: TEE Cardiac arrest: induced hypothermia Cardiac cycle: ECG Cardiac evaluation: arterio-ventricular disease Cardiac morbidity: pre-operative factors Cardiac pacemaker indications Cardiac PV loops Cardiac surface anatomy Cardiac tamponade: diagnosis Cardiac tamponade: pulsus paradoxus Cardiac tamponade: TEE diagnosis Cardiac vascular anatomy: TEE Cardiogenic shock: differential diagnosis Cardiopulmonary bypass management Carotid baroreflex during CEA Carotid body: hypoxic drive Carotid endarterectomy: CNS monitoring Carotid endarterectomy: complications Carotid sinus reflex: treatment Carotid sinus stim: post heart transplant Carotid stent: bradycardia cause Carotid stent: bradycardia prevention Carotid surgery: CNS monitoring Categorical data: chi square test Caudal anaesthesia Caudal anaesthesia: infant dose Caudal anaesthesia: anatomy Caudal space anatomy Causes of atrial fibrillation Causes of upregulations of NAChR Cbf/CMRO2 drug effects CBF: factors influencing CDH: ventilation strategy Celiac plexus block: distribution Celiac plexus block: complications Celiac plexus block: indications Celiac plexus block: side effects Central line infections: prevention 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Central sleep apnoea vs OSA Central venous pressure wave forms Cerebral aneurysm clipping: anaesthetic management Cerebral aneurysm: electrolytes Cerebral aneurysm: transmural pressure Cerebral autoregulation Cerebral blood flow: temperature effect Cerebral ischaemia: deep hypothermia Cerebral vasospasm: treatment Cerebrovascular resistance: vasodilators Cervical cerclage: anaesthetic management Cervical fracture: intubation techniques Chest wall compliance: calculation CHF Frank Starling curve: milrinone effect CHF Frank Starling curve: phenylephrine CHF: Frank Starling curve Chi-squared test: application Chi-squared test: appropriate data Child-Pugh score: factors Child-Pugh scoring system Chloroprocaine metabolism Chloroprocaine placental transfer Chronic opioids: side effects Chronic pain: cancer: methadone Chronic pain: cancer: opioids Chronic pain: methadone vs morphine Circulatory arrest: pH-stat implications Cirrhosis: hepatic synthetic function Cirrhosis: NMB kinetics Clark electrode Clinical trial: study power Closed claims: brain damage Clostridium tetani infection CO diffus capacity: abnormal differential diagnosis CO from CO2 absorber CO poisoning CO poisoning: clinical features CO poisoning: diagnosis CO toxicity: treatment CO2 absorbers: volatile anaesthetic toxicity CO2 dissociation curve CO2 response curve CO2 transport: bicarbonate Coagulation factors in hepatic disease Coagulation changes in pregnancy Coma vs vegetative state: definition Compartment syndrome: diagnosis Compensated respiratory acidosis Compensatory mechanism and anaemia Complete heart block: treatment Complication bronchial blocker 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • Concentration effect Congenital emphysema: management Congenital heart disease: prostaglandin treatment Congenital heart disease: pulmonary hypertension treatment Congenital long QT: management Constrictive pericarditis: venous waveform Context-sensitive half time Contrast CT: renal function preservation Coronary artery: anatomy Coronary perfusion pressure Coronary perfusion pressure: left vs right Corticosteroid deficiency in ICU Corticosteroids: effect on lab values CPB antifibrinolytics Craniotomy: positioning injury Cricothyroid muscle innervation CRPS II: treatment CRPS type 1: symptoms Cryoprecipitate: fibrinogen content Crystalloid resuscitation: coagulopathy Crystalloid vs colloid treatment CV pharmacology: catecholamines CV physiology: LV CV physiology: mixed venous oxygen CVP waveform: components Cyanide toxicity: treatment Cyanide toxicity: diagnosis Cylinder content: weight vs pressure 1 February 2016 D • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Dalton’s Law: applied Dantrolene mechanism DDD pacemaker peri-operative management Decreased CO diffusion: causes Delayed emergence: differential diagnosis Delayed transfusion reaction Demyelinating diseases: PFTs Denervated heart: exercise physiology Desflurane vaporisation physics Desmopressin for von Willebrand Determinants of spinal level Dexmedetomidine: haemodynamic effects Diabetes insipidus: intracranial surgery Diabetes insipidus: treatment Diabetes: autonomic neurop signs Diagnosis of croup DIC: laboratory findings Differential spinal block Difficult airway algorithm Difficult airway: C-section Dilutional coagulopathy Discogenic pain: symptoms Diuretics: adverse effects DKA treatment DLT vs bronchial blocker DM control: glycosylated Hgb DNR and anaesthesia Donor hepatectomy: INR elevation Doppler shift and angle of incidence Double lumen tube placement Down’s Syndrome: anaesthetic implications Down’s Syndrome: abnormalities Doxorubicin: adverse effects Doxorubicin: complications Drowning: initial treatment Duchenne’s: PFTs Dural sac: anatomy Dural sac: caudal extent Diagnosis: pre-eclampsia Diagnosis: uterine rupture Diagnosis: myxoedema coma 1 February 2016 E • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • E-cylinder PSI/vol relationship Eaton-Lambert: mechanism ECG: intraventricular conduct delay ECG: loose lead effect ECG leads: P-wave detection ECT: anaesthetic agents and seizure duration ECT: contra-indications ECT: seizure duration ECT: side effects ECT and heart disease: anaesthetic considerations EEG: high dose opiates Effects of flumazenil Effects of vasopressin vs epi Electrolyte homeostasis: hormones Elevated FRC: differential diagnosis Elevated ICP: hyperventilation Elevated INR: factor treatment EMLA contra-indications Endobronchial intubation Enoxaparin: assessment of effect Enteral nutrition vs TPN Enteral nutrition: Complications Epidural: clonidine vs morphine Epidural anaesthetics: respiratory effects Epidural anaesthesia: adjuvants Epidural analgesia: complications Epidural anatomy Epidural clonidine: mechanism of action Epidural local anesthetic: GI effect Epidural local anaesthetic: oeristalsis effect Epidural steroid indications: radiculopathy Epidural test dose: surgery Epiglottitis Epiglottitis: airway management Epiglottitis: anaesthetic management Epiglottitis: diagnosis Epiglottitis: inhalation induction Epileptic focus: suppression Ethical principles: autonomy Ethics: speaker disclosure Etiol bronchoconstriction ETOHism: electrolyte abnormalities Etomidate: adrenal suppression Evoked potentials: anaesthetic effects Ex-premature: pulmonary chest X-ray EXIT procedure: uterine atony 1 February 2016 F • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • FA/FI volitile anaesthetics Factor V Leiden: treatment Factor VIII antibodies: treatment Factor VIII concentrate: indications Factors affecting anaesthetic depth Factors affecting defibrillation Factors affecting PvO2 Factors affecting SVO2 Factors affecting turbulent flow Factors affecting vaporiser output Factors causing prolonged neuromuscular blockade Failed intubation: treatment Fat embolism Fat embolism: diagnosis FB aspiration: physical exam Febrile transfusion reaction Febrile transfusion reaction mechanism Federal regulation agencies: ors Femoral nerve block anatomy FENa in hypovolaemia Fenoldopam: Renal effects Fetal blood gas values Fetal Hb: oxygen transport Fetal HR pattern: maternal hypotension Fetal HR pattern: normal labour Fetal perfusion during surgery FFP Indications FFP: citrate toxicity diagnosis/treatment FFP: warfarin reversal FHT: variable decelerations Fibromyalgia differential diagnosis Flow volume loop: BP fistula Flowmeter: gas properties Fluids: traumatic brain injury Fluid replacement in paediatrics Fontan single ventricle phys Foot surgery: regional anaesthesia FRC: definition FRC: diseases affecting FRC: ventilatory setting effects Furosemide: venodilation FV loop: mediastinal mass 1 February 2016 G • • • • • • • • • • • • • Gas laws: temperature/pressure changes Gastric volume: PO liquid effect Gastric volume: breast milk vs clear liquids Gastroschisis: abdominal closure pulmonary effect GCS: Indication for intubation Geriatric anaesthesia: pulmonary changes Geriatrics: autonomic function Geriatrics: muscle relaxants Geriatrics: NSAIDs use Geriatrics: pulmonary changes Glasgow coma scale: definition Glycopyrrolate: adverse effects Guillain-Barré: autonomic dysfunction 1 February 2016 H • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • H2-blockers: onset time Haemodialysis effects Haemodialysis: lab effects Haemodynamic effects of alpha blockers Haemodynamics of laryngoscopy Haemolysis: bilirubin levels Haldane effect HCTZ: mechanism of action Head down position: hypoxaemia Heart block: coronary occlusion Heart transplant: autonomic effect Heliox effects Heliox: airway resistance Helium advantages: small-bore tube Hemi-arthroplasty: causes of decreasing BP Heparin resistance: treatment Hepatic bilirubin excretion Hepatic blood flow: Factors affecting Hepatic dysfunction Hepatic protein synthesis Hepatic synthetic capacity: diagnosis Hepatic synthetic function: labs Hepatitis B: needle stick diagnosis Herbal medicines: anticoagulation effects Herbal supplements Herbals: garlic Herpes and pregnancy Herpes zoster: treatment Hetastarch: platelet function High A-a gradient: causes High respiratory quotient: lipogenesis Hip fracture: fat embolism management HIPAA: privacy rule exclusions HOCM: anaesthetic mgmt HOCM: hypotension treatment Hormonal stress response Hydrochlorothiazide: blood chemistry effects Hyperaldosteronism: drug treatment Hyperbaric chamber: MAC effect Hyperbaric N2O Hyperbaric oxygen: indications Hypercalcaemia: acute treatment Hypercapnia: causes Hypercarbia: alveolar gas equation Hypercarbia: O2 release to tissues Hyperchloraemic metabolic acidosis Hyperglycaemia: complications Hyperkalaemia: periodic paralysis triggers Hyperkalaemia Hyperkalaemia: treatment 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Hypermagnesaemia: treatment Hyperparathyroidism: signs Hypertension: brainstem injury Hypertension: brainstem surgery Hyperthyroidism: diagnosis Hyperthyroidism: signs Hyperventilation: cerebral physiology Hypocalcaemia: ECG effects Hypocarbia: electrolyte effects Hypoglycaemia: glucagon Hypokalaemic periodic paral trigger Hyponatraemia and CNS pathology Hyponatraemia: evaluation Hypoparathyroidism: treatment Hypophosphataemia: muscle weakness Hypoplastic left heart: physiology Hypothermia with spinal: physiology Hypothermia: prevention Hypothermia: cold OR mechanism Hypothermia: infant vs toddler Hypothermia: pH stat management Hypothermia: physiology effects Hypoventilation in PACU Hypovolaemia signs: paediatrics Hypovolaemia: renin-angiotensin response Hypoxaemia: closing capacity vs FRC Hypoxaemia: ventilator management Hypoxia during pneumonectomy: treatment Hypoxia general anaesthesia: pregnancy Hypoxic pulmonary vasodilation 1 February 2016 I • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • IABP: contraindications ICD: removal complications ICP: tumour: corrected mechanism ICU: enteral nutrition Identification epileptic foci: drugs IgA deficiency and transfusion IHSS IHSS: treatment Ilio-inguinal anatomy Ilio-inguinal block: complications Impact of pH on O2 delivery to tissue Impaired physician: manifestations Implantable cardiac defibrillator: interventions Incompetent expiratory valve: signs Increased FRC: causes Increased FRC: etiology Increased ICP: treatment Increased ICP: induction agents Indications for hypertonic saline Induced hypothermia Infant pre-operative fasting: breast milk Inhalational anaesthesia: ventilatory effects Inhaled agents: uterine tone Inhaled anesthetic: uptake Inhaled anesthetics: vapour pressure Inotropes: Alpha-1 activity Insulin deficiency: phys effects Interscalene block: side effects Interscalene block: technique Interscalene block: anatomy Interscalene block: complications Intestinal obstruction: N2O Intra-art SBP amplification mechanism Intracranial aneurysm: IV fluids Intraoperative oliguria: hyperventilation Intrapulmonary shunt and O2 therapy Intravascular: extracellular volume ratio Intubation in Pierre Robin syndrome Ionising radiation: treatment Isoflurane: CMRO2 effect Isolation precautions Isovolaemic haemodilution compensation IV anaesthetics: pain on injection IV regional: mechanism IV solutions: osmolality IV to po opioids: equivalency 1 February 2016 J • • Jet ventilation, gas exchange Joint commission: anaesthesia standards K • • • • • • Ketamine: analgesic mechanism Ketamine: pheochromocytoma Ketamine: receptor effects Ketamine: side effects Ketamine: systemic effects Ketorolac: renal function 1 February 2016 L • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • L-spine: radiologic anatomy Lab assessment of renal function Labour pain: regional blocks Lambert-Eaton Syndrome: physiology Laparoscopy: air vs N2O Laparoscopy: elevated ETCO2 differential diagnosis Laparoscopy complications Laparoscopy: ETCO2 Laparoscopy: increased PaCO2 Laparoscopy: respiratory complications Laryngeal innervation Laryngoscopic view: grading Laryngospasm: causes Laryngospasm: mechanism Laryngospasm: treatment options Laser airway fire: management Laser resistant ET Laser-safe endotracheal tubes Latex allergy treatment Latex allergy: foods Leukoreduction: viral transmission Level of hypoxaemia: factors impacting Line isolation monitor Liposuction: lidocaine toxic dose Lithium and muscle relaxants Lithotomy position: nerve Injury Liver transplant: function of allograft Liver transplant: reperfusion effect Liver transplantation: electrolyte disturbances LMA: intubation guide LMWH: assessment LMWH: mechanism of action Local anaesthetic: concentration calculation Local anaesthetic: factors influencing onset Local anaesthetic: methemoglobinaemia Local anaesthetic: transient neurologic symptoms Local anaesthetics: systemic toxicity Logistic Regression: odds Ratio Long QT syndrome: medications Lorazepam: metabolism Low back pain: etiologies Low tidal volume ventilation: protective effect Lower extremity nerves: sensory distribution Lumbar nerve roots: innervation Lumbar sympathetic block: indications Lumbosacral radiculopathy: management Lung function: metabolic Lung isolation Lung protection ventilation: pressure goal Lung resection outcome: PFTs 1 February 2016 • • • • • • Lungs: metabolic function Lusitropy: PV loop LV failure: diagnosis and treatment post-CPB LV filling physiology LV function in geriatric patients LV pressure-volume relations: impact of preload 1 February 2016 M • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • MAC: factors affecting Magnesium: complications Magnesium: hypotensive effect Magnesium: side effects Mainstem intubation: physiologic effects Malignant hyperthermia: associated disorders Malignant hyperthermia: peri-operative management Malignant hyperthermia: signs Management: acute heart failure Management: lumbosacral radiculopathy Mannitol osmolarity effects Mannitol: haemodynamic effects MAO inhibitor: meperidine toxicity Mapleson D: rebreathing Mask CPAP: physiological effects Maternal mortality causes Maternal physiology: blood volume Maximum ABL calculation Mechanical ventilation: renal effects Mechanism of action: p450 Meconium aspiration Meconium aspiration: treatment Meconium: tracheal suctioning Mediastinal mass: CXR Mediastinal tumour: airway obstruction Mediastinoscopy: vascular compression Meningomyelocele: Arnold-Chiari assoc Meperidine: renal failure Metabolic alkalosis: respiratory compensation Metabolism: meperidine Metformin: complications Metformin: peri-operative management Metformin: contrast dye reaction Methadone treatment management Methadone: QT interval Methemoglobinaemia Methemoglobinaemia: diagnosis Methemoglobinaemia: treatment Metoclopramide: oesophageal sphincter tone Metoclopramide: gastric effects Metoclopramide: pharmacological effects Meyer Overton correlation Management of hypoxaemia during OLV Management of difficult airway: obese patient Management: WPW MgSO4: cardiac effects MH vs thyroid storm Midazolam: bio-availability versus Route Midazolam: paediatrics oral dosage Milrinone: CV effects 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Milrinone: pharmacology Misfilled vaporiser: output calculation Mitral insufficiency: medical management Mitral insufficiency: pharmacological treatment MOCA requirements Moderate sedation: ASA guidelines Monitored anaesthesia care: requirements Monitoring: barbiturate coma Monitoring for residual NMB Morbid obesity and atelectasis Morbid obesity: drug dosing Morbid obesity: DVT Morbid obesity: hypoxaemia physiology Morbid obesity: PFTs Morbid obesity: postoperative complications Morbid obesity: rapid desaturation Motor evoked potentials: anaesthetic effect MRI: contra-indications MRI: monitoring hazards MRI: monitors artifacts MRI: thermal burns MRSA treatment Multiple myeloma: symptoms Multiple sclerosis: exacerbation Multiple sclerosis: peri-operative management Multiple sclerosis: risk of pulmonary complications Muscle relaxation: anaesthetic agents Muscle relaxants: benzodiazepine Muscle relaxants: drug interactions Muscle relaxation: mechanism Myasthenia: muscle relaxant effects Myasthenia: physiology Myasthenia gravis: postoperative management Myasthenia gravis: pre-operative risk evaluation Myasthenic Syndrome vs myasthenia gravis: surgery Myelomeningocele: associated anomalies Myocardial ischaemia: intra-operative diagnosis/treatment Myocardial ischaemia: acute MR Myocardial ischaemia: Beta-blockers Myocardial O2 consumption: determinants Myocyte repolarisation: ionic flow Myofascial pain: diagnosis Myofascial pain syndrome: diagnosis Myotonic dystrophy: aspiration risk Myotonic dystrophy: intra-operative management Myotonic dystrophy: pre-operative evaluation 1 February 2016 N • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • N2O & intraocular gas Nalbuphine: plateau effect mechanisms Nasal fibre-optic intubation National Practitioner Database Nd: YAG laser characteristics Neck anatomy: 2D ultrasound Needle stick injury management Negative pressure pulmonary oedema: physiology Neonatal apnoea: hypoxaemia physiology Neonatal bradycardia: treatment Neonatal hypoxia: physiology Neonatal nasal CPAP: mechanism Neonatal resuscitation and meconium Neonatal resuscitation: medication Neonatal vs adult cardiac physiology Neonate: duration of post-anaesthesia monitoring Neostigmine: max dose rationale Neostigmine: muscarinic effects Nerve action potential termination mechanism Nerve block landmarks Nerve block: stimulation current vs distance Neuraxial anaesthesia: cardiovascular effects Neuraxial opioids: action site Neuraxial opioids: tolerance Neuromuscular block: vecuronium Neuromuscular blocking agents in CRF Neuromuscular disease: suxamethonium hyperkalaemia Neuromuscular diseases: muscle pain Neuropathic pain: pathophysiology Neuropathic pain: treatment Neutral thermal environment: advantages Newborns: dehydration assessment Nitric oxide: toxicity Nitroglycerin: uterine relaxation Nitroprusside toxicity: blood chemistry Nitroprusside toxicity: treatment Nitrous oxide: bowel distention Nitrous oxide: CBF and CMRO2 Nitrous oxide: closed spaces NM transmission: ions NMB & hyperparathyroidism NMB: drug interactions NMB: rhabdomyolysis NMB reversal: assessment NMB: site of action NMB: volatile agent interaction NMBs: ED95 definition NMBs in CRF NMB in Eaton-Lambert syndrome NMJ: anticholinesterase function 1 February 2016 • • • • • • NMJ AChR upregulation causes NO haemodynamic effect Norepinephrine: CV effects Nosocomial infections: treatment NPO guidelines NPO recommendation: infants 1 February 2016 O • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • O2 del to tissues: factors impacting O2 delivery to fetus in labour O2 delivery vs PaO2 O2 delivery vs PaO2 (21%) O2 desaturation causes: neonate O2 diffusion during exercise O2 E cylinder O2 release O2 transport: quantitative aspects Obesity: airway evaluation Obesity: suxamethonium dosing Obstructive sleep apnoea: diagnosis Oculocardiac reflex: afferent path Odds ratio calculation Oesophageal sphincter tone: anaesthetic drugs Office-based anaesthesia: guidelines Old MI: pre-operative risk assessment Oliguria: diagnosis OLT: hypocalcaemia mechanism Ondansetron: side effect One lung ventilation: O2 desaturation treatment One lung ventilation: indications Opioid conversion: IV and IT Opioid metabolism Opioid neurotoxicity: treatment Opioid reversal Opioid tolerance: symptoms Opioid: prodrug Opioids and aging Opioids: renal failure OR costs: labour vs materials Oral clonidine Organ donation: process Organ donor and lungs: Management Organ donor: bradycardia treatment Organ donor: treatment of DI Organophosphate poisoning: diagnosis and treatment Osteomyelitis: diagnosis Outpatient surgery contraindications Oxygen delivery index determinants Oxygen delivery: factors impacting Oxygen delivery: pipeline vs cylinder Oxygen regulator: characteristics Oxygen saturation: PaO2 Oxygenation during one-lung ventilation Oxytocic drugs: indications Oxytocin: electrolyte effects 1 February 2016 P • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • P50 of hemoglobin: factors influencing Pacemaker and electrocautery Pacemaker designation Pacer lead placement: ECG morphology PACU bypass: rationale PACU bypass: Stage I bypass criteria Pain management: rib fracture Pain terms Paired vs unpaired t-test PaO2: temperature correction Paraplegia: autonomic hyperreflexia Parasympathetic: cardiac innervation Parasympathetic nervous system: ganglia Parathyroidectomy: Cx Parenteral nutrition: indications Parental presence: indications Parental presence: induction Patent ductus arteriosis: diagnosis PCA basal infusion and paediatric patients PCA clinical advantages PCEA labour analgesia PDA repair: recurrent laryngeal nerve injury PDPH: prevention Peak vs plateau airway pressure Pediatric circuit: dead space Paediatric circuit: work of breathing Paediatrics: airway management Paediatrics: foreign body aspiration Paediatrics: postoperative regional analgesia Paediatrics: pre-operative anxiety Paediatrics: sleep apnoea risk factors Paediatrics: warming techniques PEEP to treat hypoxia PEEP: effect on PAOP PEEP: lung volume effect PEEP: LV effects Pericardial effusion Periodic paralyses: hyperglycaemia Peri-operative anaphylaxis etiology Peri-operative antihypertensive drug management Peri-operative beta-blockade: risks Peri-operative insulin: effects Peri-operative DNR Peri-operative renal failure: predictor Peri-operative risk of MI Peripartum changes in CO Peripheral compartment syndrome: diagnosis Peripheral nerves: anatomy Peripheral nerves: sensory vs motor Peripheral oxygen delivery 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Peripheral TPN complications Persistent fetal circulation: causes PFTs: DLCO PH buffering: bicarbonate Phantom limb pain treatment Pharmacodynamics of vecuronium in infants Pharmacokinetics: genetic variability Pharmacology in the elderly Pharyngeal reflex: innervation Phase II depolarising blockade Phases of labour Phenytoin: ion channels Phenytoin: neuromuscular block effect Pheochromocytoma: hypertension treatment Pheochromocytoma: diagnosis markers Pheochromocytoma: pre-operative preparation Pheochromocytoma: treatment of HTN Phrenic nerve stimulation: side effects Physician impairment: referral Pin index safety system Pituitary adenoma: deficiencies Placenta accreta: risk factors Placental ion exchange Placental transfer: anaesthetic drugs Placental transfer: anticholinergic Placental transfer: local anaesthetics PLT inhibitor drugs: tirofiban mech Pneumoperitoneum: physiological effects POCD: predictors Poiseuille’s law: IV fluids Polymorphic VT: treatment PONV: after paediatric surgery PONV: paediatric patients vs adults PONV: prevention in children PONV: prophylaxis PONV: risk factors PONV: treatment Porphyria: anaesthetic risks Positive type and screen treatment Post CPB management: SVR Post herpetic neuralgia: prevention Post spinal back ache Postcardiac transplant patient Post-CPB creatinine increase: differential diagnosis Postdural puncture headache: risk factors Postherpetic neuralgia: treatment Postherpetic neuralgia: risk factors Postobstructive pulmonary oedema Postoperative apnoea: post conceptual age Postoperative ATN: differential diagnosis Postoperative blindness: aetiology 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Postoperative blindness: diagnosis Postoperative cardiac event: risk factors Postoperative diabetes insipidus: treatment Postoperative hepatic dysfunction: risk factors Postoperative hypotension: pulmonary embolism Postoperative jaundice: differential diagnosis Postoperative nausea: treatment Postoperative neuropathy: lateral position Postoperative oliguria: endocrine causes Postoperative oliguria: cause Postoperative SIRS/sepsis: diagnosis Postoperative uterine atony: causes Postoperative ventilation Post-tonsillectomy complications Power analysis for sample size Power analysis: study design Practice standards: definition Pre-term labor: treatment Predictor difficult intubation Pre-eclampsia: complications Pre-eclampsia: lab abnormalities Pre-eclampsia: placental effects Pregnancy: IC Pregnancy: haemostasis Pregnancy: aspiration risk vs time Pregnancy: asthma Pregnancy: asthma + uterine atony Pregnancy: gastric function Pregnancy: GE reflux mechanism Pregnancy: haematological changes Pregnancy: haemodynamic effects Pregnancy: heme and electrolyte changes Pregnancy: inhalation induction Pregnancy: laboratory measurements Pregnancy: lung volumes Pregnancy: plasma proteins Pregnancy: SVT therapy Premedication: side effects Pre-operative anxiolysis in children Pre-operative ECG: indications Pre-operative evaluation: American College of Cardiology Guidelines Pre-operative renal failure: predictors Pre-operative testing: Bayes theorem Pre-optic anterior hypothalamus: diagnosis Prerenal oliguria: diagnosis Prerenal oliguria: diagnosis/treatment Pressure support ventilation Pressure vs volume ventilation: ICU Preterm labour and surgery Prevention of ventilator associated pneumonia Primary pulmonary HTN and pregnancy 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • Prolonged NMB risk factors Propofol infusion syndrome: diagnosis Propofol: mechanism of action Propofol: administration guidelines Prostaglandin for congenital heart: diagnosis Protamine reaction: prevention Protein synthesis: stress induced Pseudocholinesterase synthesis Pseudotumour cerebri: LP effect Pulmonary diffusing capacity Pulmonary aspiration treatment Pulmonary embolism Pulmonary embolism: diagnosis Pulmonary embolism: diagnostic tests Pulmonary embolism: pathophysiology Pulmonary function: ALS Pulmonary hypertension: diagnosis Pulmonary vs SVR: calculation Pulseless Vtach: treatment Pyloric stenosis: electrolytes Pyloric stenosis: fluid therapy Pyloric stenosis: metabolic abnormality 1 February 2016 Q • • QT prolongation with anti-emetics Quality measures: patient care 1 February 2016 R • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • R vs L IJ cath complications Radiation exposure vs distance Radiculopathy: steroid epidural Recovery of neuromuscular function in different muscles Recurrent laryngeal nerve injury Reflex bronchoconstriction: neurons Refractory haemophilia Refusal of blood transfusion Regional anaesthesia: mechanism of injury Regional anaesthetics: low molecular weight heparin Renal blood flow: receptor type Renal failure: CPB surgery Renal failure: electrolytes Renal failure: peri-operative preservation Renal failure: platelet function Renal insufficiency: diagnosis Renal insufficiency: hyperkalaemia Renal replacement treatment: patient selection Renal transplant: ATN prevention Renal transplant: mannitol Renin-angiotensin CV physiology Respiratory alkalosis: renal compensation Respiratory distress syndrome: effects (paediatrics) Respiratory function: dead space Respiratory quotient: energy sources Restrictive lung disease: diagnosis Retrobulbar block: haemodynamic effect Retrobulbar vs peribulbar block Rheumatoid arthritis: complications Ritodrine: effects Robotic prostatectomy: contra-indications Root cause analysis: essential elements Ruptured diaphragm: diagnosis Ruptured diaphragm: treatment 1 February 2016 S • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Saline: hyperchloraemic acidosis Saphenous nerve block Saphenous nerve damage: signs SBE prophylaxis SBE prophylaxis: indications Sciatic nerve block: anatomy Sciatic nerve block: contra-indication SE vs SD calculation Second gas effect Seizure disorders Selective digestive decontamination Sensitivity and specificity Sentinel event: definition Sepsis: vasopressin Septic shock: fluid resuscitation Septic shock: hypotension treatment Septic shock: stress response mediators Septic shock: treatment Septic shock: vasopressin therapy Sevoflurane uptake: infant vs adult Shock: pulmonary embolism Shock states: differential diagnosis Shunt: effect of increased FiO2 SIADH: electrolytes SID: hyperchloraemic acidosis Side effects of etomidate Side effects of tocolytics Significance of U/S probe frequency Sildenafil: drug interactions Sinus surgery: spheno ganglion Sinus tachycardia: management Sites of NO production Sitting position: BP measurement Smoking cessation: acute effects Smoking cessation: acute physiology Smoking cessation: P50 effect Soda lime exhaustion: management Somatic pain vs visceral pain Spinal anatomy: anterior spinal artery syndrome Spinal anaesthesia anatomy: paramedian Spinal anesthaesia: complications Spinal anaesthesia: premie indications Spinal anesthesia complications: MRI indications Spinal anaesthesia spread: factors Spinal anaesthetics: anatomy Spinal anaesthetics: neonatal indications Spinal anaesthetics: severe bradycardia Spinal anaesthetics: transient neurological symptoms Spinal block: infant vs adult Spinal cord: anatomy 1 February 2016 • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Spinal cord: blood flow Spinal cord: stimulation indications Spinal cord stimulator: reprogramming Spinal hypotension: treatment Spinal microcatheters Spinal stenosis: diagnosis Spine osteomyelitis: diagnosis Spironolactone: side effects SpO2: effect of methemoglobin SpO2: carbon monoxide Spread of epidural anaesthesia SSEP latency: anaesthetic drugs SSEP monitoring: anaesthetic effects SSEP: physiological effects Standard deviation: definition Statins in sepsis Statistical analysis: power Statistical tests: sensitivity Statistics: ANOVA indications Statistics: median Statistics: test of proportions Stellate ganglion block: anatomy Stellate ganglion block: effects Steroid prophylaxis: indications Stress response: metabolic effect Stress response: lipolysis Stroke volume: atrial fibrillation effects Strong ion difference: etiology Study design: blinding Sub-ambient pressure alarm Subarachnoid bleed: ECG effects Subarachnoid haemorrhage: nimodipine Subarachnoid haemorrhage: complications Subdural injection: symptoms Subglottic drainage ETT: indication Suxamethonium: contra-indications Suxamethonium: lower oesophageal sphincter pressure Suxamethonium: normal K increase Suxamethonium: side effects Suxamethonium and bradycardia Suxamethonium in Guillain Barre Syndrome Suxamethonium in neuromuscular disease Superior laryngeal nerve anatomy Surgery risk during pregnancy Surgical stimulation: effect on MAC SvO2 physiology Sweat glands: innervation Symptomatic bradycardia: treatment Synchronised electrical cardioversion Systolic vs diastolic heart failure: diagnosis 1 February 2016 1 February 2016 T • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Tachydysrhythmias: treatment TAP block: anatomy TAVI: complications TCD: utility in CEA TE fistula: ETT positioning TEE: aortic valve TEE: contraindications TEE: diagnosis: hypotension TEE: tamponade vs hypovolemia TEE: ventricular wall anatomy TEE views: perfusion distribution TEE views: perfusion distribution (22%) TEF: other abnormalities TEG: decreased MA diagnosis/treatment TENS: indications Tension pneumothorax: diagnosis and treatment Tet spell: pharmacological treatment Tetanus: pathophysiology Tetralogy of Fallot treatment Tetralogy of Fallot: decreased SpO2 Thiopental termination of action Thiopental therapeutic coma Thiopental: CMRO2/CBF relationship Thoracoscopy: hypoxaemia treatment Thyroid surgery and hypocalcaemia Thyroid surgery: RLN monitoring Thyroidectomy: complications Thyrotoxicosis: treatment Time constant definition Time units definition Torsade de Pointes: treatment Total knee replacement: regional anaesthesia techniques Tourniquet deflation TPN: discontinuation complications TPN: metabolic effects TPN: phosphorous deficiency TPN: respiratory quotient Trachoesophageal fistula: associated anomaly TRALI: findings on CXR TRALI: leukopaenia TRALI: presentation TRALI: treatment Tramadol: pharmacology Transcutaneous pacing Transcutaneous pacing modes Transdermal fentanyl indications Transducer Transfusion mortality: causes Transfusion reaction: management Transfusion reaction: lab findings 1 February 2016 • • • • • • • • • • • • • • • • • • • • • Transfusion: leukoreduction Transfusion: bacterial sepsis Transphenoidal surgery: DI treatment Traumatic brain injury: management Traumatic brain injury: CPP Treatment: intracranial hypertension in CHF Treatment: peri-operative SVT Treatment: antithrombin 3 deficiency Trigeminal neuralgia Trigeminal neuralgia: treatment Trigger point injections: indications Tumescent anesthesia Cx Tumescent liposuction: complications Tumescent liposuction: lidocaine dose TURP solutions: neurological complications TURP syndrome: treatment TURP: benefit of spinal TURP: irrigating fluid complications Treatment hypertension: Parkinson’s Type and screen Type I statistical error: definition 1 February 2016 U • • • • • • • • • • • • • • • • • Ultrasonography: internal jugular Ultrasound anatomy: supraclavicular block Ultrasound structures: echogenicity Ultrasound: acoustic impedance Uncuffed ETT: max leak pressure Unilateral blindness: aetiology Upper airway anatomy Upper extremity nerve blocks: indications Upper extremity: regional management Upper extremity: tourniquet pain prevention Uptake and distribution: infant vs adult Uptake and distribution: pregnancy Uptake of inhaled anesthetics: V/Q mismatch Uterine atony Uterine blood flow determinants Uterine relaxation techniques Uterine tone and anaesthetics 1 February 2016 V • • • • • • • • • • • • • • • • • • • • • • • • • • V/Q mismatch: emphysema Vapour pressure Vaporiser output at altitude Vaporiser output calculation Vasodilator: pharmacodynamics Vasodilator: pharmacokinetics Vasodilators: renal blood flow Vasopressin: pharmacology Vasopressin treatment: diabetes insipidus Vasopressors: risk of myocardial ischemia VE/PaCO2 relationship: hypoxia Vecuronium: PD in geriatric patients Venous air embolism Ventilation modes: pressure waveform Ventilator: low tidal volume Ventilator associated pneumonia management Ventilator disconnect: detection Ventilator settings: atelectasis Ventilatory response at altitude Ventricular hypertrophy Ventricular PV loops Verapamil dantrolene interaction VF: epinephrine mechanism Volume controlled ventilation Von Willebrand disease: treatment VQ mismatch: causes 1 February 2016 W • • • Wall oxygen failure: signs WHO analgesic ladder Work of breathing: neonate vs adult 1 February 2016 X 1 February 2016 Y 1 February 2016 Z 1 February 2016