PRINCIPLES 3: EXAM 2 QUESTIONS AND
ANSWERS 2022 SOLUTIONS
12. 7 year old comes in for ex lap after falling out of a tree. Initial VS: HR 156, BP 110/90 (?), RR 35.
After getting to the OR, HR 67, BP 76/50, RR 12.
a. CO is rate dependent in children
b. HR falls as shock progresses
c. Bradycardia indicates: hypoxia, increased ICP, impending arrest
d. Tachycardia indicates 10% blood loss and should be assumed to be from shock in the child
Correct Answer: A,c,d
Burn that involves muscle, fascia, and bone?
Who is most likely to sustain burn injury? Choose 2
Three risk factors determine the death rate?
Causes of hypothermia in burn? Choose 3
Fluid shifts in burns? Choose 2 Correct Answer: 4th degree burn
1 yr of age and 80 year old
a. Inhalation injury
b. Burn size exceeding 40% of TBSA,
c. Age greater than 60 years
a. Cold fluids
b. Decreased insulation
c. Forms of heat loss (radiation, conduction, convection, evaporation)
a. Fluid losses are greatest in the first 12 hrs after the burn and then begin to stabilize after 24 hrs
b. IF resuscitation is successful, edema formation stops within 18-24 hrs
What would you expect the hct and RBCs to do in the first few hrs in a burn patient? Choose 2
White, mottled, waxy skin is what?
5 year old burn: head, front part of abdomen, front part of RLE?
What medications would you avoid in a patient with a burn 48 hrs ago? Correct Answer: a. Hct
elevated first 48 hours
b. Red blood cells are elevated
a. Partial Thickness/Second degree burn
a. 48%?
, Reglan and Succ
41. Calculate drip rate over the first eight hours for a 70 kg man with 40% burn using Parkland
formula.
4 mL/kg/% burn
4 x 70 x 40 = 11,200
Give half in first eight hours → 5,600 → drip rate per hour (5,600/8) = 700 mL/hr Correct Answer: a.
700 mL/hr
Can't remember exact question, but asked about a trauma patient and what would the next move be?
Older lady found at the bottom of the stairs with altered mental status. What would you consider first
after trauma? Choose 2 or 3
Anatomic features of children that increase susceptibility to trauma? Choose 3
Most important therapeutic maneuvers in the tx of head trauma is to? Choose 3 Correct Answer: a.
Secure airway, secondary assessment, assess hemodynamic status
a. Hypoxia
b. Shock
c. Electrolyte imbalance/low blood glucose?
a. Large tongue
b. Larger head to body ratio
c. Flat faces
a. Normalize ICP
b. Normalize CPP
c. Oxygen delivery
True about spinal cord injuries? Choose 3 or maybe it was 4?
Management of acute spinal injury? Choose 4
a. Stabilize head and neck during DL
b. Volatile and IV anesthetics are satisfactory
c. Succinylcholine is contraindicated → false, it can be used in first few hours
d. Muscle relaxant should be based on operative site and level of injury
e. Should not use N2O or use with great caution Correct Answer: a. MCC is trauma
b. Spinal shock = loss of neurologic function
c. Neurogenic shock = low blood pressure
A,b,d,e
Anesthesia for Laparoscopic surgery:
Surgical approach & positioning
○ In contrast to other insufflation gasses, such as helium and nitrous oxide, ____ has a desirable
safety profile
○ Pressure control ventilation is best due to?
ANSWERS 2022 SOLUTIONS
12. 7 year old comes in for ex lap after falling out of a tree. Initial VS: HR 156, BP 110/90 (?), RR 35.
After getting to the OR, HR 67, BP 76/50, RR 12.
a. CO is rate dependent in children
b. HR falls as shock progresses
c. Bradycardia indicates: hypoxia, increased ICP, impending arrest
d. Tachycardia indicates 10% blood loss and should be assumed to be from shock in the child
Correct Answer: A,c,d
Burn that involves muscle, fascia, and bone?
Who is most likely to sustain burn injury? Choose 2
Three risk factors determine the death rate?
Causes of hypothermia in burn? Choose 3
Fluid shifts in burns? Choose 2 Correct Answer: 4th degree burn
1 yr of age and 80 year old
a. Inhalation injury
b. Burn size exceeding 40% of TBSA,
c. Age greater than 60 years
a. Cold fluids
b. Decreased insulation
c. Forms of heat loss (radiation, conduction, convection, evaporation)
a. Fluid losses are greatest in the first 12 hrs after the burn and then begin to stabilize after 24 hrs
b. IF resuscitation is successful, edema formation stops within 18-24 hrs
What would you expect the hct and RBCs to do in the first few hrs in a burn patient? Choose 2
White, mottled, waxy skin is what?
5 year old burn: head, front part of abdomen, front part of RLE?
What medications would you avoid in a patient with a burn 48 hrs ago? Correct Answer: a. Hct
elevated first 48 hours
b. Red blood cells are elevated
a. Partial Thickness/Second degree burn
a. 48%?
, Reglan and Succ
41. Calculate drip rate over the first eight hours for a 70 kg man with 40% burn using Parkland
formula.
4 mL/kg/% burn
4 x 70 x 40 = 11,200
Give half in first eight hours → 5,600 → drip rate per hour (5,600/8) = 700 mL/hr Correct Answer: a.
700 mL/hr
Can't remember exact question, but asked about a trauma patient and what would the next move be?
Older lady found at the bottom of the stairs with altered mental status. What would you consider first
after trauma? Choose 2 or 3
Anatomic features of children that increase susceptibility to trauma? Choose 3
Most important therapeutic maneuvers in the tx of head trauma is to? Choose 3 Correct Answer: a.
Secure airway, secondary assessment, assess hemodynamic status
a. Hypoxia
b. Shock
c. Electrolyte imbalance/low blood glucose?
a. Large tongue
b. Larger head to body ratio
c. Flat faces
a. Normalize ICP
b. Normalize CPP
c. Oxygen delivery
True about spinal cord injuries? Choose 3 or maybe it was 4?
Management of acute spinal injury? Choose 4
a. Stabilize head and neck during DL
b. Volatile and IV anesthetics are satisfactory
c. Succinylcholine is contraindicated → false, it can be used in first few hours
d. Muscle relaxant should be based on operative site and level of injury
e. Should not use N2O or use with great caution Correct Answer: a. MCC is trauma
b. Spinal shock = loss of neurologic function
c. Neurogenic shock = low blood pressure
A,b,d,e
Anesthesia for Laparoscopic surgery:
Surgical approach & positioning
○ In contrast to other insufflation gasses, such as helium and nitrous oxide, ____ has a desirable
safety profile
○ Pressure control ventilation is best due to?
