CPAN EXAM NEWEST 2024 ACTUAL EXAM NEWEST
EXAM COMPLETE 350 QUESTIONS ANDCORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
restrictions following AICD placement - ANSWER: no driving for 6 months, limited
arm movement on affected side until site is healed, bed rest for 6-18 hours, no MRIs
risk of jaw thrust when LMA is in place - ANSWER: may displace LMA cuff and cause
laryngospasm, malposition, or obstruction of the airway
How quickly does nitroprusside start to work? Duration? - ANSWER: 30-60 seconds,
peaks in 1-2 mins and duration is 2-5 mins
What is the risk of long-term nitroprusside use? What are symptoms of this? -
ANSWER: Cyanide is released into the bloodstream when it is used, which is then
converted into thiocyanate by the liver. Signs/symptoms=fatigue, nausea, anorexia,
muscle spams, disorientation.
Most common type of sickle cell crisis - ANSWER: Vasoocclusive
When assessing a patient post-op who had foot drop pre-op, you should assess
whether they are able to _______ their foot. - ANSWER: dorsiflex
Hypothermia is defined as a core temp <_______ degrees celsius. - ANSWER: 36
Why is active warming important for an infant post-op? - ANSWER: They are unable
to shiver, relying on brown fat thermogenesis for heat production. This requires an
increase in metabolism which can lead to hypoxia, hypoglycemia and metabolic
acidosis.
What affect does alkalosis have on respiratory drive? - ANSWER: It deceases the
respiratory drive and leads to episodes of apnea. The body is attempting to retain
CO2 to correct the imbalance.
maintenance fluid rate for an infant 1-10 kg - ANSWER: 4 ml/kg
adjustments to diet/meals for post-op gastric bypass patients - ANSWER: small (less
than 30 ml), frequent low-calorie meals. fluids taken separately from solids.
What types of food can encourage dumping syndrome? - ANSWER: high-calorie
liquids, soft foods such as ice cream, easily dissolvable foods like cookies and bread,
and foods that can obstruct such as meats, pastas and citrus food membranes
normothermia in celsius - ANSWER: 36-38
, safe oral dose of versed - ANSWER: 0.25-0.50 mg/kg, up to a max dose of 20 mg.
Usually starts to work in 20-30 mins
treatment of chronic subdural hematomas - ANSWER: evacuation of the
accumulated blood through multiple burr holes or a craniotomy incision
How are chronic subdural hematomas often noted in older adults? - ANSWER: not
usually a direct causative injury but rather progressive mental or personality changes
are noted
baseline preoperative neurological assessment would include... - ANSWER: vital
signs, LOC, pupillary response, skin color and temperature
ways of mitigating chances of severe PONV - ANSWER: will need a multimodal
response--P6 accupoint stimulation, drinking clear fluids up until 2 hours before
arrival for surgery. 5 ounces of clear fluids has been shown to stimulate peristalsis
and facilitate gastric emptying. No longer necessary to encourage the patient to be
NPO for 8 hours prior.
What anesthetic agent may cause the patient to exhibit photosensitivity in PACU?
Why? - ANSWER: glycopyrrolate (robinul)--d/t anticholingeric effects, can cause
mydriasis (dilation of pupil) resulting in photophobia
most common placement for ICP monitoring, as well as other possible locations -
ANSWER: anterior horn of the lateral ventricles, numbers 1 and 2.
other possibilities: subarachnoid space, epidural or subdural spaces
ICP monitoring is the standard of care for patients at risk for: - ANSWER: intracranial
HTN
What is a possible complication s/p ERCP? - ANSWER: pancreatitis can occur as a
result of common bile duct exploration. will present with excessive pain, vomiting,
fever and jaundice
Each kidney contains 1.2 million _______, the functional unit of the kidney. Each one
contains a _______, the vascular segment enclosed in Bowman's capsule. - ANSWER:
nephron, glomerulus
Site of 65% of resorption of filtered solutes and water - ANSWER: proximal tubule
reabsorbs 25% of the glomerular filtrate and is a mechanism for sodium and water
reabsorption, which controls urine concentration and conservation - ANSWER: loop
of Henle
EXAM COMPLETE 350 QUESTIONS ANDCORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
restrictions following AICD placement - ANSWER: no driving for 6 months, limited
arm movement on affected side until site is healed, bed rest for 6-18 hours, no MRIs
risk of jaw thrust when LMA is in place - ANSWER: may displace LMA cuff and cause
laryngospasm, malposition, or obstruction of the airway
How quickly does nitroprusside start to work? Duration? - ANSWER: 30-60 seconds,
peaks in 1-2 mins and duration is 2-5 mins
What is the risk of long-term nitroprusside use? What are symptoms of this? -
ANSWER: Cyanide is released into the bloodstream when it is used, which is then
converted into thiocyanate by the liver. Signs/symptoms=fatigue, nausea, anorexia,
muscle spams, disorientation.
Most common type of sickle cell crisis - ANSWER: Vasoocclusive
When assessing a patient post-op who had foot drop pre-op, you should assess
whether they are able to _______ their foot. - ANSWER: dorsiflex
Hypothermia is defined as a core temp <_______ degrees celsius. - ANSWER: 36
Why is active warming important for an infant post-op? - ANSWER: They are unable
to shiver, relying on brown fat thermogenesis for heat production. This requires an
increase in metabolism which can lead to hypoxia, hypoglycemia and metabolic
acidosis.
What affect does alkalosis have on respiratory drive? - ANSWER: It deceases the
respiratory drive and leads to episodes of apnea. The body is attempting to retain
CO2 to correct the imbalance.
maintenance fluid rate for an infant 1-10 kg - ANSWER: 4 ml/kg
adjustments to diet/meals for post-op gastric bypass patients - ANSWER: small (less
than 30 ml), frequent low-calorie meals. fluids taken separately from solids.
What types of food can encourage dumping syndrome? - ANSWER: high-calorie
liquids, soft foods such as ice cream, easily dissolvable foods like cookies and bread,
and foods that can obstruct such as meats, pastas and citrus food membranes
normothermia in celsius - ANSWER: 36-38
, safe oral dose of versed - ANSWER: 0.25-0.50 mg/kg, up to a max dose of 20 mg.
Usually starts to work in 20-30 mins
treatment of chronic subdural hematomas - ANSWER: evacuation of the
accumulated blood through multiple burr holes or a craniotomy incision
How are chronic subdural hematomas often noted in older adults? - ANSWER: not
usually a direct causative injury but rather progressive mental or personality changes
are noted
baseline preoperative neurological assessment would include... - ANSWER: vital
signs, LOC, pupillary response, skin color and temperature
ways of mitigating chances of severe PONV - ANSWER: will need a multimodal
response--P6 accupoint stimulation, drinking clear fluids up until 2 hours before
arrival for surgery. 5 ounces of clear fluids has been shown to stimulate peristalsis
and facilitate gastric emptying. No longer necessary to encourage the patient to be
NPO for 8 hours prior.
What anesthetic agent may cause the patient to exhibit photosensitivity in PACU?
Why? - ANSWER: glycopyrrolate (robinul)--d/t anticholingeric effects, can cause
mydriasis (dilation of pupil) resulting in photophobia
most common placement for ICP monitoring, as well as other possible locations -
ANSWER: anterior horn of the lateral ventricles, numbers 1 and 2.
other possibilities: subarachnoid space, epidural or subdural spaces
ICP monitoring is the standard of care for patients at risk for: - ANSWER: intracranial
HTN
What is a possible complication s/p ERCP? - ANSWER: pancreatitis can occur as a
result of common bile duct exploration. will present with excessive pain, vomiting,
fever and jaundice
Each kidney contains 1.2 million _______, the functional unit of the kidney. Each one
contains a _______, the vascular segment enclosed in Bowman's capsule. - ANSWER:
nephron, glomerulus
Site of 65% of resorption of filtered solutes and water - ANSWER: proximal tubule
reabsorbs 25% of the glomerular filtrate and is a mechanism for sodium and water
reabsorption, which controls urine concentration and conservation - ANSWER: loop
of Henle
