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CRNA Board Review--Neuromuscular
CRNA Board Review
33
Nursing
Graduate
01/02/2010

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Cards

Term
What NMBA can cause ganglionic blockade?
Definition
D-tubocurarine
Term
What is the earliest sign of MH?
Definition
Increased ETCO2
Term
What does neomycin do to a NDMBA? DMBA?
Definition
Prolongs both
Term
What does penicillin do to NDMBAs?
Definition
Nothing
Term
What is the main cause for the termination of the effects of NE at the nerve junction?
Definition
Reuptake
Term
What are two drugs to avoid in the patient taking MAOI's?
Definition
Demerol and ephedrine (demerol the most)
Term
Blood pressure at rest is primarily controlled by what hormone?
Definition
Renin
Term
Where does clonidine act in the central nervous system and the peripheral nervous system?
Definition
CNS--post-synaptic alpha 2
PNS--pre-synaptic alpha 2
Term
Which second messenger promotes bronchoconstriction?
Definition
IP3
Term
What is trimethaphan?
Definition
Its a ganglion blocker that is sometimes used as an anti-hypertensive and is metabolized by pseudocholinesterase
Term
Which anti-cholinesterase least depresses the action of pseudocholinesterase?
Definition
Edrophonium
Term
Which nerve fibers carry proprioception?
Definition
A-alpha
Term
Which nerve fibers carry pain and temperature?
Definition
A-delta
Term
What nerves originate in the intermediolateral horn of the spinal cord?
Definition
sympathetic preganglionic neurons
Term
What nerves pass through the gray rami communicans?
Definition
sympathetic post ganglionic neurons
Term
What spinal cord tract modulates pain?
Definition
dorsolateral
Term
Pain afferent nerve fibers enter the dorsal cord and ascend or descend 1-3 segments in what tract?
Definition
Tract of Lissauer
Term
Pain transmitted from the periphery by A-delta fibers terminate primarily in Rexed's lamina:
Definition
I and V
Term
What neurotransmitter is released from the A-delta fibers?
Definition
Glutamate
Term
What neurotransmitter is released from C fibers?
Definition
Substance P
Term
What is naltrexone?
Definition
An opioid antagonist
Term
Describe the path of CSF in the head
Definition
Choroid plexus-->lateral ventricles-->foramina of munro-->third ventricle-->aqueduct of sylvius-->fourth ventricle-->formania of Lushka and Magendie-->subarachnoid spinal chord-->brain-->arachnoid villi
Term
If the right lateral spinothalamic tract is severed at C4, what sensations are lost and where?
Definition
Pain and temp on the left side of the body
Term
What substance decreases the release of Substance P in the spinal cord?
Definition
enkephalin
Term
Where does epidural morphine work?
Definition
In the substantia gelatinosa
Term
What brain region controls events in the substantia gelatinosa?
Definition
periventricular/periaquaductal gray
Term
What area of the brain mediates spinal analgesia after administration of an intravenous opioid?
Definition
periventricular/periaquaductal gray of brainstem
Term
The minimum stump pressure demonstrating that the brain will be adequately perfused during carotid endarterectomy is:
Definition
60 mmHg
Term
Which fontanelle closes at about two years of age?
Definition
Posterolateral
Term
What gland is found in the sella turcica?
Definition
The pituitary
Term
e p
Definition
Term
Cerebral steal is also known as
Definition
Luxury perfusion
Term
Which cranial nerve controls the muscles of chewing?
Definition
V (trigeminal)
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