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