MOCA Keywords
PHARMACOLOGY PHYSICS, MONITORING, ANES DELIVERY DEVICES
Alkalinization of lidocaine AICD: Perioperative management
Anaphylaxis: Therapy Airway pressure alarms
Antibiotic prophylaxis: PCN reactions Arterial waveform: Periph vs central
Benzodiazepine antagonism Bispectral index: Efficacy
Bupivacaine cardiac toxicity CO2 absorbent drying: Effects
Burns: Resistance to NMBs Common gas outlet check valve
Cefazolin administration Diffusion hypoxia
Codeine resistance DDx Double burst vs. train of four
Congenital methemoglobinemia E cylinder O2 volume
Context sens half-time: Opioids ESU dispersive pad: Purpose
Desflurane vap.: Heating rationale ETCO2 – PACO2 gradient
Etomidate: CNS effects ETCO2 and esophageal intubation
Etomidate: Physiol effects Etomidate administration
Hemodialysis: End-stage renal disease Evoked potentials: Anes effects
High spinal: Clinical findings Fresh gas flow: Insp concentration
Inhaled anesthetics: Fluoride Helium in airway obstruction
Intrathecal lidocaine: Side effects Hypothermia: ABG effects
Intrathecal opioid spread Inhalation agents: Resp depression
Isoflurane effect on HPV Inhalation agents: Wake-up
Isoflurane: Cerebral blood flow Isoflurane wake-up time
Ketamine: Physiologic effects Laminar vs. Turbulent gas flow
Ketorolac: Renal function Low pressure leak test
Latex allergy: anesth implications Mech vent airway press patterns
Local anes: Methemoglobinemia Mech vent in asthma: I:E ratios
MAC: Age-related changes Metoprolol: Intravenous administration
Malignant hyperthermia: Presentation Monitoring for residual NMB
Methemoglobinemia: Rx Monophasic vs. Biphasic defib
MH Hx: Anes management NIBP: Sources of error
MH: Dantrolene indications Noninvasive ventilation techniques
MH: Ryanodine receptor Oscillometric BP meas: Principles
Muscle relaxants: Histamine release Oxygen pipeline problems: Dx
Myoclonus: Induction agents Pacemaker nomenclature
N2O and hematopoiesis Pacemeaker: Standard nomenclature
Neostigmine side effects Peak alveolar pressure measurement
Nerve block: Bicarbonate effect Pressure control vent cycling
Neural blockade: Bicarbonate Pulse oximetry artifact: Cause
NMB reversal end points Second gas effect
PCN rash: Antibiotic selection Sevo: Fire hazard
Pharmacokinetics: Lidocaine Soda lime exhaustion Rx
Prolonged ventilation: Myoneuropathy TEE: Acute myocardial ischemia
Protamine reactions: Treatment Turbulent gas flow physics
Remifentanil pharmacokinetics Ultrasound physics: Frequency
Seizure provocation: IV anesthetics Vaporizer function
Spinal anes: Transient neurol Sx Vaporizer safeguards
Succinylcholine after neostigmine Volatile agents: CO toxicity
Succinylcholine hyperkalemia risk factors Wall O 2 failure: Signs
Succinylcholine in children
Succinylcholine: Contraindications for use
Time to spont vent after tpl/sux
Vol anes uptake: Determinants
Volatile anesthetics: Induction
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ANATOMY ANESTHESIA PROCEDURES, METHODS,
Peroneal N blockade: Popliteal fossa TECHNIQUES (cont.)
Spinal needle: Paresthesia DDx Airway exch cath advantages
Transtracheal jet vent anat Alveolar gas equation: Hypercarbia
Ultrasound for IJ: Advantages ASA Guidelines: Sedation
Brachial artery cannulation Cx
ANESTHESIA PROCEDURES, METHODS, Carbon monoxide poisoning
TECHNIQUES Double lumen tube: Auscultation
ASA PS classification Effects: Tube in trachea
Attempted CSE but no CSF Endobronchial intubation: Position change
Autonomic drugs: Gastric emptying Fluid resus: Crystalloid vs colloid
Bier block: Early tourniquet release GA: Heat loss prevention
Cervical plexus block Cx Hiatal hernia: Ketorolac
Comp epidural anes: Pneumocephalus Intraop hypothermia: Prevention
Cor pulmonale: Preop findings Lactated Ringer's: Metabolic effects
Endotracheal tube: Respiratory rate Laryngeal injury: Airway mgmt
Epi + local anes: B-blockade effect Laryngospasm complications
Epidural anes test dose: Effects Lithotomy position: Nerve injury DDx
Epidural hematoma Dx LMA cuff leak Rx
Epidural test dose: ß-blocker effect LMA indications
Head trauma: Anesthetic management MAO inhibitor-pressor interaction
Hypoxemia in lateral position: Cause Monitored anes care: Hypoventilation
Interpretation: ABG Nasogastric tube
Interscalene block: Phrenic paralysis PCA: Basal infusion effects
Intravenous regional nerve block: Cardiac effects PONS injury: Resp effects
IV vs. epidural morphine PONV prophylaxis
Laparoscopy hypoxemia DDx Poor larynx visualization: Diseases
Lat fem cutan nerve block anatomy Position nerve injury: Lower extrem
Local anesthetic reactions: DDx Postop hoarseness: Mechanisms
Metformin: Contrast dye Postop respiratory distress: Cause
Midazolam: Side effects Pulmonary edema: Rx
Myocard ischemia: Indicators Rheumatoid arthritis: Cx of intubation
Neurofibromatosis and intubation Sedation: ASA guidelines
Postdural puncture headache: Parturients Supplemental block: Saphenous
Preop cardiac eval guidelines Thorac epidural: Drug combinations
Preop cardiac risk: Old MI
Preop cardiac risk: Surg procedure HEMATOLOGY
Preop cardiac testing: LBBB effect Acute isovolemic hemodilution: Physiol
Pulmonary fibrosis: Bleomycin therapy Anticoagulants and epidural
Recovery from spinal anesthesia Autologous predonation: Risks
Retained epidural catheter: Mgmt Autologous vs allogenic blood
SAB: Neurologic sequelae Blood transfusion: Viral Cx
Saphenous nerve distribution Citrate toxicity: Rx
Scopolamine delirium Rx Daunorubicin toxicity
Spinal anes: Bradycardia resusc Doxorubicin: Anesth implications
Spinal anesth: PFTs Hemolytic transfusion Rxn signs
Spinal cephalgia: epidemiology LMW heparin characteristics
Spinal spread: Factors influencing Massive blood loss: FFP
Spinal-epidural anesthesia Massive transfusion + coagulation
Spread of LA during SAB: Factors Massive transfusion: Coagulopathy
Stellate block side effects Transfusion anaphylactoid reaction
Stellate ganglion blk: Effects Transfusion avoidance: Periop options
Subarachnoid space: Injection of air Transfusion in neonates
Tibial nerve block: Distribution Transfusion: Viral transmission
Tracheal trauma: Airway mgmt Von Willebrand’s disease: Perioperative mgmt
Volume vs pressure ventilators in ICU Warfarin: Urgent reversal
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RESPIRATORY SYSTEM CARDIOVASCULAR SYSTEM (cont.)
Advanced age: Pulm parameters HOCM: Hypotension management
Anesthetic management: Lung disease Hypoxemia during delib hypotension
Apneic oxygenation physiology IHSS: Rx of hypotension
ARDS: Techniques of ventilation Increased SvO2: cause
ARDS: Ventilation management Inguinal hernia: Preoperative evaluation
Art O2 content and VO2: Physiology Ischem changes: Intraop ECG settings
Arterial blood gas analysis Mediastinoscopy intra-op Cx
Awake intubation: Airway anesthesia Metabolism of vasodilators
Bronchopleural fistula: Mgmt Mitral regurgitation: Anesthetic drugs
Bronchoscopy: Tube placement Mitral stenosis: Anesth mgmt
Comb Resp / metab pH disturbance Myocard ischemia: Intra-op Rx
Controlled ventilation: Hemodynamics Myocard O2 supply:demand ratio
COPD: CO diffusion Myocardial ischemia, tachycardia: Rx
Effects of PEEP on pul edema Myocardial ischemia: ECG
Hypoxia: Physiologic responses Myocardial ischemia: Physiologic factors
Inadequate O2 delivery Dx Neonatal art line: Hypovolemia Dx
Lung function tests: Airway obstr Nicardipine: Hypotension
Mixed SvO2 determinants Nicardipine: Severe hepatic insufficiency
Moderate sedation definition Nitroglycerin toxicity
Multiple rib fractures: Analgesia mgmt Nitroprusside toxicity signs
Myasthenic syndrome: NMB effects Norepinephrine hemodynamic effects
One-lung vent: Hypoxemia mgmt Normovolemic hemodil: CV compensation
Oxygen physiol: HGB and CAO2/CVO2 Pacing modes: Stroke volume
PEEP Perioperative cardiac risk modification: Drugs
Pressure support vent: Mechanism Phenylephrine administration
Pulmonary embolus physiology Phenylephrine: Spectral-edge frequency
Scleroderma: PFT changes Post-cardiac tplt autonomic pharmacology
Superior laryng N block effects Predictors of myocardial risk
Transcricoid local anesthetics: Effects Right vent O2 supply phys
Ventilation: Airway pressure Sevoflurane anesthesia: Hypovolemia
Stroke after CPB: Risk factors
CARDIOVASCULAR SYSTEM TEE: Hypotension DDx
Amiodarone: Toxic pulmonary effects Thermodilution CO: Inaccuracy sources
AV gradient: Determinants Vfib: Drug Rx
BP measurement: Site WPW: Common dysrhythmias
CAD: Intraop ischemia mgmt
CAD: Preoperative evaluation GASTROINTESTINAL/HEPATIC
Cardiac innervation: Nerve blocks Biliary obstruction: Jaundice
Cardiac morbidity: Orthopnea Diarrhea: ABG effects
Cardiomyopathy: Atenolol Immunosuppressants: Anesth consid
Cardiopulmonary bypass: Milrinone Liver disease: Synthetic function Dx
Carotid endarterec: EEG slowing Rx Liver failure: Signs and tests
Central-to-peripheral art pressure changes Periop coagulopathy mgmt
Cerebral ischemia during carotid endart: Mgmt Pickwickian syndrome: ABGs
Coagulopathy: Blood component Rx Postop jaundice: Causes
Coagulopathy: Platelets TPN: Intraoperative effects
Coronary anat: Reg wall motion Dx
Coronary circulation and TEE
CPB rewarming temperature progression
CPB venous return
CPB: Noncoronary collateral flow
CPB: Renal failure
Defibrillation: Influencing factors
Descending thoracic aortic surg: CNS Cx
Dopamine hemodynamic effects
ECG interpretation: Delta waves
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CENTRAL AND PERIPHERAL NERVOUS CENTRAL AND PERIPHERAL NERVOUS SYSTEMS
SYSTEMS (cont.)
Abnormal ECG: Catecholamines Spinal cord anatomy
Acute mgmt spinal shock Spinal shock management
Air embolization Dx: Devices SSEP latency prolongation: DDx
Anesthesia injection: Axillary sheath SSEP monitoring: Dx/Rx
Atropine: Respiratory distress SSEPs: Systemic physiol disturbances
Autonomic hyperreflexia hemodynamics Subarachnoid block: ECG changes
Autonomic hyperreflexia: Prevention Superf cervical plexus block anat
Axillary block limitations: Mgmt Sux hyperkalemia: Inherited diseases
Axillary block: Indications T2 spinal: Respiratory arrest mechanism
Beta blocker side effects Terbutaline side effects
Brain death: Definition Vasopressors in sepsis
Brain death: Dx Venous air embolism: Ultrasonography
C7-8 spinal injury effects
Carbon monoxide poisoning: Labs RENAL/URINARY
Carotid surg: EEG interpretation Acid-base: Complex abnormalities
CBF: Clinical determinants COPD: ABG abnormalities
CBF: Factors influencing Head trauma: Hypervent compensation
Central anticholinergic syndrome: Rx Intraoperative oliguria evaluation
Cerebral edema: Blood-brain barrier Lithotripsy: Shock wave timing
Cerebral perfusion pressure determ Morphine metabolites: Renal failure
Cerebral vasospasm characteristics Nicardipine side effects
Cerebral vasospasm mgmt Normal saline: Acidosis
Cerebral vasospasm: Rx Postoperative acid-base disorders
Cerebrospinal fluid: Intracranial pressure Postoperative renal failure
Cholinergic crisis: Rx Renal failure: Opioid admin
CNS injury management Renal insufficiency: Fluid mgmt
CO poisoning: Hyperbaric O2 Turp: Bladder perforation
CO poisoning: Rx
Cord transection: Mass reflex ENDOCRINE/METABOLIC
CPB and temp measurements Diabetes insipidus: Dx
Deliberate hypoten: Isoflurane vs SNP Diabetes: Hyperglycemia preop mgmt
Detection of venous air emboli Elective surgery: Preop hyperglycemia mgmt
Dexmedetomidine: Hemodynamic effects Hypercalcemia preop management
EEG burst suppression: Causes Hypocalcemia after parathyroidectomy
Epilepsy surgery: Anes drugs Hypothyroidism Rx: Occult CAD
Evoked potentials: Anesthetics Phenoxybenzamine: Phys effects
Glycopyrrolate effects Pre-op extreme hyperglycemia: Type I DM
Heat loss during GA Rx: Hypercalcemia
Heat nociceptors Thyroidectomy: Post-op Cx
Indication: Sup hypogast plexus block Trauma: Oliguria DDx
Intracranial aneurysm hemorrhage Type 2 diabetes: Periop mgmt
Intracranial aneurysm rupture: Rebleed DDx Uncontrolled diabetes: Intraop Rx
Intracranial aneurysm: CSF drainage
Intracranial compliance measurement NEUROMUSCULAR DISEASES AND DISORDERS
Intracranial pressure: Diuretics Amyotrophic lateral sclerosis: PFTs
Lung protect vent: Pressure goal MS: Periop exacerbation
Metabolic factors: Neurol outcome Myasthenia gravis: Relaxant potency
Metoclopramide: Extrapyram Rxn mgmt Myasthenic crisis Rx
Pedi hyperkalemic C-arrest: Causes Myasthenic crisis: Edrophonium
Phenylephrine: Cerebral blood flow NM blockers: Drug interactions
Pontine surgery: Hemodynamic effects
Post-craniotomy DI: Mgmt
Pressors and preload
Regional anesth: Knee replacement
Signs of autonomic hyperreflexia
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PAINFUL DISEASE STATES PEDIATRIC ANESTHESIA
Celiac block effects Anes uptake: Infant vs adult
Chronic pain: CRPS Sx and signs Calcium chloride
Clonidine: Morphine tolerance Caudal block anatomy
Complex regional pain syndrome I Croup: Radiographic Dx
CRPS I early findings Down syndrome: Airway
Fibromyalgia: Dx Hypovolemia clinical signs
Intrathecal narcotics: Tolerance Infant airway anatomy
Ketamine analgesic mechanism Infant fluid replacement
Liposom-encaps morphine: Advantages Infant: BP and HR during halothane
Low back musculoskel pain Rx Infant: Respiratory physiology
Lumbar radiculopathy: Epid steroids Lactated Ringer's solution: Fluids
Lumbosacral radiculopathy mgmt Masseter rigidity and MH
Neuraxial opioids action site Methemoglobinemia: EMLA
Neuraxial opioids: Onset Neonatal persistent fetal circulation
Neurolytic intercost blk indications Neonatal apnea: O2 desaturation
Pancreatic cancer pain Rx Neonatal surgery: Hypothermia prevention
Pelvic cancer pain: Mechanism Neonatal thermoregulation
Postherpetic neuralgia: Location Omphalocele repair: Hypovolemia Dx
Proximal amputation: Phantom limb pain Pediatric URI: Elective surgery
Spinal stim: Indications Peds emergence delirium: Risk factors
Stellate ganglion block: Signs Peds PONV Rx
Stellate ganglion nerve block Peds: Circle system advantages
Tramadol drug interactions Persistent fetal circ: Pathophys
Trigeminal neuralgia: Pharmacotherapy Pierre-Robin anatomy
PONV prophylaxis: Children
OTOLARYNGOLOGY (ENT) ANESTHESIA Premedication in children: Midazolam
Airway fire: Management Premie apnea prevention
Inspired gases: Combustibility Premie postop apnea risk factors
Jet vent: Air entrainment phys Respiratory physiol: Neonates vsvs. adults
Laryngotracheal injury: Airway mgmt Succinylcholine: Bradycardia
Laser: ETT & fire prevention Sux hyperkalemia: Dx/Rx
Systemic-pulmonary artery: Anes consid
ANESTHESIA FOR PLASTIC SURGERY, Trisomy 21: Anes implications
LIPOSUCTION Volatile anes overdose: Infants
Liposuction complications
Liposuction: Lidocaine concentration TRAUMA, BURN MANAGEMENT, MASS CASUALTY,
Tumescent anes: Lidocaine dose BIOLOGICAL WARFARE
Airway burn mgmt
ANESTHESIA FOR LAPAROSCOPIC SURGERY C-spine injury risk assessment
Laparoscopy + Tberg: Physiologic effects Tension pneumothorax: Intraop mgmt
Laparoscopy: Hemodynamic effects
Laparoscopy: Hypercarbia DDx ETHICS, PRACTICE MANAGEMENT, MEDICOLEGAL
Laparoscopy: Hypotension DDx ISSUES
Laparoscopy: Hypoxemia DDx Ethics: Disclosure
Maintenance of Cert requirements
OPTHALMOLOGIC ANESTHESIA Medication error prevention
Oculocardiac reflex management OR management: Time definitions
Retrobulbar block complications Sentinel event definition
Retrobulbar block Cx
Retrobulbar block: Complications
ORTHOPEDIC ANESTHESIA
Bone marrow embolus: Hypotension mgmt
Effects of tourniquet release
Tourniquet pain prevention: Legs
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AMBULATORY SURGERY GERIATRIC ANESTHESIA/AGING
Amb surg: Unplanned admission Aging: Cardiac physiology
Amb surgery contraindications Aging: Pharmacodyn: Anes drugs
Amb surgery: Pregnancy testing Aging: Respiratory effects
Ambulatory surg SAB additives Geriatric periop risk predictors
Outpatient anesth: Delayed discharge Oliguria and PPV DDx/Rx
Outpt procedures: Pt selection Scopolamine patch: Elderly Pt Cx
PACU Stage I bypass criteria Scopolamine: CNS effects
Spinal anesthesia: Delayed recovery
CRITICAL CARE
OBSTETRICAL ANESTHESIA Septicemia hemodynamics Dx/Rx
Air embolism & cesarean section SvO2: Septic shock
Anes during pregnancy: PCO2 mgmt Vasopressin in septic shock
Aspiration pneumonia mgmt
C-section GA: Unable to intubate ELECTROCONVULSIVE THERAPY
Diabetes: Pregnancy Cx ECT: Physiol changes
DM in pregnancy: Cx ECT: Slow awakening DDx
Emerg C-section/asthma: GA mgmt
Epidural opioids for labor ORGAN DONORS: PATHOPHYSIOLOGY AND
Fetal beat-to-beat variability MANAGEMENT
Fetal HR monitoring Brain death: Electrolytes
FHR tracing: Uteroplacent perfusion
Hypotensive syndrome: Fetal distress RADIOLOGIC PROCEDURES: ANESTHETIC
Maternal-fetal oxygen transport IMPLICATIONS
MgSO4/eclampsia: Implications Contrast nephropathy prevention
Neonatal blood gas analysis Contrast Rxn Rx
Neonatal resuscitation MRI: Anes monitors
Neonatal resuscitation: Meconium MRI: Monitoring artifacts
Nerve injury: Forceps delivery
Oxytocin side effects PHYSICIAN IMPAIRMENT OR DISABILITY
Placental transfer: Determinants Chemical dependence signs
Pregnancy respiratory phys Physician impairment: Referral
Pregnancy: Physiologic changes Substance abuse: Relapse risk
Pregnancy: Spinal anesthesia spread
Pregnancy: Supine hypotension phys.
Ritodrine: Side effects
Rocuronium: Placental pharmacology
Second stage labor: Analgesia options
Succinylcholine: Placenta
Supine hypotension physiol
Uterine atony and asthma: Mgmt
Uterine atony Rx: Asthma
Uterine atony/bleeding mgmt
Uterine relaxing agents
Valvular heart disease: Pregnancy
Venous air embolism
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