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Kaplan Qbank USMLE



Author7 Posts
  #1

which of the following is likely to DECREASE the minimum alveolar concentration of an anesthetic ?



a) Hyperthermia b) Hypernatraemia c) Hyponatraemia d) Hypercapnia e) Thyrotoxicosis


  #2

my semi -educated guess is hyponatremia

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Smell the coffee! "Is That an Osler move??"

  #3



  #4

hyponatremia is the answer..


FACTORS THAT INCREASE MAC
Hyperthermia
Hypernatraemia
Sympathoadrenal stimulation
Chronic alcohol abuse
? Chronic opioid abuse
Increases in ambient pressure
Hypercapnia
Decreasing age
Thyrotoxicosis

FACTORS THAT DECREASE MAC
Nitrous oxide
Hypothyroid/myxoedema
Hypocapnia
Hypothermia-decrease is roughly linear
Hyponatraemia
Increasing age - (MAC Hal < 3 months ~ 1.1 % MAC Hal > 60 years ~ 0.64 %)
Hypoxaemia
Hypotension
Anaemia
Pregnancy
CNS depressant drugs - opioids,
benzodiazepines, major tranquilizers, TCA's
Other drugs - lithium, lidocaine, magnesium, methyl dopa, clonidine
Acute alcohol abuse


  #5

Huge list, isn't it

  #6

Is there a concept in this or r we just suppose to memorize this list????


  #7

same here!!!! Are we supposed to memorize the list???







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