Anesthesia Hub -

10 Random Questions

Unilateral or bilateral diaphragmatic paralysis is a complication of each of the following EXCEPT

(A) surgical ligation of a patent ductus arteriosus
(B) use of pericardial ice-slush for topical cardiac hypothermia
(C) stellate ganglion block
(D) interscalene brachial plexus block
(E) C6 cervical fracture-dislocation

ADVANCED General

A 24-year-old woman requires anesthesia for emergency repair of open fractures of the tibia and fibula. She used cocaine two hours ago. Blood pressure is 170/110 mmHg. Each of the following is useful in managing the hypertension EXCEPT

(A) hydralazine
(B) labetalol
(C) nitroprusside
(D) phentolamine
(E) propranolol

BASIC Pharmacology & Pharmacokinetics

Which of the following is an effect of hypothermia in neonates?

(A) Decreased duration of neuromuscular blockade
(B) Increased narcotic requirements
(C) Increased pulmonary vascular resistance
(D) Metabolic alkalosis
(E) Shivering

ADVANCED Pediatric

Which of the following is a characteristic of phase II neuromuscular block?

(A) It is diagnosed by the intravenous administration of calcium
(B) It is potentiated by edrophonium
(C) It produces nondepolarizing train-of-four characteristics
(D) It requires evaluation for pseudocholinesterase deficiency
(E) It requires less succinylcholine than a phase I block

BASIC Pharmacology & Pharmacokinetics

If administered prior to induction of anesthesia, which of the following drugs is most likely to cause tachycardia?

(A) Fentanyl
(B) Meperidine
(C) Midazolam
(D) Morphine
(E) Sufentanil

BASIC Pharmacology & Pharmacokinetics

Two hours after a colon resection, a 60-year-old woman with adult-onset diabetes mellitus is somnolent and has a blood glucose concentration of 612 mg/dl. Which of the following findings are most likely? (Sodium, Osmolality, Intravascular volume)

(A) 127, 280, High
(B) 127, 310, High
(C) 127, 330, Low
(D) 140, 280, Normal
(E) 140, 300, Low

Which of the following is an effect of metoclopramide?

(A) Decreased lower esophageal sphincter tone
(B) Decreased MAC for enflurane
(C) Extrapyramidal signs
(D) Increased gastric pH
(E) Relief of intestinal obstruction

BASIC Pharmacology & Pharmacokinetics

A patient becomes flushed, dyspneic, and hypotensive during transfusion of 1 unit of packed red blood cells in the PACU. After discontinuing the transfusion, the most appropriate next step is administration of

(A) aminophylline
(B) cimetidine
(C) diphenhydramine
(D) epinephrine
(E) hydrocortisone

BASIC Transfusions & Fluids General

A 60-kg, 70-year-old man requires open reduction and internal fixation of an intertrochanteric fracture sustained 24 hours ago. Serum creatinine concentration is 1 mg/dl and blood urea nitrogen concentration is 40 mg/dl. The most likely cause of these findings is

(A) acute tubular necrosis
(B) chronic renal insufficiency
(C) dehydration
(D) obstruction of the bladder outlet
(E) recent gastrointestinal hemorrhage

BASIC General

Which of the following is most likely to increase hepatic blood flow during general anesthesia?

(A) Addition of positive end-expiratory pressure
(B) Discontinuation of isoflurane and administration of enflurane
(C) Increased PaCO2
(D) Moderate controlled hypotension
(E) Subarachnoid administration of morphine

BASIC General