10 Random Questions
A patient has decreased lung compliance and hypoxemia after a 30-minute episode of laryngospasm following extubation. The most likely cause is
(A) allergic reaction to the anesthetic
(B) altered alveolar-capillary membrane permeability
(C) anesthetic-induced lymphatic dysfunction
(D) increased pulmonary capillary pressure
(E) negative pulmonary interstitial hydrostatic pressure
Reveal Answer
BASIC
Respiratory & Critical Care
General
Recommendations for maximal allowable trace anesthesia gases are based on
(A) achievable levels with modern scavenging systems
(B) data from animal studies
(C) data on methionine synthetase levels in anesthesiologists
(D) evidence for an association with malignancy in anesthesiologists
(E) evidence for an association with spontaneous abortion In operating room personnel
Reveal Answer
BASIC
Equipment & Physics
The duration of action of an induction dose of thiopental is determined primarily by its
(A) rate of elimination
(B) rate of metabolism
(C) redistribution from brain to fat
(D) redistribution from brain to muscle
(E) hepatic extraction
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Compared with healthy persons, patients with myasthenic (Eaton-Lambert) syndrome have increased
(A) resistance to vecuronium
(B) response to neostigmine during reversal of muscle paralysis
(C) sensitivity to succinylcholine
(D) susceptibility to development of malignant hyperthermia
(E) weakness with repetitive activity
Reveal Answer
A 75-year-old man with aortic stenosis and coronary artery disease has a preinduction heart rate of 68 bpm and blood pressure of 125/70 mmHg. After induction of anesthesia with fentanyl, midazolam, and pancuronium, heart rate is 90 bpm and blood pressure is 85/45 mmHg. ECG shows a new ST-segment elevation in lead II. Which of the following is the most appropriate initial management?
(A) Ephedrine
(B) Epinephrine
(C) Esmolol
(D) Nitroglycerin
(E) Phenylephrine
Reveal Answer
ADVANCED
General
Which of the following malfunctions causes the line isolation monitor to alarm?
(A) Discharge of static electricity
(B) Flow of current to ground in the isolated circuit
(C) Interruption of current to electrical outlets caused by a circuit breaker
(D) Surge of current in the main power supply
(E) Total electrical current exceeding circuit capacity
Reveal Answer
BASIC
Equipment & Physics
The most common early indication of drug dependence in an anesthesiologist is
(A) a positive finding on random screening of urine
(B) inconsistency between anesthetic and drug control records
(C) change in behavior
(D) incapacitation due to overdose
(E) the presence of needle tracks on the extremities
Reveal Answer
BASIC
General
During general anesthesia, a patient has the acute onset of atrial fibrillation with rapid ventricular response and hypotension to 50 mmHg systolic. The most appropriate treatment is
(A) cardioversion
(B) digoxin
(C) esmolol
(D) ouabain
(E) verapamil
Reveal Answer
BASIC
General
Which of the following statements concerning cerebral vasospasm following intracranial hemorrhage is true?
(A) It is accompanied by paradoxical intracranial hypotension
(B) It responds to nitroprusside therapy
(C) It persists more than 48 hours after hemorrhage
(D) It is exacerbated by intravascular volume expansion
(E) It is confirmed by ST-T wave changes in the absence of myocardial ischemia
Reveal Answer
Intractable pain due to unresectable pancreatic carcinoma is most effectively treated with
(A) bilateral neurolytic intercostal blocks at T10-12
(B) bilateral sympathetic blocks with phenol
(C) celiac plexus block with alcohol
(D) epidural block with phenol
(E) subarachnoid block with alcohol
Reveal Answer
ADVANCED
Regional & Pain