10 Random Questions
Which of the following nerves should be blocked for an operation at the medial aspect of the lower leg?
(A) Femoral
(B) Sciatic
(C) Obturator
(D) Common peroneal
(E) Tibial
Reveal Answer
In children with preoperative upper respiratory tract infection, which of the following is associated with the greatest risk for postoperative airway obstruction?
(A) Age less than 1 year
(B) Endotracheal intubation
(C) Head and neck surgery
(D) Inadequate airway humidification
(E) Surgery for more than two hours
Reveal Answer
ADVANCED
Pediatric
Six months after repair of a lacerated peroneal nerve, a patient has electric-shock-like pain when pressure is applied to the middle of the gastrocnemius muscle. The most appropriate initial management is
(A) administration of carbamazepine
(B) epidural injection of morphine
(C) local infiltration with bupivacaine
(D) lumbar sympathetic blockade
(E) peroneal nerve blockade
Reveal Answer
ADVANCED
Regional & Pain
Which of the following statements best describes the decrease in functional residual capacity that accompanies the induction of general anesthesia?
(A) It does not change compliance
(B) It is greater with spontaneous ventilation than with controlled ventilation
(C) It is independent of body position
(D) It is not corrected by application of positive end-expiratory pressure
(E) It occurs within the first 10 minutes of anesthesia
Reveal Answer
BASIC
Respiratory & Critical Care
General
A 58-year-old woman with rheumatoid arthritis and hyperactive gag reflex requires awake intubation prior to cervical spine stabilization. Which of the following regional nerve blocks is most appropriate?
(A) Deep cervical plexus
(B) Glossopharyngeal nerve
(C) Hypoglossal nerve
(D) Superior laryngeal nerve
(E) Trigeminal nerve
Reveal Answer
ADVANCED
Regional & Pain
Optimal ventilation of a newborn with congenital diaphragmatic hernia should consist of
(A) PaCO2 30 mmHg, low tidal volumes
(B) PaCO2 30 mmHg, high tidal volumes
(C) PaCO2 40 mmHg, low tidal volumes
(D) PaCO2 40 mmHg, high tidal volumes
(E) PaCO2 45 mmHg, low tidal volumes
Reveal Answer
ADVANCED
Pediatric
Which of the following is the most appropriate treatment of methemoglobinemia prior to emergency surgery?
(A) Hydroxocobalamin
(B) Methylene blue
(C) Oxygen by face mask
(D) Packed red blood cells
(E) Thiosulfate
Reveal Answer
BASIC
General
Which of the effects of epidural morphine is most resistant to intravenous naloxone?
(A) Analgesia
(B) Nausea
(C) Pruritus
(D) Respiratory depression
(E) Urinary retention
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Measurement of which of the following provides the most reliable information about the severity of bronchospasm?
(A) Diffusing capacity
(B) Expiratory reserve volume
(C) Forced expiratory volume in 1 second
(D) Residual volume
(E) Total lung capacity
Reveal Answer
BASIC
Respiratory & Critical Care
Which of the following is most likely to decrease uterine tone?
(A) Administration of isoflurane 1%
(B) Administration of nitrous oxide 50%
(C) Intravascular injection of 5 ml of 0.5% bupivacaine
(D) Intravenous administration of ketamine 2 mg/kg
(E) Paracervical block with 20 ml of 1% lidocaine
Reveal Answer
ADVANCED
OB