A 26-year-old woman has persistent uterine bleeding following a normal spontaneous delivery without anesthesia. The uterus is firm on manual examination. Which of the following anesthetics is most appropriate for manual extraction of the placenta?
(A) Halothane
(B) Pudendal block with lidocaine
(C) Subarachnoid tetracaine
(D) Thiopental
(E) Vecuronium
A
A 6-year-old child with severe cerebral palsy is scheduled for general anesthesia. He is at increased risk for each of the following EXCEPT
(A) gastroesophageal reflux
(B) hypersensitivity to central nervous system depressants
Four days after subarachnoid hemorrhage and surgical clipping of a cerebral aneurysm, a patient develops cerebral artery vasospasm. Appropriate treatment includes each of the following EXCEPT
(A) administration of nimodipine
(B) controlled hypertension
(C) hemodilution to hematocrit of 33%
(D) hyperventilation to PaC02 of 25 to 30 mmHg
(E) increasing preload
D
Which of the following is suggestive of epiglottitis rather than croup?
(A) A 2-year-old child with a harsh, barking cough
(B) A 4-year-old child who insists on sitting up and leaning forward
(C) Leukocyte count of 10,000/mm3 with marked lymphocytosis
(D) Rectal temperature of 38.5°C
(E) Subglottic narrowing (steeple sign) on lateral neck radiograph
During induced hypotension for clipping of a cerebral aneurysm in a 20-degree head-up position, the arterial pressure transducer should be zero referenced at which level?
(A) External auditory meatus
(B) Midaxillary line at the fifth intercostal space
(C) Sternal notch
(D) Thyroid cartilage
(E) Top of the cranium
A
Which of the following is more likely to occur with use of trimethaphan to induce hypotension than with use of nitroprusside?
(A) A predictable decrease in mean arterial pressure