A rapid shallow ventilatory pattern is most energy efficient for a patient who
(A) has a low ratio of forced expiratory volume in one second to vital capacity (FEV^VC)
(B) has a high ratio of tidal volume to vital capacity, and diminished vital capacity
(C) has increased pulmonary compliance
(D) is using the accessory muscles of respiration
(E) has increased airway resistance
B
A 45-year-old man is scheduled for exploratory laparotomy. Six months ago, he received doxorubicin (Adriamycin) therapy for testicular cancer. This patient is at increased risk for
A 62-year-old patient who is undergoing femoral-popliteal arterial bypass grafting during general anesthesia develops supraventricular tachycardia. Heart rate is 165 bpm and blood pressure is 90/50 mmHg. Which of the following is the LEAST appropriate treatment of the tachycardia?
(A) Adenosine
(B) Esmolol
(C) Phenylephrine
(D) Procainamide
(E) Verapamil
D
An 18-year-old patient with hemophilia A is scheduled for inguinal hernia repair. Preoperatively, factor VIII concentration is 60% of normal. The most appropriate management is administration of
(A) fresh frozen plasma
(B) cryoprecipitate
(C) factor VIII concentrate
(D) vitamin K
(E) none of the above
E
Which of the following complications is the primary cause of neurologic deficit following carotid endarterectomy?
Following transfusion of packed red blood cells during general anesthesia, the patient's blood pressure decreases, heart rate and temperature increase, and hemoglobinuria and diffuse oozing are observed. Which of the following is the most appropriate first step in management?
During a right lower lobe resection, SpO2 decreases from 99% to 70% after institution of one-lung ventilation. FiO2 is 1.0. The most appropriate management is to
(A) administer an inhaled bronchodilator
(B) apply continuous positive airway pressure to the right lung
(C) apply positive end-expiratory pressure to the left lung