Anesthesia Hub -

10 Random Questions

Compared with dopamine, dobutamine

(A) is more useful in patients taking monoamine oxidase inhibitors because it depends on the release of norepinephrine for its effect
(B) is more useful in patients in right heart failure because it does not increase pulmonary vascular resistance
(C) has no positive chronotropic response
(D) induces diuresis without increasing cardiac output
(E) in doses greater than 10 mcg/kg/min increases systemic vascular resistance more than similar doses of dopamine

BASIC Pharmacology & Pharmacokinetics Cardiac

A 28-year-old woman receives a lumbar epidural anesthetic for uncomplicated labor and delivery. During removal of the catheter, 1 cm breaks off and remains in her back. After informing the patient, the most appropriate management is

(A) no intervention unless symptoms occur
(B) prophylactic antibiotics
(C) epidural corticosteroids
(D) dye contrast study of the epidural space
(E) neurosurgical exploration

ADVANCED OB Regional & Pain

Compared with adults, caudal anesthesia in children is associated with

(A) higher risk for subarachnoid puncture
(B) more severe hypotension
(C) more rapid onset of sensory block
(D) smaller volume of anesthetic per kilogram of body weight
(E) toxic effects at lower serum levels of bupivacaine

ADVANCED Pediatric Regional & Pain

In an infant, spinal anesthesia to a sensory level of T8 is achieved with tetracaine administered at the L2-3 interspace. Compared with spinal anesthesia to the same sensory level in an adult, this anesthetic is associated with a

(A) greater decrease in blood pressure
(B) higher risk for neurotoxicity
(C) higher risk for systemic toxicity
(D) lower risk for spinal cord injury
(E) shorter duration of action

ADVANCED Pediatric Regional & Pain

Which of the following statements regarding carbon monoxide poisoning is true?

(A) Breathing 100% oxygen at 1 atmosphere reduces the carboxyhemoglobin half-life
(B) Effective treatment includes administration of methylene blue
(C) It is commonly associated with respiratory acidosis
(D) It is incompatible with a normal Sp02 while breathing room air
(E) The oxyhemoglobin dissociation curve is shifted to the right

ADVANCED Respiratory & Critical Care General

Assignment of a patient to an ASA physical status category is used to

(A) facilitate comparisons among different patient groups and institutions
(B) guide the choice of anesthetic technique
(C) permit accurate determination of charges for professional services
(D) predict anesthetic risk
(E) predict perioperative mortality

BASIC General

If a patient with chronic obstructive pulmonary disease is uncooperative during pulmonary function testing, the most accurate assessment of his disease will be derived from the

(A) forced expiratory volume in 1 second
(B) forced midexpiratory flow
(C) forced vital capacity
(D) maximal voluntary ventilation
(E) peak flow rate

ADVANCED Respiratory & Critical Care

A 26-year-old woman has headache, nausea, and photophobia 36 hours after cesarean delivery for chorioamnionitis using subarachnoid block. Temperature is 38.8°C and leukocyte count is 14,200/mm3. Which of the following is the most appropriate next step in management?

(A) Oral ibuprofen
(B) Intravenous caffeine sodium benzoate
(C) Intravenous hydration
(D) Epidural blood patch
(E) Diagnostic lumbar puncture

ADVANCED OB

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

Each of the following conditions causes resistance to nondepolarizing neuromuscular blockade EXCEPT

(A) chronic severe infections
(B) major burns
(C) myotonia congenita
(D) prolonged immobilization
(E) upper motor neuron injury

BASIC Pharmacology & Pharmacokinetics