Anesthesia Hub -

10 Random Questions

A patient has tonic movements of the head and neck, nystagmus, and slurred speech after receiving metoclopramide for nausea after nitrous oxide-opioid anesthesia. The most appropriate pharmacologic treatment is

(A) diphenhydramine
(B) midazolam
(C) naloxone
(D) phenytoin
(E) physostigmine

ADVANCED Pharmacology & Pharmacokinetics

A 78-year-old man who is scheduled for an inguinal hernia repair has a preoperative ECG showing left bundle branch block. He has had no symptoms of cardiovascular disease. This ECG finding most likely indicates

(A) cardiac disease
(B) the need for spinal anesthesia
(C) an electrolyte disturbance
(D) the need for insertion of a temporary pacemaker
(E) a normal finding in a patient of this age

BASIC General

A patient has hoarseness after undergoing surgery involving the aortic arch. The most likely cause is an injury to which of the following nerves?

(A) Glossopharyngeal
(B) Left recurrent laryngeal
(C) Right recurrent laryngeal
(D) Left superior laryngeal
(E) Right superior laryngeal

ADVANCED General Regional & Pain

Each of the following can produce adequate analgesia for the first stage of labor EXCEPT

(A) subarachnoid morphine
(B) epidural bupivacaine
(C) pudendal block with lidocaine
(D) paracervical block with lidocaine
(E) lumbar sympathetic block with lidocaine

Which of the following is an effect of hypothermia in neonates?

(A) Decreased duration of neuromuscular blockade
(B) Increased narcotic requirements
(C) Increased pulmonary vascular resistance
(D) Metabolic alkalosis
(E) Shivering

ADVANCED Pediatric

In clinical anesthesia practice, the term "informed consent" is best described as a legal concept in which patients

(A) agree to anesthesia care based on full disclosure of facts needed to make the decision intelligently
(B) are told of all possible risks of anesthesia and anesthetic procedures
(C) delegate all decisions regarding anesthesia care to the anesthesiologist
(D) release the physicians from liability
(E) sign global consent forms for surgical procedures that cover the administration of anesthesia care

BASIC General

You are asked to evaluate a 2000-g male infant three hours after vaginal delivery because of a respiratory rate of 50/min, pulse rate of 115 bpm, and the following arterial blood gas values while breathing room air: PaO2 64 mmHg, PaCO2 43 mmHg, and pH 7.33. His mother received meperidine 75 mg two hours before delivery. Appropriate management includes

(A) administration of naloxone 50 mcg intramuscularly
(B) increasing the FiO2 to 0.4
(C) intubation and mechanical ventilation at an FiO2 of 0.5
(D) administration of oxygen 50% with 5 cm H2O continuous positive airway pressure
(E) observation, with no action at present

ADVANCED Pediatric

Compared with the adult airway, the neonatal airway has which of the following characteristics?

(A) More cephalad larynx
(B) Narrowest diameter at the vocal cords
(C) Relatively smaller epiglottis
(D) Smaller tongue relative to the size of the oral cavity
(E) Vocal cords perpendicular to the trachea

ADVANCED Pediatric

Which of the following situations is most likely related to paraplegia following repair of a descending thoracic aortic aneurysm?

(A) Decreased cerebrospinal fluid pressure
(B) Epidural hematoma
(C) Hypertension proximal to the aortic cross clamp
(D) Improper placement of surgical retractors
(E) Prolonged aortic cross-clamp time

ADVANCED General

A 6-year-old boy with spina bifida and a chronic indwelling urinary catheter has severe hypotension and hypoxemia during augmentation cystoplasty. Which of the following is the most likely cause?

(A) Autonomic neuropathy
(B) Disseminated intravascular coagulation
(C) Latex allergy
(D) Urinary sepsis
(E) Venous air embolism