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
C
A 75-kg, 45-year-old patient with quadriplegia at the level of C6 is scheduled for elective cholecystectomy. Pulmonary function tests show an FVC of 2.4 L and an FEV, of 1.2 L. Which of the following is the most appropriate conclusion based on these findings?
(A) Intercostal muscle function is normal
(B) SpO, will be 80% or less while breathing room air
(C) Total lung capacity is normal
(D) The patient has chronic obstructive pulmonary disease
A 35-year-old patient with asymmetric septal hypertrophy (IHSS) is undergoing bladder suspension with sevoflurane 1%, nitrous oxide 50%, and oxygen 50%. Immediately after skin incision, blood pressure decreases to 90/60 mmHg and junctional tachycardia of 150 bpm is noted on the ECG. Which of the following is the most appropriate management?
A 20-year-old man is scheduled for emergency laparotomy for an abdominal stab wound. Ten minutes after induction with oxygen, thiopental, and succinylcholine, blood pressure is 220/120 mmHg and esophageal temperature is 39°C. ST-segment depression of 4 mm is noted in ECG lead V5. Which of the following is the most likely cause?
(A) Adrenal laceration
(B) Cocaine intoxication
(C) Inadequate anesthesia
(D) Malignant hyperthermia
(E) Small cardiac puncture
B
A patient has a decrease in heart rate from 80 to 50 bpm and a decrease in blood pressure from 140/90 to 60/40 mmHg while in the recovery room after adrenalectomy for pheochromocytoma. The most appropriate treatment is administration of