10 Random Questions
A woman has weakness of the right quadriceps and a decreased knee jerk reflex on the right one day after forceps delivery under epidural anesthesia. The most likely cause is
- (A) epidural hematoma
- (B) intrapelvic nerve trauma
- (C) lithotomy positioning
- (D) reaction to the preservative in the anesthetic solution
- (E) trauma from the epidural needle
A 55-year-old woman receiving chronic dialysis for renal failure comes to the emergency department with a perforated viscus. She has chest pain. Heart rate is 124 bpm, blood pressure is 90/60 mmHg, and respiratory rate is 18/min. Surgery is to be performed within the hour. Which of the following best describes this patient's ASA physical status classification?
- (A) III
- (B) III E
- (C) IV
- (D) IV E
- (E) V E
The tracing shown is from a femoral artery catheter. Which of the following is the most likely explanation?
- (A) An air bubble greater than 1 ml is in the tubing
- (B) The diastolic pressures is factitiously high
- (C) Mean blood pressure is inaccurate
- (D) The monitoring system is underdamped
- (E) Systolic pressure in the aortic arch exceeds 200 mmHg
A patient with moderate hypothyroidism and unstable angina requires urgent coronary artery bypass grafting. Which of the following is most appropriate before proceeding with the operation?
- (A) Initiation of epinephrine infusion
- (B) Intramuscular administration of a barbiturate
- (C) Intravenous administration of triiodothyronine (T3)
- (D) Intravenous administration of thyroxine (T4)
- (E) Treatment of myocardial ischemia
Inhibition of labor by terbutaline causes each of the following maternal side effects EXCEPT
- (A) hyperkalemia
- (B) hypotension
- (C) ventricular dysrhythmias
- (D) hyperglycemia
- (E) pulmonary edema
Three hours after total thyroidectomy, a 33-year-old man develops inspiratory stridor. The most likely cause is
- (A) hematoma formation
- (B) tracheomalacia
- (C) tetany
- (D) recurrent laryngeal nerve injury
- (E) superior laryngeal nerve injury
Fresh frozen plasma is indicated in each of the following situations EXCEPT
- (A) after rapid transfusion of 1.5 L CPD-stored red blood cells
- (B) antithrombin III deficiency
- (C) replacement of factor VIII
- (D) reversal of warfarin effect
- (E) thrombotic thrombocytopenic purpura
A 58-year-old woman with rheumatoid arthritis and hyperactive gag reflex requires awake intubation prior to cervical spine stabilization. Which of the following regional nerve blocks is most appropriate?
- (A) Deep cervical plexus
- (B) Glossopharyngeal nerve
- (C) Hypoglossal nerve
- (D) Superior laryngeal nerve
- (E) Trigeminal nerve
Which of the following factors is the LEAST important determinant of postdural puncture headache?
- (A) Age of the patient
- (B) Gauge of the spinal needle
- (C) Gender of the patient
- (D) Pregnancy
- (E) Time until ambulation
During induction of anesthesia for cesarean delivery, pancuronium is inadvertently substituted for succinylcholine. The neonate shows no clinical signs of muscle relaxation because pancuronium is
- (A) highly ionized
- (B) highly protein bound
- (C) a large molecule
- (D) lipid soluble
- (E) unaffected by "ion trapping"