10 Random Questions
A neurologically intact 48-year-old woman is scheduled for removal of a parietal lobe arteriovenous malformation. The relative risk for complete resection is to be determined by a test occlusion of the feeding artery. Which of the following intraoperative monitoring techniques is most appropriate for this test?
- (A) Brain stem auditory evoked potentials
- (B) Cerebral blood flow using radioactive xenon
- (C) EEG
- (D) Evoked potentials elicited by stimulating the posterior tibial nerve
- (E) Transcranial Doppler
Pulsus paradoxus is commonly seen during anesthesia in patients with each of the following conditions EXCEPT
- (A) severe asthma
- (B) right-sided heart failure
- (C) hypovolemia
- (D) atrial septal defect
- (E) obesity
A 40-year-old woman with chronic renal failure is undergoing revision of an arteriovenous shunt with general anesthesia. The capnographic waveform was obtained during spontaneous ventilation 20 minutes after administration of succinylcholine and tracheal intubation. Which of the following is the most likely cause of these findings?
- (A) Leaking endotracheal cuff
- (B) Channeling of soda lime
- (C) Light anesthesia
- (D) Metabolic acidosis
- (E) Residual neuromuscular block
A blood sample is taken from a patient whose body temperature is 30°C. In which direction will the pH, PCCX, and P02 change when measured in the blood gas machine at 37°C? (pH, PCO2, PO2)
- (A) Increase Decrease Decrease
- (B) Decrease Increase Increase
- (C) Decrease Increase No change
- (D) No change Increase Increase
- (E) No change No change Increase
In an anesthetized patient being mechanically ventilated, end-expired carbon dioxide is 58 mmHg and peak inspiratory airway pressure is 15 cmH20. Ventilator settings indicate a delivered tidal volume of 800 ml, but the expiratory flowmeter shows a tidal volume of 360 ml. Which of the following is the most likely cause of this discrepancy?
- (A) Fresh gas flow of 0.5 L/min
- (B) Incompetence of the pressure-relief valve
- (C) Low ventilatory rate
- (D) Presence of a hole in the ventilator bellows
- (E) Prolongation of the inspiratory phase
Following induction of anesthesia with sufentanil and pancuronium, a patient with left main coronary artery disease has a decrease in blood pressure from 110/70 to 60/40 mmHg. There is no change in heart rate or ECG. The most appropriate management of the hypotension is administration of
- (A) calcium chloride
- (B) ephedrine
- (C) epinephrine
- (D) isoproterenol
- (E) phenylephrine
A radial artery catheter is to be used for blood pressure measurement during a sitting craniotomy. When zeroing the transducer, which of the following describes the best levels for placement of the transducer and opening of the system to air? (Transducer, Opening to Air)
- (A) Head Wrist
- (B) Head Head
- (C) Head Heart
- (D) Heart Heart
- (E) Heart Wrist
During pulmonary artery catheterization, a 65-year-old man receives morphine 6 mg and scopolamine 0.4 mg intravenously. The pulse oximeter indicates desaturation, which quickly resolves with stimulation. When the drapes are removed, he has unilateral eye pain, decreased visual acuity, and dilated and irregular pupils. These eye symptoms are most likely caused by
- (A) retinal hemorrhage
- (B) morphine-induced oculogyric crisis
- (C) corneal abrasion
- (D) carotid artery embolization
- (E) angle-closure glaucoma
Which of the following is a characteristic of the Bain breathing circuit?
- (A) Condensation of moisture in inspired gases is facilitated by the circuit design
- (B) Fresh gas flows coaxially around the exhalation limb
- (C) Fresh gas flows need not exceed minute ventilation
- (D) The circuit eliminates the possibility of rebreathing
- (E) The circuit is functionally similar to the Jackson-Rees system
Which of the following conditions decreases right-to-left shunt through a patent ductus arteriosus in a neonate?
- (A) Arterial hypotension
- (B) Arterial hypoxemia
- (C) Metabolic acidemia
- (D) Positive end-expiratory pressure
- (E) Respiratory alkalemia