10 Random Questions
Prilocaine is NOT recommended for obstetric regional anesthesia because it
(A) causes fetal methemoglobinemia
(B) has a very short duration of action
(C) is not metabolized by the newborn
(D) is the most toxic of the amide local anesthetics
(E) produces a longer motor block than sensory block
Reveal Answer
ADVANCED
Pharmacology & Pharmacokinetics
OB
A healthy 24-year-old woman is undergoing knee arthroscopy with spinal anesthesia to a level of T4. Which of the following findings is LEAST likely?
(A) Decreased heart rate
(B) Decreased hepatic blood flow
(C) Decreased mean arterial pressure
(D) Decreased tidal volume
(E) Hyperperistalsis
Reveal Answer
BASIC
Regional & Pain
A patient receives an emergency transfusion of three units of O, Rh-negative blood for profuse hemorrhaging. If his blood type is AB, Rh-negative, which of the following is most appropriate for continuing transfusion?
(A) AB, Rh-negative whole blood
(B) B, Rh-negative whole blood
(C) O, Rh-negative whole blood
(D) A, Rh-negative erythrocytes
(E) O, Rh-negative erythrocytes
Reveal Answer
BASIC
Transfusions & Fluids
An otherwise healthy 16-year-old girl is undergoing posterior spinal fusion for thoracolumbar scoliosis. During the procedure, the most likely cause of a marked decrease in the amplitude of the somatosensory evoked potentials after stimulation of the posterior tibial nerve is
(A) administration of fentanyl 30 jag /kg for induction
(B) administration of isoflurane 1.3 MAC for maintenance
(C) administration of vecuronium 0.15 mg/kg
(D) a decrease in body temperature from 37 to 35°C
(E) a decrease in cerebrospinal fluid pressure
Reveal Answer
ADVANCED
Equipment & Physics
Pediatric
Neuro
Which of the following malfunctions causes the line isolation monitor to alarm?
(A) Discharge of static electricity
(B) Flow of current to ground in the isolated circuit
(C) Interruption of current to electrical outlets caused by a circuit breaker
(D) Surge of current in the main power supply
(E) Total electrical current exceeding circuit capacity
Reveal Answer
BASIC
Equipment & Physics
Which of the following is most likely to decrease in the affected area following a paravertebral lumbar sympathetic block?
(A) Cutaneous blood flow
(B) Pinprick sensation
(C) Sweating
(D) Temperature sensation
(E) Venous capacitance
Reveal Answer
Which of the following findings best indicates complete resolution of spinal anesthesia?
(A) Ability to ambulate
(B) Ability to urinate
(C) Perianal pinprick sensation
(D) Pain at the surgical site
(E) Proprioception of the big toe
Reveal Answer
ADVANCED
Regional & Pain
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
Reveal Answer
BASIC
General
Which of the following is most indicative of reflex sympathetic dystrophy?
(A) Dry skin
(B) Dull pain that improves with movement
(C) Fasciculations
(D) Motor weakness
(E) Pallor and cyanosis
Reveal Answer
ADVANCED
Regional & Pain
Which of the following statements best describes "screening" when blood is ordered for type and screen?
(A) Red blood cells are mixed with serum containing known antigens
(B) Red blood cells are mixed with serum from the pool of potential donors
(C) Red blood cells are mixed with red blood cells from the pool of potential donors
(D) Serum is mixed with red blood cells that contain known antigens
(E) Serum is mixed with red blood cells from the pool of potential donors
Reveal Answer