10 Random Questions
A 19-year-old woman has severe nausea and vomiting following laparoscopy. After intramuscular administration of prochlorperazine 10 mg, she has muscle spasms in the face, neck, and tongue. Which of the following is the most appropriate management?
- (A) Baclofen
- (B) Diphenhydramine
- (C) Epinephrine
- (D) Hydrocortisone
- (E) Naloxone
The arterial waveform and EKG shown are from a 60-year-old man with uremia who is the PACU after hip surgery under general anesthesia. The patient is drowsy, extubated, and breathing easily. The most likely diagnosis is
- (A) hypovolemia
- (B) myocardial ischemia
- (C) nontension pneumothorax
- (D) pericardial tamponade
- (E) pulmonary embolus
During liver transplantation, venovenous bypass from the femoral and portal veins to the axillary vein during cross-clamping of the inferior vena cava
- (A) decreases urine output
- (B) prevents hypothermia
- (C) prevents metabolic acidosis
- (D) requires heparinization
- (E) supports cardiac output
Nitrous oxide is contraindicated during
- (A) injection of sulfur hexafluoride for retinal tamponade
- (B) repair of open eye injury
- (C) scleral buckling with synthetic bands
- (D) strabismus surgery
- (E) trabeculectomy for glaucoma
Which of the following nerves should be blocked for an operation at the medial aspect of the lower leg?
- (A) Femoral
- (B) Sciatic
- (C) Obturator
- (D) Common peroneal
- (E) Tibial
Percutanous cordotomy is being considered for a patient with severe pain that has persisted for three months after amputation of the arm for osteogenic sarcoma. Which of the following statements is true?
- (A) An effective cordotomy will produce motor block
- (B) A series of stellate ganglion blocks will provide permanent relief
- (C) Cordotomy must be performed with the patient awake
- (D) Cordotomy will effectively relieve phantom limb pain
- (E) Spinal opioids are an alternative treatment of this pain
Compared with the response of a normal patient, administration of a bolus dose of pancuronium (0.15 mg/kg) to a patient with cirrhosis and ascites would be associated with
- (A) longer duration
- (B) more rapid onset
- (C) more intense block
- (D) more difficult reversibility
- (E) similar pharmacokinetics
Ninety minutes after administration of succinylcholine 1 mg/kg to a 28-year-old woman, the train-of-four shows a T4:T1 ratio of 25%. This is most consistent with
- (A) dibucaine number of 30
- (B) hypersensitivity to succinylmonocholine
- (C) pregnancy
- (D) pretreatment with pancuronium 2 mg
- (E) severe cirrhosis
Which of the following is a manifestation of preeclampsia?
- (A) Hypovolemia
- (B) Increased colloid osmotic pressure
- (C) Natriuresis
- (D) Resistance to catecholamines
- (E) Thrombocytosis
In patients who have undergone cardiopulmonary bypass, administration of milrinone is most likely to result in an increase in which of the following?
- (A) Arterial blood pressure
- (B) Heart rate
- (C) Pulmonary capillary wedge pressure
- (D) Stroke volume
- (E) Systemic vascular resistance