10 Random Questions
A parturient receives ketamine 2 mg/kg and succinylcholine 1.5 mg/kg for induction prior to elective cesarean delivery. Which of the following is most likely to be present in the newborn infant?
- (A) Normal muscle tone
- (B) Bradycardia
- (C) Opisthotonos
- (D) Respiratory depression
- (E) Seizures
A 50-year-old woman notes loss of sensation in the medial lower leg 24 hours after vaginal hysterectomy in the lithotomy position. Which of the following nerves is most likely to be injured?
- (A) Lateral femoral cutaneous
- (B) Obturator
- (C) Peroneal
- (D) Saphenous
- (E) Tibial
A 22-year-old woman at 33 weeks' gestation has abdominal pain and vaginal bleeding after sustaining blunt trauma to the abdomen. Heart rate is 125 bpm, blood pressure is 98/65 mmHg, and respiratory rate is 20/min. Fetal heart rate is 100 bpm. Which of the following is the most appropriate management?
- (A) Conservative observation and monitoring if fetal immaturity is seen on ultrasound
- (B) Increasing maternal blood pressure with a vasopressor
- (C) Infusion of terbutaline
- (D) Lumbar epidural anesthesia
- (E) Urgent cesarean delivery
Brain stem auditory evoked potentials are most likely to be absent during which of the following?
- (A) Anesthesia with 1.5 MAC isoflurane
- (B) Barbiturate coma
- (C) Hypotension to a mean arterial pressure of 50 mmHg
- (D) Surgical retraction of the temporal lobe
- (E) Surgical traction on the pons
Each of the following is an effect of rapid infusion of mannitol EXCEPT
- (A) depletion of electrolytes
- (B) impaired platelet adhesiveness
- (C) increased intracranial pressure
- (D) increased intravascular fluid volume
- (E) increased renal blood flow
Epinephrine is less effective in prolonging epidural anesthesia with bupivacaine than epidural anesthesia with lidocaine because
- (A) peak bupivacaine concentrations are decreased less than peak lidocaine concentrations
- (B) the acidic pH of epinephrine decreases the concentration of the nonionized bupivacaine
- (C) bupivacaine produces more vasoconstriction than lidocaine
- (D) the duration of action of bupivacaine is independent of local blood flow
- (E) bupivacaine antagonizes the vasoconstrictor activity of epinephrine
A 19-year-old man is undergoing inguinal herniorrhaphy. He is anesthetized with a spinal block supplemented with midazolam and fentanyl. During the procedure, he has sudden loss of consciousness, profound hypotension, and bradycardia; systolic pressure is 40 mmHg and heart rate is 30 bpm. Cardiopulmonary resuscitation is started. The most appropriate next step is administration of
- (A) atropine
- (B) ephedrine
- (C) epinephrine
- (D) flumazenil
- (E) naloxone
A 66-year-old patient with aortic stenosis is scheduled for aortic valve replacement. Examination shows blood pressure of 110/60 mmHg and sinus rhythm at a rate of 75 bpm. Pulmonary artery occlusion pressure (PAOP) is 20 mmHg with a prominent a-wave on the tracing. Which of the following is the most appropriate management?
- (A) Increasing myocardial contractility
- (B) Maintaining PAOP below 20 mmHg
- (C) Maintaining sinus rhythm
- (D) Promoting mild tachycardia
- (E) Decreasing peripheral resistance
In the diagram, point "X" represents a patient with severe left ventricular dysfunction. The points labeled 1, 2, and 3 each represent the results of a different therapeutic intervention. Which of the following represents the most likely intervention at each point?
- (A) 1-Dopamine, 2-Furosemide, 3-Nitroprusside
- (B) 1-Dopamine, 2-Nitroprusside, 3-Furosemide
- (C) 1-Furosemide, 2-Dopamine, 3-Nitroprusside
- (D) 1-Nitroprusside, 2-Dopamine, 3-Furosemide
- (E) 1-Nitroprusside, 2-Furosemide, 3-Dopamine
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