10 Random Questions
During total cardiopulmonary bypass, metabolic acidosis and decreasing mixed venous oxygen saturation are noted. The most likely cause is
(A) hypothermia
(B) hypoperfusion
(C) hypocarbia
(D) rewarming
(E) light anesthesia
Reveal Answer
ADVANCED
Cardiac
Recommendations for maximal allowable trace anesthesia gases are based on
(A) achievable levels with modern scavenging systems
(B) data from animal studies
(C) data on methionine synthetase levels in anesthesiologists
(D) evidence for an association with malignancy in anesthesiologists
(E) evidence for an association with spontaneous abortion In operating room personnel
Reveal Answer
BASIC
Equipment & Physics
Which of the following should be included in the preoperative management of a 12-year-old patient with Duchenne muscular dystrophy who is unable to ambulate?
(A) Determination of serum creatine kinase concentration
(B) Determination of serum potassium concentration
(C) Liver function profile
(D) Echocardiography
(E) Dantrolene prophylaxis
Reveal Answer
ADVANCED
Pediatric
To eliminate involuntary expulsive effort with contraction in the second stage of labor, a nerve block must include at least
(A) T6-T12
(B) T4-S5
(C) T8-L2
(D) L1-S2
(E) S2-S4
Reveal Answer
ADVANCED
OB
Regional & Pain
At induction, the inspired concentration of a volatile anesthetic agent will approach its dialed concentration most rapidly if
(A) the anesthetic circuit is made of rubber rather than polyethylene
(B) the patient breathes more deeply
(C) fresh soda lime is used
(D) fresh gas flow rate is increased
(E) nitrous oxide is added to the inspired gas mixture
Reveal Answer
During transurethral resection of the prostate, intravascular absorption of glycine irrigant most commonly produces
(A) alkalosis
(B) hemolysis
(C) hypertension
(D) tachycardia
(E) wheezing
Reveal Answer
ADVANCED
General
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
Reveal Answer
BASIC
Transfusions & Fluids
Which of the following muscle relaxants in an ED95 dose would have the longest duration of action in a patient with renal failure?
(A) Atracurium
(B) Metocurine
(C) Pancuronium
(D) d-Tubocurarine
(E) Vecuronium
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Fentanyl-induced bradycardia is
(A) independent of the speed of injection
(B) independent of dose
(C) caused by direct inhibition of adrenal catecholamine release
(D) caused by vagal stimulation
(E) caused by direct SA node depression
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
If minute ventilation remains constant, which of the following changes in PetCO2 and PaCO2 will result from a decrease in cardiac output? (PetCO2, PaCO2)
(A) Decreased, Decreased
(B) Increased, Increased
(C) Unchanged, Unchanged
(D) Decreased, Increased
(E) Increased, Decreased
Reveal Answer
BASIC
Respiratory & Critical Care