Phantom limb pain is an example of which of the following types of pain?
(A) Central pain
(B) Nociceptive pain
(C) Psychosomatic pain
(D) Sympathetically mediated pain
(E) Vasospastic pain
A
A 68-year-old man has signs of a coagulopathy after receiving 10 units of packed erythrocytes during emergency repair of a leaking abdominal aortic aneurysm. The most likely cause is
A 52-year-old man develops oliguria 24 hours after left hemicolectomy. Urinalysis shows a specific gravity of 1.028, an osmolality of 650 mOsm/L, and a sodium concentration of 10 mEq/L. Which of the following is the most likely diagnosis?
(A) Acute tubular necrosis
(B) Hypoaldosteronism
(C) Hypovolemia
(D) Interstitial renal disease
(E) Obstructive uropathy
C
Intravenous administration of mannitol during a craniotomy
(A) decreases intracranial pressure relative to dosage
(B) hastens excretion of pancuronium
(C) induces metabolic alkalosis
(D) produces a sustained increase in intravascular volume
(E) requires an intact blood-brain barrier to decrease brain water
An anesthesia machine is set to deliver oxygen 2 L/min, nitrous oxide 2 L/min, and sevoflurane. After 30 minutes of stable anesthesia, which of the following, is the most likely cause of a decrease in the oxygen analyzer reading from 50% to 30%?
(A) A leak in the ventilator bellows
(B) Accumulation of water on the oxygen sensor membrane
(C) Calibration at 100% oxygen using less than 100% oxygen
(D) Disconnection of the wall oxygen hose
(E) Presence of the oxygen analyzer in the expiratory limb
A 68-year-old patient is undergoing total hip replacement during general anesthesia using positive pressure ventilation and neuromuscular blockade. Intraoperative monitoring shows a gradual decrease in end-tidal CO2, an increase in exhaled tidal volume, and an increase in measured FiO2. Which of the following is the most likely cause of these changes?
(A) Air entrainment around a deflated endotracheal tube cuff
(B) Channeling of the exhaled air through the carbon dioxide canister
(C) Fat embolism
(D) Inadequate muscle relaxation with spontaneous patient ventilation
An isoflurane-specific vaporizer that is 25% full is mistakenly refilled with halothane, and the dial is set at 1.5%. Which of the following statements concerning this situation is true?
(A) The gas mixture will contain equal partial pressures of halothane and isoflurane
(B) The gas mixture will produce a greater depth of anesthesia than 1.5% isoflurane alone
(C) The gas mixture will produce a greater depth of anesthesia than 1.5% halothane alone
(D) The liquid mixture will have a higher vapor pressure than 1.5% halothane alone
(E) The liquid mixture will have a higher vapor pressure if it is placed in a halothane-specific vaporizer