10 Random Questions
Bupivacaine 30 ml injected into the inguinal perivascular space will usually block the
(A) femoral, lateral femoral cutaneous, and obturator nerves
(B) ilioinguinal, femoral, and sciatic nerves
(C) femoral, sciatic, and obturator nerves
(D) ilioinguinal, iliohypogastric, and pudendal nerves
(E) sciatic, femoral, and posterior femoral cutaneous nerves
Reveal Answer
ADVANCED
Regional & Pain
Which of the following is the most likely cause of the increased incidence of right ventricular failure in patients with morbid obesity?
(A) Chronic hypoxia
(B) Chronic silent pulmonary aspiration
(C) Chronic silent subendocardial ischemia
(D) Decreased vital capacity
(E) Increased pulmonary blood flow
Reveal Answer
BASIC
Respiratory & Critical Care
General
A 57-year-old man has back pain, a heart rate of 90 bpm, decreased pulse in the left arm, and blood pressure of 200/110 mmHg. During infusion of nitroprusside, heart rate increases to 115 bpm and blood pressure decreases to 140/80 mmHg. The most appropriate management at this time is administration of
(A) droperidol
(B) nifedipine
(C) normal saline solution
(D) propranolol
(E) verapamil
Reveal Answer
ADVANCED
General
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
Normal pregnancy is associated with a decrease in each of the following EXCEPT
(A) expiratory reserve volume
(B) FEV1/FVC ratio
(C) functional residual capacity
(D) thoracic compliance
(E) vital capacity
Reveal Answer
ADVANCED
OB
The preanesthetic ECG trace (lead II) shown from a 32-year-old woman suggests
(A) potential for tachyarrhythmia
(B) need for preanesthetic atropine
(C) myocardial ischemia
(D) left bundle branch block
(E) right ventricular hypertrophy
Reveal Answer
ADVANCED
General
A child undergoing general anesthesia is breathing spontaneously using the Jackson-Rees modification of the Ayres T-piece. Respiratory rate is 20/min and tidal volume is 75 ml. What is the minimum fresh gas flow required to prevent rebreathing?
(A) 750 ml/min
(B) 1500 ml/min
(C) 2250 ml/min
(D) 4500 ml/min
(E) 6000 ml/min
Reveal Answer
ADVANCED
Equipment & Physics
Pediatric
Which of the following is the most likely sequela of interscalene brachial plexus block?
(A) Cervical epidural block
(B) Hemidiaphragmatic paralysis
(C) Pneumothorax
(D) Seizure
(E) Vocal cord paralysis
Reveal Answer
ADVANCED
Regional & Pain
Which of the following statements concerning the choice of nitroprusside or nitroglycerin to induce deliberate hypotension is true?
(A) Nitroglycerin is more potent
(B) Nitroglycerin produces hypotension by acting on both arterial and venous capacitance vessels
(C) Nitroprusside produces less rebound hypertension on discontinuation
(D) The toxic effects of nitroprusside are independent of dose
(E) The therapeutic effects of nitroprusside may persist on discontinuation
Reveal Answer
If both recurrent laryngeal nerves were severed during a difficult thyroidectomy for cancer, the most likely finding would be
{A) paralysis of the cricothyroid muscles
(B) cadaveric positioning of the true vocal cords
(C) anesthesia of both sides of the epiglottis
(D) bilateral pure adductor vocal cord paralysis
(E) stridor
Reveal Answer
ADVANCED
Regional & Pain