10 Random Questions
Following induction of anesthesia with sufentanil and pancuronium, a patient with left main coronary artery disease has a decrease in blood pressure from 110/70 to 60/40 mmHg. There is no change in heart rate or ECG. The most appropriate management of the hypotension is administration of
- (A) calcium chloride
- (B) ephedrine
- (C) epinephrine
- (D) isoproterenol
- (E) phenylephrine
Which of the following anesthetic techniques is most appropriate for a woman in the second stage of labor?
- (A) Epidural opioids
- (B) Local infiltration of the perineum
- (C) Lumbar sympathetic block
- (D) Paracervical nerve block
- (E) Pudendal nerve block
Which of the following will have the LEAST effect on the shape of the autoregulatory curve for cerebral blood flow?
- (A) Isoflurane
- (B) Nitroprusside
- (C) Hypercarbia
- (D) Essential hypertension
- (E) Cerebral infarction
Which of the following is characteristic of the airway in a 2-month-oId infant when compared with an adult airway?
- (A) Airway is narrowest at the cricoid cartilage
- (B) Epiglottis is broader
- (C) Laryngeal mucosa is more tightly adherent
- (D) Larynx is positioned lower in the neck
- (E) Vocal cords have a more cephalad anterior attachment
A 13-year-old African American boy has severe abdominal pain after debridement of an open fracture of the lower extremity. His hemoglobin concentration is 10 g/dl and a peripheral blood smear shows elongated crescent-shaped erythrocytes. The most appropriate initial therapy is
- (A) sodium bicarbonate administration
- (B) dopamine infusion
- (C) blood transfusion
- (D) volume loading with crystalloid
- (E) high-dose corticosteroid administration
If minute ventilation is held constant, which of the following is LEAST likely to alter PaCO2?
- (A) General anesthesia
- (B) Hypothermia
- (C) Increased dead space
- (D) Increased pulmonary shunt
- (E) Induced hypotension
A 32-year-old man is scheduled for hernia repair. He underwent heart transplantation for cardiomyopathy five years ago. Which of the following findings is most likely?
- (A) Absence of coronary atherosclerosis
- (B) Biventricular hypokinesis on echocardiography
- (C) Down-regulation of cardiac beta-adrenergic receptors
- (D) Increased heart rate at rest
- (E) Right ventricular hypertrophy
A mechanically ventilated newborn infant is undergoing gastroschisis repair during halothane anesthesia. Based on the right radial artery catheter tracing shown, which of the following is the most appropriate conclusion?
- (A) The abdomen has not yet been incised
- (B) The anesthetic should be changed from halothane to isoflurane
- (C) The ductus arteriosus is still open
- (D) The infant is hypovolemic
- (E) The tidal volume is inadequate
In a healthy patient receiving an epidural analgesic infusion postoperatively, clear fluid is noted to drip back freely from the epidural catheter. Which of the following findings correctly identifies the associated fluid?
- (A) Precipitation when mixed with an equal volume of pancuronium = local anesthetic
- (B) pH 7.1 = saline solution
- (C) Glucose 120 mg/dl = CSF
- (D) Sodium 130 mEq/L = CSF
- (E) PCO2 51 mmHg = CSF
The test dose of local anesthetic administered through an epidural needle or catheter should be sufficient to produce
- (A) bradycardia
- (B) seizure activity
- (C) hypotension
- (D) segmental analgesia
- (E) spinal anesthesia