Anesthesia Hub -

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

ADVANCED Pediatric OB

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) depletion of factor V
(B) disseminated intravascular coagulation
(C) hypothermia
(D) platelet dysfunction
(E) thrombocytopenia

ADVANCED Transfusions & Fluids General

A 68-year-old man who is scheduled for outpatient cystoscopy has non-insulin-dependent diabetes mellitus controlled with glipizide (Glucatrol) 5 mg twice daily. He has had nothing to eat since awakening this morning and has not taken glipizide today. His blood glucose level is 185 mg/dl. Before proceeding, the most appropriate management is to administer

(A) glipizide 5 mg orally
(B) NPH insulin 10 units subcutaneously
(C) regular insulin 10 units intravenously
(D) dextrose and regular insulin by infusion
(E) no additional diabetic medication

BASIC Pharmacology & Pharmacokinetics General

Which of the following statements concerning naloxone is true?

(A) Elimination half-life is longer than that of the majority of mu-receptor opioids
(B) It does not cross the placenta
(C) It has mixed agonist-antagonist effects
(D) It increases the MAC of inhaled anesthetic drugs
(E) It relieves opioid-induced spasm of the sphincter of Oddi

Block of each of the following nerves is required for inguinal herniorrhaphy EXCEPT the

(A) genitofemoral
(B) iliohypogastric
(C) ilioinguinal
(D) obturator
(E) twelfth thoracic

ADVANCED Regional & Pain

Each of the following parameters of cerebral perfusion and metabolism is approximately equal to 50 EXCEPT

(A) cerebral oxygen consumption in ml O2/min for a normal adult
(B) lower limit of mean arterial pressure for cerebral autoregulation in mmHg
(C) normal cerebral blood flow in ml /100 g tissue/min
(D) PaO2 at which cerebral blood flow increases
(E) PaCO2 at which cerebral blood flow doubles

BASIC Neuro

A patient is bleeding excessively after routine transurethral resection of the prostate. Re-exploration discloses diffuse oozing. The most appropriate management is administration of

(A) platelets
(B) fresh frozen plasma
(C) desmopressin
(D) epsilon-aminocaproic acid
(E) cryoprecipitate

ADVANCED General

Which of the following is the most frequent cause of hemorrhagic diathesis after administration of 20 units of CPD-stored blood over six hours?

(A) Disseminated intravascular coagulation
(B) Hypofibrinogenemia
(C) Low plasma concentrations of factors V and VIII
(D) Primary fibrinolysis
(E) Thrombocytopenia

BASIC Transfusions & Fluids

Each of the following is a recognized complication during a transurethral resection for which glycine is used as an irrigant EXCEPT

(A) disseminated intravascular coagulopathy
(B) hemolysis
(C) hyperammonemia
(D) shoulder pain
(E) transient blindness

ADVANCED Pharmacology & Pharmacokinetics General

When using apneic oxygenation during endoscopy in a normothermic patient, PaC02

(A) increases at a rate inversely proportional to oxygen flow rate
(B) increases at a rate of 8 + 0.5 mmHg per minute
(C) increases at the same rate that Pa02 decreases
(D) equals mixed venous PC02 after one minute
(E) is increased by airway obstruction