10 Random Questions


Which of the following statements concerning pulmonary function in patients with pulmonary fibrosis is true?

ADVANCED Respiratory & Critical Care

Following antagonism of a nondepolarizing muscle relaxant with neostigmine, twitch height is normal. To achieve this effect, the percentage of the acetylcholine receptor pool that must be free of muscle relaxant is

BASIC Equipment & Physics Pharmacology & Pharmacokinetics

Three hours prior to induction of anesthesia for elective laparotomy, a 40-kg 8-year-old boy is anxious and clings to his parents. Which of the following preanesthetic medications is most appropriate?

ADVANCED Pediatric

In a patient who is breathing spontaneously, the work of breathing increases with each of the following EXCEPT


A 70-kg man with ischemic heart disease is undergoing abdominal aortic aneurysm resection. At the time of infrarenal cross-clamping, 0.2-mV ST-segment depression appears on lead V5 of the ECG. Hemodynamic changes occurring at the same time are shown below. Systemic blood pressure 90/50 --> 150/90; Heart rate 80 --> 95; PAp 20/10 --> 45/24; Mean pulmonary artery occlusion pressure (mmHg) 10 --> 23; Cardiac output (L/min) 4.5 --> 3.2. Ischemia would be decreased by restoring the pre-clamp level of each of the following EXCEPT

ADVANCED General

A 35-year-old woman with systemic lupus erythematosus is admitted to the critical care unit following sudden onset of severe chest pain. Examination shows tachycardia, hypotension, pulmonary edema, and a blowing systolic murmur in the left parasternal region. The most appropriate management is

ADVANCED General

During surgery of the forearm under axillary block, a patient has pain in the lateral aspect of the forearm and responds by flexing the elbow. The most likely cause is inadequate block of which of the following nerves?

ADVANCED Regional & Pain

A 54-year-old man receives 25 ml of a 50% alcohol and 0.25% bupivacaine solution for celiac plexus block. During the next 20 minutes, blood pressure decreases from 130/75 mmHg to 85/55 mmHg. Which of the following is the most likely cause?

ADVANCED Regional & Pain

Which of the following is most likely to occur during mediastinoscopy?


During ligation of a patent ductus arteriosus, a newborn infant receives a total gas flow of 5 L/min through a nonheated Jackson-Rees system. Operating room temperature is maintained at 30°C. The primary cause of a rapid decrease in rectal temperature from 36.8°C to 35°C is

ADVANCED Pediatric