10 Random Questions
An 86-kg, 67-year-old man is undergoing a second coronary artery bypass operation. Five minutes after administration of protamine, blood pressure is 69/40 mmHg, pulmonary artery pressure is 65/42 mmHg, and the cardiac output measured by thermodilution is 2.3 L/min. Which of the following is the most likely cause of these findings?
- (A) Allergy to fish
- (B) Increased plasma thromboxane concentration
- (C) Increased plasma histamine concentration
- (D) Insulin-dependent diabetes mellitus
- (E) IgE antibodies to protamine
During nitrous oxide anesthesia, which of the following expands most rapidly?
- (A) Air bubble in the blood
- (B) Air in the intestine
- (C) Endotracheal tube cuff
- (D) Pneumothorax
- (E) Sulfahexafluoride bubble in the vitreal cavity
A Fluotec vaporizer is set to administer halothane 4% using a fresh gas flow of 4 L/min. If the diluent gas flow is increased to 8 L/min, and at the same time the room temperature increases from 20 to 25°C, the approximate concentration of halothane delivered to the patient would be
- (A) 2%
- (B) 2.5%
- (C) 3%
- (D) 4%
- (E) 5%
Which of the following is a characteristic of phase II neuromuscular block?
- (A) It is diagnosed by the intravenous administration of calcium
- (B) It is potentiated by edrophonium
- (C) It produces nondepolarizing train-of-four characteristics
- (D) It requires evaluation for pseudocholinesterase deficiency
- (E) It requires less succinylcholine than a phase I block
In a patient who has undergone cholecystectomy, which of the following is the most likely pulmonary effect of systemically administered opioids?
- (A) Decreased Qs/Qt
- (B) Decreased dead space
- (C) Restored vital capacity
- (D) Restored functional residual capacity
- (E) Shift of the carbon dioxide response curve to the right
A 20-year-old man with a history of substance abuse is undergoing preoperative evaluation. Which of the following findings suggests current use of cocaine?
- (A) Absence of deep tendon reflexes
- (B) Bradycardia
- (C) Hypertension
- (D) Hypothermia
- (E) Pinpoint pupils
A 120-kg 56-year-old man undergoing gastrectomy during anesthesia with fentanyl and isoflurane has a PetCO2 of 35 mmHg and a PaCO2 of 50 mmHg. His FEV,/FVC ratio is 80% of predicted. Heart rate is 120 bpm and arterial blood pressure is 80/40 mmHg. Which of the following is the most likely cause of the difference in PaCO2 and PetCO2?
- (A) Aspiration pneumonitis
- (B) Chronic obstructive pulmonary disease
- (C) Decreased cardiac output
- (D) Decreased VD/VT ratio
- (E) Increased QS/QT ratio
To detect the delivery of hypoxic gas mixture, the optimal location for an oxygen analyzer in this circle is
- (A) 1
- (B) 2
- (C) 3
- (D) 4
- (E) 5
A patient with end-stage renal disease has prolonged ventilatory depression after administration of morphine. The most likely cause is increased
- (A) serum concentration of morphine-6-glucuronide
- (B) elimination half-life of morphine
- (C) opioid receptors
- (D) receptor affinity
- (E) volume of distribution
During induction of anesthesia, a patient is breathing isoflurane from a semiclosed circle absorber system. The temperature-compensated vaporizer is set to deliver isoflurane 1.5%. Which of the following will result in the lowest inspired concentration of isoflurane?
- (A) Doubling the length of circle system hoses
- (B) Decreasing the barometric pressure
- (C) Changing from rubber to plastic breathing hoses
- (D) Decreasing fresh gas flow
- (E) Exhaustion of the soda lime