A 33-year-old primigravid woman with myasthenia gravis, well-controlled with pyridostigmine, is in labor with the cervix dilated 7 cm. She has a headache and feels very nervous. Blood pressure is 160/115 mmHg, she has 3+ pitting edema, and urinalysis shows 4+ protein. Appropriate management of her labor should include
(A) lumbar epidural block with bupivacaine 8 ml of 0.5% solution
A 55-year-old woman receiving chronic dialysis for renal failure comes to the emergency department with a perforated viscus. She has chest pain. Heart rate is 124 bpm, blood pressure is 90/60 mmHg, and respiratory rate is 18/min. Surgery is to be performed within the hour. Which of the following best describes this patient's ASA physical status classification?
(A) III
(B) III E
(C) IV
(D) IV E
(E) V E
D
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?
During cardiopulmonary resuscitation (CPR) in an adult, external chest compression is being performed at the rate of 90/min with 2 inches of sternal depression and a compression-relaxation ratio of 20:80. The most appropriate action is to
A 35-year-old woman with a grade III subarachnoid hemorrhage is undergoing clipping of a middle cerebral artery aneurysm 48 hours after initial hemorrhage. Which of the following drugs used to induce hypotension is LEAST likely to affect intracranial pressure?
A patient has an anterior neck injury, hoarseness, labored respirations, subcutaneous emphysema, and laryngeal crepitus following a motor vehicle accident. Which of the following is the best method of securing the airway in this situation?
(A) Blind nasotracheal intubation
(B) Lightwand intubation
(C) Retrograde wire-guided intubation
(D) Tracheostomy
(E) Transtracheal jet ventilation
D
In clinical anesthesia practice, the term "informed consent" is best described as a legal concept in which patients
(A) agree to anesthesia care based on full disclosure of facts needed to make the decision intelligently
(B) are told of all possible risks of anesthesia and anesthetic procedures
(C) delegate all decisions regarding anesthesia care to the anesthesiologist
(D) release the physicians from liability
(E) sign global consent forms for surgical procedures that cover the administration of anesthesia care