Anesthesia Hub -

10 Random Questions

Nausea and vomiting in pediatric outpatients are

(A) directly related to postoperative pain
(B) unrelated to the length of the procedure
(C) eliminated by preoperative administration of droperidol
(D) eliminated by intraoperative nasogastric drainage
(E) more frequent than in adults

ADVANCED Pediatric

A 39-year-old patient with insulin-dependent diabetes mellitus receives thiopental 250 mg and succinylcholine 80 mg and is ventilated with 0.75% isoflurane in oxygen. Arterial pressure decreases abruptly from 140/100 to 80/50 mmHg while heart rate remains unchanged at 70 bpm. Failure of heart rate to increase most likely results from

(A) acute hypoglycemia
(B) autonomic neuropathy
(C) depression of sinus node function by thiopental
(D) depression of the baroreflex response by isoflurane
(E) ganglionic stimulation by succinylcholine

ADVANCED General

A 50-year-old man is scheduled to undergo emergency craniotomy for evacuation of an epidural hematoma. His Glasgow Coma Scale score is 6; heart rate is 54 bpm, and blood pressure is 190/110 mmHg. The most appropriate initial management is administration of which of the following agents?

(A) Atropine
(B) Mannitol
(C) Nimodipine
(D) Sodium nitroprusside
(E) Thiopental

ADVANCED Neuro

Which of the following statements concerning diazepam is true?

(A) Absorption is more predictable after intramuscular administration than after oral administration
(B) It produces a shift to the left of the carbon dioxide ventilatory response curve
(C) Rebound drowsiness is caused by a metabolite
(D) The degree of CNS depression is independent of serum albumin concentration
(E) The extent of amnesia is proportional to the degree of sedation

BASIC Pharmacology & Pharmacokinetics

The physiologic function most likely to be spared when a local anesthetic differential nerve block is administered is

(A) sweating
(B) temperature sensation
(C) proprioception
(D) touch sensation
(E) pain sensation

ADVANCED Pharmacology & Pharmacokinetics Regional & Pain

Carbon monoxide poisoning with a carboxyhemoglobin concentration of 20% is characterized by each of the following EXCEPT

(A) decreased oxygen-carrying capacity of hemoglobin
(B) decreased PaO2
(C) shift of the oxyhemoglobin dissociation curve to the left
(D) normal minute volume of ventilation
(E) headache and nausea

BASIC Respiratory & Critical Care

A patient who is scheduled for a parathyroidectomy for a parathyroid adenoma has a preoperative serum calcium concentration of 13.5 mg/dl. The ECG shows no acute changes. The most appropriate preoperative management is administration of

(A) calcitonin
(B) hydrocortisone
(C) intravenous saline solution
(D) mannitol
(E) potassium phosphate

Three hours after total thyroidectomy, a 33-year-old man develops inspiratory stridor. The most likely cause is

(A) hematoma formation
(B) tracheomalacia
(C) tetany
(D) recurrent laryngeal nerve injury
(E) superior laryngeal nerve injury

The induction dose of thiopental should be decreased in each of the following situations EXCEPT

(A) age greater than 70 years
(B) cardiogenic shock
(C) decreased hepatic blood flow
(D) hypoalbuminemia
(E) hypothyroidism

The syndrome of inappropriate ADH secretion is characterized by

(A) ADH secretion unrelated to serum osmolality
(B) decreased ADH secretion in response to hypovolemia
(C) highly dilute urine
(D) hypernatremia
(E) negative water balance

ADVANCED General