10 Random Questions
Which of the following is the best method of pacing to improve cardiac output in a patient with third-degree heart block?
- (A) VOO
- (B) AOO
- (C) VVI
- (D) DVI
- (E) Transcutaneous
A patient with chronic paraplegia (T4 level) is undergoing cystoscopy and removal of bladder calculi without anesthesia. After 10 minutes, blood pressure is 240/100 mmHg and pulse is 50 bpm. The most appropriate management is administration of
- (A) spinal anesthesia
- (B) inhalational anesthesia
- (C) thiopental intravenously
- (D) methyldopa intravenously
- (E) nitroprusside intravenously
If a patient with chronic obstructive pulmonary disease is uncooperative during pulmonary function testing, the most accurate assessment of his disease will be derived from the
- (A) forced expiratory volume in 1 second
- (B) forced midexpiratory flow
- (C) forced vital capacity
- (D) maximal voluntary ventilation
- (E) peak flow rate
The capnographic tracing is from a 2-month-old infant anesthetized using a pediatric circle system and mask at a fresh gas flow of 4 L/min. The sampling port is in the elbow connector. This tracing indicates
- (A) adequate alveolar ventilation
- (B) exhausted soda lime
- (C) expired halothane concentrations representative of alveolar concentrations
- (D) mixing of inspired and expired gases
- (E) the need to change to a Mapleson D circuit
Recognized side effects of magnesium sulfate used for the treatment of preeclampsia that would be of anesthetic concern include each of the following EXCEPT
- (A) maternal pulmonary edema
- (B) neonatal hypotonia
- (C) increased maternal sensitivity to succinylcholine
- (D) increased maternal sensitivity to vecuronium
- (E) maternal hypokalemia
In a patient with asthma, which of the following drugs used to treat supraventricular tachycardia is LEAST likely to induce bronchospasm?
- (A) Adenosine
- (B) Edrophonium
- (C) Esmolol
- (D) Propranolol
- (E) Verapamil
The pin index system
- (A) is not used in central pipeline connections
- (B) requires aligning four pins with four holes
- (C) is used on all sizes of medical gas cylinders
- (D) has been replaced by color coding of gas cylinders
- (E) prevents overfilling of gas cylinders
The illustration depicts flow-volume loops for the same person at two different times in his life. Which of the following is indicated by the dotted loop?
- (A) Bronchial tumor
- (B) Chronic asthmatic bronchitis
- (C) Morbid obesity
- (D) Paralysis of a vocal cord
- (E) Subglottic stenosis
A 32-year-old woman is anesthetized for suboccipital craniotomy. During positioning, the capnograph shows an abrupt decrease in the slope of the expiratory upstroke. Which of the following is the most likely cause?
- (A) Air embolism
- (B) Incompetent expiratory valve
- (C) Incomplete neuromuscular block
- (D) Kinked endotracheal tube
- (E) Tracheal extubation
Immediately following radical prostatectomy, ketorolac administered for analgesia
- (A) aggravates ileus and bladder spasm
- (B) increases platelet adhesion
- (C) is ideally suited for patient-controlled analgesia
- (D) mediates its effects via kappa opioid receptors
- (E) produces cyclooxygenase inhibition