10 Random Questions
A patient is scheduled for amputation of the third metatarsal. A tourniquet will not be used during the procedure. The most effective anesthesia will be provided by block of which of the following nerves?
(A) Femoral
(B) Common peroneal and tibial
(C) Sural and deep peroneal
(D) Sural and tibial
(E) Tibial, saphenous, and deep peroneal
Reveal Answer
ADVANCED
Regional & Pain
At extubation performed one week after nasotracheal intubation, each of the following is likely to occur EXCEPT
(A) upper airway obstruction
(B) aspiration after extubation
(C) ulceration of vocal cords
(D) tracheal stenosis
(E) sinusitis
Reveal Answer
ADVANCED
Respiratory & Critical Care
During steady-state intraoperative controlled mechanical ventilation, exhaled tidal volume will be increased by
(A) changing to more compliant tubing in the ventilatory circuit
(B) increasing fresh gas flow in the anesthesia machine
(C) increasing nitrous oxide concentration in the inspired mixture
(D) increasing ventilatory rate
(E) moving the volume sensor as far as possible from the patient
Reveal Answer
BASIC
Equipment & Physics
Numbness and tingling on the lateral aspect of the thigh 24 hours after uneventful vaginal delivery is most likely a complication of
(A) forceps delivery
(B) lithotomy position
(C) pudendal nerve block
(D) lumbar epidural anesthesia
(E) spinal anesthesia
Reveal Answer
ADVANCED
OB
A 19-year-old woman receives a spinal anesthetic for a repeat cesarean delivery. Two days later she is afebrile but has severe occipital pain that is aggravated by sitting or standing and relieved by lying flat. Associated findings would likely include
(A) bradycardia
(B) difficulty swallowing
(C) diplopia
(D) facial pain
(E) Horner's syndrome
Reveal Answer
ADVANCED
OB
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
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Which of the following factors is the major cause of hypotension following release of the infrarenal aortic cross-clamp during aortic reconstruction?
(A) Abnormal myocardial function
(B) Decreased systemic vascular resistance
(C) Down-regulation of adrenergic receptors
(D) Increased PaCO2
(E) Suppression of the renin-angiotensin system
Reveal Answer
ADVANCED
General
Which of the following statements concerning ketorolac is true?
(A) It binds to opioid receptors
(B) It causes dose-related thrombocytopenia
(C) It decreases heart rate during isoflurane anesthesia
(D) It is eliminated unchanged in urine
(E) It reversibly inhibits cyclooxygenase
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Reduction of fire hazards during laser surgery of the airway is best accomplished by use of
(A) continuous mode laser emissions
(B) a nitrous oxide/opioid/relaxant anesthetic technique
(C) a polyvinylchloride endotracheal tube and cuff
(D) topical lidocaine
(E) saline-filled sponges over exposed tissues
Reveal Answer
ADVANCED
Equipment & Physics
General
During the first stage of labor, the pain of uterine contractions and cervical dilatation is transmitted via the spinal cord segments
(A) T6 to L1
(B) T6 to S5
(C) T10 to L1
(D) T10 to S1
(E) T10 to S5
Reveal Answer
ADVANCED
OB