Anesthesia Hub -

10 Random Questions

Severe nausea and vomiting in the PACU is most effectively treated with a drug that acts as an antagonist at which of the following receptors?

(A) Alpha-adrenergic
(B) Beta-adrenergic
(C) Dopamine
(D) GABA
(E) Glutamate

BASIC Pharmacology & Pharmacokinetics

The supine hypotensive syndrome of pregnancy

(A) begins at 32 weeks' gestation
(B) causes fetal distress by aortocaval compression
(C) is corrected by Trendelenburg's position
(D) is less likely following subarachnoid block than epidural block
(E) occurs in 90% of supine women at 38 to 40 weeks' gestation

ADVANCED OB

Which of the following statements concerning absorption of irrigation fluid during transurethral resection of the prostate is true?

(A) Hydrostatic pressure has minimal effect on the amount of fluid absorbed
(B) Typically 10 to 30 ml of fluid per minute are absorbed
(C) Use of iso-osmotic solutions decreases the risk of hyponatremia
(D) CNS complications are independent of the type of fluid used
(E) Spinal anesthesia to T6 will mask the symptoms of overhydration

ADVANCED General

Two hours after a colon resection, a 60-year-old woman with adult-onset diabetes mellitus is somnolent and has a blood glucose concentration of 612 mg/dl. Which of the following findings are most likely? (Sodium, Osmolality, Intravascular volume)

(A) 127, 280, High
(B) 127, 310, High
(C) 127, 330, Low
(D) 140, 280, Normal
(E) 140, 300, Low

Which of the following is the most common initial sign of hemolytic transfusion reaction during general anesthesia?

(A) Bronchospasm
(B) Diffuse bleeding
(C) Fever
(D) Hemoglobinuria
(E) Hypotension

BASIC Transfusions & Fluids General

Which of the following statements concerning the effects of glycopyrrolate is true?

(A) It decreases gastric pH
(B) It causes bronchoconstriction
(C) It decreases lower esophageal sphincter tone
(D) It does not prevent succinylcholine-induced bradycardia
(E) It causes a central anticholinergic syndrome

BASIC Pharmacology & Pharmacokinetics

In a normally functioning circle anesthesia system, if the length of the inspiratory and expiratory hose is doubled, the mechanical dead space will be

(A) halved
(B) unchanged
(C) doubled
(D) quadrupled
(E) dependent on compression volume

BASIC Equipment & Physics

Each of the following contributes to hypotension following induction of anesthesia with propofol EXCEPT

(A) central vagal stimulation
(B) decreased central sympathetic tone
(C) direct myocardial depression
(D) resetting of arterial baroreceptors
(E) systemic vasodilation

A 70-kg, 22-year-old man who is unconscious after a closed head injury is to undergo emergency splenectomy. He is anesthetized with thiopental, given pancuronium for paralysis, and started on nitrous oxide and oxygen 50% each with controlled ventilation (tidal volume 700 ml, rate 10/min). Pulse is 70 bpm, blood pressure is 160/100 mmHg, PaO2 is 65 mmHg, PaC02 is 45 mmHg, and pH is 7.30. In adjusting the ventilator at this time, which of the following is most appropriate?

(A) Add 10 cmH2O positive end-expiratory pressure (PEEP), increase respiratory rate to 14/min
(B) Add sufficient PEEP to increase PaO2 to 80 mmHg
(C) Add 10 cmH2O PEEP, increase FlO2 to 1.0
(D) Increase tidal volume to 1000 ml, increase FiO2 to 1.0
(E) Increase tidal volume to 1200 ml, decrease respiratory rate to 8/min

BASIC Respiratory & Critical Care

Neostigmine administered intravenously without atropine can produce each of the following EXCEPT

(A) arousal
(B) bradycardia
(C) bronchoconstriction
(D) increased gastric motility
(E) increased urinary bladder tone

BASIC Pharmacology & Pharmacokinetics