10 Random Questions
A healthy, but obese, 110-kg woman is scheduled for gastric stapling. Compared with that required at her ideal weight, the dose of thiopental required for anesthetic induction would likely be increased because of changes in
(A) blood volume
(B) muscle mass
(C) circulation time
(D) body fat
(E) metabolic rate
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
In an unpremedicated, spontaneously breathing patient, an alveolar halothane concentration of 0.74% in oxygen is consistently associated with
(A) absence of overt response to skin incision
(B) constricted pupils
(C) flaccidity of abdominal muscles
(D) normal glomerular filtration rate
(E) normal myocardial contractility
Reveal Answer
basic
At the time of cesarean delivery, thick dark meconium is noted and the newborn is flaccid, apneic, bradycardic, and cyanotic. The most appropriate initial action is
(A) atropine administration
(B) sodium bicarbonate administration
(C) naloxone administration
(D) controlled ventilation
(E) tracheal suctioning
Reveal Answer
ADVANCED
Pediatric
OB
Compared with a patient without liver disease, a patient with cirrhosis will have
(A) greater accumulation of vecuronium with infusion
(B) increased unbound plasma vecuronium concentration
(C) more frequent occurrence of phase II block after succinylcholine administration
(D) prolonged elimination half-life of atracurium
(E) unchanged volume of distribution for pancuronium
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
The acute onset of hypotension without a decrease in mixed venous oxygen saturation is most likely associated with the onset of
(A) hemorrhage
(B) myocardial infarction
(C) pulmonary edema
(D) pulmonary embolus
(E) sepsis
Reveal Answer
BASIC
General
The vapor pressure of a volatile anesthetic depends on
(A) temperature only
(B) ambient pressure only
(C) temperature and ambient pressure
(D) pressure and volume of the system
(E) none of the above
Reveal Answer
BASIC
Equipment & Physics
The test dose of local anesthetic administered through an epidural needle or catheter should be sufficient to produce
(A) bradycardia
(B) seizure activity
(C) hypotension
(D) segmental analgesia
(E) spinal anesthesia
Reveal Answer
BASIC
OB
Regional & Pain
Acute epiglottitis usually
(A) requires a lateral radiograph of the neck for diagnosis
(B) occurs in children 2 to 4 years of age
(C) is treated effectively with racemic epinephrine
(D) has a viral etiology
(E) requires immediate awake intubation by direct laryngoscopy in the emergency department
Reveal Answer
ADVANCED
Pediatric
Which of the following muscle relaxants is most likely to result in histamine release following administration of a bolus dose sufficient to facilitate rapid endotracheal intubation?
(A) Atracurium
(B) Pancuronium
(C) Succinylcholine
(D) Rocuronium
(E) Vecuronium
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
A 68-year-old woman who is receiving urokinase for deep venous thrombosis and pulmonary emboli requires emergency laparotomy for a bleeding gastric ulcer. Which of the following agents is most appropriate to reverse the effects of urokinase?
(A) Cryoprecipitate
(B) Factor VIII concentrate
(C) Fresh frozen plasma
(D) Platelets
(E) Vitamin K
Reveal Answer
BASIC
Pharmacology & Pharmacokinetics
Transfusions & Fluids