Which of the following drugs used to produce or reverse muscle relaxation has the greatest prolongation of action in a patient with end-stage renal disease?
(A) Atracurium
(B) Neostigmine
(C) Pancuronium
(D) Succinylcholine
(E) Vecuronium
B
Which of the following is an indication for administration of fresh frozen plasma?
(A) Antithrombin III deficiency
(B) Emergency antagonism of heparin effect
(C) Hemophilia A
(D) Transfusion of 5 units of homologous erythrocytes
A 34-year-old man has hyperkalemia-induced asystole. After initiating cardiopulmonary resuscitation, which of the following is the most appropriate next step in management?
(A) Administration of atropine
(B) Administration of calcium chloride
(C) Administration of sodium bicarbonate
(D) Transcutaneous pacing
(E) DC countershock at 200 joules
B
A newborn infant is undergoing repair of gastroschisis. During closure of the abdominal wall, ventilatory pressures and central venous pressure increase markedly. The most appropriate management is to
(A) administer a bronchodilator
(B) decrease tidal volume and increase ventilatory rate
Following paravertebral blocks of the second through fifth intercostal nerves, numbness is noted on the medial aspect of the ipsilateral arm. The most likely cause is
(A) anesthesia of the intercostobrachial nerve
(B) anxiety-induced hyperventilation
(C) injection into a dural cuff
(D) intravascular injection of local anesthetic
(E) partial block of the brachial plexus
A
Compared with fentanyl, alfentanil is characterized by