An atrioventricular sequential demand pacemaker is placed in a patient who has abnormal atrioventricular conduction. Each of the following statements about this situation is true EXCEPT:
(A) Electrocautery could lead to long pauses in the paced rhythm
(B) Placing a magnet over the generator will convert it to an asynchronous (fixed rate) unit
(C) If complete heart block develops, the paced ventricular rate will be the same as the sinus node rate
(D) An atropine-induced increase in the sinus rate will increase the ventricular rate
(E) During symptomatic tachyarrhythmia, cardioversion would be contraindicated because it would alter the pacemaker's function
Monitoring of a patient with a closed head injury shows the following pressures: Intracranial pressure 30 mmHg, Central venous pressure 5 mmHg, Mean arterial pressure 65 mmHg, Peak airway pressure 25 cmH,0. The cerebral perfusion pressure is
(A) 30 mmHg
(B) 35 mmHg
(C) 40 mmHg
(D) 60 mmHg
(E) 65 mmHg
B
Proper zeroing of an arterial pressure transducer attached to a supine anesthetized patient is best accomplished by
(A) continuous flow of fluid through the intravascular catheter
(B) opening the system to air at heart level
(C) placement of the transducer diaphragm at heart level
(D) proper damping of the transducer system
(E) zeroing the transducer during the expiration phase of mechanical ventilation
A patient with a fasting blood glucose concentration of 100 mg/dl undergoes a four-hour operation under general anesthesia without intraoperative administration of glucose. On emergence the most likely finding will be
Forty-eight hours after thoracotomy, a patient's T6-7 epidural catheter is removed and the distal 2 cm is noted to be missing. The patient felt no pain during removal and neurologic examination shows no abnormalities. After informing the patient, which of the following is the most appropriate next step in management?
A 40-year-old man is undergoing open reduction and internal fixation of a fractured femur. During anesthesia with fentanyl, sevoflurane, and oxygen, heart rate decreases to 20 bpm and 6 premature ventricular contractions per minute are noted. No pulse is detected. The most appropriate next step is to