Anesthesia Hub -

10 Random Questions

Which of the following is a complication of glycine used for irrigation during transurethral resection of the prostate?

(A) Epileptiform activity on EEG
(B) Peripheral neuropathy
(C) Tachycardia
(D) Transient blindness
(E) Transient deafness

ADVANCED General

Compared with normal adults, which of the following characteristics of neonates best explains the more rapid inhalation induction in neonates?

(A) Greater cardiac index
(B) Greater metabolic rate
(C) Greater perfusion of vessel-rich tissues
(D) Greater ratio of alveolar ventilation to functional residual capacity
(E) Less lean body mass

ADVANCED Pediatric

A moderately obese 38-year-old woman is using patient-controlled morphine analgesia one day after open cholecystectomy. While breathing room air, oxygen saturation is 85%, Pa02 is 48 mmHg, PaC02 is 42 mmHg, and pH is 7.36. In addition to administration of oxygen, the most effective management is to

(A) decrease the dosage of opioids
(B) change to epidural morphine
(C) administer an inhaled bronchodilator
(D) initiate 4 cm of nasal continuous positive airway pressure
(E) initiate incentive spirometry therapy

A 36-year-old woman develops acute airway obstruction 24 hours after total thyroidectomy. The most likely cause is

(A) bilateral recurrent laryngeal nerve injury
(B) unilateral recurrent laryngeal nerve injury
(C) hypocalcemia
(D) subglottic edema
(E) tracheomalacia

ADVANCED General

A healthy, 18-year-old, 65-kg woman undergoing diagnostic laparoscopy is being monitored with a properly functioning and calibrated capnograph. The end-tidal carbon dioxide concentration is 6%, and the inspired carbon dioxide concentration is 1%. This may be caused by each of the following EXCEPT

(A) malfunction of the expiratory valve in a circle system
(B) low gas inflow with a Bain circuit
(C) exhausted soda lime within a circle system
(D) absorption of carbon dioxide from carbon dioxide laparoscopy
(E) carbon dioxide in the fresh gas flow

BASIC Equipment & Physics

Which of the following is the most appropriate initial therapy for acute pulmonary hypertension with right ventricular dysfunction and severe systemic hypotension that occurs during anesthesia?

(A) Amrinone
(B) Epinephrine
(C) Isoflurane
(D) Isoproterenol
(E) Nitroglycerin

ADVANCED General

During extracorporeal shock wave lithotripsy, the shock wave should be synchronized with

(A) the P wave of the ECG
(B) the R wave of the ECG
(C) the T wave of the ECG
(D) peak inspiration
(E) end-expiration

BASIC Equipment & Physics

A 30-year-old man who is breathing spontaneously has a ventilatory pattern of sustained deep inspiration and occasional expiratory gasps during emergence from general anesthesia after posterior fossa craniotomy. Which of the following is the most likely cause?

(A) Air in the cerebral ventricles
(B) Expiratory obstruction from subglottic edema
(C) Injury to the C3-5 nerve roots
(D) Injury to the pons
(E) Residual neuromuscular paralysis

ADVANCED Neuro

Which of the following is the most likely cause of the coronary steal phenomenon?

(A) Idiopathic hypertrophic subaortic stenosis (IHSS)
(B) Decreased cardiac contractility
(C) Dilation of coronary arterioles
(D) Dilation of epicardial coronary arteries
(E) Increased systemic vascular resistance

ADVANCED Cardiac

A 43-year-old man has been hoarse for two weeks since undergoing anterior cervical fusion at C7-8 for treatment of a herniated disk. Laryngoscopy shows paralysis of the right vocal cord. Which of the following is the most likely cause?

(A) Damage to the glossopharyngeal nerve during surgery
(B) Damage to the superior laryngeal nerve during surgery
(C) Nerve root compression by the herniated disk
(D) Stretching of the recurrent laryngeal nerve during surgery
(E) Trauma to the vocal cords during intubation