10 Random Questions
In clinical anesthesia practice, the term "informed consent" is best described as a legal concept in which patients
- (A) agree to anesthesia care based on full disclosure of facts needed to make the decision intelligently
- (B) are told of all possible risks of anesthesia and anesthetic procedures
- (C) delegate all decisions regarding anesthesia care to the anesthesiologist
- (D) release the physicians from liability
- (E) sign global consent forms for surgical procedures that cover the administration of anesthesia care
Which of the following is an effect of acetazolamide?
- (A) Glucose intolerance
- (B) Increased minute ventilation
- (C) Metabolic alkalosis
- (D) Sinus bradycardia
- (E) Slowed intravenous anesthetic induction
The capnographic tracing is from a 2-month-old infant anesthetized using a pediatric circle system and mask at a fresh gas flow of 4 L/min. The sampling port is in the elbow connector. This tracing indicates
- (A) adequate alveolar ventilation
- (B) exhausted soda lime
- (C) expired halothane concentrations representative of alveolar concentrations
- (D) mixing of inspired and expired gases
- (E) the need to change to a Mapleson D circuit
A newborn is in respiratory distress. Examination shows a scaphoid abdomen, cyanosis while breathing oxygen by mask, and heart sounds in the right hemithorax. Which of the following is the most appropriate next step?
- (A) Assisted ventilation with a bag and face mask
- (B) Insertion of a chest tube on the left side
- (C) Insertion of a nasogastric tube
- (D) Tracheal intubation and assisted ventilation
- (E) Tracheal intubation and expansion of the left lung
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
Which of the following correctly describes the anatomic location of the stellate ganglion?
- (A) Anterior to the transverse process of C5
- (B) Anterior to the transverse process of C7
- (C) Posterior to the prevertebral fascia
- (D) Posterior to the vertebral artery
- (E) Lateral to the carotid artery
Each of the following conditions is associated with autonomic hyperreflexia in patients with spinal cord injury EXCEPT
- (A) bradycardia
- (B) flushing below the level of injury
- (C) headache
- (D) sweating above the level of injury
- (E) systolic hypertension
Desflurane at a stable alveolar concentration of 7%
- (A) causes bradycardia
- (B) decreases cerebrovascular resistance
- (C) degrades in soda lime
- (D) increases systemic vascular resistance
- (E) stimulates the respiratory centers
Pulsus paradoxus is commonly seen during anesthesia in patients with each of the following conditions EXCEPT
- (A) severe asthma
- (B) right-sided heart failure
- (C) hypovolemia
- (D) atrial septal defect
- (E) obesity
Which of the following pulmonary components is altered the most in a morbidly obese patient?
- (A) Total lung volume
- (B) Tidal volume
- (C) Inspiratory reserve volume
- (D) Expiratory reserve volume
- (E) Ratio of dead space to tidal volume