Anesthesia Hub -

10 Random Questions

A 65-year-old man is disoriented and has a headache and nausea in the recovery room 30 minutes after transurethral resection of the prostate with glycine irrigation performed under spinal anesthesia. Heart rate is 50 bpm and blood pressure is 180/110 mmHg. Which of the following is LEAST likely?

(A) Decreased serum osmolality
(B) Serum sodium concentration 132 mEq/L
(C) Increased serum ammonia concentration
(D) Bibasilar rales
(E) Jugular venous distention

ADVANCED General

Which of the following is the most common initial sign of hemolytic transfusion reaction during general anesthesia?

(A) Bronchospasm
(B) Diffuse bleeding
(C) Fever
(D) Hemoglobinuria
(E) Hypotension

BASIC Transfusions & Fluids General

A 68-year-old man who is scheduled for outpatient cystoscopy has non-insulin-dependent diabetes mellitus controlled with glipizide (Glucatrol) 5 mg twice daily. He has had nothing to eat since awakening this morning and has not taken glipizide today. His blood glucose level is 185 mg/dl. Before proceeding, the most appropriate management is to administer

(A) glipizide 5 mg orally
(B) NPH insulin 10 units subcutaneously
(C) regular insulin 10 units intravenously
(D) dextrose and regular insulin by infusion
(E) no additional diabetic medication

BASIC Pharmacology & Pharmacokinetics General

Each of the following conditions can be accurately evaluated with transesophageal echocardiography EXCEPT

(A) intimal tear at the aortic arch
(B) intracardiac air
(C) left atrial thrombus
(D) patent foramen ovale
(E) right atrial myxoma

ADVANCED Cardiac

Compared with general anesthesia, epidural anesthesia for hip arthroplasty is associated with

(A) decreased incidence of perioperative myocardial ischemia
(B) decreased intraoperative blood loss
(C) decreased risk for acute renal failure
(D) increased risk for stress-induced hyperglycemia
(E) increased thromboembolic complications

Which of the following best describes cardiomyopathy following therapy with doxorubicin (Adriamycin)?

(A) The initial presentation is concentric hypertrophy
(B) The diagnosis is confirmed by a shortened QT interval
(C) It is exacerbated by hyperoxia
(D) It is resistant to inotropic agents
(E) It: may persist for years after therapy is discontinued

ADVANCED Cardiac

While delivering nitrous oxide 1.5 L/min, oxygen 1.5 L/min, and sevoflurane 2%, a leak in the oxygen flowmeter would most likely be detected by the

(A) low airway pressure alarm
(B) "fail-safe" system
(C) oxygen analyzer on the expiratory limb
(D) oxygen flowmeter reading
(E) mass spectrometric analysis of gases

BASIC Equipment & Physics

Which of the following would be most likely to result in neonatal depression when administered to a healthy parturient during an uncomplicated labor and vaginal delivery?

(A) Nitrous oxide 60% in oxygen supplemented with halothane 0.5% for 10 minutes before delivery
(B) Ketamine 20 mg intravenously 30 minutes before delivery
(C) Meperidine 100 mg intramuscularly 2 hours before delivery
(D) Thiopental 100 mg intravenously 30 minutes before delivery
(E) Nitrous oxide 60% in oxygen supplemented with enflurane 0.7% for 10 minutes before delivery

ADVANCED Pediatric OB

Gravid uterine blood flow is

(A) autoregulated
(B) decreased by normotensive epidural analgesia
(C) decreased by uterine contractions
(D) increased with an increase in maternal Pa02
(E) unaffected by alpha-adrenergic agonists

ADVANCED OB

An anesthesia machine is set to deliver oxygen 2 L/min, nitrous oxide 2 L/min, and sevoflurane. After 30 minutes of stable anesthesia, which of the following, is the most likely cause of a decrease in the oxygen analyzer reading from 50% to 30%?

(A) A leak in the ventilator bellows
(B) Accumulation of water on the oxygen sensor membrane
(C) Calibration at 100% oxygen using less than 100% oxygen
(D) Disconnection of the wall oxygen hose
(E) Presence of the oxygen analyzer in the expiratory limb

BASIC Equipment & Physics