Anesthesia Hub -

10 Random Questions

Which of the following drugs is contraindicated in patients with Parkinson's disease?

(A) Atropine
(B) Dopamine
(C) Droperidol
(D) Fentanyl
(E) Isoflurane

Which of the following should be included in the preoperative management of a 12-year-old patient with Duchenne muscular dystrophy who is unable to ambulate?

(A) Determination of serum creatine kinase concentration
(B) Determination of serum potassium concentration
(C) Liver function profile
(D) Echocardiography
(E) Dantrolene prophylaxis

ADVANCED Pediatric

An 18-month-old child with tetralogy of Fallot is anesthetized with halothane and nitrous oxide. Following intubation, oxygen saturation decreases abruptly from 85% to 45%. The most effective treatment is

(A) discontinuation of halothane
(B) hyperventilation
(C) intravenous epinephrine
(D) intravenous phenylephrine
(E) positive end-expiratory pressure

ADVANCED Pediatric Cardiac

Succinylcholine can be administered safely to a patient with

(A) amyotrophic lateral sclerosis
(B) cerebral palsy
(C) a pelvic crush injury sustained two weeks ago
(D) a 20% body surface area burn sustained 10 days ago
(E) hemiparesis one month after a cerebrovascular accident

ADVANCED Pharmacology & Pharmacokinetics

Which of the following statements concerning the use of epidural opioids during labor is true?

(A) Fentanyl decreases the concentration of epidural bupivacaine required for satisfactory analgesia
(B) Fentanyl is an effective analgesic for the second stage of labor
(C) Sufentanil is an unsatisfactory analgesic for labor
(D) The addition of epinephrine to morphine prolongs the duration of analgesia
(E) The duration of analgesia with fentanyl is six to ten hours

ADVANCED OB Regional & Pain

Which of the following is the most likely finding in the affected extremity during the acute stage of reflex sympathetic dystrophy?

(A) Dermatomal distribution of pain
(B) Hypesthesia
(C) Increased growth of hair and nails
(D) Localized edema
(E) Radiographic evidence of osteoporosis

A patient who is scheduled for a parathyroidectomy for a parathyroid adenoma has a preoperative serum calcium concentration of 13.5 mg/dl. The ECG shows no acute changes. The most appropriate preoperative management is administration of

(A) calcitonin
(B) hydrocortisone
(C) intravenous saline solution
(D) mannitol
(E) potassium phosphate

During anesthesia, the ventilation/perfusion ratios change

(A) to preferential ventilation of the dependent portion
(B) due to cephalad shift of the diaphragm
(C) by insignificant amounts from that in the awake state
(D) to preferential perfusion of the superior portion
(E) from changes in pulmonary compliance

BASIC Respiratory & Critical Care

Which of the following postoperative treatments decreases the risk for deep venous thrombosis?

(A) Blood transfusion
(B) Epidural anesthesia
(C) Etomidate
(D) Ketorolac
(E) Patient-controlled analgesia

ADVANCED General

Which of the following laboratory studies is the best indicator of reversal of the effects of warfarin?

(A) Activated clotting time
(B) Activated partial thromboplastin time
(C) Bleeding time
(D) Plasma fibrinogen concentration
(E) Prothrombin time

BASIC Pharmacology & Pharmacokinetics