Anesthesia Hub -

10 Random Questions

A bilateral superior laryngeal nerve block performed to facilitate fiberoptic intubation will provide anesthesia of the

(A) base of the tongue
(B) larynx above the vocal cords
(C) superior surface of the epiglottis
(D) tonsillar pillars
(E) upper trachea

BASIC General Regional & Pain

A 68-year-old man has signs of a coagulopathy after receiving 10 units of packed erythrocytes during emergency repair of a leaking abdominal aortic aneurysm. The most likely cause is

(A) depletion of factor V
(B) disseminated intravascular coagulation
(C) hypothermia
(D) platelet dysfunction
(E) thrombocytopenia

ADVANCED Transfusions & Fluids General

A 6-year-old boy with spina bifida and a chronic indwelling urinary catheter has severe hypotension and hypoxemia during augmentation cystoplasty. Which of the following is the most likely cause?

(A) Autonomic neuropathy
(B) Disseminated intravascular coagulation
(C) Latex allergy
(D) Urinary sepsis
(E) Venous air embolism

Which of the following is the most common initial manifestation of malignant hyperthermia?

(A) Hyperkalemia
(B) Increased distal esophageal temperature
(C) Increased PETCO2
(D) Red discoloration of urine
(E) Ventricular irritability

BASIC General

Which of the following neurophysiologic monitoring modalities is LEAST affected by administration of volatile anesthetic agents?

(A) Brain stem auditory evoked potentials
(B) Electroencephalogram
(C) Motor evoked potentials
(D) Somatosensory evoked potentials
(E) Visual evoked potentials

BASIC Equipment & Physics

Which of the following statements regarding innervation of the upper extremity is true?

(A) Blockade of the radial nerve decreases the patient's ability to spread the fingers apart
(B) The brachial plexus receives preganglionic sympathetic fibers arising from C5 through T2
(C) Interscalene injection of the brachial plexus at C6 is likely to spare the axillary nerve.
(D) The musculocutaneous nerves receive contributions from C5 and C6
(E) The vertebral artery lies posterior to the nerve roots of the brachial plexus

ADVANCED Regional & Pain

A patient who had liver transplantation two years ago now requires general anesthesia for ENT surgery. Minimal rejection has occurred on a regimen of cyclosporine and prednisone. Which of the following is most likely?

(A) Hypoalbuminemia
(B) Hypocalcemia
(C) Episodic hypoglycemia
(D) Increased serum creatinine concentration
(E) Prolonged prothrombin time

ADVANCED General

A 65-year-old man has a history of alcohol abuse. Which of the following preoperative serum concentrations would provide the best assessment of synthetic hepatic function?

(A) Albumin
(B) Alkaline phosphatase
(C) Bilirubin
(D) Globulin
(E) Transaminases

BASIC General

A 55-year-old woman receiving chronic dialysis for renal failure comes to the emergency department with a perforated viscus. She has chest pain. Heart rate is 124 bpm, blood pressure is 90/60 mmHg, and respiratory rate is 18/min. Surgery is to be performed within the hour. Which of the following best describes this patient's ASA physical status classification?

(A) III
(B) III E
(C) IV
(D) IV E
(E) V E

Compared with a person of normal weight, which of the following findings are most likely on pulmonary function testing of a patient with morbid obesity? (FVC, FEV/FVC, FRC, A-a DO2)?

(A) Decreased, Normal, Decreased, Normal
(B) Decreased, Normal, Decreased , Increased
(C) Decreased, Normal, Normal, Increased,
(D) Increased, Decreased, Normal, Increased
(E) Increased, Decreased, Decreased, Increased

ADVANCED Respiratory & Critical Care