A woman has weakness of the right quadriceps and a decreased knee jerk reflex on the right one day after forceps delivery under epidural anesthesia. The most likely cause is
(A) epidural hematoma
(B) intrapelvic nerve trauma
(C) lithotomy positioning
(D) reaction to the preservative in the anesthetic solution
A 24-year-old man is undergoing induction of general anesthesia prior to appendectomy. During laryngoscopy, he regurgitates a large amount of bilious material. An endotracheal tube is inserted; aspiration shows bile-stained fluid. Which of the following is the most appropriate next step in management?
(A) Infusion of a loading dose of aminophylline
(B) Intravenous administration of broad-spectrum antibiotics
(C) Lavage of the tracheobronchial tree with saline solution
(D) Radiograph of the chest
(E) Proceeding with the operation
E
The condition LEAST likely to be associated with sustained pain relief following a nerve block is
A 20-year-old man with a history of substance abuse is undergoing preoperative evaluation. Which of the following findings suggests current use of cocaine?
A 25-year-old man requires exploratory laparotomy following a motor vehicle accident. He is acutely intoxicated with alcohol. Which of the following is the most likely result of the alcohol ingestion?
(A) Hyperdynamic circulation
(B) Hyperglycemia
(C) Hyperthermia
(D) Increased respiratory depression from opioids
(E) Increased sensitivity to neuromuscular blocking drugs