Anesthesia Hub -

10 Random Questions

A tourniquet with dual bladders is being used for intravenous regional anesthesia of the upper extremity. At what point in the procedure should the distal tourniquet be inflated?

(A) During injection of the local anesthetic
(B) After the patient complains of tourniquet pain
(C) Coincident with inflation of the proximal tourniquet
(D) After the proximal tourniquet is deflated
(E) Prior to exsanguination of the limb

ADVANCED Regional & Pain

A 40-year-old man who is scheduled to undergo repair of a tendon laceration of the left hand has complete anesthesia in the median, radial, and ulnar nerve distributions after supraclavicular block. Two hours of tourniquet inflation are required for completion of the procedure. The most appropriate next step is an additional block of which of the following?

(A) Axillary nerve
(B) Intercostobrachial nerve
(C) Lateral antebrachial cutaneous nerve
(D) Musculocutaneous nerve
(E) Stellate ganglion

ADVANCED Regional & Pain

DC shocks of 200 joules applied directly to the heart are likely to

(A) worsen coronary perfusion
(B) prevent postshock arrhythmias
(C) produce myocardial contractile abnormalities
(D) increase myocardial impedance
(E) decrease myocardial temperature

ADVANCED General

Patients with acute alcohol intoxication are at increased risk for each of the following complications of general anesthesia EXCEPT

(A) aspiration of gastric contents
(B) hyperglycemia
(C) hypothermia
(D) ketoacidosis
(E) respiratory depression

ADVANCED General

Which of the following statements best describes the decrease in functional residual capacity that accompanies the induction of general anesthesia?

(A) It does not change compliance
(B) It is greater with spontaneous ventilation than with controlled ventilation
(C) It is independent of body position
(D) It is not corrected by application of positive end-expiratory pressure
(E) It occurs within the first 10 minutes of anesthesia

BASIC Respiratory & Critical Care General

Compared with healthy nonhypertensive patients, in patients with untreated hypertension undergoing anesthesia and operation,

(A) cerebral ischemia may occur at higher blood pressures
(B) intravenous fluid should be restricted before induction
(C) left ventricular hypertrophy enhances compensation for intraoperative fluid loss
(D) responses to sympathetic stimulation are decreased
(E) the incidence of intraoperative hypotension is lower

ADVANCED General

Which of the following statements regarding carbon monoxide poisoning is true?

(A) Breathing 100% oxygen at 1 atmosphere reduces the carboxyhemoglobin half-life
(B) Effective treatment includes administration of methylene blue
(C) It is commonly associated with respiratory acidosis
(D) It is incompatible with a normal Sp02 while breathing room air
(E) The oxyhemoglobin dissociation curve is shifted to the right

ADVANCED Respiratory & Critical Care General

Arterial oxyhemoglobin desaturation develops more rapidly following apnea in a pregnant patient at term than in a nonpregnant patient with a large intra-abdominal tumor. Which of the following findings in pregnancy is the most likely cause?

(A) Higher cardiac output
(B) Higher oxygen consumption
(C) Larger anatomic dead space
(D) Smaller blood volume
(E) Smaller functional residual capacity

ADVANCED OB

A 75-year-old man received an uneventful epidural anesthetic for total knee arthroplasty. Twenty-four hours later he has a painless flaccid paralysis in both legs. This clinical presentation is most consistent with

(A) adhesive arachnoiditis
(B) anterior spinal artery thrombosis
(C) epidural abscess
(D) epidural hematoma
(E) transverse myelitis

ADVANCED Regional & Pain

Which of the following chemotherapeutic drugs is a cause of pulmonary fibrosis?

(A) Bleomycin
(B) Cisplatin
(C) Cyclosporine
(D) Daunorubicin
(E) Vincristine

BASIC Pharmacology & Pharmacokinetics