Anesthesia Hub -

10 Random Questions

In a patient with hypovolemic shock, which of the following factors is the best measure of the overall balance between oxygen supply and demand?

(A) Arterial oxygen content
(B) PetO2
(C) Mixed venous oxygen saturation
(D) PaO2
(E) Transcutaneous oxygen tension

BASIC Respiratory & Critical Care General

Transcutaneous electrical nerve stimulation is LEAST likely to be effective in which of the following pain syndromes?

(A) Acute postoperative pain
(B) Chronic pancreatitis
(C) Myofascial syndrome
(D) Phantom limb pain
(E) Reflex sympathetic dystrophy

ADVANCED Regional & Pain

After an axillary brachial plexus block, the patient feels pain when the surgeon clips the skin over the thenar eminence. The most likely cause is inadequate anesthesia in the distribution of the

(A) intercostobrachial nerve
(B) median nerve
(C) musculocutaneous nerve
(D) radial nerve
(E) ulnar nerve

ADVANCED Regional & Pain

A patient with a fasting blood glucose concentration of 100 mg/dL undergoes a four-hour operation under general anesthesia without intraoperative administration of glucose. On emergence the most likely finding will be

(A) marked hypoglycemia
(B) mild hypoglycemia
(C) normoglycemia
(D) mild hyperglycemia
(E) marked hyperglycemia

ADVANCED General

Which of the following is the most frequent cause of hemorrhagic diathesis after administration of 20 units of CPD-stored blood over six hours?

(A) Disseminated intravascular coagulation
(B) Hypofibrinogenemia
(C) Low plasma concentrations of factors V and VIII
(D) Primary fibrinolysis
(E) Thrombocytopenia

BASIC Transfusions & Fluids

A 50-year-old man is scheduled to undergo emergency craniotomy for evacuation of an epidural hematoma. His Glasgow Coma Scale score is 6; heart rate is 54 bpm, and blood pressure is 190/110 mmHg. The most appropriate initial management is administration of which of the following agents?

(A) Atropine
(B) Mannitol
(C) Nimodipine
(D) Sodium nitroprusside
(E) Thiopental

ADVANCED Neuro

Compared with the adult airway, the neonatal airway has which of the following characteristics?

(A) More cephalad larynx
(B) Narrowest diameter at the vocal cords
(C) Relatively smaller epiglottis
(D) Smaller tongue relative to the size of the oral cavity
(E) Vocal cords perpendicular to the trachea

ADVANCED Pediatric

Increasing preload, systemic vascular resistance and heart rate will best maintain hemodynamic stability in patients with

(A) aortic stenosis
(B) asymmetric septal hypertrophy (IHSS)
(C) cardiac tamponade
(D) mitral regurgitation
(E) mitral stenosis

BASIC Cardiac

Following completion of an ankle block, the patient reports intact sensation on the tips of the toes. Which of the following nerves was blocked inadequately?

(A) Deep peroneal
(B) Posterior tibial
(C) Saphenous
(D) Superficial peroneal
(E) Sural

ADVANCED Regional & Pain

If a patient with excessive bleeding during exploratory laparotomy has a normal activated clotting time, the LEAST likely cause of the bleeding is

(A) antithrombin III deficiency
(B) dilutional thrombocytopenia
(C) fibrinolysis
(D) administration of heparin 5000 units
(E) preoperative ingestion of aspirin

ADVANCED Cardiac