Anesthesia Hub -

10 Random Questions

A 64-year-old man with a large pancreatic tumor has severe abdominal pain that radiates to the low back. Which of the following is the most appropriate management?

(A) Bilateral LI rhizotomy
(B) Dorsal column stimulation
(C) Hypogastric plexus block
(D) Neurolytic celiac plexus block
(E) Patient-controlled analgesia

The patient at LEAST risk of pulmonary aspiration of gastric contents during induction of anesthesia is

(A) markedly obese and NPO for eight hours
(B) fed black coffee four hours before elective surgery
(C) scheduled for elective cesarean delivery and NPO for 20 hours
(D) NPO for four hours after a full meal
(E) scheduled for elective repair of a hiatus hernia

BASIC General

Maternal hyperventilation to a PaCO2 of 20 mmHg during labor can result in

(A) decreased fetal trapping of local anesthetics
(B) fetal metabolic acidosis
(C) fetal respiratory acidosis
(D) increased oxygen release at the placenta
(E) uterine vasodilation

ADVANCED OB

Which of the following is the best method of pacing to improve cardiac output in a patient with third-degree heart block?

(A) VOO
(B) AOO
(C) VVI
(D) DVI
(E) Transcutaneous

ADVANCED General Cardiac

If minute ventilation is held constant, which of the following is LEAST likely to alter PaCO2?

(A) General anesthesia
(B) Hypothermia
(C) Increased dead space
(D) Increased pulmonary shunt
(E) Induced hypotension

BASIC Respiratory & Critical Care

The short clinical duration of action of a single dose of fentanyl is a result of its

(A) small volume of distribution
(B) large volume of distribution
(C) low lipid solubility
(D) rapid redistribution
(E) short elimination half-life

BASIC Pharmacology & Pharmacokinetics

In patients homozygous for atypical pseudocholinesterase, which of the following best explains the prolonged action of succinylcholine?

(A) An increased proportion of the dose reaches the neuromuscular junction
(B) Diffusion away from the neuromuscular junction is slowed
(C) Hepatic clearance of succinylcholine is decreased
(D) Prejunctional activity is unopposed
(E) Succinylmonocholine induces neuromuscular block

A 35-year-old woman with a grade III subarachnoid hemorrhage is undergoing clipping of a middle cerebral artery aneurysm 48 hours after initial hemorrhage. Which of the following drugs used to induce hypotension is LEAST likely to affect intracranial pressure?

(A) Esmolol
(B) Hydralazine
(C) Isoflurane
(D) Nitroglycerin
(E) Sodium nitroprusside

ADVANCED Pharmacology & Pharmacokinetics Neuro

Which of the following is the most important factor affecting the incidence of postoperative pulmonary complications?

(A) Age of the patient
(B) Anesthetic technique
(C) Duration of surgery
(D) Obesity
(E) Site of the operation

A 26-year-old woman has headache, nausea, and photophobia 36 hours after cesarean delivery for chorioamnionitis using subarachnoid block. Temperature is 38.8°C and leukocyte count is 14,200/mm3. Which of the following is the most appropriate next step in management?

(A) Oral ibuprofen
(B) Intravenous caffeine sodium benzoate
(C) Intravenous hydration
(D) Epidural blood patch
(E) Diagnostic lumbar puncture

ADVANCED OB