Anesthesia Hub -

10 Random Questions

A 58-year-old man undergoes repeat coronary artery bypass grafting. Which of the following is LEAST likely to decrease the need for exogenous blood transfusion?

(A) Cell saver blood collection before and after cardiopulmonary bypass
(B) Epsilon-aminocaproic acid administered during cardiopulmonary bypass
(C) High-dose aprotinin administered during cardiopulmonary bypass
(D) Tranexamic acid infusion during cardiopulmonary bypass
(E) Desmospressin administered after cardiopulmonary bypass

Appropriate anesthetic management of a patient with hypertrophic cardiomyopathy includes each of the following EXCEPT

(A) maintaining normal or slightly greater than normal preload
(B) adjusting positive airway pressure to maintain near normal venous return
(C) preference for volatile agents rather than opiates for anesthesia
(D) use of beta-adrenergic blocking agents to increase ventricular wall compliance
(E) decreasing afterload with peripheral vasodilators

In calculating the fluid requirements for a newborn undergoing repair of an omphalocele, the third-space loss should be replaced by

(A) 0.9% saline solution
(B) 2.5% dextrose in 0.45% saline solution
(C) 5% dextrose in lactated Ringer's solution
(D) 5% dextrose in water
(E) 5% dextrose in 0.25% saline solution

ADVANCED Pediatric

In a 5-kg boy with Treacher Collins syndrome who is to undergo cleft palate repair, endotracheal intubation is best accomplished with

(A) awake nasal intubation after topical anesthesia
(B) halothane anesthesia with spontaneous ventilation
(C) light isoflurane anesthesia and a muscle relaxant
(D) thiopental and succinylcholine sequence intravenously
(E) nasal intubation after administration of ketamine intramuscularly

ADVANCED Pediatric

The most likely effect of a celiac plexus block for an abdominal operation is

(A) bowel distention
(B) hypotension
(C) incisional analgesia
(D) muscle relaxation
(E) urinary retention

ADVANCED Regional & Pain

Metoclopramide

(A) decreases gastric acid secretion
(B) decreases gastroesophageal sphincter tone
(C) is contraindicated in patients with Parkinson's disease
(D) is most effective when administered in combination with atropine
(E) requires an intact vagus nerve for gastrointestinal effects

ADVANCED Pharmacology & Pharmacokinetics

In pregnant patients, which of the following is an effect of the long-term use of cocaine?

(A) Decreased uterine tone
(B) Decreased thiopental requirement
(C) Increased isoflurane MAC
(D) Increased sensitivity to ephedrine
(E) Lower than expected level of block with tetracaine spinal analgesia

ADVANCED OB

Which of the following parts of the infant's airway determines the appropriate diameter of a nasotracheal tube?

(A) Nares
(B) Glottis
(C) Vocal cords
(D) Cricoid cartilage
(E) Third tracheal ring

ADVANCED Pediatric

Which of the following drugs decreases lower esophageal sphincter tone?

(A) Edrophonium
(B) Glycopyrrolate
(C) Metoclopramide
(D) Prochlorperazine
(E) Succinylcholine

During transurethral resection of the prostate, intravascular absorption of glycine irrigant most commonly produces

(A) alkalosis
(B) hemolysis
(C) hypertension
(D) tachycardia
(E) wheezing

ADVANCED General