Anesthesia Hub -

10 Random Questions

When treating reflex sympathetic dystrophy of an arm, which of the following is the best indicator of a successful sympathetic blockade?

(A) A pinprick sensory deficit in the distribution of C6
(B) A 5°C increase in the temperature of the skin of the hand
(C) An accentuated psychogalvanometric response in the forearm
(D) An ipsilateral positive Horner's syndrome
(E) Decreased temperature sensation in the hand

In a patient with sickle cell anemia, which of the following is LEAST likely to trigger sickling?

(A) Hypothermia
(B) Increased systemic vascular resistance
(C) Low central venous pressure
(D) Low mixed venous P02
(E) Metabolic alkalosis

An EKG shows ventricular tachycardia in a patient with a heart rate of 160 bpm and a blood pressure of 90/60 mmHg. The best initial therapeutic maneuver prior to cardioversion is

(A) carotid sinus massage
(B) intravenous administration of bretylium
(C) intravenous administration of amiodarone
(D) intravenous administration of propranolol
(E) precordial "thump"

BASIC General Cardiac

A 70-kg man has stable 80% neuromuscular block induced with d-tubocurarine. Compared with neostigmine 3 mg, antagonism with edrophonium 70 mg will

(A) be of shorter duration
(B) be of slower onset
(C) be less reliable
(D) produce less change in heart rate
(E) require more anticholinergic

BASIC Pharmacology & Pharmacokinetics

Which property of oxygen is detected by the fail-safe device on the anesthesia machine?

(A) Concentration
(B) Flow
(C) Pressure
(D) Partial pressure
(E) Reserve volume

BASIC Equipment & Physics

Which of the following findings best indicates complete resolution of spinal anesthesia?

(A) Ability to ambulate
(B) Ability to urinate
(C) Perianal pinprick sensation
(D) Pain at the surgical site
(E) Proprioception of the big toe

ADVANCED Regional & Pain

Which of the following limits the use of nalbuphine for relief of postoperative pain?

(A) High incidence of nausea and vomiting
(B) High incidence of delayed respiratory depression
(C) Potential for inducing seizures with repeated doses
(D) Relatively low maximal analgesic effect
(E) Short duration of action

BASIC Pharmacology & Pharmacokinetics

Which of the following statements concerning carbon monoxide poisoning is true? A 38-year-old woman with a large goiter has undergone subtotal thyroidectomy. Airway obstruction is noted immediately after extubation despite normal vocal cord function on laryngoscopy. Which of the following is the most likely explanation?

(A) Arytenoid dislocation
(B) Hematoma
(C) Hypocalcemia
(D) Recurrent laryngeal nerve injury
(E) Tracheomalacia

ADVANCED General

Intrabiliary pressure will be increased to the greatest extent by intravenous administration of

(A) atropine
(B) glucagon
(C) naloxone
(D) fentanyl
(E) butorphanol

BASIC Pharmacology & Pharmacokinetics

Which of the following is a manifestation of preeclampsia?

(A) Hypovolemia
(B) Increased colloid osmotic pressure
(C) Natriuresis
(D) Resistance to catecholamines
(E) Thrombocytosis

ADVANCED OB