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a
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1. In a term fetus the normal
oxygen consumption is approximately
(Anesthesia, Comprehensive review)
A. 7 ml/min
B. 14 ml/min
C. 21 ml/min
D. 32 ml/min
E. 45 ml/min |
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a
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2. The preoperative
administration of subcutaneous low-molecular-weight heparin
(LMWH) for thromboembolism prophylaxis is MOST likely
associated with (SEE 15 A)
A. increased packed cell transfusion requirements.
B. risk of epidural hematoma formation despite normal
coag. studies.
C. increased incidence of heparin-induced thrombocytopenia
when compared to unfractionated heparin.
D. greater risk of pulmonary thromboem-bolism when compared
to unfractionated heparin. |
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a
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3. All
of the following agents can produce histamine release
EXCEPT :
(Review of Clinical Anesthesia 2nd
Ed)
A. methohexital
B. propofol
C. thiopental
D. ketamine
E. Etomidate |
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a
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4. Causes of pulmonary dysfunction after acute spinal
cord transection in the cervical region include all the
following EXCEPT
(Anesthesiology - Pretest self-assessment
and review)
A. imparied alveolar ventilation
B. cervical cord transection in the C2-4 region, which
leads to diaphrag- matic paralysis with apnea and death
C. neurogenic pulmonary edema
D. greatly diminished vital capacity
E. restrictive lung changes that lead to an inability
to clear bronchial secretions |
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a
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5.
EMLA (Euthetic Mixture of Local Anesthetic) cream is a
mixture of
(Anesthesia, Comprehensive review)
A. Lidocaine and prilocaine
B. Lidocaine and benzocaine
C. Prilocaine and Benzocaine
D. Ropivacaine and benzocaine
E. Prilocaine, benzocaine, lidocaine |
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a
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6. All of the following statements regarding maseter muscle
rigidity (MMR) are true EXCEPT : (Review
of Clinical Anesthesia 2nd Ed)
A. It may precede MH
B. The peak incidence is 8-12 years of age
C. A peripheral nerve stimulator usually reveals lack
of paralysis
D. It occurs after administration of succinylcholine
E. Repeated doses of succinylcholine do not relieve the
problem |
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a
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7.
The maximum amount of lidocaine (2%) that can be mixed
in the same syringe with 200 mg of propofol that does
not impair the stability of the emulsion is
(SEE 14 A)
A. 20 mg
B. 40 mg
C. 80 mg
D. 160 mg |
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a
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8.
The most probable site of action of epidural administered
local anesthetics is : (Review of
Clinical Anesthesia 2nd Ed)
A. dorsal root ganglia
B. spinal nerves
C. substantia gelatinosa
D. spinal roots
E. spinal cord |
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a
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9. Which part of the following capnogram contains the
gas sampled that occupies the anatomic dead space ? (Review
of Clinical Anesthesia 2nd Ed)
|
A.
A-B
B. B-C
C. C-D.
D. D
E. D-E |
 |
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a
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10. The maximum
FiO2 that can be delivered by a nasal cannula is
(Anesthesia, Comprehensive review)
A. 0.25
B. 0.30
C. 0.35
D. 0.40
E. 0.45 |
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a
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11.
The highest trace concentration of N2O allowed in the
operating room atmosphere by the National Institue for
Occupancational Safety and Health (NIOSH) is ? (Anesthesia
: Comprehensive review)
A. 1 ppm (part per million)
B. 5 ppm
C. 25 ppm
D. 50 ppm
E. 100 ppm |
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a
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12.
In measuring blood pressure by indirect methods, which
of the following is MOST likely to lead to artificially
low systolic readings ? (SEE 13A)
A. cold weather
B. Deflating the cuff too quickly
C. Vasoconstriction prolongs rewarming
D. Active rewarming should be delayed until several hours
after surgery |
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a
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13.
Which of the folllowing substances is responsible for
the occasional patient experiencing relentless excruciating
backache associated with epidural administration of 3
% 2-chloroprocaine in volumes greater than 23-25 ml. (Anesthesia
: Comprehensive review)
A. Ethylenediaminettetraacetic acid (EDTA)
B. Sodium bisulfite
C. Metabisulfite
D. Paraaminobenzoic acid
E. 4-amino-2-chlorobenzoic acid |
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14.
Each of the following is decreased in elderly patients
compared with their younger counterparts EXCEPT (Anesthesia
: Comprehensive review)
A. Pa O2
B. FEV1
C. Ventilatory response to hypercarbia
D. Vital capacity
E. Closing volume |
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Key type for the following items
A
: 1,2,3 B
: 1,3 C
: 2,4 D
: only 4
E : all |
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a
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15.
Which statement(s) about aprotinin effects is/are true?
(SEE 14B)
1. Aprotinin decreases transfusion requirements in adults
undergoing repeat open heart surgery
2. Aprotinin decreases transfusion requirements in children
undergoing repeat opoen heart surgery
3. Aprotinin acts by inhibiting plasmin, kalidrein, and
thrombin forma- tion
4. Aprotinin is not associated with anaphylaxis
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a
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16.
Patients undergoing spinal or epidural anesthesia are
clearly predisposed to epidural hematomas by
(SEE 15 A)
1. coagulation abnormalities.
2. use of larger needles.
3. difficult needle placement.
4. aspirin therapy. |
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a
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17.
True statements regarding von Willebrand’s disease
include that it
(Anesthesiology - Pretest self assessment
and review)
1. is transmitted in an autosomal dominant manner
2. is due to the absence of a protein necessary for adequate
functioning of factor VIII and platelets
3. is manifested by a decreased plasma concentration of
factor VIII among other things
4. may be treated with either factor VIII concentrates
or cryoprecipitate |
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a
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18.
Which of the following can trigger malignant hyperthermia
(SEE 14 A)
1. Succinyl choline
2. Cocaine
3. Sevoflurane
4. Lidocaine |
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a
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19.
Advantages of catheterization of the umbilical artery
versus the umbilical vein in a newborn include (Anesthesia,
Comperhensive review)
1. It allows assessment of oxygenation
2. Hepatic damage from hypertonic infujsion is avoided
3. It permits assessment of systemic blood pressure
4. It is easier to cannulate |
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a
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20. Which of the following statements regarding droperidol
is/are TRUE? (Review of Clinical
Anesthesia 2nd Ed)
1. It can cause alpha blockade
2. It is a dopamine agonist
3. Haloperidol is in the same class of medications as
droperidol
4. Droperidol is a phenothiazine |
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a
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21.
Manifestations of Guillain-Barre syndrome include (SEE
13 A)
1. underlying autonomic instability
2. respiratory muscle weakness
3. painful dysesthesias
4. orthostatic hypotension |
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a
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22.
Whic h of the following materials will not ignite during
laser surgery of the airway (Anesthesia,
Comprehensive review)
1. Rubber
2. Silicone
3. Polyvinylchloride
4. Metal |
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a
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23.
Which statements(s) about patient temperature during epidural
and spinal anesthesia is/are true (SEE
14 B)
1. Nerve block inhibits the normal peripheral vasoconstriction
against hypothermia in the anesthetized dematomes
2. Central control of thermal regulation is impaired
3. Hypothermia progressively develops throughout surgery
4. Shivering usually produces little heat gain |
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a
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24.
Which statement(s) about temperature regulation in infants
less than 3 months of age is/are true? (SEE
15 A )
1. Nonanesthetized infants preserve heat by vasoconstriction.
2. Nonanesthetized infants generate heat by brown fat
metabolism.
3. Anesthetized infants do not generate heat via brown
fat metabolism.
4. Nonanesthetized infants generate heat by shivering.
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Answer ( * In-traning
Exam - no answer available - find out by yourself)
1. C 2. B 3. E 4. C 5. A 6. C 7. A 8. D 9. A
10. E 11. C 12. B 13. A 14. E 15. A 16. B 17. A 18. B 19. A
20. B 21. E 22. D 23. E 24. A |
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