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a
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1. Administration of dopexamine
has each of the following pharmacodynamic effects EXCEPT
(SEE 14 B)
A. Renal vasodilation
B. direct alpha-adrenoceptor agonism
C. increase in cardiac index
D. potentiation of NE |
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a
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2. During craniotomy
in the sitting position, ETCO2 suddenly decreases. Ventilatory
excursion of the chest is normal. Further evaluation is
most likely to show a decrease in : (In-Traning
ASA 1993 book B)
A. alveoloar-to-arterial oxygen tension diferrence
B. alveolar-to-arterial carbon dioxide tension difference
C. dead space ventilation
D. pulmonary artery pressure
E. pulmonary artery occlusion pressure |
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a
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3. An 18-year-old
patient with hemophilia A is scheduled for inguinal hernia
repair. Preoperatively, factor VIII concentration is 60
% of normal. The most appropriate management is administration
of (In-Traning ASA 1992 book A)
A. fresh frozen plasma
B. cryoprecipitate
C. factor VIII concentrate
D. vitamin K
E. none of the above |
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a
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4. Which statement about a patient with a VVI pacemaker
is MOST likely true ? : (SEE 13A)
A. Electrocautery may interfere with pacemaker function
B. Conversion to a fixed rate can only be done with pacemaker
function than unipolar electrocautery
C. Bipolar electrocautery is more likely to interfere
with pacemaker function than unipolar electrocautery.
D. The ground plate should be placed close to the pulse
generator |
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a
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5.
A patient who acquired CMV from a previous blood transufion
asks abou the risk of infection from another transfusion.
Which statement is MOST likely true ?
(SEE 13A)
A. The risk of acquireing HIV from a single unit of packed
cell is 1:10,000 units in the United States.
C. Directed donor blood is more likely to test positive
for hepati tis B than random donor
C. The risk of acquiring hepatitis C from a single unit
of packed cells is 1:100 units.
D. He can safely receive CMV positive blood. |
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a
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6.
Which statement about the cardiovascular disturbances
following intraoperative histmine release is MOST likely
true ? (SEE 13A)
A. Hypertension is not a manifestation
B. Bradycardia is a rare manifestation.
C. They occur more frequently in patients with malignant
disease
D. They are not reduced by the concomitant administration
of H1 and H2 blockers. |
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a
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7. In a trauma victim, which of the following BEST distinguishes
shock caused by cervical spinal cord injury from that
following hemorrhage ? (SEE 13A)
A. Systolic hypotension
B. Oliguria
C. Bradycardia
D. Diastolic hypotension |
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a
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8.
Major side effects of amiodarone include all of the following
EXCEPT (MGH Board review of Anesthesiology)
A. Hepatitis
B. Exacerbation of arrhythmias
C. thyroid dysfunction
D. pneumonitis
E. renal failure |
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a
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9. Univent or bronchial blocker can be used in all of
the following procedures EXCEPT (MGH
Board review of Anesthesiology)
A. bronchopulmonary lavage
B. transthoracic esophagogastrectomy
C. video thoracoscopy
D. left lower lobe segmentectomy
E. right pneumonectomy |
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a
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10. Which of
the following is not a candidate for outpatient surgery
? ( Review of Clinical Anesthesia
2nd Ed)
A. a term 3 month old infant with a sibling who died of
sudden infant death syndrome
B. an asymptomatic expremature who is 62 weeks postconceptual
age
C. a patient in whom a blood transfusioin is anticipated
D. any ASA IV patient
E. a patient scheduled for surgery lasting > 3 hrs. |
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a
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11.
Which statement about the pharmacology of intramuscular
(IM) rocuronium is most likely true ? (SEE
14 A)
A. the onset of IM rocuronium is similar to that of IM
succinyl- choline
B. An IM rocuronium injection of 1.8 mg/kg produces 20
to 30 minutes of relaxation
C. An IM rocuronium injection in the quadriceps muscle
pro- vides more rapid absorption than the deltoid muscle
D. IM injection of rocuronium in infants and in children
permits elective tracheal intubation |
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a
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12.
Which of the following is most likely to decrease sphincter
tone at the esophagogastric junction (SEE
14 B)
A. Deep inspiration
B. Exhalation
C. Valsalva maneuver
D. Coughing |
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a
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13.
When comparing the ventilatory effect of 1.4 MAC of halothane
and sevoflurane in spontaneously ventilating patients,
sevoflurane will most likely cause a (
SEE 13 A)
A. lower PaCO2
B. larger tidal volume
C. similar minute ventilation
D. lower respiratory rate |
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a
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14.
In children, the MOST effective route to deliver resuscitation
drugs during a cardiac arrest is (
SEE 16 A)
A. lower extremity peripheral intravenous injectioin
B. intraosseous injection
C. tracheal instillatioin
D. peripheral intravenous injection followed by a fluid
bolus |
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a
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15.
Which of the following is the MOST likely cardiovascular
consequence of aging ? : (SEE 14
A)
A. Decreased systolic blood pressure
B. Increased heart rate
C. Increased chronotropism to catecholamines
D. Incresed thickness of the posterior ventricular wall
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a
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16.
When patient-controlled epidural analgesia (PCEA) with
background infusion regimen for labor and delivery is
compared to continuous epidural analgesia infusion for
the same purpose, PCEA will MOST likely have (SEE
14 A)
A. lower pain scores
B. less need for physician-administered rescue doses
C. dose-sparing effect
D. less motor block |
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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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17.
Aspects of a single breath sevoflurane induction include
(SEE 16 A)
1. priming the circuit with a high concentration of anesthetic
agent.
2. beginning inspiration from residual volume
3. taking a maximal inspiratory volume breath.
4. holding breath for as long as possible after inspiration
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a
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18.
Treatment of the supine hypotensive syndrome includes
(Anesthesiology -Pretest self assessment
and review)
(1) left uterine displacement and hydratioin
(2) institution of intravenous magnesium sulfate
(3) supplemental O2 and the judicioius use of ephedrine
(4) meticulous blood pressure control with hydralazine |
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a
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19.
The duration of the anticoagulant effect of heparin is
( In-training exam 1993)
(1). independent of body temperature
(2). determined primarily by renal excretion
(3). prolonged two to three times with hypoalbuminemia
(4). dose dependent |
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a
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20.
An anesthesia machine with a circle system and Baralyme
carbon dioxide absorbent is inadvertently left turned
on with a fresh gas flow of 5 L/min and is unused from
Friday at 5:00 p.m. until Monday at 8:00 a.m. Adverse
efects that could occur with first use of this system
on Monday include (SEE 16A)
1. endothermic reaction when sevoflurane is administered
2. increased production of compound A with sevoflurane
administration
3. carbon dioxide absorbent exhaustion
4. production of carbon monoxide with desflurane administration
(C) |
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a
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21.
Drugs used to decrease bleeding associated with liver
transplantation include (SEE 16A)
1. aprotinin
2. epsilon-aminocaproic acid.
3. desmopressin.
4. conjugated estrogen. |
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a
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22.
During general endotracheal anesthesia, early signs of
an acute asthma attack include (
In-training exam 1993)
1. alteration of expiratory plateau on capnography
2. increased PaCO2
3. increased peak airway pressure
4. hypoxemia |
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a
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23.
Hypertrophic cardiomyopathy, also known as idiopathic
hypertrophic subaortic stenosis or asymmetric septal hypertrophy,
is hemodynamically worsened by (MGH
Board review of Anesthesiology)
1. hypovolemia
2. junctional rhythm
3. beta adrenergic agonists
4. alpha adrenergic agonists |
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Answer ( * In-traning
Exam - no answer available - find out by yourself)
1. B 2. NA 3. NA
4. A 5. C 6. C
7. C 8. E 9. A
10. A 11. D 12. B
13. D 14. D 15. D
16. C 17. E 18. B
19. NA 20. C 21. E
22. NA 23. A |
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