ACE 2013-10b

Question 1

Criteria that is common to both Modified Aldrete Scoring System (MASS) and Post Anesthetic Discharge Scoring System (PADSS)

Answer 1

Activity

Question 2

Absolute contraindication to electroconvulsive therapy

Answer 2

Pheochromocytoma

Question 3

Reason for bradycardia with low spinal anesthesia

Answer 3

Reverse Bainbridge reflex: inhibition of stretch receptor reflex from atrial wall

Question 4

Peak serum levels of lidocaine occurs how many hours after tumescent technique for liposuction

Answer 4

12-14 hrs

Question 5

Obesity hypoventilation syndrome’s triad of features

Answer 5

1) Obesity, BMI > 30
2) daytime awake hypercapnia, pco2 > 45
3) sleep disordered breathing

Question 6

EEG waves of patient receiving dexmedetomidine

Answer 6

Resembles normal sleep with moderate slowing

Question 7

EEG waves of a patient receiving high dose opioids

Answer 7

Delta waves

Question 8

Methamphetamine metabolism

Answer 8

Liver, predominantly by CYP2D6

Question 9

Why doesn’t succinylcholine cross placenta to the fetus

Answer 9

High degree of ionization

Question 10

Highest risk factor for postop cognitive dysfunction

Answer 10

Advanced age

Question 11

IV therapy for metastatic bone pain when PO meds are insufficient

Answer 11

Samarium-153, a radiopharmaceutical

Question 12

Half life of midazolam

Answer 12

2 hrs

Question 13

Spinal anesthesia to T3 level decreases what lung volume

Answer 13

Expiratory reserve volume which means reduction of vital capacity. Results from paralysis of abdominal and intercostal muscles.

Question 14

Emergent delivery of baby is indicated for fetal scalp blood pH less than

Answer 14

7.2

Question 15

Agent of choice as alternative anticoagulation strategy in patients with HIT

Answer 15

Argatroban, a direct thrombin inhibitor

Question 16

Vertebral landmark used to perform a stellate ganglion block

Answer 16

Chassaignac tubercle, the transverse process of C6

Question 17

Vertebral landmark for celiac plexus block

Answer 17

Inferior aspect of anterolateral T12 vertebral body

Question 18

Drug used to decrease risk of the bleeding in a patient with subarachnoid hemorrhage, but also increases risk of ischemic events or stroke

Answer 18

Tranexamic acid

Question 19

Heliox mixture is helpful to increase gas flow because of decrease of what property

Answer 19

Density

Question 20

Serotonin syndrome clinical signs

Answer 20

Agitation, delirium, hyperthermia, tachycardia, tremor, muscle rigidity

Question 21

Vincristine side effect

Answer 21

Neurotoxicity

Question 22

Bleomycin toxicity

Answer 22

Pulmonary

Question 23

Cisplatin toxicity

Answer 23

Renal dysfunction, peripheral neuropathy

Question 24

What abnormal physiologic parameters may increase likelihood of provoking oculocardiac reflex

Answer 24

Hypercapnia and hypoxemia

Question 25

Purpose of dispersive pad (sticky pad) used with monopolar electrocautery

Answer 25

Reduce current density

Question 26

Other than age, what are risk factors for postop apnea?

Answer 26

Anemia, stressors like hypothermia and pain