Anesthesia

Question 1

preoperative anxiety relieved by

Answer 1

good anesthesiologist

Question 2

H2 antagonists prevent aspiration pneumonitis

Answer 2

increasing pH of gastric cntents

Question 3

most common complication after extubation

Answer 3

laryngospasm

Question 4

spinal anesthesia site

Answer 4

between arachnoid and pia mater of the cord

Question 5

spinal HA characteristic

Answer 5

goes away when the patient lies down

Question 6

most common cause of hypotension postanesthesia

Answer 6

hypovolemia

Question 7

most effective way to preserve myocardial perfusion in ischemic heart

Answer 7

HR as low as possible

Question 8

MVP at risk of

Answer 8

fatal arrhythmia

Question 9

quits smoking 3 days prior to surgery

Answer 9

improved O2 delivery to tissues

Question 10

T1DM blood glucose control decreases

Answer 10

wound infection

Question 11

greatest concern in hyperthyroidism

Answer 11

stress may lead to severe arrhythmia and hypertension

Question 12

increases sickling and vascular occlusion

Answer 12

hypovolemia

Question 13

central nervous system excitement after injection

Answer 13

IV injection

Question 14

most potent opioid

Answer 14

sufentanil

Question 15

narcotic causes least respiratory depression

Answer 15

all are alike

Question 16

most likely cause anterograde amnesia

Answer 16

midazolam

Question 17

induction agent permits earliest return to normal function

Answer 17

propofol

Question 18

reliable monitor of adequacy of ventilation

Answer 18

capnography

Question 19

shows ischemic episodes during anesthesia

Answer 19

II and V5

Question 20

patient controlled analgesia advantage

Answer 20

patient does not experience wide swings in level of pain

Question 21

breath sounds, tracheostoma

Answer 21

place ET tube in tracheostoma and begin mechanical ventilation

Question 22

etiology of respiratory distress

Answer 22

regurgitation and aspiration of gastric tube infused tube feedings

Question 23

best method of securing airway when anterior neck injury, hoarseness

Answer 23

tracheostomy

Question 24

bowel resection post op increased HR and low BP

Answer 24

normal saline infusion

Question 25

CPR pH of 7.25

Answer 25

hyperventilate the patient

Question 26

fetal heart deceleration associated

Answer 26

fetal head compressions or umbilical cord compressions

Question 27

sign of cyanide toxicity during nitroprusside therapy

Answer 27

increased mixed venous PO2

Question 28

reaction to ester anesthetics, most likely to provoke allergic or anaphylactic reaction

Answer 28

tetracaine

Question 29

lorazepam in patient with liver transplant

Answer 29

conjugated extrahepatically

Question 30

sevoflurane rapid recovery

Answer 30

low blood:gas partition coefficient

Question 31

pre-existing conditions predisposes to new onset third degree heart block

Answer 31

LBBB

Question 32

early development of polyuria, hypotension, low sodium in urine

Answer 32

SIADH

Question 33

elongated crescent shaped erythrocytes

Answer 33

volume load with crystalloid

Question 34

most likely cause respiratory distress

Answer 34

residual muscle paralysis

Question 35

difficult to intubate

Answer 35

short thyromental distance and prominent incisors

Question 36

ASA physical status classification is matched to correct patient description-ASA IV

Answer 36

severe systemic disease that limits activity and is a constant threat to life

Question 37

improve preoperative respiratory function

Answer 37

plasmapharesis

Question 38

most common upper extremity peripheral nerve injury during general anesthesia

Answer 38

ulnar

Question 39

can pass through BBB

Answer 39

atropine

Question 40

vasoconstriction least likely following sympathomimetic

Answer 40

isoprotenerol

Question 41

most important factor determining spread of local anesthetic after spinal injection

Answer 41

total dose of injected drug

Question 42

best describes fetal pulmonary vascualr resistance

Answer 42

high compared to systemic vascular resistance

Question 43

most characteristic of spinal anestheric

Answer 43

has an almost sympathetic blockage before a motor block

Question 44

true of spinal anesthetic placement procedure

Answer 44

intubation equipment should be readily available

Question 45

pin point pupils and responds to painful stimulation

Answer 45

naloxone

Question 46

incorrect statement

Answer 46

morphine is 10x more potent than fentanyl

Question 47

most characteristic of epidural anesthetic

Answer 47

total spinal could occur with an epidural if you puncture the dura