CE08

Question 1

Calculation of BMI

Answer 1

Weight in kg/height in meters squared

Question 2

Cause for prolonged neuromuscular blockade following administration of succinylcholine

Answer 2

Pseudocholinesterase deficiency

Question 3

Arterial cannulation location that cannot test collateral circulation

Answer 3

Femoral

Question 4

Appropriate insufflation pressures for laparoscopic surgery

Answer 4

10-15mmHg

Question 5

Appropriate balloon inflation volume for a PA catheter

Answer 5

1.5ml

Question 6

Starting dose for norepi infusion

Answer 6

4-12mcg/min

Question 7

Error caused by slow injection of CO injectate

Answer 7

Falsely high reading

Question 8

Injection port for thermodilution CO measurement

Answer 8

Proximal port

Question 9

Management for hemorrhage in a patient on clopidogrel

Answer 9

Platelets

Question 10

Calculation of pulse pressure

Answer 10

Systolic-diastolic

Question 11

What is opisthotonus

Answer 11

State of severe hyperextension and spasticity in which an individual’s head, neck and spinal column enter into full arching

Question 12

When arterial pressure is monitored using a catheter in the dorsalis pedis artery instead of radial, what effect will be seen in the dorsalis pedis measurments?

Answer 12

Systolic raises, diastolic falls, pulse pressure widens

Question 13

Dose of methylene blue used to treat methemoglobinemia

Answer 13

2mg/kg

Question 14

Time to peak effect of morphine following IV administration

Answer 14

45-90 minutes

Question 15

Contraindication for ketorolac in renal insufficiency

Answer 15

Creatinine 1.2

Question 16

Order of metabolism of volatile anesthetics from most to least

Answer 16

Sevo, iso, des

Question 17

Major electrolyte imbalance that can be caused by hydrochlorothiazide

Answer 17

Hypokalemia

Question 18

Effect of hypothermia on duration of action of non-depolarizing NMB

Answer 18

Prolonged effect

Question 19

Range of BMI values classified as overweight

Answer 19

25-30

Question 20

Range of BMI values classified as obese

Answer 20

30-40

Question 21

BMI values considered morbidly obese

Answer 21

Over 40

Question 22

A patient with a pulmonary artery catheter in place is suspected of having tricuspid regurgitation. How would you confirm this?

Answer 22

Look at CVP waveform in right atrium

Question 23

When electrocardiography is used to position a central venous catheter, entry of the catheter’s tip into the right atrium would be indicated by what appearance on the ECG

Answer 23

Biphasic P waves

Question 24

After successfully placing an introducer into a patient’s left internal jugular vein, the tip of the PA catheter is introduced into the introducer. How far should the PA catheter be advanced before the balloon is inflated?

Answer 24

20cm

Question 25

Once you have donned sterile gown and gloves, how must your arms and hands be positioned?

Answer 25

Above the waist

Question 26

Which accessible arterial sites are NOT appropriate for long-term arterial cannulation? Why?

Answer 26

Femoral artery due to risk of infection

Question 27

Which arterial sites can NOT be cannulated?

Answer 27

- Carotid | - Brachial

Question 28

What would a normal NMB motor threshold be for an anesthetized, euthermic patient?

Answer 28

15mA

Question 29

What initial dosage infusion rate for norepinephrine would be most efficacious and safe to produce an increase in both SVR and MAP?

Answer 29

5mcg/min

Question 30

If general anesthesia is being maintained with isoflurane in a mixture of nitrous oxide 1.5L/min and oxygen 1.5L/min, what determines the partial pressure of the isoflurane being administered?

Answer 30

Temperature

Question 31

A 48 year old women with CAD is undergoing general anesthesia for laparoscopic cholecystectomy when she begins having multifocal PVCs. What drug and dose should be administered first to treat this problem?

Answer 31

Lidocaine 1mg/kg

Question 32

During a central venous access procedure, the carotid artery is cannulated instead of the jugular vein. BP is 116/80mmHg. How high in cm will blood rise in the IV extension set tubing?

Answer 32

Calculate patient's MAP and convert to cmH2O. This patient's MAP is 92mmHg which is 125cmH2O

Question 33

How should instruments coming in contact with a patient's mucosa be cleaned

Answer 33

High disinfection

Question 34

How should you suture a CVP catheter to a patients skin

Answer 34

Suture it to their dermis and epidermis

Question 35

Incidence of mortality related to postop respiratory depression

Answer 35

55%

Question 36

Most frequent etiologies of anaphylaxis in anesthesia practice

Answer 36

1. NMB drugs 2. Latex 3. Antibiotics

Question 37

Is an APL valve a resistive valve or a threshold resistor valve?

Answer 37

Resistive valve

Question 38

How many electrodes do you need to monitor V5

Answer 38

4

Question 39

ASA classification for a patient with mild to moderate systemic disturbances with or without relation to scheduled surgery or procedures

Answer 39

2