GENERAL ANESTHESIA | Basic

Question 1

Which of the following findings is NOT consistent with a diagnosis of Malignant Hyperthermia?

Answer 1

A. PaCO2 150 mmHg
B. MVO2 50 mmHg
C. pH 6.9
D. Onset of symptoms an hour after the end of operation

Question 2

WHO is Susceptible to MH?

Answer 2

AD pattern
Central Core Disease (e.g. myopathies)
King Denborough Syndrome
History of exercise-induced rhabdomyolysis

Question 3

Evidence of an anaphylactic reaction to ATRACURIUM 1 - 2 hrs after the episode could be best established by measuring blood levels of:

Answer 3

A. Tryptase
B. Laudanosine
C. Histamine
D. Bardykinin

Question 4

What is the acid-base status of a patient with MH (Malignant Hyperthermia)?

Answer 4

MIXED Respiratory and Metabolic ACIDOSIS

Question 5

Most common sensation in awareness during anesthesia?

Answer 5

HEARING

Question 6

During what portion of cardiac surgery are STEMIs typically seen?

Answer 6

Weaning from Bypass

Question 7

What effect does MAOI use have on MAC?

Answer 7

Increases

Question 8

What is the ideal NMB for an acute spinal cord injury?

Answer 8

DEPO vs NON DEPO?

Question 9

Blood products and crystalloids can be infused using RAPID INFUSION SYSTEMS except:

Answer 9

CRYOPRECIPITATE and PLATELETS

Question 10

The biggest predictor of difficult mask ventilation, difficult laryngoscopy, and difficult intubation is:

Answer 10

NECK CIRCUMFERENCE > 40cm

Question 11

What is the effect of SUPINE POSITION on CLOSING CAPACITY

Answer 11

NO CHANGE

Question 12

ABDOMINAL COMPARTMENT pressure is considered normal if:

Answer 12

<5-12 mmHg

Question 13

The initial volume of distribution occurs in which compartments?

Answer 13

V1 or Central compartment

Question 14

TIVA does not inhibit hypoxia pulmonary vasoconstriction in ONE LUNG VENTILATION

Answer 14

TRUE

Question 15

The culprit of PRIS is due to mitochondrial toxicity from PROPOFOL

Answer 15

TRUE

Question 16

The recommended Intra-abdominal pressure during insufflation is:

Answer 16

12-15 mmHg

Question 17

True or False

Hypercarbia increases the incidence of the oculocardiac reflex

Answer 17

True

Question 18

During a witnessed sudden cardiac arrest in adults, this arrhythmia is the most common ECG pattern:

A. Ventricular Fibrillation

B. Ventricular tachycardia

C. Unstable AF

D. Asystole

Answer 18

VF is the most common ECG pattern found during witnessed sudden cardiac arrest in adults. The only consistently effective treatment is electrical defibrillation.

The most important controllable determinant of failure to
resuscitate a patient with VF is the duration of fibrillation.