Intensive therapy and anesthesiology Flashcards
We are sampling for haemoculture:
A) one day after the fever
B) at the beginning of the fever and 20 minutes later
C) one hour after the fever
D) one hour and two hours after the fever
B) at the beginning of the fever and 20 minutes later
Which neurological functions disappear in spinal anesthesia?
A) heat and pain sensation
B) pain sensation and motion
C) heat sensation and motion
D) heat and pain sensation and motion
D) heat and pain sensation and motion
Which of the following is not an inhalational anesthetics?
A) sevoflurane
B) isoflurane
C) propofol
D) nitrous oxide
C) propofol
Major determinants of serum osmolarity, except:
A) sodium
B) glucose
C) urea
D) potassium
D) potassium
The most commonly used drugs for resuscitation:
A) dopamine
B) dobutamine
C) adrenaline
D) noradrenaline
C) adrenaline
Choose which of the following the most common cause of mechanical icterus is in the early postoperative period after laparoscopic cholecystectomy.
A) halothane induced hepatitis
B) not recognised Vater papilla tumor in the preoperative period
C) postoperative pancreatitis
D) clip placed on the common bile duct
D) clip placed on the common bile duct
After strumectomy, the patient’s voice became hoarse. What do you think of first?
A) Vocal cords damaged during the intubation
B) Recurrent nerve lesion
C) Temporary laryngitis due to surgery
D) Trachea damage during surgery
B) Recurrent nerve lesion
The thermodilution principle is used for the following measurement:
A) central venous pressure
B) capnometry
C) oxygen saturation of peripheral haemoglobin
D) determination of minute volume with PiCCO monitor
D) determination of minute volume with PiCCO monitor
The safest way to reduce PaCO2:
A) increase the respiratory minute ventilation
B) decrease in respiratory minute volume
C) increase in alveolar minute volume
D) the reduction of alveolar minute volume
C) increase in alveolar minute volume
It is not a central neuroaxial regional anesthesia
A) intravenous regional anesthesia
B) caudal blockade
C) spinal
D) peridural
A) intravenous regional anesthesia
The decreasing order of infection of central venous cannula:
A) internal jugular vein, subclavian vein, femoral vein
B) internal jugular vein, femoral vein, subclavian vein
C) femoral vein, internal jugular vein, subclavian vein
D) femoral vein, subclavian vein, internal jugular vein
C) femoral vein, internal jugular vein, subclavian vein
Consequence of persistent loss of gastric juice:
1) decreased plasma hydrogen ion concentration
2) hypokalaemia
3) hypochloraemia
4) increased plasma bicarbonate level
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
E) all of the answers are correct
It may refer to hypovolaemia:
1) increase in urinary osmolarity
2) reduction of urinary osmolarity
3) reduction of urine sodium excretion
4) increased urinary sodium excretion
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
B) 1st and 3rd answers are correct
Preoperative urine-catheter introduction is justified:
1) for surgery near the bladder
2) in the event of significant loss of blood
3) for longer than two hours of surgery
4) before using spinal anesthesia in every case
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
Parameters used for management of patient controlled analgesia:
1) rate of continuous administration
2) bolus dose
3) lockout time
4) bolus delivery time
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
Proper definition for sepsis:
1) Sepsis is a life-threatening condition which is caused by the dysregulated response to infection.
2) Sepsis is suspected if the qSOFA score is >= 2.
3) In septic shock, vasopressor support is required for maintaining mean arterial blood pressure of at least 65 mmHg, and despite adequate fluid resuscitation serum lactate level is > 2.0 mmol/l.
4) Multiple organ failure is the simultaneous altered function of 3 or more organ systems.
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
Match the following:
A) isoflurane
B) vecuronium bromide
C) propofol
D) suxamethonium
SUR - 11.18 - effect can be reversed with sugammadex
SUR - 11.19 - depolarizing muscle relaxant
SUR - 11.20 - inhalational anaesthetic agent
SUR - 11.21 - intravenous anaesthetic agent
18- B
19- D
20- A
21- C
Match the following.
A) respiratory alkalosis
B) respiratory acidosis
C) metabolic alkalosis
D) metabolic acidosis
SUR - 11.22 - blood pH is increased, plasma bicarbonate level is increased
SUR - 11.23 - blood pH is increased, pCO2 is decreased
SUR - 11.24 - blood pH is decreased, pCO2 is increased
SUR - 11.25 - blood pH is decreased, plasma bicarbonate level is decreased
22- C
23- A
24- B
25- D
Suxamethonium is a competitive antagonist of acetylcholine, therefore the effect of suxamethonium can be reversed with acetylcholinesterase enzyme inhibitors.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false
E) both the statement and the explanation are false
In semi-closed narcosis systems, the gas exhaled by the patient only partially returns to the system, therefore when using a semi-closed system, no carbon dioxide absorbing soda is required.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false
C) the statement is true, but the explanation is false;
In case of mechanical ventilation, the use of positive end expiratory pressure (PEEP) enhances venous return into the heart, therefore cardiac output increases.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false
E) both the statement and the explanation are false
Hepatorenal syndrome is characterized by tubular damage of the kidneys, therefore continuous renal replacement therapy may be effective.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false
D) the statement is false, but the explanation itself is true
The most common severe postoperative complication of spinal anaesthesia is the unbearable orthostatic headache because local anaesthetic agent given in the intrathecal space causes distal vasodilatation from the blocked segments.
A) both the statement and the explanation are true and a causal relationship exists between them;
B) both the statement and the explanation are true but there is no causal relationship between them;
C) the statement is true, but the explanation is false;
D) the statement is false, but the explanation itself is true
E) both the statement and the explanation are false
B) both the statement and the explanation are true but there is no causal relationship between them;
