Intensive therapy and anesthesiology

Question 1

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

Answer 1

B) at the beginning of the fever and 20 minutes later

Question 2

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

Answer 2

D) heat and pain sensation and motion

Question 3

Which of the following is not an inhalational anesthetics?
A) sevoflurane
B) isoflurane
C) propofol
D) nitrous oxide

Answer 3

C) propofol

Question 4

Major determinants of serum osmolarity, except:
A) sodium
B) glucose
C) urea
D) potassium

Answer 4

D) potassium

Question 5

The most commonly used drugs for resuscitation:
A) dopamine
B) dobutamine
C) adrenaline
D) noradrenaline

Answer 5

C) adrenaline

Question 6

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

Answer 6

D) clip placed on the common bile duct

Question 7

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

Answer 7

B) Recurrent nerve lesion

Question 8

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

Answer 8

D) determination of minute volume with PiCCO monitor

Question 9

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

Answer 9

C) increase in alveolar minute volume

Question 10

It is not a central neuroaxial regional anesthesia
A) intravenous regional anesthesia
B) caudal blockade
C) spinal
D) peridural

Answer 10

A) intravenous regional anesthesia

Question 11

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

Answer 11

C) femoral vein, internal jugular vein, subclavian vein

Question 12

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

Answer 12

E) all of the answers are correct

Question 13

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

Answer 13

B) 1st and 3rd answers are correct

Question 14

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

Answer 14

A) 1st, 2nd and 3rd answers are correct

Question 15

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

Answer 15

A) 1st, 2nd and 3rd answers are correct

Question 16

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

Answer 16

A) 1st, 2nd and 3rd answers are correct

Question 17

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

Answer 17

18- B
19- D
20- A
21- C

Question 18

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

Answer 18

22- C
23- A
24- B
25- D

Question 19

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

Answer 19

E) both the statement and the explanation are false

Question 20

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

Answer 20

C) the statement is true, but the explanation is false;

Question 21

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

Answer 21

E) both the statement and the explanation are false

Question 22

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

Answer 22

D) the statement is false, but the explanation itself is true

Question 23

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

Answer 23

B) both the statement and the explanation are true but there is no causal relationship between them;