Mod10: Kahoot!

Question 1

1. Clinical manifestations consistent for the presence of a venous air embolism include:
   
   1. Decreased PaCO2
   2. Increased arterial blood pressure
   3. Increased end-tidal nitrogen
   4. Increased PaO2

Answer 1

1. Decreased PaCO2
2. Increased arterial blood pressure
3. Increased end-tidal nitrogen
4. Increased PaO2

Question 2

1. Bleeding during tourniquet inflation is commonly due to inadequate arterial occlusion?
   
   1. True
   2. False

Answer 2

1. True
2. False

Question 3

1. The correct placement of a precordial Doppler for detecting VAE is at the:
   
   1. Left sternal border between 3^rd & 6^th ICS
   2. Right sternal border between 3^rd & 6^th ICS
   3. Left sternal border between 1^st & 3^rd ICS
   4. Right sternal border between 1^st & 3^rd ICS

Answer 3

1. Left sternal border between 3^rd & 6^th ICS
2. Right sternal border between 3^rd & 6^th ICS
3. Left sternal border between 1^st & 3^rd ICS
4. Right sternal border between 1^st & 3^rd ICS

Question 4

1. Manifestations of tourniquet release include all except:
   
   1. Tachycardia
   2. Hypocapnia
   3. Hypotension
   4. ­ RR

Answer 4

1. Tachycardia
2. Hypocapnia
3. Hypotension
4. ­ RR

Question 5

1. Pneuomothorax is a major complication of what regional block?
   
   1. Sciatic
   2. Axillary
   3. Sural
   4. Interscalene

Answer 5

1. Sciatic
2. Axillary
3. Sural
4. Interscalene

Question 6

1. Manifestations of a PE include all except:
   
   1. Hypotension
   2. Tachycardia
   3. Increased ETCO2
   4. Hypoxemia

Answer 6

1. Hypotension
2. Tachycardia
3. Increased ETCO2
4. Hypoxemia

Question 7

1. During the exothermic reaction in the bone cement plascement, you may see all except:
   
   1. Vasoconstriction
   2. Dec SVR
   3. Embolization of fat
   4. PLT aggregation

Answer 7

1. Vasoconstriction
2. Dec SVR
3. Embolization of fat
4. PLT aggregation

Question 8

1. The average hematocrit of washed cell saver blood is:
   
   1. 25-30%
   2. 85-90%
   3. 65-70% ??
   4. 45-50% —

Answer 8

1. 25-30%
2. 85-90%
3. 65-70% ??
4. 45-50% —

Question 9

1. Interscalene block should be avoided in patients with which of the following disease?
   
   1. Coronary artery disease
   2. Chronic renal failure
   3. Diabetes mellitus
   4. Severe COPD

Answer 9

1. Coronary artery disease
2. Chronic renal failure
3. Diabetes mellitus
4. Severe COPD

Question 10

1. When a Wilson frame is used, the patient is
   
   1. Lateral
   2. Supine
   3. Prone
   4. Reverse Trendelenburg

Answer 10

1. Lateral
2. Supine
3. Prone
4. Reverse Trendelenburg

Question 11

1. Clinical manifestations of bone cement syndrome include:
   
   1. Hypoxia
   2. Tachycardia
   3. Decreased peak airway pressure
   4. Hypertension

Answer 11

1. Hypoxia
2. Tachycardia
3. Decreased peak airway pressure
4. Hypertension

Question 12

1. A thigh tourniquet should be maintained at ____ mmHg above the patient’s ___ blood pressure
   
   1. 200; systolic
   2. 200; diastolic
   3. 100; systolic
   4. 100; diastolic

Answer 12

1. 200; systolic
2. 200; diastolic
3. 100; systolic
4. 100; diastolic

Question 13

1. A tourniquet should not be inflated for longer than ___ without intermittent perfusion.
   
   1. 1 hour
   2. 2 hours
   3. 2 hours
   4. 4 hours

Answer 13

1. 1 hour
2. 2 hours
3. 2 hours
4. 4 hours

Question 14

1. Which monitor is most sensitive for detecting a venous air embolism?
   
   1. Capnography
   2. Transesophageal echogram
   3. Precordial Doppler
   4. Mass spectrometry

Answer 14

1. Capnography
2. Transesophageal echogram
3. Precordial Doppler
4. Mass spectrometry

Question 15

1. Completed diaphragmatic paralysis occurs when spinal injury is at
   
   1. C5
   2. C7
   3. C4
   4. C6

Answer 15

1. C5
2. C7
3. C4
4. C6

Question 16

1. Hypocarbia will do what to spinal cord blood flow?
   
   1. No change
   2. Increase
   3. Decrease

Answer 16

1. No change
2. Increase
3. Decrease

Question 17

1. Disadvantages of an interscalene brachial plexus block compared with other approaches include:
   
   1. Low incidence of pneumothorax
   2. Frequent sparing of the ulnar nerve
   3. Not suitable for operations on the shoulder
   4. Frequent sparing of the musculocutaneous nerve

Answer 17

1. Low incidence of pneumothorax
2. Frequent sparing of the ulnar nerve
3. Not suitable for operations on the shoulder
4. Frequent sparing of the musculocutaneous nerve

Question 18

1. Fat embolism commonly come from
   
   1. Spine
   2. Joints
   3. Long bones
   4. Metatarsals

Answer 18

1. Spine
2. Joints
3. Long bones
4. Metatarsals

Question 19

1. All describe pneumatic pain except:
   
   1. Dull
   2. Burning
   3. Sharp
   4. Aching

Answer 19

1. Dull
2. Burning
3. Sharp
4. Aching

Question 20

1. Which noninvasive monitor is most sensitive for detecting VAE
   
   1. Pulmonary artery catheter
   2. Capnography
   3. Mass spectrometry
   4. Precordial Doppler

Answer 20

1. Pulmonary artery catheter
2. Capnography
3. Mass spectrometry
4. Precordial Doppler