Valley Post-test Flashcards
The hemodynamic changes that should be avoided in the patient with mitral valve regurgitation include:
a. tachycardia
b. bradycardia
c. decreased systemic vascular resistance
d. hypervolemia
b. bradycardia
Indicate the changes that occur when the thoracic aorta is cross-clamped during repair of an aortic aneurysm?
AFTERLOAD-PCWP-CARDIAC OUTPUT-HEART RATE
a. increased-increased-increased-decreased
b. increased-increased-decreased-decreased
c. increased-decreased-increased-increased
d. decreased-increased-increased-decreased
b. increased-increased-decreased-decreased
General anesthesia with nitrous oxide and fentanyl was used for hernia repair. Postoperatively, the patient develops truncal rigidity. Oxygen saturation falls to 45%. What should be done?
a. give oxygen by mask
b. give morphine
c. give succinylcholine
d. give narcan
c. give succinylcholine
The patient with Eaton-Lambert syndrome responds to muscle relaxants in what way?
SUCCINYLCHOLINE-NONDEPOLARIZING AGENT
a. decreased sensitivity-decreased sensitivity
b. decreased sensitivity-increased sensitivity
c. increased sensitivity-increased sensitivity
d. increased sensitivity-decreased sensitivity
c. increased sensitivity-increased sensitivity
The patient with Parkinson’s disease. Which drug would you AVOID?
a. Ketamine
b. Diphenhydramine
c. Succinylcholine
d. Droperidol
d. droperidol
The soda lime changes color during the case. What should you do?
a. Change the canister immediately, and then continue with the case
b. increase the fresh gas flow rate, and change after the case
c. switch immediately to a new gas machine
d. no immediate action is necessary; wait and change the canister after the case
b. increase the FGF rate, and change after the case
Which of the following is appropriate preoperative anesthetic management of the patient with cardiac tamponade?
a. positive inotrope
b. maintain acidosis
c. fluid restriction
d. decrease afterload pharmacologically
a. positive inotrope
Accidental subarachnoid injection occurred during an intended epidural. Which of the following is a rapid early sign?
a. tinnitus
b. dyspnea
c. confusion
d. inability to speak
b. dyspnea
Oozing of blood after a massive blood transfusion is probably due to:
a. thrombocytopenia
b. decreased factors 5 and 8
c. aspirin therapy
d. dysfunctional thrombin
a. thrombocytopenia
What is the maximum does of dantrolene for treating malignant hyperthermia?
a. 0.5 mg/kg
b. 2.5 mg/kg
c. 5.0 mg/kg
d. 10 mg/kg
d. 10 mg/kg
What is the most common hematologic disorder in the alcoholic?
a. Deficiency of factors V and VIII
b. Megaloblastic anemia
c. Disseminated intravascular coagulopathy
d. Thrombocytopenia
b. Megaloblastic anemia
Shown in the following graph is the uptake of four volatile agents: Curve A is
a. N2O
b. Sevoflurane
c. Halothan
d. Isoflurane
a. N2O
The purpose of the pin index system is to:
a. keep cylinders with different gases from being used interchangeably
b. perit valve yoke to fit perfectly
c. provide a mechanism for gas escape if the cylinder overheats
d. increase the accuracy of reading from he Bourdon gauge.
a. keep cylinders with different gases from being used interchangeably
In PACU, the patient says she remembers some things that were said in the intraoperative period? What should you do?
a. Tell the patient what happened
b. Make a note of this on the anesthesia record
c. Inform the surgeon
d. Explain to the patient that she can sue if she wishes
a. tell the patient what happened
Hemorrhage is the most common complication of mediastinoscopy. What is the next most common complication of this procedure?
a. Damage to the phrenic nerve
b. Venous air embolism
c. Infection
d. Pneumothorax
d. pneumothorax
Stimulation of what receptor explains why arterial diastolic blood pressure may decrease when epinephrine is administered with a local anesthetic.
a. Beta-2 adrenergic receptor
b. Beta-1 adrenergic receptor
c. Alpha-1 adrenergic receptor
d. Alpha-2 adrenergic receptor
a. Beta-2 adrenergic receptor
Which of the following neural tracts modulates pain?
a. Lateral spinothalamic
b. Anterior spinothalamic
c. Dorsolateral fasciculus
d. Cuneatus/gracilis
c. dorsolateral fasciculus
Trigger agents for malignant hyperthermia include;
a. Halothane
b. Curare
c. Lidocaine
d. Pentothal
a. Halothane
At the NMJ Aminophylline:
a. decreases the excitability of the motor end-plate
b. increases the release of acetylcholine from the motor nerve terminal
c. locks the voltage-gated sodium channel in the inactivated state
d. has no effect
b. increases the release of acetylcholine from the motor nerve terminal
What is the necessary treatment for the patient with sickle cell disease who goes into sickle cell crisis during surgery?
a. give large volumes of LR?
b. give heparin?
c. take the patient to dialysis?
d. give the patient an exchange transfusion
d. give the patient an exchange transfusion
During surgery for a subdural hematoma, a cerebral vasospasm develops. A drug that is appropriate for treating this problem is:
a. Verapamil
b. Nimodipine
c. Nitroprusside
d. Labetalol
b. Nimodipine
Pneumothorax is most commonly associated with which approach to the brachial plexus?
a. Interscalene
b. Supraclavicular
c. Axillary
d. Subscapular
b. Supraclavicular
The patient’s hemiplegia resulted from an accident six months ago. How will the twitches elicited by a PNS on the paralyzed side compare with those on the non-paralyzed side during NDM blockade?
a. Twitches on the paralyzed side will be smaller
b. Twitches on the paralyzed side with be larger
c. Twitches on the paralyzed side will have the same size
d. There will be no twitches on the paralyzed side
b. twitches on the paralyzed side will be larger
What drug stimulates alpha-1, alpha-2, and beta-1 receptors?
a. Norepinephrine
b. Dobutamine
c. Clonidine
d. Prazosin
a. Norepinephrine