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INTERNET SINGLE BEST CHOICE QUESTIONS:

1. The likelihood of intraoperative awareness under general anesthesia is highest with the use of: a. Inadequate benzodiazepine doses b. High-dose opioids c. Muscle relaxants d. No premedication e. Nitrous oxide as the sole gaseous anesthetic After spinal anesthetic has been administered, the patient should be immediately observed for all the following EXCEPT: a. Evidence of block level b. Evidence of hypotension c. Respiratory insufficiency d. Spinal headache Contraindications to spinal anesthesia include all the following EXCEPT: a. coagulopathy b. coronary artery disease c. bacteremia d. hypovolemia As the neurosurgeon manipulates tissue in the posterior fossa, there is a sudden arrhythmia. The anesthetist should: a. Lower the head b. Administer lidocaine c. Inform the neurosurgeon d. Turn off all of the anesthetics e. Turn off the nitrous oxide Contraindications to spinal anesthesia include all the following EXCEPT: a. Coagulopathy b. Coronary artery disease c. Bacteremia d. Hypovolemia After spinal anesthetic has been administered, the patient should be immediately observed for all the following EXCEPT: a. Evidence of block b. Evidence of hypotension c. Respiratory insufficiency d. Spinal headache The likelihood of intraoperative awareness under general anesthesia is highest with the use of: a. Inadequate benzodiazepine doses b. high-dose opioids c. muscle relaxants d. no premedication e. nitrous oxide as the sole gaseous anesthetic Which of the following statements is true regarding neuraxial opioids?

c.

2.

d. 3. b.

4.

c.

5. b.

6.

d. 7.

c.

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INTERNET SINGLE BEST CHOICE QUESTIONS:


a. b. c. d. e. Spinal opioids augment sympathetic blockade produced by local anesthetics. Naloxone does not reverse nausea and vomiting caused by intrathecal opioids. Epidural opioids are as effective as a bupivacaine-opioid mixture in relieving pain. Intrathecal fentanyl produces approximately 16 hours of analgesia. Intrathecal morphine produces approximately 24 hours of analgesia.

e. 9.

a.

You are asked to discontinue an epidural catheter on a 68-year-old patient who is 2 days post a sigmoid resection. On review of his medications you see that he received a dose of lowmolecular-weight heparin (LMWH) 2 hours ago. You should: a. Wait 12 hours after the last dose of LMWH b. Remove the catheter after confirming that the activated partial thromboplastin time is normal c. Pull the catheter immediately d. Discontinue the catheter after waiting 24 hours e. Give a unit of fresh frozen plasma, then pull the catheter Pulmonary aspiration is most reliably diagnosed by: a. Tachypnea b. Arterial hypoxemia c. Rales on chest auscultation d. Infiltrate on chest radiograph e. Visualization of gastric contents in the oropharynx Protocols for suctioning the patient with an artificial airway should include all of the following EXCEPT: a. Preoxygenation b. Use of a catheter about half the internal diameter of ETT c. Application of suction for less than 10 seconds d. Ventilating the patient with Ambu bag and room air after suctioning is completed Patients who undergo outpatient surgery with isoflurane should not drive or operate machinery for at least: a. 1 hour b. 4 hours c. 8 hours d. 16 hours e. 24 hours A patient has insulin-dependent diabetes mellitus. She has peripheral vascular disease manifested as claudication which appears after she has walked a few blocks. She is scheduled to undergo vaginal hysterectomy because of postmenopausal bleeding. She would be classified by ASA as physical status: a. II b. IIE c. III d. IIIE e. IV All of the following decrease gastric acid secretion EXCEPT:

10.

11.

d. 12.

13.

c.

14.

INTERNET SINGLE BEST CHOICE QUESTIONS:


a. a. b. c. d. e. Metoclopramide Ranitidine Scopolamine Cimetidine Glycopyrrolate

15.

A peanut lodged in a child's main bronchus commonly shows a. Pneumonia b. Lung collapse c. Haemoptysis d. Chronic cough e. Emphysema When a lethal amount of ethanol is ingested, the toxic effect of ethanol usually leading to death is: a. Hypotension due to vasodilation b. Hypotension due to decreased cardiac output c. Seizure d. Apnea e. Ventricular arrhythmia The incidence of each of the following is increased in patients with Down syndrome EXCEPT: a. Malignant hyperthermia b. Hypothyroidism c. Smaller trachea d. Atlantoaxial instability e. Congenital heart disease

16.

d.

17. a.

18.