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bab5ce2c-27d6-5817-b418-3e6a3300f7c4 | Define heat of vaporization | Pressure exerted on the walls of a container by molecules that have broken away from the liquid surface | The number of calories needed to convert one kilogram of liquid into vapor | The temperature at which Vapor pressure is equal to barometric pressure | The number of calories needed to convert one gram of liquid into vapor | 4 | D | 1 | null | null | null | null | null |
7154ad82-2a8d-5cf3-bdfe-1c250fe2079d | What is the heat of vaporization of Desflurane? | 20C | 39C | 25C | 10C | 4 | B | 1 | null | null | null | null | null |
f7ae2296-8111-5ac8-b7f2-441307336beb | What is the heat of vaporization of Halothane? | 20 | 39 | 15 | 10 | 4 | C | 1 | null | null | null | null | null |
2a1e440c-d049-59b6-8859-d11da0b33a5c | What is the heat of vaporization of Isoflurane? | 25 | 20 | 39 | 10 | 4 | B | 1 | null | null | null | null | null |
2fcbf0f5-9d03-5b05-938e-545671ee5f9d | What is the boiling point in celsius of Des? | 50 | 23 | 48 | 58 | 4 | B | 1 | null | null | null | null | null |
40938008-30c3-5ba9-bc76-f43c7a520bc7 | What is the boiling point in celsius of Halothane? | 23 | 48 | 50 | 58 | 4 | C | 1 | null | null | null | null | null |
fe937557-1120-531f-bfb3-cabc357a64b4 | What is the boiling point in celsius of Sevo? | 23 | 48 | 50 | 58 | 4 | D | 1 | null | null | null | null | null |
b6ea6193-2a5d-5c68-8ebe-299c9f230de5 | What is the boiling point in celsius of Iso? | 23 | 48 | 50 | 58 | 4 | B | 1 | null | null | null | null | null |
021bcda2-4a74-5e39-8f99-4d9146768b44 | The most volatile agents have..... | Low boiling point | High heat of vaporization | High specific heats | All of the above | 4 | A | 1 | null | null | null | null | null |
514ae68f-07f0-5ed5-918b-3775f8fa5d46 | What is the SVP of Halothane? | 23 | 175 | 239 | 243 | 4 | D | 1 | null | null | null | null | null |
4b324753-9f15-538a-83b0-ababfd6ec028 | What is the SVP of Enflurane? | 243 | 239 | 175 | 23 | 4 | C | 1 | null | null | null | null | null |
6b16bf8d-c602-51e9-aa64-38e4f5139c1c | When is usually seen with the pumping effect and overdosing? | Low levels of anesthetic agent in chamber | Low flows | Low dial settings | All of the above | 4 | D | 1 | null | null | null | null | null |
bc810c7e-c648-5b9f-ba3e-d42090ed070b | What is the meaning of double-circuit in reference to a ventilator? | Pneumatic force that compresses the bellows which empties its contents to the patient | A split circuit to regulate gas flow | A means of ventilation with use of an LMA | All of the above | 4 | A | 1 | null | null | null | null | null |
598f9eea-2a06-5fe5-9746-119ad53e47e4 | Why would set TV differ from delivered TV | Compliance | Losses | Leaks | All of the above | 4 | D | 1 | null | null | null | null | null |
9da2a4a0-252c-5e1f-b78d-abaee7e61ba7 | What is the pressure limit on most ventilators | 200 | 100 | 40 | 20 | 4 | C | 1 | null | null | null | null | null |
5de9d65c-191f-5e92-9cf6-ee66d4f74d53 | Why is a patient taken of the ventilator if there is a failure from the central supply. | Most patients can survive on a hypoxic mix for short period | We do not want a backflow of gas into central supply | You will waste oxygen driving the bellows | All of the above | 4 | C | 1 | null | null | null | null | null |
4b93561f-c2f3-590d-b2e2-eda07c02e8d2 | TV is given at 10-15ml/kg can you clarify? | Based on a patients TBW | Based on a patients ideal body weight | Based on the patients surface area | All of the above | 4 | B | 1 | null | null | null | null | null |
6fd7523f-ea17-548c-aaee-95d74bacce71 | Which patient would benefit from a prolonged expiratory time? | CHF | COPD | CAD | Anterior cruciate ligament tear | 4 | B | 1 | null | null | null | null | null |
adfaa99f-ddfd-5ee7-b419-1df93529aceb | Which of the following is part of the high pressure cylinder? | Pipeline inlet | Flowmeter | O2 flush | Hanger yoke | 4 | D | 1 | null | null | null | null | null |
725769e7-e483-507d-b2d8-c4bc42225393 | Which of the following is included in the high pressure system? | BVM | Pipeline pressure gauge & O2 flush | Flowmeter | Vaporizers | 5 | B | 1 | Hanger Yoke | null | null | null | null |
b09f59a9-ec28-5270-9e57-d45925daa476 | How does the O2 fail safe work? | Prevents dialing of a hypoxic mixture | Cuts off N2O if O2 supply fails | Prevents hypoxic mixture | Cuts off O2 when N2O supply falls | 4 | B | 1 | null | null | null | null | null |
8c3568d8-d087-5b2a-b180-0d2399c940d9 | The O2 flush valve | Delivers O2 between 50-75 L /min | Can be locked in the ON position | Only pushed during expiration | Is easy to activate | 4 | C | 1 | null | null | null | null | null |
3351ee7c-3312-58a8-83c2-a7b5ec9b2ffb | What is the function of the fail safe valve used with oxygen? | Prevents hypoxic mix | Prevents failure of gas supply from central hospital supply | The set oxygen concentration shall not be decrease at the CGO | Will rupture allowing safe passage of the contained gas without rupture | 4 | C | 1 | null | null | null | null | null |
955033a5-0034-5179-bd74-cf1dc3b3ee86 | What is your last safeguard in preventing a hypoxic mix? | PSIG of the N2O cylinder | Hypoxic guard system | PSIG of the oxygen cylinder | Fail safe valve | 4 | B | 1 | null | null | null | null | null |
c4051960-78dd-5e6c-aec1-9c5f98fee57f | What is the most accurate way of identifying cylinders? | Weight | PSIG | Label | Olfactory thrshold | 4 | C | 1 | null | null | null | null | null |
1c8927be-d0c8-5f76-9026-129412f4a3ff | Which VAA is used in the TEC-6 vaporizer? | ISO | DES | SEVO | Halothane | 4 | B | 1 | null | null | null | null | null |
cd9c57f7-f882-576b-a40d-db203d543a7c | Which VAA is used in the TEC-5 Vaporizer? | ISO | DES | SEVO | Halothane | 4 | C | 1 | null | null | null | null | null |
b22e439c-afd1-5ca4-bc39-89b3d51e76ab | Where is the best place to have the oxygen flowmeter? | Furthest to left | In the middle | Furthest to right | Just outside the OR | 4 | C | 1 | null | null | null | null | null |
97699204-eba5-5ff7-9af4-9c27d14deea3 | Which type of scavenger system requires relief valves | Open scavenger system | Closed scavenger system | A Yankee fan! Not only are they scavengers they are part of the "Evil Empire" | null | 3 | B | 1 | null | null | null | null | null |
12024ba1-4793-512a-8243-ecc76d3ce3dd | What are the hazards with aluminum cylinders | Adiabatic expansion | Fire | Can not be used with MRI Patients | Very heavy injury concern | 4 | B | 1 | null | null | null | null | null |
6642887b-0b16-5f95-a6cd-ba7a5f62113a | How often must cylinders be inspected? | 2 years | 3 years | 5 years | 15 years | 4 | C | 1 | null | null | null | null | null |
95f59471-42e0-539e-8afd-ec9ccc1208cd | How many liters of gas is in a H tank of o2? | 330 | 660 | 6,600 | 13,800 | 4 | C | 1 | null | null | null | null | null |
af9e231e-12f1-5f13-a0df-019a3274591b | How many liters of gas is in a N2O H tank? | 330 | 660 | 745 | 1590 | 5 | E | 1 | 13800 | null | null | null | null |
02ed51a0-dec3-5aa8-b371-b5e4597a3e20 | What is a hazard of a pipeline system? | Foreign material | Gaseous | Water | Bacterial | 5 | E | 1 | All of the above | null | null | null | null |
6e529438-9ff6-599a-b959-e576fb6cf968 | What is the normal tidal volume for a patient? | 700cc | 600cc | 10-15cc/kg | 10-15cc/kg of ideal body weight | 4 | D | 1 | null | null | null | null | null |
75ae1877-2884-5498-8b8c-cd50babe044b | What does the tidal volume sensor tell you? | How much volume remaining in circuit | How much volume being delivered | How much volume being returned | All of the above | 5 | B | 1 | None of the above | null | null | null | null |
fc34fc88-68f4-5849-a61b-ca1f522ddf64 | WHat is the biggest hazard with ventilators? | Barotrauma | Low PEEP | Failure to resume ventilation after turning off | All of the above | 4 | D | 1 | null | null | null | null | null |
8d3b4e17-82c7-5478-8710-6fabffbbf91e | Which monitoring device can not be deactivated? | Precordial monitor | Capnometer | Spirometer | Pulse oximetry | 5 | A | 1 | EKG | null | null | null | null |
006e1854-248b-5867-8e64-211778c8d674 | Though rare, what will be seen in the presence of the pumping effect? | Wrong agent being dispensed | Underdosing | Overdosing | All of the above | 4 | C | 1 | null | null | null | null | null |
1627b564-7808-568a-b1c7-c730795ce81e | Though rare, what will be seen in the presence of the pressurizing effect? | Wrong agent being dispensed | Underdosing | Overdosing | None of the above | 4 | B | 1 | null | null | null | null | null |
2837f887-71b3-5d4e-9fb3-e6bea11c0b3a | A 74 yo male with hypertension is undergoing a knee replacement under GA. At some point intraoperatively, the BP and O2 saturation both unexpectedly drop significantly. Which of the following is a likely cause? | History of alcoholism | The use of femoral and sciatic nerve blocks | Bone cement implantation syndrome/fat embolism | Long-term use of convective warmers intraoperatively | 4 | C | 2 | null | null | null | null | null |
7180f21e-d371-5b74-be77-e47b994e9755 | The Diameter Index Safety System (DISS) is designed to: | Ensure that a vaporizer isn't filled with the wrong volatile anesthetic | Prevent connection of the wrong gas at the wall | Ensure that tubing designed for IV infusions can't be connected to an epidural catheter | Allow both ET tubes and LMA's to connect to the same-sized circuit | 4 | B | 1 | null | null | null | null | null |
f8de02ab-29d5-5330-b092-4ead7376246d | The nitrous oxide tank can't have both liquid and gas phases present if: | The temperature in the tank is greater than the critical temperature | The pressure is too high | The tank is stationary | The temperature in the tank is less than the critical temperature | 4 | A | 1 | null | null | null | null | null |
60999cd7-0c34-5afa-96f8-c2f4de77a80e | The curve that relates the SV to preload is called: | The pulsatility index | The Giddings Curve | The heart performance index (HPI) | The Starling Curve | 4 | D | 1 | null | null | null | null | null |
2ffd5db7-febb-5244-8427-17a79313a583 | A patient is on warfarin and requires emergent abdominal surgery. There is considerable bleeding during the procedure. What would be an appropriate way to counteract this patient's anticoagulation? | Vitamin C | Hypothermia | Protamine | FFP | 4 | D | 1 | null | null | null | null | null |
2493be9f-4aad-55f1-977a-02db5ca24dff | A gremlin enters the OR during surgery and moves the art-line transducer (pressure sensor) to the floor, which places it well below the height of the patient. Which of the following is correct about the indicated arterial line blood pressure? | The arterial line MAP will be accurate, but not the systolic or diastolic pressures | The arterial line blood pressure will be accurate | The arterial line blood pressure will read lower than the patient's actual blood pressure | The arterial line blood pressure will read higher than the patient's actual blood pressure | 4 | D | 2 | null | null | null | null | null |
1c22fd44-23ca-5f6a-87b1-60bb2f999c84 | A clinician is placing an epidural and notices an (unintentional) dural puncture. What issue is this patient most likely to subsequently experience? | Hypotension | Headache | Death | Lower extremity weakness that lasts for several days | 4 | B | 1 | null | null | null | null | null |
367e1d2f-a966-58b5-848f-716fa002f71d | A postop patient is found to have a new-onset adrenal insufficiency, diagnosed with a low plasma cortisol concentration. Which medication did the patient likely receive to cause this? | Ketamine | Etomidate | Sugammadex | Propofol | 4 | B | 1 | null | null | null | null | null |
d7928443-cb38-51a2-a5b2-a41f7bb37077 | A 54 yo Male with vocal cord lesions is having a suspension micro laryngoscopy with laser treatment of the vocal cord lesions. Which of the following ET tubes might be used for this procedure? | A metal-reinforced laser tube | A NIMS tube with electrodes for monitoring the vocal cords | Bronchial blocker | Double-lumen | 4 | A | 1 | null | null | null | null | null |
cdb9fc7b-e86b-5eb6-baaa-3e7a7de23a2b | For the laminar flow of a fluid through a tube, which of the following would not be expected to increase the flow? | Decreased viscosity of the fluid | Increased pressure applied | Increased length of the tube | Increased diameter of the tube | 4 | C | 2 | null | null | null | null | null |
0af54671-3dd7-5e71-b479-fee4cc172062 | Posterior fossa sciatic nerve blocks and ankle blocks would be most useful for which kinds of surgeries? | Knee surgeries | Surgeries involving the distal femur | Foot surgeries | Hip fracture surgeries | 4 | C | 1 | null | null | null | null | null |
0be87e07-594c-5999-87c8-ecb91d9c9272 | A trauma patient comes to the OR. He has a small pneumothorax (punctured lung) on CT scan in the ER. Which inhaled anesthetic would be the least desirable to use in this context? | Desflurane | Nitrous Oxide | Sevoflurane | Isoflurane | 4 | B | 2 | null | null | null | null | null |
31afb88f-6c92-5d74-b369-706dd8595ad9 | Per ASA guidelines, patients on mechanical ventilation require all of the following EXCEPT: | Spontaneous breathing attempt alarm | Audible breathing circuit disconnect alarm | Qualified volume of air movement with each breath (tidal volume) | Inspired oxygen concentration monitor | 4 | A | 1 | null | null | null | null | null |
24869527-201a-51bf-bf95-08b887c113a3 | A 26 yo male patient is stabbed in the chest several times and comes to the OR for emergency surgery. An ultrasound in the ER shows cardiac tamponade. The hemodynamic objective for this anesthetic would be: | Maintain a very low BP | Keep the HR high | Keep the HR low | Minimize IV fluids | 4 | B | 2 | null | null | null | null | null |
38c09c9b-81f5-5516-b102-c04e3627d6cc | A patient in the PACU becomes unresponsive and is found to be pulseless. The EKG shows sinus tachycardia with an HR of 115. Which of the following should be done first? | Synchronized cardioversion | Administration of IV magnesium sulfate | CPR | Administration of adenosine 6mg IV | 4 | C | 2 | null | null | null | null | null |
1f5ad08d-8166-573f-80ba-01ea8aeb981c | Which of the following would be expected to increase contractility? | Increased PEEP | Administration of Calcium | Adenosine | Amiodarone | 4 | B | 1 | null | null | null | null | null |
90c4db10-c5e9-541c-9856-d9e7bdabf484 | All of the following contribute to increased ICP in robotic surgeries EXCEPT: | Profound muscle relaxation | Elevated intra-abdominal pressure from the pneumoperitoneum | Trendelenberg position | Hypercarbia from insufflation of CO2 | 4 | A | 1 | null | null | null | null | null |
4a056ed2-95b0-54c5-babf-85383b3bcd2b | A patient in the PACU requires a significant amount of hydromorphone for pain, and is later observed to desaturate (SpO2 approx 70%) and isn't breathing. Which medication would be appropriate to use to fix the problem? | Steroids | Naloxone (Narcan) | Methylene Blue | Epinephrine | 4 | B | 2 | null | null | null | null | null |
0db6ab6f-511a-5c85-87d5-71e016833b20 | The most common nerve injury for patients in lithotomy position is: | Spinal injury | Gluteal nerve injury | Sciatic nerve injury | Common peroneal nerve injury | 4 | D | 1 | null | null | null | null | null |
c9de55f3-61fb-57f2-a4bf-58907ff0b0d4 | The appropriate initial dose of dantrolene is: | 0.25 mg/kg | 10 mg/kg | 1 mg/kg | 2.5 mg/kg | 4 | D | 1 | null | null | null | null | null |
2f147b65-7d58-5573-8f0e-05ba595efd91 | All of the following can increase the MAC of a volatile anesthetic EXCEPT: | Recent use of a stimulant, such as cocaine | Young age | Female patient | Natural redhead patient | 4 | C | 1 | null | null | null | null | null |
87eeff07-5771-57b2-b5e3-c1159d71323e | A 28 yo female patient is involved in a car accident and brought emergently to the OR. She receives emergency release blood. What is the most appropriate blood type for transfusion of PRBC's in this context? | AB - | O - | O + | AB + | 4 | B | 2 | null | null | null | null | null |
f653fa9a-dba7-53b4-9694-ac4dc55708a2 | An 80 kg, 180 cm patient has the following intraoperative ABG: pH 7.29 / pCO2 55 / PO2 265 / HCO3 25. How should the ventilator settings be adjusted? | Decrease the tidal volume from 500 mL to 250 mL | Remove PEEP | Increase FiO2 | Increase the respiratory rate | 4 | D | 2 | null | null | null | null | null |
c86d53be-a137-5c3f-9ca1-e60cf920fb3c | A patient receives Drug X, which increases contractility while maintaining the same preload and afterload. What would be the expected result to this drug? | Increased SV | Unchanged SV | Decreased HR | Decreased SV | 4 | A | 2 | null | null | null | null | null |
90fa1cab-e4aa-5565-a80a-361df728f64d | An inspector from the Joint Commission comes and asks you what prevents someone from connecting a nitrous oxide tank where an oxygen tank should be. How do you answer? | Left-handed threads on oxygen tanks | The Pin Index Safety System (PISS) | The Diameter Index Safety System (DISS) | Automated barcode analysis | 4 | B | 1 | null | null | null | null | null |
f4fb291c-491c-5c72-a1b6-643c13ad0733 | Hospital-grade electrical outlets are identified by: | A green circle | The entire outlet is red-colored | A red triangle | A green square | 4 | A | 1 | null | null | null | null | null |
e56c909a-8ea3-5bad-ae6a-bbfe126bd5f5 | A patient comes to the ER and has an EKG that shows "prominent U waves". Which of the following would be the most likely result of their plasma potassium level? | 7.9 mEq/L | 3.6 mEq/L | 5.2 mEq/L | 1.8 mEq/L | 4 | D | 2 | null | null | null | null | null |
939fff3b-9930-5779-99bd-fcd3d2cff373 | Which of the following has the most effect on the preload? | Blood volume status | Arterial dilation | Systemic vascular resistance | Compression of the aorta | 4 | A | 1 | null | null | null | null | null |
a66e7300-031f-5024-91b3-bca91eef7019 | EKG electrodes work by using a combination of: | Silver chloride and conducting gel | Petroleum jelly layer for improved conductance with skin | Copper rings for decreased electrical resistance | Calcium chloride solution | 4 | A | 1 | null | null | null | null | null |
a0e17c69-2bb0-5795-81b3-06c966e93ca0 | The most common causes of death from administration of blood products in the US are: | Administration of Rh-negative blood to an Rh-positive patient | Zika Virus | Citrate intoxication resulting in hypocalcemia and death | Transfusion Related Acute Lung Injury (TRALI) and Tranfusion Related Cardiac Overload (TACO) | 4 | D | 1 | null | null | null | null | null |
a20dae6b-3b38-57cd-b29b-3f3390c7eecf | A patient is undergoing a neurosurgical procedure for removal of a brain tumor. The surgeon requests acute lowering of the ICP. Which of the following can facilitate that? | Mannitol | Esmolol | Use of LR's solution as the IV fluid | Hypoventilation (to PaCO2 50-60 mm Hg) | 4 | A | 1 | null | null | null | null | null |
5652663e-f2cd-5679-b070-b08d6646d551 | What is the design that modern vaporizers use? | Wet wick | Electromagnetic Induction | Variable bypass | Copper Kettle | 4 | C | 1 | null | null | null | null | null |
d42576f1-6d73-56df-84e3-b903b316f20f | Interpret the following ABG:
pH 7.24 / pCO2 60 / PO2 96 / HCO3 23 | Metabolic alkalosis | Respiratory alkalosis | Respiratory acidosis | Metabolic acidosis | 4 | C | 2 | null | null | null | null | null |
7b91bba0-e0e7-558b-8bec-f851cc00392a | A patient is referred to medication allergy testing at Bayview and is found to have a true allergy to bupivacaine. Which local anesthetic could the patient safely receive? | This patient cannot safely receive ANY local anesthetics | Lidocaine | Chloroprocaine | Ropivacaine | 4 | C | 2 | null | null | null | null | null |
56253714-ea69-566c-ab53-541ace4ca224 | What is bone cement implantation syndrome? | Bone cement inappropriately sticking to RBC's, resulting in low SpO2 | Thrombocytopenia (low platelet count) caused by methyl methacrylate | A poorly defined syndrome of hypoxemia, hypotension, and/or altered mental status in patients with cementation | Excessive adherence of bone to a newly placed joint hardware | 4 | C | 1 | null | null | null | null | null |
cbd004e9-78ae-561e-8272-00f57f70c600 | Which of the following ventilation strategies would be most likely to reduce the ICP? | Increase PEEP to 15 cm H2O | Keep ETCO2 20-30 mm Hg | Keep ETCO2 50-60 mm Hg | Keep FiO2 > 0.60 (60%) | 4 | B | 1 | null | null | null | null | null |
8a0222da-f583-5804-a550-bb1fc48b10eb | Dantrolene should be reconstituted using: | Sterile Water | 5% Dextrose in Water | Albumin | Normal Saline | 4 | A | 1 | null | null | null | null | null |
230c8348-07eb-5647-b540-546ca80b8f95 | Anectine is the trade name for which medication? | Remifentanil | Cefazolin | Succinylcholine | Rocuronium | 4 | C | 1 | null | null | null | null | null |
d1e2da3b-488a-5c46-9d3f-cc68708e73d5 | A patient is on a dexmedetomidine infusion for an awake fiberoptic intubation. What would be the most likely side effect of this infusion? | Acute agitation | Apnea | Tachycardia and hypertension | Bradycardia and hypotension | 4 | D | 1 | null | null | null | null | null |
48167a3f-5c49-527a-8f40-f0700e551976 | Which of the following is the most favorable airway exam for intubation and ventilation? | Oral excursion 2 FB, Mallampati 3, Thyromental distance 3 FB, Limited neck range of motion | Oral excursion 4 FB, Mallampati 1, Thyromental distance 4 FB, Full neck range of motion | Oral excursion 1 fingerbreadth (1 FB), Mallampati 1, Thyromental distance 1 FB, Full neck range of motion | Oral excursion 4 FB, Mallampati 4, Thyromental distance 2 FB, Full neck range of motion | 4 | B | 2 | null | null | null | null | null |
8cb60f8a-e53d-59fc-903d-a2bd1667d2a6 | A patient comes to the OR from the ICU. He is on a heparin infusion. Which of the following tests would be most appropriate to determine the degree of anticoagulation from the heparin? | Bleeding time | PT (INR) | Blood smear | PTT | 4 | D | 1 | null | null | null | null | null |
b6176c49-13f2-5221-a5f4-87daf4f35e53 | A patient had an accidental dural puncture on an epidural placement the day before. What would be the most effective treatment for her symptoms (headache, etc...)? | Atropine | Dexmedetomidine infusion | Epidural blood patch | Avoidance of lying flat | 4 | C | 1 | null | null | null | null | null |
74f48442-2ae4-5453-a14a-2740ce1e1901 | A patient is suspected to have MH intraoperatively. Early signs of MH include all of the following EXCEPT: | Increased temperature | Mixed metabolic and respiratory acidosis | Bradycardia | Dramatic increase in ETCO2 | 4 | C | 1 | null | null | null | null | null |
6a74b111-9cda-522c-94dd-9e1d45539293 | As patients get more acidotic, the plasma potassium concentration trends: | Higher | Acidosis has no impact on the potassium concentration | Lower | Initially no difference, then lower | 4 | A | 1 | null | null | null | null | null |
d8a7c8e9-ca72-58ea-a06a-19fb51d621eb | A patient receives a nerve block with ropivacaine and IV lidocaine and subsequently starts having a seizure. What is the most likely cause of the seizure? | Increased PaO2 | Carbon monoxide poisoning | Local Anesthetic Systemic Toxicity (LAST) | Propofol infusion syndrome | 4 | C | 2 | null | null | null | null | null |
dd266f88-a119-55c0-b77b-e4acda1d6f9f | The failsafe in an anesthesia machine is designed to: | Prevent the accidental delivery of 100% oxygen | Avoid hypoxic mixtures if the pipeline oxygen pressure drops | Avoid rebreathing of carbon dioxide | Prevent excessive pressures in the breathing circuit | 4 | B | 1 | null | null | null | null | null |
01edc7bd-f458-5599-b05b-4c3f961ef584 | What is the trade name for oxytocin? | Gynastrict | Pregozam | Pitocin | Uteropres | 4 | C | 1 | null | null | null | null | null |
d2f85beb-2c69-523a-adb5-b1166e386b77 | A patient is having laparoscopic surgery. The abdomen is insufflated to a certain pressure. At what insufflation pressure does the preload generally start to decrease? | 15 mm Hg | 5 mm Hg | 25 mm Hg | 10 mm Hg | 4 | A | 1 | null | null | null | null | null |
2c4fdf4a-f997-59cd-8c24-73ff4f18be17 | An ICU patient is coming to the OR for an urgent procedure. This patient has the hepatorenal syndrome, meaning that both the liver and kidneys are failing. Which medication would most likely have its metabolism affected (and hence last longer than expected) in this patient? | Vecuronium | Esmolol | Cisatracurium | Succinylcholine | 4 | A | 2 | null | null | null | null | null |
eb1f8a39-3dd0-5310-8276-a634ff340357 | Which patient as at highest risk for ischemic optic neuropathy (ION)? | Slender female patient with 100 mL blood loss | Obese female patient for 1 hour L4-5 discectomy surgery with minimal blood loss | Obese make patient with 5 L blood loss using the Wilson Frame | Slender male patient with 500 mL blood loss and lowest hemoglobin concentration of 12 g/dL | 4 | C | 3 | null | null | null | null | null |
5f9f16a6-5f9c-59b4-b664-948da0910d79 | Malignant hyperthermia is: | Hyperthyroidism (high thyroid hormone production) | A disorder of calcium regulation in cells (specifically muscle cells) | A sudden release of epinephrine and norepinephrine from the adrenal glands | The consequence of giving anesthesia to a patient when they have a fever | 4 | B | 1 | null | null | null | null | null |
7b10ffe1-f18e-501c-8931-43ec495b663e | Resistance represents: | A way of measuring the HR | The oxygen-carrying capacity | The opposition to fluid flow | Venous blood clots | 4 | C | 1 | null | null | null | null | null |
9040e7a9-320f-5e42-aac2-34b7734f6249 | Shortly after induction of GA with propofol, a patient is found to be difficult to mask ventilate and the clinician is unable to intubate the patient with direct laryngoscopy. The patient was well-pre oxygenated and the SpO2 is 98%. The next step should be: | Use a retrograde intubation | Avoid any muscle relaxation | Attempt to place an LMA | Continue to attempt direct laryngoscopy until a total of 5 have been attempted | 4 | C | 2 | null | null | null | null | null |
65f265c3-9ac9-5572-9550-8899a5f75907 | 1% propofol is being infused through an IV pump. The pump indicates that it is running at 5- mL/hr. How many milligrams per hour (mg/hr) of the propofol is the patient currently receiving? | 50 mg/hr | 100 mg/hr | 1000 mg/hr | 500 mg/hr | 4 | A | 2 | null | null | null | null | null |
09f076b4-39e2-5dd7-9a7c-e4fd7e73525f | Identify the EKG rhythm shown: | 2nd Degree AV Block, Mobitz type II | Sinus rhythm with PVC's | 2nd Degree AV Block, Mobitz type I (Wenkebach) | 1st Degree AV Block | 4 | C | 2 | null | null | null | null | null |
28cef2e1-9513-56e3-be96-5978f2ce9372 | What is the trade name for propofol? | Sedapro | Versed | Amidate | Diprivan | 4 | D | 1 | null | null | null | null | null |
882bcdfd-6c28-5218-9815-aec1bad4e039 | You don't like your neighbor, so you get a voodoo doll of him and use it to constrict his aorta. This will be expected to acutely cause an increase in: | Afterload | Contractility | Preload | Tidal Volume | 4 | A | 2 | null | null | null | null | null |
85d97a01-68ef-56c5-b2f2-4a56241a00a0 | A patient is undergoing a TURP procedure for an enlarged prostate and at some point intraoperatively the clinician feels that he may have TURP syndrome. This would be due to which of the following causes? | Hypernatremia from excessive sodium load | Fat Embolism | Carbon dioxide embolism | Extensive absorption of the irrigation fluid | 4 | D | 1 | null | null | null | null | null |
b17e926e-d37b-5fb8-9de2-be4e44f6d90a | Which of the following actions would be undertaken first in an airway fire? | Irrigate the airway with saline | Remove the ET tube | Send someone to get the fire extinguisher | Mask ventilate with air | 4 | B | 1 | null | null | null | null | null |
f1959c04-8f17-5c74-b4f1-2a20cb6502ea | A patient receives a nerve block with ropivacaine and IV lidocaine, and subsequently starts having a seizure. Local Anesthetic Systemic Toxicity (LAST) is suspected. What is the appropriate treatment? | Methylene Blue | Flumanzenil | Naloxone | Intralipid | 4 | D | 1 | null | null | null | null | null |
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