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f9f81feb-3fc6-58df-a693-973dfaca26d3 | The volume of O2 in half-full compressed-gas cylinder can be calculated by application of | Boyle's law | Dalton's law | Dalton's law | Charle's law | 5 | A | 1 | None of above | null | null | null | null |
3d86dc5a-87a4-5ea2-a92c-f74a7cfa9e56 | The ratio of the density of a solution to the density of water is called | Mass | Baricity | Specific gravity | Relative density | 5 | C | 1 | None of the above | null | null | null | null |
54b7d780-35d6-508d-8c4c-1d9dbc7c94d0 | At high altitudes, the flow of a gas through a rotameter will be | Greater than expected | Less than expected | Greater than expected at high flows but less than expected at low
flows | Less than expected at high flows but greater than expected at low
flows | 5 | E | 2 | Greater than expected at high flows but accurate at low flows | null | null | null | null |
e49904f0-282c-5db5-9ada-04961c92f616 | The volume N2O in a half-full compressed-gas cylinder can be calculated by application of | Boyle's Law | Dalton's Law | Graham's Law | Charles' Law | 5 | E | 1 | None of the above | null | null | null | null |
4e0d6f9d-7641-5a12-9c76-2c3c250566fd | Turbulent gas flow through a tube increases | Lineary with the pressure gradient down the tube | Lineary with the density of the gas | To the forth power of the radius of the tube | Approximately to the square of the radius of the tube | 4 | D | 1 | null | null | null | null | null |
20eb5ef4-1915-5c04-80a8-76076253d040 | Which of the following materials will not ignite during the laseer surgery of the airway? | Rubber | Silicone | Polyvinylchloride | Metal | 4 | D | 1 | null | null | null | null | null |
9945435e-2d0d-50d4-8c63-d922df966700 | True statements concerning a closed scavenging-system interface include which of the following? | Failure to connect the system interface to the wall suction will result in barotrauma to the patient | Excessive wall suction will result in hypoventilation to the lungs | The scavenging reservoir bag will distend during inspiration | The scavenging reservoir bag will distend during expiration | 4 | D | 1 | null | null | null | null | null |
ba2d0d17-a9c7-5934-b35d-d4d4d0a4e4f2 | The pin-index safety system prevents | Attachment of gas-administration equipment to the wrong gas line | Delivery of a hypoxic mixture from the rotameters to the patient | Delivery of the wrong gas from the central supply source | Incorrect yoke to compressed-gas cylinder connections | 4 | D | 1 | null | null | null | null | null |
bb717302-d170-5e63-862d-e7ef2d9c2741 | Lasers capable of damaging all tissues include which of the following | Ruby | Argon | Neodymium-yttrium-aluminium-garnet(Nd-YAG) | CO2 laser | 4 | D | 1 | null | null | null | null | null |
31009ab0-26e1-5e90-977c-88cde7ab2654 | A 15 kg dog weighs how many pounds? | 30.3 lbs | 33 lbs | 6.8 lbs | 28 lbs | 4 | B | 1 | null | null | null | null | null |
115c5042-577e-50be-a80e-ff8466155330 | A 65 kg dog weighs how many pounds? | 151 lbs | 143 lbs | 29.5 lbs | 33 lbs | 4 | B | 2 | null | null | null | null | null |
c6f8664e-6f7d-5e3b-a92a-d577d4690232 | A normal, healthy patient that is undergoing a spay surgery would fall where on the ARA scale? | 1--minimal risk | 2--low risk | 3--moderate risk | 4--high risk | 5 | A | 1 | 5--extreme risk | null | null | null | null |
2f5c2c39-3c20-53d8-bdd1-15e44080c851 | A patient with severe systemic disease, such as anemia, moderate dehydration, and compensated organ disease would fall where on the ARA scale? | 1--minimial risk | 2--low risk | 3--moderate risk | 4--high risk | 5 | C | 2 | 5--extreme risk | null | null | null | null |
5e7edd1f-5c69-5449-bf90-c9ef3b3b1e48 | Active scavengers used activated charcoal to remove waste anesthetic gas. | True | False | null | null | 2 | B | 1 | null | null | null | null | null |
4c6a7295-1dc9-5476-86b6-b2c0f49d95ba | Cone-shaped devices that allow you to deliver oxygen and/or anesthetic gases to the patient without intubating them. | Induction chamber | Mask | Vaporizer | Flow meter | 4 | B | 1 | null | null | null | null | null |
d5783805-d653-5c5b-b6e0-e7e53da71b45 | General anesthesia is defined as the loss of feeling or sensation to a specific area. | True | False | null | null | 2 | B | 1 | null | null | null | null | null |
25b8dc0b-65b5-52a8-aa6a-0c1eb86ff236 | It is recommended most patients be fasted for about ____ hours before the surgery. | 6 | 12 | 18 | 24 | 4 | B | 1 | null | null | null | null | null |
c078ff15-36a0-5f41-9378-fa4f2a9805bd | Ketamine is always used with a(n) | Anticholinergic | Sedative | Opioid | Tranquilizer | 4 | B | 1 | null | null | null | null | null |
9ef5fa23-654f-5065-9f74-77447069b28c | Long and intermediate-acting barbiturates are generally used for anticonvulsant therapy. | True | False | null | null | 2 | A | 1 | null | null | null | null | null |
57e5b8be-19b2-55d7-ac5b-e4a0e8c33701 | Scavenger units safely filter/route waste gas from induction chambers. | True | False | null | null | 2 | B | 1 | null | null | null | null | null |
21c65847-3e11-5b08-9fa2-477160ff9242 | The manometer is measured in | G/dl | Cm/h20 | Mmhg | Mph | 4 | B | 1 | null | null | null | null | null |
99e5a20a-24dc-5dbb-a282-ad5eedcb9c54 | What drug will often make patients vomit after 5-10 minutes? | Butorphanol | Valium | Morphine | Atropine | 4 | C | 1 | null | null | null | null | null |
1b2fe1c7-61b2-558a-9744-fb6d8cb617d3 | ___________ allow us to deliver oxygen and anesthetic gas to the patient which maintains them at a surgical plane of anesthesia. | Vaporizers | Rebreathing bags | Endotracheal tubes | Scavenger units | 4 | C | 1 | null | null | null | null | null |
f917de6b-3ead-5d3f-a349-dff9c248200a | Which of the following preanesthetic drugs lowers the seizure threshold? | Acepromazine | Valium | Xylazine | Fentanyl | 4 | A | 1 | null | null | null | null | null |
8fd8a55b-2d0d-5f34-9f06-26bcdd68ae98 | Overall, considering both spontaneous and controlled ventilation, the Mapleson circuit requiring the lowest fresh gas flow rates is the | A | B | C | D | 4 | A | 1 | null | null | null | null | null |
71d4b34c-c45b-5553-ae4d-fc5abf5a44ab | Regarding monitoring for pediatric inhalation induction: | Temperature monitoring is essential during induction. | It is unwise to upset anxious children by placing a blood pressure cuff before induction. | A baseline ECG must be obtained before induction, especially in anxious children | It is unnecessary to obtain pre-induction blood pressures in neonates, often difficult to obtain due to motion. | 4 | B | 1 | null | null | null | null | null |
9d80a081-b7c7-59a2-8d35-ce018c50f30d | In a 12-year-old child the length of an oral endotracheal tube (from the lips to the mid trachea) should be: | 12 cm | 14 cm | 16 cm | 18 cm | 5 | D | 2 | 20 cm | null | null | null | null |
0759d79b-e264-5427-92f5-a64bf720e9cf | A 6-year-old, 20-kg girl develops pulseless ventricular tachycardia after induction of anesthesia with halothane, nitrous oxide, and oxygen for a tonsillectomy. The anesthesiologist intubates the child, administers 100% oxygen, and starts chest compressions. When the defibrillator quickly arrives in the OR the defibril... | 20 joules | 40 joules | 60 joules | 80 joules | 5 | B | 2 | 120 joules | null | null | null | null |
7c158303-f7a5-5f8b-b931-733be0afccb9 | What is the first sign of inhalation anesthetic induction in a child? | Disappearance of eyelash reflex | Shallow, rapid breathing | Appearance of nystagmus | The patient does not react to verbal stimuli | 4 | C | 1 | null | null | null | null | null |
493dd2de-388e-52a3-bbb0-6962dcd8426d | In ambient conditions, the most important determinant of oxygen content is: | Increased pH | 2,3 DPG levels | Elevated temperature | Hemoglobin concentration | 4 | D | 1 | null | null | null | null | null |
3c837b95-6080-58f0-ab41-e560f46a3235 | A patient develops auditory hallucinations and has a convulsion while you are reducing a nasal fracture and packing the nares. Spray and mucosal application of cocaine was used as an anesthetic. Appropriate management is: | Call 911 and wait for EMT transport | Airway management and IV diazepam | Succinylcholine IV | Epinephrine IV | 4 | B | 2 | null | null | null | null | null |
9fc70cf1-54c9-50f5-9649-4aa2e64b21fe | The non-depolarizing agent that has a predictable rate of metabolism is: | Atracurium | D-tubocurarine | Vecruonium | Pancuronium | 4 | A | 1 | null | null | null | null | null |
c5b09ea6-c400-5cc2-8bcd-b3471c758e47 | The best method to determine the proper placement of an endotracheal tube is: | Exhaust tube capnography | Auscultation of the chest | Observation of chest motion with ventilation | Visualization of the chords | 4 | A | 1 | null | null | null | null | null |
d5555f35-19ed-5c8a-ab2e-f5c106cd441e | A characteristic of first-order kinetics is: | Steady state levels cannot be predicted | A loading dose is determined by the desired plasma level | The half-life of a drug is equal to the rate of elimination | First order kinetics applies to all drugs | 4 | C | 1 | null | null | null | null | null |
5cc837ec-d1be-5a33-bd6e-08fb9a5d629d | The most significant side effect of pancuronium is: | Hyperkalemia | Renal insufficiency | Hyperthermia | Sympathetic stimulation | 4 | D | 1 | null | null | null | null | null |
12f9fca1-5df0-59d0-bcc2-d49bdbd7f07c | The risk factor most responsible for increased morbidity and mortality is: | Age greater than 70 | Smoking 20 plus years | Diabetes mellitus on insulin | Prednisone 20mg for 6 months | 4 | D | 1 | null | null | null | null | null |
646bc5ea-4108-5a2a-883b-ab933042c397 | Preoperative preparation of a 70 yr old smoker with a normal EKG should include: | Coronary angiography | MRI | Stress test | Pulmonary function tests | 4 | C | 2 | null | null | null | null | null |
062d6790-3334-502c-86b1-0cd4c6a223a8 | A contraindication for spinal anesthesia is: | Elderly patients | Sepsis | Infants | Diabetics | 4 | B | 1 | null | null | null | null | null |
7047b7b4-1915-5d7b-8281-8c6db605ccc2 | Which of the following supports the membrane lipid theory used to describe the mechanism of action of general anesthetics? | Anesthetics produce different levels or components of anesthesia at different anatomical loci | Hyperbaric condition reverses anesthesia | Anesthetics can be enantioselective and display steriochemical preference | Some lipid soluble, halogenated compounds do not have anesthetic activity | 5 | B | 2 | Anesthetic agents have cellular mechanisms, such as ability to hyperpolarize neurons, inhibit transmitter release, enhance inhibitory neurotransmission | null | null | null | null |
6ba0ed06-1baf-5674-85e9-85bd7c556c56 | Which of the following explains some of the actions of general anesthetics on ion channels? | Activation of a certain class of K+ channel | Increases the sensitivity of GABAa receptor to GABA | Inhibit excitatory current in NMDA receptor | Enhance the action of glycine on glycine receptor | 5 | E | 1 | All of the above | null | null | null | null |
b946d4cd-7fb2-5c6b-a2e8-7a7fb296fa2d | All of the following conditions would require a decrease in anesthetic dosing to produce anesthetic effects except: | Old age (elderly) | Young age (children) | Pregnancy | Stress & anxiety | 5 | D | 1 | All of the above | null | null | null | null |
1ff3c9d1-a74a-5068-b8c3-f9c4d2c0f370 | General anesthetics are available in the following dosage forms except: | Oral | Intravenous | Inhaled gases and volatile liquids | Intramuscular | 5 | A | 1 | Intrarectal | null | null | null | null |
b9030ce2-a1de-50a7-94dd-a7bb03f115b1 | Place the following stages of anesthesia in order (from stage 1 to stage 4)
A. Surgical anesthesia
B. Amnesia, irregular respiration
C. Medullary depression
D. Analgesia | D, A, B, C | D, C, B, A | B, D, A, C | D, B, A, C | 5 | D | 1 | C, A, B, D | null | null | null | null |
dfd11a01-427f-5155-baa4-5c36fd2c3a1a | Which of the following describes the P3 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory Loss | Sleep | 5 | A | 1 | Amnesia | null | null | null | null |
7052948d-d14d-5735-9ebe-05652fda695e | Which of the following describes the P1 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory loss | Sleep | 5 | D | 1 | Amnesia | null | null | null | null |
fbf0d01c-4ed1-54c9-b2dd-6a697ca24d43 | Which of the following describes the P4 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory loss | Sleep | 5 | B | 1 | Amnesia | null | null | null | null |
8281e61a-5ced-5706-852a-eb925263882d | Which of the following stages of anesthesia is the best stage for surgery? | Stage 1 | Stage 2 | Stage 3 | Stage 4 | 5 | C | 1 | Stage 5 | null | null | null | null |
e25ba197-4c7f-5262-846c-a4e9c7e49711 | Which of the following describes the mechanism for stage 4 (medullary depression) of anesthesia? | Neurons in medulla, normally insensitive, except at high concentrations | Higher center - increased excitatory neurotransmitters | Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors | Decreased spinal reflex and decreased firing of ascending pathways | 5 | A | 1 | None of the above | null | null | null | null |
6b794f67-7b2c-5574-870d-1e2f963b917e | Which of the following describes the mechanism for stage 2 (amnesia, irregular respiration) of anesthesia? | Neurons in medulla, normally insensitive, except at high concentrations | Higher centers - increased excitatory neurotransmitters | Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors | Decreased spinal reflex and decreased firing of ascending pathways | 5 | B | 1 | None of the above | null | null | null | null |
d30b06af-b494-534f-9eae-4041154b6d86 | Which of the following is not a parenteral anesthetic? | Propofol | Thiopental | Katamine | Ether | 5 | D | 1 | All of the above answers are parenteral anesthetics. | null | null | null | null |
9f8409fc-bd53-5be2-a604-2cba5109a479 | Which of the following is NOT a characteristic of katamine? | Highly lipid soluble | Produces hallucinations, illusions, and vivid dreams, especially in children. | A congener of phencyclidine (PCD) which was taken off the market due to side effects | Good for patients at risk for hypotension and bronchiospasm | 5 | B | 1 | All of the following are characteristics of katamine | null | null | null | null |
c417e5bb-69e5-5108-bb61-c22fe8edb321 | Which of the following is the most commonly used parenteral anesthetic in the US? | Ether | Thiopental | Katamine | Etomidate | 5 | E | 1 | Propofol | null | null | null | null |
250b2396-7c75-58e0-ab30-dd08671d429c | The depth of anesthesia of inhalation anesthetics depends on: | The alveolar concentration of the agent | The concentration of the agent in the inspired gas mixture | The solubility of the agent in the blood | Pulmonary blood flow (i.e. cardiac output) | 5 | E | 1 | All of the above | null | null | null | null |
0f538c6c-a389-50ab-8a39-4a1e4beb553d | A major disadvantage of using inhalation anesthetics includes | Rapid onset | Limited amount of inhalation anesthetics available as compared to parenteral anesthetics available | High therapeutic index | Low margin of safety, therefore one of the most dangerous class of drugs | 5 | D | 1 | Doesn't cross BBB | null | null | null | null |
815cb4c2-31ed-54ee-b3cf-d806198846b6 | Minimal Alveolar Concentration (MAC) is: | The concentration necessary to produce amnesia in 100% of the population | The concentration necessary to inhibit bacterial growth | The concentration necessary to prevent the elimination of inhalation anesthetics | The concentration necessary to prevent responding (to the scalpel) in 50% of the population | 5 | D | 1 | None of the above | null | null | null | null |
6ef72aa3-4c9f-56b7-9fef-355f18002c02 | Which of the following is NOT a stage of general anesthesia? | Induction | Maintenance | Emergence | Exacerbation | 4 | D | 1 | null | null | null | null | null |
1cb84b85-5641-5469-a592-2af81a426859 | Which of the following is not a reason for using adjuncts for anesthetics? | Prevent undesirable effects | Reduces amount of anesthetic needed | Increase effectiveness of anesthetic | Increases anxiety | 5 | D | 1 | All of the above are reasons for using adjuncts for anesthetics | null | null | null | null |
a95f36a8-57db-5498-ae1c-e189da1efa96 | All of the following are characteristics of Xenon except | Minimal side effects | Relatively inexpensive | Ideal anesthetic | Extremely insoluble in blood | 5 | B | 1 | Very rare drug | null | null | null | null |
b6b082b6-6ced-504f-b615-c0b11128d41b | Which of the following anesthetic increases respiration? | Isoflurane | Halothane | Thiopental | Sevoflurane | 5 | D | 1 | None of the above | null | null | null | null |
431f1b88-bf8b-5ca9-bc2d-d212b184f2c2 | The following are all types of controls (drive mechanisms) except for: | Pneumatic | Galvanic | Fluidic | Electronic | 4 | B | 1 | null | null | null | null | null |
9f9aac9d-df59-5b4f-88a7-3021475baa9a | In an ascending bellows during exhalation, the driving gas will vent to: | Scavenging System | Breathing Bag | Atmosphere | Descending Bellows | 4 | C | 1 | null | null | null | null | null |
4d427cb0-d9fb-5c6e-9181-025c6647ff96 | Which of the following statements are true: | If you have a machine driven by air and a leak occcurs in the bellows you will get an increase in FiO2 | If you have a machine driven by oxygen and a leak occurs in the bellows you will get a decreased FiO2 | If you have a machine driven by air and a leak occurs in the bellows you will have no change in FiO2 | If you have a machine driven by air and a leak occurs in the bellows you will have a decrease in FiO2 | 4 | D | 2 | null | null | null | null | null |
edebe4f5-6a7f-5635-942b-8bd1ceb764a4 | Which of the following statements are false: | A piston is similar to an ascending bellows in the fact that they both move up during inspiration. | The Fabius GS is a continuous flow anesthesia machine in which gas delivery is purely pneumatic and electronically measured. | In event of an electrical power failure, an anesthetic can still be given to the patient using the Fabius GS. | An air entrainment valve protects the patient from negative pressures. | 4 | A | 1 | null | null | null | null | null |
ef647a9d-37cd-5ac2-abe4-76d4f11937db | The S-ORC Assembly is responsible for: | Protecting the patient from extremely high breathing pressures | Eliminating the APL valve during ventilatory modes. | Ensuring that the hypoxic mixtures are not given to the patient | Calibrating the O2 sensor | 4 | C | 1 | null | null | null | null | null |
fed27253-64a8-5b28-a537-ea99b263f790 | During anesthetic management of a pt with HTN, you should seek to keep the intra-op BP within _____ of your baseline BP. | You should seek to reduce BP to normal range. | 10% | 5% | 20% | 4 | D | 1 | null | null | null | null | null |
153ed577-cced-521b-9f58-4ae1c1e09413 | Which of the following does not typify the response expected when managing a pt with HTN? | Exaggerated hypotensive response to induction | Hypertension upon intubation of pt | Chronic volume depletion requiring fluid boluses during surgery | Resistance to vasoactive medications, requiring higher doses | 4 | D | 1 | null | null | null | null | null |
959a4494-9873-54b5-845d-4e3d64ce7076 | A patient with critical mitral stenosis develops atrial fibrillation with an uncontrolled ventricular rate averaging 150 beats per minute and pulmonary edema. Which of the following courses of action would be most appropriate? | Administer a diuretic | Administer a positive inotropic agent | Administer a positive inotropic agent in combination with vasodilator | Administer a negative chronotropic agent | 4 | D | 3 | null | null | null | null | null |
fdfbbd57-6783-50e9-aa89-7cf3a9ad38af | In which condition would sodium nitroprusside be the MOST beneficial to increase cardiac output? | Mitral stenosis | Aortic stenosis | Aortic regurgitation | Coronary artery disease | 4 | C | 2 | null | null | null | null | null |
a4256aad-ad98-5c96-aca6-00de0a0254e9 | At what stage of hypertension would a patient begin to experience renal dysfunction? | Stage 4 | Stage 3 | Stage 2 | Stage 1 | 4 | B | 1 | null | null | null | null | null |
73dead6a-ec99-5ccc-beef-7da37aa9d9d5 | Which of the following disease is not commonly associated with pts undergoing CEA? | CAD | Diabetes | CVA | Liver dx | 4 | D | 1 | null | null | null | null | null |
b8d6da53-7ace-5c75-a97d-4fc1d0adeda6 | Appropriate interventions with surgical traction on the carotid sinus include: | Atropine | Infiltration with local anesthestic | Release of traction by surgeon | All the above are acceptable interventions | 4 | D | 2 | null | null | null | null | null |
a3c38c28-eafc-50c6-ac08-ac554c8d5568 | All of the following hemodynamic changes should be anticipated during aortic cross-clamping in a patient with normal left ventricular function except: | Increased SVR | Increased MAP | Increased CO | Decreased EF% | 4 | C | 2 | null | null | null | null | null |
0300fe6e-b215-5273-848b-517373a79191 | Which of the following parameters will best assist you to decide the best anesthetic technique to use for a cardiac patient? | The type of surgery | Left ventricle function | The patient’s blood pressure | The patients’ heart rate | 4 | B | 3 | null | null | null | null | null |
4a7661d9-6621-544f-b70f-29be5b2541a9 | Hemodynamic goals for a CEA are: | Hypotension to prevent blood loss within the surgical field | Hypertension and tachycardia to maintain CPP | High-normal BP range to maintain CPP | No blood pressure concerns | 4 | C | 1 | null | null | null | null | null |
0ab9049f-d85b-5734-9b64-20e5b9ea0238 | Which of the following is not true regarding the management of a pt undergoing AAA repair? | During cross-clamp, vasoconstrict to keep BP slightly elevated and restrict fluids | You should have a central line, A-line, and large bore IV’s | During cross clamp you should turn off heating blankets | All the above are true | 4 | A | 1 | null | null | null | null | null |
2a674c91-e8d4-50b1-adc4-1d53cb4cdc8c | Surgery on the ascending aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 4 | A | 1 | null | null | null | null | null |
d2b30078-8b1c-5bc2-8350-6538f7ea13ac | At what level should you seek to maintain your ETCO2 waveform on the anesthesia monitor during a CEA? | ETCO2 27 | ETCO2 36 | ETCO2 48 | Wherever the pt tolerates best | 4 | B | 1 | null | null | null | null | null |
f6aea869-23c8-5df3-a8ba-82dde654bd0f | A systolic murmur auscultated at 2nd intercostal space is typical for which type of valvular heart lesion? | Mitral stenosis | Aortic stenosis | Mitral prolapse | Aortic regurgitation | 4 | B | 1 | null | null | null | null | null |
adcc0821-484e-537a-8ec1-72c05eb6dbc3 | All of the following are post-op complications related to CEA except: | Hemorrhage | HTN due to denervation of carotid baroreceptors | Injury to RLN | Injury to the optic nerve due to hypoperfusion | 4 | D | 1 | null | null | null | null | null |
d27626a5-9999-55d7-902b-079319772aa9 | Which of the following drugs would you most likely administer after aortic clamping during elective AAA repair? | Neosynephrine | Apresoline | NTG | Dobutamine | 4 | C | 2 | null | null | null | null | null |
6c2f2a35-929e-5293-9c2e-bffd3a888998 | Appropriate interventions to counteract the effects of "unclamping" are all of the following except: | Vasodilators | Increase minute ventilation | Calcium Chloride | Sodium Bicarb | 4 | A | 1 | null | null | null | null | null |
7173d069-740f-5abb-8ef3-6bd37ff34441 | Lactic acid build-up distal to the aortic clamp will cause: | Vasodilation | Bronchodilation | Vasoconstriction | Myocardial stimulation | 4 | A | 1 | null | null | null | null | null |
71e22728-f97d-5105-8d82-5c151b669e99 | A rumbling diastolic murmur heard at the apex of the heart is characteristic of which of the valvular lesions? | Mitral stenosis | Mitral regurgitation | Aortic stenosis | Aortic regurgitation | 4 | A | 1 | null | null | null | null | null |
18092b62-0f80-5752-be26-820be359382d | In which cardiac condition is maintaining a normal sinus rhythm not an important contribution to a better stroke volume? | Mitral stenosis | Mitral regurgitation | Aortic stenosis | Idiopathic hypertrophied subaortic stenosis | 4 | B | 2 | null | null | null | null | null |
fdc5a771-567a-5e43-98b9-7b5ecf3284a4 | Which of the following is not necessary for an ASA 3 pt undergoing an Aorta-life bypass? | Serial H&H and ABG’s | Bair Hugger for lower extremities | A-Line | Fluid Warmer | 4 | B | 2 | null | null | null | null | null |
9612c252-6fab-52d9-865f-b4f4c7daa79e | Surgery on the transverse aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 4 | B | 1 | null | null | null | null | null |
bd41d073-a0ed-53a9-8aa2-db13576d29d4 | Your patient is having a left-sided CEA, the A-line should be placed: | On the right side because in case occlusion to left occurs | In femoral site due to risk of occluding the innominate | On the left side because you want to know how well the operative side is perfusing | Either side is acceptable | 4 | A | 2 | null | null | null | null | null |
86781538-8090-5cc1-9b53-3f097be91201 | Prior to aortic cross-clamp, you administered 7,500 units of heparin to your pt. It has now been one hour and the surgeon is asking you to give protamine. How much should you give? | 26 mg | 75 mg | 90 mg | 38 mg | 4 | D | 2 | null | null | null | null | null |
bdba7292-8fc5-5e07-9025-7ba511b133a9 | Where should you keep the HR on a pt with Mitral stenosis? | Equal to or slightly below baseline | Keep HR elevated above baseline | Aim for a HR >80 bpm | Aim for HR | 4 | A | 1 | null | null | null | null | null |
afdc559d-c9ff-51c4-a70a-63bc4b7ae219 | Which of the following is not true regarding patients with Mitral Regurgitation? | Ketamine may be used for induction of MR patients | Decreases in SVR should be avoided | Decreases in HR should be avoided | Reversal of NMB may be done as usual | 4 | B | 2 | null | null | null | null | null |
327d7920-30fb-5440-bab4-05f5131dabc4 | A pt with Aortic stenosis is most likely to experience which of the following? | Concentric Hypertrophy | Ischemic Cardiomyopathy | Eccentric Hypertrophy | Tamponade | 4 | A | 1 | null | null | null | null | null |
26a44136-d562-56ea-b38d-62c1c274d6df | Surgery on the descending aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 4 | C | 1 | null | null | null | null | null |
746c2027-d0b0-5931-b3da-58daee78ecd3 | 90-95% of AAA's involve which part of the abdominal aorta? | Suprarenal | Juxtarenal | Infrarenal | Pararenal | 4 | C | 1 | null | null | null | null | null |
e4d01207-f438-5920-963f-1496d8277eb7 | Which of the following is true regarding anesthetic management of a pt with Mitral Stenosis? | Ketamine is drug of choice for induction of pts with severe MS | Narcotics and propofol infusions should be avoided due to myocardial suppression | Rocuronium or Sux would be drugs of choice for intubation of MS pts | Aggressive fluid therapy is necessary due to chronic fluid depleted state and risk for hypotension | 4 | C | 2 | null | null | null | null | null |
6e7dc8b5-70de-5050-bbc3-c99b42a7362b | What is the most common side effect associated with the administration of protamine? | Hypotension | Bradycardia | Hemorrhage | Allergic reaction | 4 | A | 1 | null | null | null | null | null |
bb8cce38-057d-5ed9-b279-0110923924fc | Which of the following would you choose for the induction of a patient with severe aortic stenosis? | Inhalational induction with desflurane | Ketamine IV induction | Propofol IV Induction | High dose fentanyl induction | 4 | D | 3 | null | null | null | null | null |
1f69df8b-cb8d-53df-bf3b-02a491583f8b | During Carotid vascular surgery, BP should be maintained… | Slightly above pre-op levels | Slightly below pre-op levels | Equal to pre-op levels | Ummm, there is no BP on bypass. | 4 | A | 1 | null | null | null | null | null |
3dab1eae-9524-5a25-94ce-3d8a18944f5c | Which of the following is not true regarding pts with Mitral Stenosis? | These patients are more prone to a-fib | Pavulon is a good choice for facilitating intubation | Sedative drugs should be given at a reduced dose, due to increased risk for ventilator depression | Use caution with fluid therapy as these pts are more prone to fluid overload | 4 | B | 2 | null | null | null | null | null |
af1c6c99-6c06-5f5d-ba1a-e334a4577ff3 | What is the most common cause of Mitral Stenosis? | Hypertension | Aortic Regurge | Left Ventricular Hypertrophy | Rheumatic Fever | 4 | D | 1 | null | null | null | null | null |
5169fa98-3f37-5fb1-a38b-dcbc55646762 | Acute mitral regurge is most commonly due to… | Myocardial Infarction | Rheumatic fever | Mitral Stenosis | Severe hypertensive episodes | 4 | A | 1 | null | null | null | null | null |
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