KW Q1 2017

Beschreibung

Diplomat of ABA Medicine (Fellow) Quiz am KW Q1 2017, erstellt von Mike Ru am 21/01/2017.
Mike Ru
Quiz von Mike Ru, aktualisiert more than 1 year ago
Mike Ru
Erstellt von Mike Ru vor mehr als 7 Jahre
15
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Zusammenfassung der Ressource

Frage 1

Frage
A 65-year-old woman with ESRD on dialysis with a perforated viscus brought to OR for surgery. Her vital signs show hypotension. Which of the following BEST describes this patient's ASA Physical Status classification?
Antworten
  • 2E
  • 3E
  • 4E
  • 5E

Frage 2

Frage
Dead space ventilation volume will increase in which of the following areas of a circle system?
Antworten
  • Beyond the expiratory valve in the expiratory limb
  • Between the endotracheal tube and the Y piece
  • Before the inspiratory valve in the inspiratory limb
  • Between the Y piece and the CO2 absorber

Frage 3

Frage
A 66-yo man with CAD has severe hypotension during surgery. A TEE shows new hypokinesis of the lateral wall. Which of the following coronary arteries is MOST likely to be involved?
Antworten
  • Left main
  • Circumflex
  • Right
  • Posterior descending

Frage 4

Frage
A 19 yo woman who presents for surgery tells you that her aunt died immediately after an operation from a high fever caused by SCh. Which of the following dantrolene regimens is more appropriate for this patient?
Antworten
  • 100 mg/day oral dantrolene for three days prior to surgery
  • 25 mg IM dantrolene the morning of surgery
  • 2.5 mg/kg IV prophylactic dantrolene prior to induction
  • Have dantrolene immediately available to mix in the OR

Frage 5

Frage
Which of the following factors is the BEST predictor of difficult intubation in obese patients?
Antworten
  • Neck circumference
  • Mallampati score
  • Female sex
  • CPAP use

Frage 6

Frage
Which of the following medications should NOT cause accumulation of an active metabolite in patients with renal insufficiency?
Antworten
  • Dexmedetomidine
  • Dolasetron
  • Midazolam
  • Procainamide

Frage 7

Frage
Which treatment has NOT been approved for the management of fibromyalgia?
Antworten
  • Pregabalin (Lyrica®)
  • Duloxetine (Cymbalta®)
  • Milnacipran (Savella®)
  • Gabapentin (Neurontin®)

Frage 8

Frage
A 65-y/o woman received a combined general and epidural with bupivacaine anesthesia for an GYN procedure in the lithotomy position. The epidural catheter was left in place postoperatively for an infusion of fentanyl. Ten hours postoperatively, the patient notes right foot drop. Which of the following is the MOST likely mechanism of this finding?
Antworten
  • Inadequate padding of the lateral leg during surgery
  • Residual effects of the local anesthetic
  • Nerve injury from the epidural catheter
  • Epidural hematoma

Frage 9

Frage
A 45-y/o man that undergoing a eight-hour radical prostatectomy has type 1 diabetes mellitus and a preoperative serum creatinine of 3 mg/dL. Maintaining which of the following is MOST likely to preserve his renal function?
Antworten
  • Baseline mean arterial pressure with a phenylephrine infusion
  • Urine output > 1 mL/kg/hour
  • Normoglycemia
  • Euvolemia

Frage 10

Frage
A 53-y/o woman with chronic aAfib is anticoagulated with warfarin and scheduled for an emergent laparotomy. Which of the following treatments would MOST effectively reverse her anticoagulation?
Antworten
  • Cryoprecipitate
  • Fresh frozen plasma
  • Aminocaproic acid
  • Vitamin K

Frage 11

Frage
A 59-yo man for outpatient surgery. He has received doxorubicin therapy for lymphoma and presents with recent onset of dyspnea. Which is the MOST likely etiology secondary to doxorubicin therapy?
Antworten
  • Cardiomyopathy
  • Renal failure
  • Pericardial effusion
  • Pulmonary fibrosis

Frage 12

Frage
A 39-yo man with type 1 von Willebrand disease requires urgent surgery. Which of the following treatments is MOST appropriate?
Antworten
  • Aminocaproic acid
  • Desmopressin (DDAVP)
  • Recombinant activated Factor VII
  • Platelet concentrate

Frage 13

Frage
For the diagnosis of anaphylaxis which of the following tests is strongly suggests ?
Antworten
  • C1 esterase
  • Tryptase
  • Complement
  • Histamine

Frage 14

Frage
Postoperative interrogation and restoration of CIED function may be needed in which situations?
Antworten
  • Cardioversion
  • Computerized axial tomography
  • Electroconvulsive therapy
  • Use of monopolar cautery

Frage 15

Frage
Which of the following medication should be administered during LAST resuscitation?
Antworten
  • Propofol 100 mg
  • Vasopressin 40 units
  • Epinephrine 1 mcg/kg
  • Epinephrine 1 mg

Frage 16

Frage
Which of the following intraoperative medications MOST likely contributed to patients postoperative hyperalgesia?
Antworten
  • Nitrous oxide
  • Methadone
  • Ketamine
  • Remifentanil

Frage 17

Frage
Which of the following treatments is a first-line therapy for treatment of life-threatening bleeding due to rivaroxaban?
Antworten
  • Prothrombin complex concentrate
  • Idarucizumab
  • Plasma transfusion
  • Hemodialysis

Frage 18

Frage
Which of the following after ambulatory surgery is the MOST common reason for unexpected hospital admission?
Antworten
  • Bleeding
  • Urinary retention
  • Oversedation
  • Nausea and vomiting

Frage 19

Frage
Which of the following actions would help reduce needle reverberation artifact in ultrasound imaging?
Antworten
  • Increase the gain
  • Insert the needle at less than a 90° angle to the ultrasound beam
  • Increase the field depth
  • Use a higher frequency probe

Frage 20

Frage
After 12 units of RBC, there is diffuse oozing noted on the surgical field. PT and PTT are prolonged and the platelet count and fibrinogen levels are normal. Administration of which of the following substances is the MOST appropriate next step?
Antworten
  • Cryoprecipitate
  • Plasma
  • Albumin
  • Desmopressin
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