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ANZCA Part 2 MCQs - 2015

Branden Emmerson 49 preguntas

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Preguntas del test (49)

  1. 1A young man has removed his buprenorphine patch on the morning of surgery. How long will it be before his plasma level reaches half its original level?
    1. A12 hours
    2. B18 hours
    3. C24 hours
    4. D30 hours
    5. E36 hours
  2. 2A young man has removed his fentanyl patch on the morning of surgery. How long will it be before his plasma level reaches half its original level?
    1. A12 hours
    2. B18 hours
    3. C24 hours
    4. D30 hours
    5. E36 hours
  3. 3A 58 year old with a solitary hepatic metastasis from colon cancer is scheduled for a resection of a right lobe of liver. In order to manage the risk of intra-operative haemorrhage, it is most important to maintain:
    1. AHigh CVP in anticipation of heavy blood loss
    2. BDecreased MAP to reduce arterial bleeding
    3. CDecreased CVP to reduce venous bleeding
    4. DNormal MAP in anticipation of heavy blood loss
    5. ENormal CVP to ensure adequate filling of the heart
  4. 4An 80 year old man is having a transuretheral bladder resection. The surgeon is using diathermy close to the lateral bladder wall which results in patient thigh adduction. The nerve involved is:
    1. AInferior gluteal
    2. BObturator
    3. CPudendal
    4. DScaitic
    5. ESuperior gluteal
  5. 5In Conn's syndrome, the usual derangement is
    1. AHypoglycaemia, hypokalaemia and hypernatraemia
    2. BHypoglycaemia, hyperkalaemia and hyponatraemia
    3. CNormoglycaemia, hypokalaemia and hypernatraemia
    4. DNormoglycaemia, hyperkalaemia and hyponatraemia
    5. EHyperglycaemia, hyperkalaemia and hyponatraemia
  6. 6A 60 year old woman is admitted to hospital with a subarachnoid haemorrhage. Her GCS is 11 and her blood pressure is 175/110 mmHg. She is administered oral nimodipine. The main reason for this treatment is:
    1. AControl her blood pressure
    2. BManage acute hydrocephalus
    3. CPrevent delayed cerebral ischaemia
    4. DReduce the risk of rebleeding
    5. ETreat angiographically-proven cerebral vasospasm
  7. 7You are the anaesthetist at a Caesarean Section for a 36/40 gestation pregnancy. The baby at birth is floppy and apnoeic. You decide that positive pressure ventilation via mask is necessary. The recommended FiO2 is:
    1. A0.21
    2. B0.4
    3. C0.6
    4. D0.8
    5. E1.0
  8. 8You are inducing a 20-year-old female who has an IV cannula in her antecubital fossa which was inserted in the emergency department. She complains of pain after 10mL of propofol and it becomes clear that cannula is intraarterial. The best management option is:
    1. AIntraarterial injection of 5mL 1% lignocaine
    2. BIntraarterial injection of 30mL Normal Saline
    3. CIntraarterial injection of 50mg paparverine
    4. DIntraarterial injection of 500u heparin
    5. EObservation
  9. 9When is it necessary to use glycine as irrigation fluid for TURP?
    1. AFor monopolar diathermy
    2. BFor bipolar diathermy
    3. CFor Nd:Yag laser
    4. DGreenlight laser
  10. 10A 69 yo man is brought into ED by ambulance with a compound fracture of his forearm from an unwitnessed fall. Has a history of schizophrenia and depression with uncertain medication compliance. He is confused and agitated with generalised rigidity but no hyperreflexia. Obs - HR 120, BP 160/90, RR 18, Sats 98 Temp 38.8 Likely Dx?
    1. AHeat stress from anticholinergic therapy
    2. BHypoxic ischaemic encephalopathy
    3. CNeuroleptic malignant syndrome
    4. DSerotonin syndrome
    5. EPain from the compound fracture

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ANZCA Part 2 MCQs - 2015 Sourced from http://www.kerrybrandis.com/wiki/mcqwiki/index.php?title=Finals_MCQs-Mar_2015
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