KW Q1 2017

Description

Diplomat of ABA Medicine (Fellow) Quiz on KW Q1 2017, created by Mike Ru on 21/01/2017.
Mike Ru
Quiz by Mike Ru, updated more than 1 year ago
Mike Ru
Created by Mike Ru about 7 years ago
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Resource summary

Question 1

Question
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?
Answer
  • 2E
  • 3E
  • 4E
  • 5E

Question 2

Question
Dead space ventilation volume will increase in which of the following areas of a circle system?
Answer
  • 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

Question 3

Question
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?
Answer
  • Left main
  • Circumflex
  • Right
  • Posterior descending

Question 4

Question
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?
Answer
  • 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

Question 5

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

Question 6

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

Question 7

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

Question 8

Question
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?
Answer
  • Inadequate padding of the lateral leg during surgery
  • Residual effects of the local anesthetic
  • Nerve injury from the epidural catheter
  • Epidural hematoma

Question 9

Question
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?
Answer
  • Baseline mean arterial pressure with a phenylephrine infusion
  • Urine output > 1 mL/kg/hour
  • Normoglycemia
  • Euvolemia

Question 10

Question
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?
Answer
  • Cryoprecipitate
  • Fresh frozen plasma
  • Aminocaproic acid
  • Vitamin K

Question 11

Question
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?
Answer
  • Cardiomyopathy
  • Renal failure
  • Pericardial effusion
  • Pulmonary fibrosis

Question 12

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

Question 13

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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

Question
Which of the following actions would help reduce needle reverberation artifact in ultrasound imaging?
Answer
  • 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

Question 20

Question
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?
Answer
  • Cryoprecipitate
  • Plasma
  • Albumin
  • Desmopressin
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