Questão 1
Questão
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?
Questão 2
Questão
Dead space ventilation volume will increase in which of the following areas of a circle system?
Responda
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Beyond the expiratory valve in the expiratory limb
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Between the endotracheal tube and the Y piece
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Before the inspiratory valve in the inspiratory limb
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Between the Y piece and the CO2 absorber
Questão 3
Questão
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?
Responda
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Left main
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Circumflex
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Right
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Posterior descending
Questão 4
Questão
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?
Responda
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100 mg/day oral dantrolene for three days prior to surgery
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25 mg IM dantrolene the morning of surgery
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2.5 mg/kg IV prophylactic dantrolene prior to induction
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Have dantrolene immediately available to mix in the OR
Questão 5
Questão
Which of the following factors is the BEST predictor of difficult intubation in obese patients?
Responda
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Neck circumference
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Mallampati score
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Female sex
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CPAP use
Questão 6
Questão
Which of the following medications should NOT cause accumulation of an active metabolite in patients with renal insufficiency?
Responda
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Dexmedetomidine
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Dolasetron
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Midazolam
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Procainamide
Questão 7
Questão
Which treatment has NOT been approved for the management of fibromyalgia?
Responda
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Pregabalin (Lyrica®)
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Duloxetine (Cymbalta®)
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Milnacipran (Savella®)
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Gabapentin (Neurontin®)
Questão 8
Questão
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?
Responda
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Inadequate padding of the lateral leg during surgery
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Residual effects of the local anesthetic
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Nerve injury from the epidural catheter
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Epidural hematoma
Questão 9
Questão
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?
Questão 10
Questão
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?
Responda
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Cryoprecipitate
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Fresh frozen plasma
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Aminocaproic acid
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Vitamin K
Questão 11
Questão
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?
Responda
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Cardiomyopathy
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Renal failure
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Pericardial effusion
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Pulmonary fibrosis
Questão 12
Questão
A 39-yo man with type 1 von Willebrand disease requires urgent surgery. Which of the following treatments is MOST appropriate?
Questão 13
Questão
For the diagnosis of anaphylaxis which of the following tests is strongly suggests ?
Responda
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C1 esterase
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Tryptase
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Complement
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Histamine
Questão 14
Questão
Postoperative interrogation and restoration of CIED function may be needed in which situations?
Questão 15
Questão
Which of the following medication should be administered during LAST resuscitation?
Responda
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Propofol 100 mg
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Vasopressin 40 units
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Epinephrine 1 mcg/kg
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Epinephrine 1 mg
Questão 16
Questão
Which of the following intraoperative medications MOST likely contributed to patients postoperative hyperalgesia?
Responda
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Nitrous oxide
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Methadone
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Ketamine
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Remifentanil
Questão 17
Questão
Which of the following treatments is a first-line therapy for treatment of life-threatening bleeding due to rivaroxaban?
Questão 18
Questão
Which of the following after ambulatory surgery is the MOST common reason for unexpected hospital admission?
Responda
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Bleeding
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Urinary retention
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Oversedation
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Nausea and vomiting
Questão 19
Questão
Which of the following actions would help reduce needle reverberation artifact in ultrasound imaging?
Questão 20
Questão
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?
Responda
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Cryoprecipitate
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Plasma
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Albumin
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Desmopressin