Regional
Anesthesia
Pediatric
Anesthesia
Obstetric
Anesthesia
Los Drugos
Cardiothoracic
Anesthesia
100

What nerve is most likely to be injured by a fracture of the shaft of the humerus?

What is the radial nerve?

100

True or False:

The alveolar concentrations of anesthetics increase more rapidly in children than in adults because of a smaller ratio of alveolar ventilation to functional residual capacity.

FALSE

The alveolar concentrations of anesthetics increase more rapidly in children than in adults because of a greater ratio of alveolar ventilation to functional residual capacity.

100

Uterotonic agent associated with an increase in blood pressure?

What is Methylergometrine?

100

What is the mechanism of action of Heparin?

What is inactivates thrombin by binding to Anti-thrombin III?

100

What blood vessel is affected by an inferior MI? and what EKG lead(s) would reflect those changes?

What is the right coronary artery (RCA)? and what are leads II, III, AVF?

200

Mechanism of local anesthetic blockade during IV regional anesthesia?  

What is local anesthetic spread through the vascular bed to produce blockade of the distal peripheral nerves?

200

The principal rationale for the use of warmed humidified inspired anesthetic gases in children is to?

What is to prevent evaporative heat loss?

200

Which hormone is responsible for the increased incidence of GERD in pregnant patients?

What is progesterone?

200

Which of the following increases during infusion of epinephrine?

  • (A) Glycogen synthesis
  • (B) Intracellular glucose concentration
  • (C) Intracellular potassium concentration
  • (D) Lipogenesis
  • (E) Protein synthesis

Which of the following increases during infusion of epinephrine?

  • (A) Glycogen synthesis
  • (B) Intracellular glucose concentration
  • (C) Intracellular potassium concentration
  • (D) Lipogenesis
  • (E) Protein synthesis
200

Physiologically, coronary blood flow relates most directly to?

What is myocardial oxygen consumption?

300

At what vertebral level should local anesthetic be deposited for a stellate ganglion block?

What is C6?

300

What is the primary physiologic response in a neonate exposed to a hypothermic environment?

What is metabolism of brown fat?

300

What stage of labor do labor epidurals prolong?

What is stage 2?
300

In patients with renal failure, which muscle relaxant has the most prolonged elimination half-life?

What is pancuronium?

300

In the majority of people, what vessel supplies the heart's conduction system?

What is the right coronary artery?

400

Recommended time to stop Clopidogrel (Plavix) before neuraxial catheter placement 

What is 5-7 days?

400

How does subarachnoid anesthesia differ in infants when compared to adults?

What is faster block onset?

400

Is smoking a risk factor or protective against developing pre-eclampsia?

Smoking actually decreases the risk of developing pre-eclampsia by 30% to 40%.

400

Which of the following drugs is LEAST likely to cross the placenta?

  • (A) Lidocaine
  • (B) Meperidine
  • (C) Midazolam
  • (D) Thiopental
  • (E) Vecuronium

Which of the following drugs is LEAST likely to cross the placenta?

  • (A) Lidocaine
  • (B) Meperidine
  • (C) Midazolam
  • (D) Thiopental
  • (E) Vecuronium

Heparin, Protamine, Insulin, Succinylcholine, Non-depolarizing NMBDs, and Glycopyrrolate are common medications that DO NOT cross the placenta

400

During total cardiopulmonary bypass, metabolic acidosis and decreasing mixed venous oxygen saturation are noted. The most likely cause is:

What is hypoperfusion?

500

A 30-year-old woman has difficulty talking 15 minutes after initiation of interscalene block for closed reduction of a dislocated shoulder. The most likely cause is?

What is blockade of the recurrent laryngeal nerve?

500

The portion of the infant airway with the smallest cross-sectional area occurs at the level of the?

What is the cricoid cartilage?

500

What is the most common cause of acute respiratory failure in pregnant patients?

What is Acute Respiratory Distress Syndrome (ARDS)?

500

A patient has severe pain after total knee arthroplasty. Systemic opioids are most likely to modify the pain through action at which of the following sites? (Think brain)

What is the substantia gelatinosa?

500

Following protamine administration, profound pulmonary hypertension is most likely initiated by release of?

What is thromboxane?

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