Don't Miss
Cardiac
Pulmonary
Random
Real World
100
After induction, patient develops severe hypotension, skin blanching, and increased inspiratory airway pressures noted.
What is Anaphylaxis?
100
Intraoperatively, ST segment elevation, irregular rhythm, tachycardia, and hypotension. Name the pathology.
What is Myocardial Ischemia?
100
Audible O2 failure alarm sounds. Inappropriately low FiO2 value on gas analyzer. Flow meter reads abnormally low.
What is oxygen failure?
100
This class of drugs is the most common cause of anaphylactic/anaphylactoid reactions in the OR.
What is non-depolarizing neuromuscular blockers (rocuronium?)
100
Rapid response is called to Endo Room 1. You find a sedated patient with severe bradycardia. You push a medication.
What is atropine?
200
Upon induction, increased EtCO2 seen on monitor, with tachycardia, respiratory rate, hyperthermia. Masseter spasm and associated muscle rigidity noted. This medication is administered.
What is Dantrolene or Ryanodex?
200
Your patient has sudden hypotension and the ECG below.
What is SVT?
200
Your patient is undergoing tonsillectomy. Suddenly you hear a pop and smoke fills your nostrils. Describe your next steps.
What is remove ETT?
200
Increasing pressure on this nerve will result in elevated parasympathetic activity and may resolve stable SVT.
What is vagus nerve?
200
Your patient is suddenly hypotensive and SpO2 is flat. However, there is a strong rectal pulse. Name the problem & your next step.
What is hypotension & vasopressors?
300
You’re starting an induction and subsequently have two failed attempts of laryngoscopy. Suddenly you can’t ventilate with the mask. You ask for these items.
What is a scalpel, bougie, and a lubed 6.0 ETT?
300
On abdomen insufflation your patient is hypotensive and ECG suddenly changes (below). You're immediate reaction is to:
What is defibrillate?
300
Patient has notable wheezing and up-sloping waveform. Increased EtCO2 noted on monitor. Increased peak airway pressures noted to be 40. Name the pathology & medication you push.
What is bronchospasm & propofol?
300
This medication may be used to quickly address demand ischemia intraopertively.
What is esmolol?
300
You are able to intubate but not ventilate. The bag won't re-inflate, FiO2 shows <21% O2, and the patient is desaturating. Describe your next steps.
What is connect to ambu & back-up O2 tank?
400
Patient with sudden increase in peak inspiratory pressures. Tachycardia and hypotension. Decreased breath sounds on left side. You place a needle here.
What is the 4-5th intercostal space between anterior and mid-axillary line?
400
Patient in PACU has dyspnea, dizziness, right upper abdominal discomfort. Patient’s O2 sat drops to low 80s. Hypotension noted on monitor with MAP 50. ECG shows right bundle branch block and right axis deviation. Name the pathology & best first choice vasopressor.
What is right heart failure & epinephrine?
400
This is most likely seen on lung ultrasound in a patient with a pneumothorax.
What is lack of lung sliding (or lung point)?
400
The code blue button in the OR is located here.
What is behind the nursing computer?
400
You heard the surgeon mutter something about bleeding as they left the room. Your patient is suddenly tachycardic & profoundly hypotensive. Describe your priorities & next steps.
What is temporize with fluids & blood?
500
Heme is noted after injection of bupivacaine. Patient immediately begins to seize and is unstable. You bolus a medication. Name the medication & dose.
What is 100 mL of intralipid over 2-3 min?
500
You see a petechial rash, profound hypotension, and new tachycardia during a hip arthroplasty in a 91 yo F. Name the pathology & next steps.
What is cement embolism & supportive care?
500
Your morbidly obese patient is breathing 900 mL on manual w/ an LMA in place. You remove the LMA and the patient is now completely obstructed. Name the most likely pathology to be seen in PACU (other than hypoxemia) if the obstruction is not removed immediately.
What is negative pressure pulmonary edema?
500
During a take-back for post c-section hemorrhage you are transfusing the patient. The patient becomes hyperthermic, tachycardic, hypotensive, and appears you lost the IV. Name the most likely pathology.
What is hemolytic transfusion reaction/DIC?
500
During CVC exchange under MAC the patient suddenly becomes extremely tachycardic with loss of p-waves and hypotensive. Name the medication and initial dosing.
What is adenosine and 6 mg?