Day 2_2nd sem_Anest

Додано: 26 березня 2021
Предмет:
Тест виконано: 41 раз
15 запитань
Запитання 1

To replace the blood loss replacement 1000 ml of the same group of Rhesuscompatible donated blood was transfused to the patient. The blood was conserved by sodium citrate. At the end of hemotransfusion there appeared excitement, pale skin, tachycardia, muscles cramps in the patient. What complication should be suspected?

варіанти відповідей

Citrate intoxication

Citrate shock

Allergic reaction

Anaphylactic shock

Pyrogenous reaction

Запитання 2

A 30-year-old patient had deep burn covering 30% of body 30 days ago. Now he presents with continued fever, loss of appetite, night sweats. Burned surface weakly granulates. What is the stage of burn disease?

варіанти відповідей

Septicotoxemia

Primary burn shock

Secondary burn shock

Acute burn toxemia

Convalescence 

Запитання 3

A 57-year-old male patient had an attack of retrosternal pain that lasted more than 1,5 hours. Objectively: the patient is inert, adynamic, has pale skin, cold extremities, poor volume pulse, heart rate - 120/min, AP- 70/40 mm Hg. ECG shows ST elevation in II, III, aVF leads. What condition are these changes typical for?


варіанти відповідей

Cardiogenic shock

Arrhythmogenic shock

Perforated gastric ulcer

Acute pericarditis

Acute pancreatitis

Запитання 4

A patient has been hospitalised. The onset of the disease was gradual: nausea, vomiting, dark urine, аcholic stool, yellowness of the skin and scleras. The liver is enlarged by 3 cm. Jaundice developed on the 14th day of the disease. The liver diminished in size. What complication of viral hepatitis caused deterioration of the patient’s condition?


варіанти відповідей

Hepatic encephlopathy

Meningitis

Relapse of viral hepatitis

Cholangitis

Infectious-toxic shock

Запитання 5

Shock (mean BP less than 60 mmHg) can be caused by:


варіанти відповідей

Low intravascular volume

Low cardiac output

Pleural effusion

Decreased peripheral vascular resistance

Запитання 6

A 30 year old man is admitted to the Emergency Ward with sudden onset of severe shortness of breath, no chest pain, diffuse wheezing, cyanosis, and a BP of 70/30, Pulse = 100. This event occurred soon after a meal. What is the likely diagnosis:


варіанти відповідей

Acute pulmonary embolism

Tension pneumothorax

Anaphylaxis

Myocardial infarction

Запитання 7

n a subject in shock with low body temperature, cold and clammy extremities, low urine output, and elevated lactic acid level in the blood, the most likely cause of shock is:



варіанти відповідей

Asthma

Pulmonary embolism

Sepsis

CHF

Запитання 8

What is the treatment of choice to correct Hypovolemic Shock?


варіанти відповідей

Have the patient drink a large bottle of Gatorade.

Replace fluids intravenously as quickly as possible.

Administer a vasopressor (ex: Dopamine or Norepinephrine)

All of the above.

Запитання 9

A 82–year-old diabetic is involved in an automobile accident, with severe thoracic and abdominal traumatic injuries. He is rushed to the hospital and placed in the intensive care unit. After a few hours, there is the rapid onset of myocardial dysfunction, hypotension, disseminated intravascular coagulation, and coma. This sequence of events most closely mimics what type of shock:


варіанти відповідей

Anaphylactic

Cardiogenic

Hypovolemic

Neurogenic

Septic (Distributive)

Запитання 10

In hypovolemic shock the decreased in CO is due to :


варіанти відповідей

Inadequate blood/plasma volume

Reduced venous return

Failure of myocardial pump

Inadequate blood/plasma volume & Reduced venous return

Запитання 11

The CO is normal or elevated in which of shock types:


варіанти відповідей

Hypovolemic shock

Cardiogenic shock

Distributive shock

Obstructive shock

Запитання 12

The heart pump is well but there is peripheral vasodilation:

варіанти відповідей

Hypovolemic shock

Cardiogenic shock

Distributive shock

Obstructive shock 

Запитання 13

The heart fails to pump blood out:

варіанти відповідей

Hypovolemic shock

Cardiogenic shock

Distributive shock

Obstructive shock

Запитання 14

A 20-year-old man is brought to the emergency room after rupturing his spleen in a motorcycle accident. His blood pressure on admission is 80/60 mm Hg. Analysis of arterial blood gasses demonstrates metabolic acidosis. This patient is most likely suffering from which of the following conditions?

варіанти відповідей

Acute pancreatitis

Cardiogenic shock

Hypovolemic shock

Septic shock

Запитання 15

In fluid – shift mechanism in shock The fluid exchange from the capillary to the extracellular space decreases.

варіанти відповідей

True

False 

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