Final MCQ Anest / 5 course (30 questions)

Додано: 16 квітня 2021
Предмет:
Тест виконано: 27 разів
30 запитань
Запитання 1

A 35-year-old pregnant woman at term is admitted to the hospital for delivery. She has headachesand visual blurring. Her blood pressure is 180/100. On examination, she is edematous. Reflexes are increased. Protein is found in the urine. She then develops a generalized tonic-clonic convulsion.


варіанти відповідей

Lorazepam

Magnesium sulfate

Clonazepam

Felbamate

Phenobarbital

Levetiracetam

Divalproex sodium

Primidone

Запитання 2

Which is not accurate with regard to management of Eclampsia?

варіанти відповідей

seizures are usually self terminating if left untreated but will recur

magnesium sulphate 4gm should be given over 15 minutes for seizure control, then infused at 1gm per hour

the desired BP is a diastolic BP of 90mmHg

magnesium sulphate does not lower BP

hydrallazine is the agent of choice to lower BP, 5mg every 20 minutes 

Запитання 3

Which is not true with regards to placental abruption and trauma in pregnancy?

варіанти відповідей

it is the most common cause of death if the mother survives

the incidence in minor trauma is up to 5% and up to 50% in major trauma

it can occur up to 4 hours post accident

CTG monitoring for a 4 hours is thought to predict nearly all pts of minor trauma who will develop placental abruption

It is characterized by pelvic pain uterine contractions and vaginal bleeding

Запитання 4

With regard to embolism


варіанти відповідей

arterial emboli most often lodge in the viscera

pulmonary emboli are rarely multiple

amniotic fluid emboli are associated with the highest mortality

all emboli consist of either a gas or a solid intravascular mass

most pulmonary emboli produce signs of respiratory compromise or distress

Запитання 5

A parturient receives ketamine 2 mg/kg and succinylcholine 1.5 mg/kg for induction prior to elective cesarean delivery. Which of the following is most likely to be present in the newborn infant?


варіанти відповідей

Normal muscle tone

Bradycardia

Opisthotonos

Respiratory depression

Seizures


Запитання 6

Case: Headache and vomiting after fall

A 34-year-old man is evaluated in the emergency department for worsening headache, nausea, and two episodes of vomiting 2 hours after hitting his head in a fall from the top of a 6-foot ladder.

On physical examination, temperature is normal, blood pressure is 128/84 mm Hg, pulse rate is 86/min, and respiration rate is 14/min. The patient's Glasgow Coma Scale score is 15/15.

Which of the following is the most appropriate immediate step in management?

варіанти відповідей

Head CT with contrast

Head CT without contrast

Hospital observation

MRI of the brain

Запитання 7

Case: Former pro football player

A 48-year-old man is evaluated for increasing depression and suicidal ideation. He reports experiencing feelings of hopelessness, lack of initiative, and general disinterest over the past 5 years that recently have worsened and are now accompanied by mood swings, irritability, impatience, verbal abuse, and physical aggression. Thoughts of death and suicide often have been present in the past month. His gait has become slow and shuffling, and his balance is increasingly impaired. His wife says he is more forgetful than ever and unable to perform home repairs that he previously accomplished easily. He has had no hallucinations or delusions. The patient is retired from a 13-year career playing professional football. Other than minor football injuries, he has no significant medical history and has an unremarkable family history, including no neurologic and psychological disorders. The patient takes no medication.

On physical examination, vital signs are normal. Neurologic examination shows slow processing speed, mild dysarthria, slowed rapid alternating movements bilaterally, and a wide-based gait with decreased foot-floor clearance. The patient scores 20/30 on the Montreal Cognitive Assessment, losing points in the visuospatial/executive function, attention, orientation, and delayed recall sections.

Which of the following is the most likely diagnosis?

варіанти відповідей

Chronic traumatic encephalopathy

Dementia with Lewy bodies

Depression-related cognitive impairment

Parkinson disease

Запитання 8

Which of the folowing describes the profile of an individual with aphasia who still has preserved abilities in spontaneous speech attributes (e.g., melodic flow)?

 


варіанти відповідей

fluent, motor, receptive

non-fluent, sensory, receptive

fluent, sensory, expressive

fluent, sensory, receptive

Запитання 9

Electrical injuries are commonly caused by:

варіанти відповідей

Unsafe equipment or installations

An unsafe environment

Unsafe work practices

All of the above

Запитання 10

A 9-year-old boy is brought to your clinic by his parents because he has begun to have episodes of eye fluttering lasting several seconds. Sometimes he loses track of his thoughts in the middle of a sentence. There was one fall off a bicycle that may have been related to one of these events. There are no other associated symptoms, and the episodes may occur up to 20 or more times per day. The boy’s development and health have been normal up until this point. He had two head injuries as a young child: the first when he fell off a tricycle onto the ground, and the second when he fell off a playset onto his head. Both episodes resulted in a brief loss of consciousness and he did not think clearly for part of the day afterward, but he had no medical intervention. Which of the following test results is most likely?

варіанти відповідей

Electroencephalogram (EEG) showing 1-2 Hz spike wave

Brain magnetic resonance imaging (MRI) showing widespread abnormalities

EEG showing 2-3 Hz spike wave

Lumbar puncture with high white blood cell (WBC) count

Conners Rating Scale abnormalities reported by parents, but not teachers

Запитання 11

What is “hypoxia”?


варіанти відповідей

Disrupted oxygen exchange

Oxygen toxicity

Oxygen deficiency

Reduced oxygen needs

Limited aerobic capacity

Запитання 12

Which is NOT a cause for the development of local hypoxia?

варіанти відповідей

Arterial spasm

 Arterial hyperemia

 Arterial compression

Arterial obstruction

Arterial occlusion

Запитання 13

Which of the following is NOT a cause for circulatory hypoxia development?

варіанти відповідей

Arterial hyperemia.

 Arterial spasm.

 Decreased blood flow to tissues in Right-Sided Heart Failure (RSHF).

  Blockage of arterial vessel by thrombus.

 Thromboembolic development.

Запитання 14

A young female patient is brought to the ER. She is unconscious and unarousable. A CT scan is done and the neuroradiologist reports that she has herniation syndrome. What is the most likely cause of her loss of consciousness?

варіанти відповідей

She is in coma due to secondary lesions of her reticular formation

She is in coma due to primary lesions of her cerebral cortex

She is in coma due to primary lesions of her thalamus

She is in coma due to primary lesions of her reticular formation

She is not in coma, it’s only that her reticular activating system has been inactivated

Запитання 15

Which of the following is not the symptom of high altitude sickness

варіанти відповідей

Fatigue  

Hypoxia  

Dizziness

Nausea

Запитання 16

What mixture of gases are used in anesthesia?

варіанти відповідей

O2 and N2O

O2 and CO2

CO2 and N2O

O2 , CO2 and N2O

Запитання 17

 AEP stands for ________


варіанти відповідей

Auditory Evoked Potential

Auxiliary Evoked Potential

Audiovisual Evoked Potential

Ambulatory Evoked Potential

Запитання 18

 Which of the following is known as laughing gas?


варіанти відповідей

CO2

N2O

NO2

B2O

Запитання 19

What is the residual capacity of the lungs?


варіанти відповідей

2000 ml

2300 ml

2500 ml

2700 ml

Запитання 20

A ventilator can sometimes cause a disruption in the normal breathing pattern.


варіанти відповідей

True

False

Запитання 21

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 22

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 23

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 24

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 25

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


варіанти відповідей

Hypovolemic shock

Cardiogenic shock

Distributive shock

Obstructive shock

Запитання 26

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 27

The use of inhaled nitric oxide in ARDS


варіанти відповідей

Decreases systemic arterial pressure

Decreases pulmonary arterial pressure

Increases intrapulmonary shunt

Leads to toxic side effects in inspired concentrations of 110 ppm

Improves arterial oxygen tension.

Запитання 28

Which of the following factors is the MOST important determinant of the spread of epidural block?

варіанти відповідей

age of patient

height of patient

site of insertion

volume of injection

Запитання 29

Dantrolene

варіанти відповідей

When given intravenously for the treatment of MH, the initial dose is 10 mg/kg

Can precipitate respiratory failure

Affects neuromuscular transmission

Is formulated in combination with mannitol

Can be given orally for the prophylaxis of malignant hyperthermia (MH)

Запитання 30

Renal clearance of a drug


варіанти відповідей

Is dependent upon urine flow rate.

Will be about 750 ml/min for a drug that is passively filtered and not reabsorbed.

Equals renal plasma flow if the drug is completely secreted into the proximal tubule and not reabsorbed.

Equals mass of drug excreted divided by time.

Equals urine output for a highly lipophilic drug. 

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