Anästhesie final exam
Finals 2020/18/17
Finals 2020/18/17
36)) trouble with ventilating the patient and foreign bodies in the airway have been excluded, which of the following things can be helpful in ventilation with a mask?
37)) Choose the correct statement regarding constant EtCO2 monitoring during resuscitation:
38)) Which of the following does not belong to reversible causes of cardiac arrest:
39)) Depression of the circulatory system (cardiovascular depression) during induction of intravenous anaesthesia is usually caused by:
40)) Calculate the CPP (cerebral perfusion pressure) based on the following values:
HR: 75BPM BP: 120/80 mmHg (MAP 65) CVP: 15 mmHg ICP: 20 mmHg RR: 25 breaths per minute MV (minute volume): 10 l/min
42)) A pulse may be present in:
43)) Choose the incorrect sentence:
46))Which fluid is contraindicated in the treatment of sepsis:
47)). After diagnosing sepsis antibiotic should be given:
48)). What makes recognizing death due to cardiac reasons difficult?
49.)) Physiological effects of the positive intrathoracic pressures on the cardiovascular system are best characterized by:
50)) Parameters of lung protective ventilation are all expect:
51)) Measuring procalcitonin blood levels in patients at ICU is used in:
54)) Clinical state of a patient diagnosed with septic shock was assessed in the SOFA scale: 10 points at the admission to the ICU, 8 points on the second day, and 6 points on the fourth day. These results indicate:
55)) A 60 year old male patient at the ICU was in the cardiac arrest. 6 minutes of the CPR resulted in the restoration of the circulation.
The patient’s blood gas results: pH 7.18 ; PaCO2 62mmHg ; HCO3 17,5 mmol/L ; PaO2 65 mHg. They indicate:
56)) Which one of the following methods of anesthesia induction might be used in small children?
57)) How long before general anesthesia children should be on an empty stomach?
ACHTUNG! It’s actually (also in the ppt) 4h mothers milk and 2h clear fluids -> there’s no such answer!! —> if it’s on the exam, ask what they mean!!
58)). In a patient with fever, cough, rhonchi and rales over both lungs, increasing dyspnea and necessity of intubation despite ambulatory antibiotic therapy (amoxicillin with calvulanic acid) following diagnostic examinations should be done:
59)) A patient without relevant medical history, who was admitted to the ICU (from home) due to cardiopulmonary insufficiency with temperature of 39 C and purulent cough, was diagnosed with increased number of leukocytes, high PCT and CRP and left sided inflammatory changes in ?????
What antibiotic should be given empirically in community acquired pneumonia?
60)) A 54 year old female patient was admitted to the ICU from the Infectious Diseases Clinic due to cardiopulmonary and kidney insufficiencies during sepsis (with a suspicion of meningitis) without culture results conformation. What antibiotics should be given empirically?
1) The capnogram below is a sign that your patient has just had:
2) The leading cause of cardiac arrest in children is:
3) Brain-stem reflexes include:
4) Which of the following investigations is the most important to perform immediately after hospital admission in a patient with clinical signs of stroke?
5) Acute kidney injury is associated with:
6) The typical pattern of hyperdynamic septic shock is:
7) What is your preferred option?
BP 140/79
Pulse 130
RR 35
audible wheezing
unable to speak full sentence
PH 7,18
PaO2 75mmHg
PaCO2 90mmHg
HCO3 23mmol/L
BE -2 mmol/L
8) Which equation describes Cardiac output (CO)
9) ARDS is characterized by all except:
10) Early phase septic shock is characterized by
11) The initial MAP target values for the treatment of shock should be:
12) Risk of misdiagnosis of brain death according to circulatory criteria is possible in circumstances EXCEPT :
13) *can’t read* Before diagnosis of .....death .....evaluated except
14) Gold standard for the diagnosis of death using confirmatory investigation is:
15) Calculate cerebral perfusion pressure (CPP) based on the following data: HR 75, BP 120/80 (MAP 65), CVP 15, ICP 15, Respiratory rate 25, Minute volume 10 l/min
16) Categories of ARDS:
17) Noninvasive mechanical ventilation (NIV) can be considered in patient:
18) 65-year-old man with acute STEMI MI undergoes emergent cardiac catherization followed by PCI. A pulmonary artery cathartic is inserted for hemodynamic monitoring. Which of the following hemodynamic subsets satisfies the criteria for cardiogenic shock in this patient?
19) Which is the TRUE STATEMENT about insulin therapy in septic patient.
20) Vasopressors during septic shock resuscitation
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Flashcards
50) A 40-year old woman is undergoing an internal fixation of her tibia under general anesthesia.
While the surgeon is inserting the implant she develops sudden hypotension and her EtCO2
shows a sudden drop from 40 mmHg to 22 mmHg. What is the most likely diagnosis?
51) Which one of the following findings would be contraindication to spontaneous breathing?
52) You are in the library when a gentleman who was standing at the desk collapses. He falls to the ground and does not appear to be breathing. You ask the clerk to call for help and to get the AED. Because the man is not responding and does not appear to be breaking normally you should immediately
53) the FALSE STATEMENT concerning cardiogenic shock is:
54) Subarachnoid anaesthesia is contraindicated in:
55) Amiodarone is indicated for the treatment of:
56) The patient is admitted with cardiogenic shock and oliguric acute kidney injury. Hemodynamics parameters reveal the following:
BP 105/60 mmHg, Sinus rhythm (108/min), Cl 1.8 (CO2.4), CVP 23 mmhG, PCWP 25mmHg, SVRI 2088 (SVR 1566). Which one of the following interventions would you anticipate?
57) Calculate the PaO2: FiO2 ratio passed on the following data:
FiO2 1.0, PEEP 10, PaO2 65mmHg, pH 7.34 mmHg, PaCO2 45mmHg, SpO2 90%
58) The inotropic drug of the first choice for septic shock is:
59) Pneumothorax as a complication occurs more often during cannulation of:
60) What is the correct treatment of an adult patient with VF:
(kann auch B sein)
1. All of the followeing are examples of distributive shock except
2. ET CO2 is increased in the following condition except:
3. Which of the following laboratory values are most likely to confirm adequate synthetic hepatic function:
4.If you are having difficulty in ventilating a patient and a foreign body has been ruled out which of the followeing meneuvers may assist you in mask ventilation?
5. Oxygen delivery is direcly dependent on:
6. The major difference between cardiogenic and sepitc shock is:
7. What is the definition of cardiac ouput?
8. A sudden falll in end expiratory PCO2 in capnometry may be triggered by all EXCEPT:
9. The cornerstones of therapy of hyperglycaemic emergencies include:
1. fluid restiction
2. correction of acidosis
3. normalisation of blood glucose with insulin
4. correction of electrolyte levels
10. The acute treatment of life threatening hyperkalaemia include:
1. Intrvenous magnesium
2. Intravenous calcium
3. Glucose/insulin infusion
4. Intravenous lidocaine
11. Pathophysiological changes observed in sepsis are:
12. In patients with sepsis an decreased fibrin formation associated with impaired fibrinolyis may contribute to:
13. The current full definition of sepsis is as follow:
14.The current full definition of septic shock is as follows:
15. A patient COPD admitted for surgery. On admission his labwork reaveals an arterial blood gar with the following values:
pH 7,35
PaCO2 48mmHg
HCO3 28mmol/L
What is the diagnosis?
16. 40 year old male has been admitted to the emergency department with a severe asthma attack. He has been experiencing increasing shortness of breath since admission. His arterial blood gas results is as follows:
pH 7,22
PaCO2 55mmHg
HCO3 25mmol/L
What is die diagnosis?
17. Hypothermia refers to any state in which the O2 content of arterial blood is reduced. It may result from:
18. Measurement of the concentration of procalcitonin in patients treated in the intensive care unit is useful
19. Indicate false statement:
20. qSOFA is considered positive if the patient has at least 2 of the following clinical criteria. Which of the following is not included in qSOFA?
21. The best indicator of adequate fluid resuscitation in the trauma patient is:
22. The patient with confirmed sudden cardiac arrest presents PEA on ECG tracing. You should:
23. In the case of the need for additional hemodynamic shock evaluation as the preferred method of inital assessment, it is recommended to use:
24. In shock states, the serum lactate concentration is typically:
25. In patients being treated for acute heart failure, it is incorrect to say that:
26. It is not true that a dose of adrenaline to treat anaphylactic shock:
27. During resuscitation, the indication for adrenaline is:
36. Risk factors for severe sepsis and septic shock include the following:
37. Which of the following is accurate about the presentaion and physical ecamination of sepsis?
