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
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
21) Beside score – quick SOFA (qSOFA) includes the indicators described below with THE EXCEPTION of:
22) What does DO2 refer o?
23) All of following are examples of distributive shock EXCEPT:
24) Once the patient is defibrillated and high quality CPR is in progress, the first drug you would expect to give would be
25) You are working in emergency department. Your 69-years old patient who is being treated for chest pain. He has an IV in place and is on the bedside monitor. He is awaiting the arrival of the Cath Lab Team. Suddenly the patient loses consciousness. You look up at the monitor and see ventricular fibrillation. You are not sure whether you feel a pulse or not. You should immediately
26) Indicate A FALSE STATEMENT describing the principles of mechanical lung ventilation in the ARDS:
27) Indicate A FALSE STATEMENT describing the effect of inotropic drugs
28) According to international definition pain is:
29) The PCA analgetic therapy means:
30) What is not typical for the chronic pain syndrome:
31) In the learned chronic pain syndrome typical behavior called “five Ds” concerns following symptoms EXCEPT:
32) Basic goal after the recognition of sepsis is to administer the antimicrobials within:
33) In the sepsis Six algorithm of severe sepsis treatment, Step 1 is:
34) ET CO2 is increased in the following conditions EXCEPT:
35) 45 year old man was admitted to the emergency department after a traffic accident. Physically examination: conscious, in a logical touch, suffering, heart rate of 120/min, blood pressure 80/50mmHg, major bleeding due to amputation of the right lower limb, VAS is 10. In CT: without head injury. What is the most appropriate anesthetic agent during transport the patient to operating theater?
36) Which of the following anesthetics is safe in patients with a history of malignant hyperthermia?
37) How to do assess ASA classification in the following patients?
I – 34 years old man with good control of diabetes mellitus
II – 86 years old with hypertension without treatment and creatinine level 1.2 mg/dL
III – 45 year old man with the diagnosis of brain death
38) Epidural anesthesia is contraindicated EXCEPT:
39) Hypotension is least likely to occur following induction with which of the following anesthetics agents?
40) Which of the following local anesthetics can cause most likely an allergic reaction?
41) Regarding to succinylcholine the following statements are true EXCEPT:
42) Regarding CVP find FALSE STATEMENT:
43) Find TRUE STATEMENT regarding pulsoximetry
44) CVP is typically elevated in all EXCEPT
45) Interpret the following blood gas: PaO2 78mmHg, PaCO2 29mmHg, pH 7.29, HCO3 14, BE - 10
46) The patient with confirmed sudden cardiac arrest presents PEA on ECF tracing. You should:
47) The best indicator of adequate fluid resuscitation in the trauma patient is:
49) A 24-year-old man is brought to the emergency department following a car accident. He is unconscious and has an obvious fractured right femur, as well as a taut abdomen. His BP is 92/58 and pulse 110. Prior to going to CT, radiology, and then surgery, the anesthesiologist request that a PA catheter be inserted. This is done, and the following values are obtained: SvO2 = 54%
Cl = 2.5/L/min/m2 PAOP = 3 mmHg
