Anästhesie final exam

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

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?