Anesthesiology 2020

93. How to asses ASA classification in the following patients? 
I 34y. old man with good control of diabetes mellitus
II 86 y old with hypertension without treatment and creatinine level 1.2mg/dL
III 45 y. old man with the diagnosis of brain death

https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system

94. Epidural anesthesia is contraindicated EXCEPT in

95. Hypotension is least likely to occur following induction with which of the following anesthetic agents?

96. Which of the following local anesthetics can cause most likely an allergic reaction? 

97. 45y. old man was admitted to ED after a traffic accident. Physical examination: conscious, in a logical touch, suffering, HR 120/min, BP 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 of the patient to the operating theater?

98. Regarding to Succinylcholine the following statements are true, EXCEPT

99. Regarding CVP, find FALSE statement: 

100. Find TRUE statement regarding pulse oximetry. 

101. CVP is typically elevated in all, EXCEPT: 

102. Interpret the following blood gas analysis:

PaO2 78mmHg, PaCO2 29mmHg, pH 7.29, HCO3 14, BE -10 

103. The patient with confirmed sudden cardiac arrest presents PEA on ECF tracing. You should: 

104. A 40y. 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 40mmHg to 22mmHg. What is the most likely diagnosis? (unsure)

105. Which one of the following findings would be a contraindication to spontanoues breathing?

106. 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 (?)(breathing??) normally you should immediately ...

107. The FALSE statement concerning cardiogenic shock is:

108. Subarachnoid anesthesia is contraindicated in: 

109. Amiodarone is indicated for the treatment of: 

110. The patient is admitted with cardiogenic shock and oliguric acute kidney injury.

Hemodynamic parameters reveal the following:
BP 105/60 mmHG, sinus rhythm (108/min), CI 1.8 (CO2 2.4), CVP 23mmHg, PCWP 25mmHg
SVRI 2088 (SVR 1566)

Which of the following interventions would you anticipate? (unsure) 

111. Calculate the PaO2: FiO2 ratio passed on the following data:

FiO2: 1.0, PEEP 10, PaO2 65mmHg, pH 7.34, PaCO2 45mmHG, SpO2 90%

112. Pneumothorax as a complication occurs more often during cannulation of:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356862/

113. The inotropic drug of the first choice for septic shock is... (could be another one) 

114. What is the correct treatment of an adult patient with VF? 

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1. A 16-year-old girl has intermittent bifrontal and occipital headaches, which she describes as “squeezing, bandlike, or vinelike” that are worse when she is at school. She has undergone counseling at school for depression and anxiety. Which of the following is the most likely diagnosis?

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2. A 55-year-old man has severe pain on gentle touching of the arm. Six months ago, the median n. was damage during creation of an arteriovenous fistula for dialysis. Which of the following terms best describes this phenomenon?

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3. The placebo effect is mediated by 

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4. According to international definition, pain is:

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5. In the study of placebo effect the highest decrease of pain intensity was observed in:

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6. What kind of treatment is not used in the postoperative pain theory: (unsure!)

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7. The capnograph is showing that your patient just had.... 

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8. Which of the following is an inotrope? 

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9. The patient is admitted with cardiogenic shock and oliguric acute kidney injury. Hemodynamics reveal the following: BP 105/60 mmHg, sinus rhythm 108/min, CI 1.8 (CO 2.4), CVP 23 mmHg, PCWP 25 mmHg, SVRI 2088 (SVR 1566). The most appropriate management is administration of:

(unsure=

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10 . Clopidogrel is classified as: 

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11. Dabigatran (Pradaxa) is classified as an:

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13. Which of the following is TRUE information about Naloxone?

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12. Amiodarone is indicated for the treatment of:

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22. Which ONE of the following statements about PCWP (PAOP) is TRUE: (unsure)