Anesthesiology 2020

54 The inotropic drug of the first choice for septic shock is:(unsure , might be two answers, but I would go with epi) 

55 Which of the following anesthetics is safe in patients with a history of malignant hyperthermia?

44. 

56 Complications of spinal anesthesia include: (unsure) 

57 A 68 y. old patients with a ruptured abdominal aorta aneurysm, Hr 120/min, BP (80/40, SpO2 98%, requires immediate laparotomy. What drug do you choose to induce anesthesia? (unsure)

58 Which of the following local anesthetics is most likely to cause an allergic reaction? 

59 The typical pattern of hyperdynamic septic shock is: 

60 A 18 y old man is brought to the ER following a car accident.He is unconscious and has obvious fractured right femur, as well as a taut abdomen. 

BP is 92/58 and pulse is 110. Prior to going to CT, radiology and then surgery, the anesthesiologist requests that a PA catheter shall be inserted.This is done, and the following values were obtained: (unsure)

Sv02 54%
Cl 2,5L/min/M2
PAOP 3mmHg 

61 1) The capnogram below is a sign that your patient has just had: 

62 The leading cause of cardiac arrest in children is: 

63 Brain-stem reflexes include: 

64 Which of the following investigations is the most important to perform immediately after hospital admission in a patients with clinical signs of a stroke? 

65 Acute kidney injury AKI is associated with 

66... unreadable...

10 L oxygen on open mask, they now are: 
BP 140/70, RR 35/min, (ongoing) audible wheezing, unable to speak full sentences
pH 7.18, PaCO2 90mmHg, PaO2 75mmHg
HCO3 23mmol/L, BE -2mmol/L

What is your preferred option? (unsure)

67 ARDS is characterized by all, EXCEPT: 

68 Early phase of septic shock is characterized by: (unsure)

69 The initial MAP target values for the treatment of shock should be: 

70 Risk of misdiagnosis of brain death according to circulatory criteria is possible in circumstances EXCEPT:

71 Unreadable .... before diagnosis .... of death .... evaluated, EXCEPT: (unsure; unclear)

72 Gold standard for the diagnosis of death using confirmatory investigation is: (unsure)

https://step2.medbullets.com/neurology/120269/brain-death-diagnosis 

73 Calculate cerebral perfusion pressure CPP based on the following data:

HR 75 /min, BP 120/80mmHg (MAP: 65mmHg), ICP: 15mmHg, RR 25/min, Minute volume 10L/min

CPP = MAP - ICP 

74 Categories of ARDS: (unclear q)

75 Noninvasive mechanical ventilation (NIV) can be considered in patient:

76 65-y. old man with acute STEMI MI undergoes emergent cardiac catherization followed by PCI (Percutaneous coronary intervention). 
A pulmonary artery catheter inserted for hemodynamic monitoring. Which of the following hemodynamic subsets satisfies the criteria for cardiogenic shock in this patient? 

Cardiac index: Cardiac outout (per min) /  body suface area (m2) 

77 Which is the TRUE statement about insulin therapy in septic patient: 

78 Vasopressors during septic shock resuscitation..

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523170/

79 Bedside score, quick SOFA (qSOFA), includes the indicators described below with THE EXCEPTION of: 

80 What does DO2 refer to? 

81 All of the following are examples of distributive shock, EXCEPT

82 Once the patient is defibrillated and high quality CPR is in progress, the first drug you would expect to give would be... 

83 You are working in emergency department.

Your 69-y. 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 looses 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.... 

84 Indicate a FALSE statement describing the principles of mechanical lung ventilation in the ARDS: 

(unsure)

https://www.sciencedirect.com/topics/medicine-and-dentistry/tidal-volume

85. Indicate a FALSE statement tdescribing the effect of inotropic drugs:

86. According to international definition, pain is...

87. The PCA analgetic therapy means:

88. What is not typical for the chronic pain syndrome? (unclear answers...)

89. In the learned chronic pain syndrome typical behaviours called "five D's" concern the following symptoms, EXCEPT: 

90. Basic goal after the recognition of sepsis is to administer the antimicrobials within:

91. In the sepsis six algorithm of severe sepsis treatment, Step 1 is:

'Sepsis Six' https://sepsistrust.org/wp-content/uploads/2018/06/ED-adult-NICE-Final-1107.pdf

92. ET CO2 is increased in the following conditions EXCEPT