Anesthesia


???) Hypovolemic shock is characterized by:
A.    A low central venous pressure, low cardiac output, low peripheral resistance
B.     A high central venous pressure, high cardiac output, low peripheral resistance
C.     A low central venous pressure, low cardiac output, high peripheral resistance
D.    A low central venous pressure, high cardiac output, high peripheral resistance
E.     A high central venous pressure, low cardiac output, low peripheral resistance

Answer: C* A low central venous pressure, low cardiac output, high peripheral resistance

???) In a patient with severe hypovolemic shock all of the following are common clinical features, except:
  1. Tachycardia
  2. Sweating
  3. Hyperpyrexia
  4. Pallor
  5. Hypotension


Answer: 3* Hyperpyrexia

???) All the following clinical findings are seen in a patient with hypovolemia except:
  1. Hypotension
  2. Bradycardia
  3. Decreased urine output
  4. Pale
  5. Decreased level of conscious


Answer: 2* Bradycardia

???) All of the following are important compensatory mechanisms in hemorrhagic shock, except:
  1. Tachycardia
  2. Venous constriction
  3. Decreased peripheral vascular resistance
  4. Absorption of fluids from the intestine
  5. Formation of angiotensin 2


Answer: C* Decreased peripheral vascular resistance

???) All the following conditions can lead to compressive shock except:
  1. Tension pneumothorax
  2. Pericardial effusion
  3. Positive pressure ventilation with high airway pressure
  4. Myocardial infarction
  5. Abdominal compartment syndrome


Answer: 4* Myocardial infarction

???) All of the following are causes of shock, except:
  1. Myocardial infarction
  2. Cardiac tamponade
  3. Respiratory failure
  4. Burns
  5. Sepsis


Answer: 3* Respiratory failure



???) About the body water all are true except:
  1. It comprises about 55% by weight of the average 70 kg female
  2. It's chiefly in the intracellular fluid and decreases with age
  3. It's proportionally larger in infants than in adults
  4. It's proportionally smaller in female than in male
  5. Obese needs more fluid than sportsmen


Answer: 5* Obese needs more fluid than sportsmen

???) The daily insensible water loss from skin and lungs in a healthy adult is:
  1. 500 ml
  2. 900 ml
  3. 1500 ml
  4. 2000 ml
  5. 2500 ml


Answer: 2* 900 ml



???) Which of the following IV the solution has almost the same electrolytes as plasma:
  1. Dextrose 5%
  2. Dextran 40
  3. Normal saline
  4. Dextrose saline
  5. Ringers lactate


Answer: 5* Ringers lactate

???) Amount of calories contained in 1 liter of G/W 20% is:
  1. 100 Kcal
  2. 400 Kcal
  3. 800 Kcal
  4. 1000 Kcal
  5. 2000 Kcal


Answer: 3*800 Kcal

???) Patient with hemorrhagic shock, the best IV solution to be given until blood is at hand is:
  1. G/W 5%
  2. G/W 10%
  3. Ringer's lactate
  4. Albumin
  5. Aminoacid solution


Answer: 3* Ringer's lactate

???) Which one of the following IV solutions contain potassium (K):
  1. Ringer's lactate
  2. Dextran 40
  3. Dextran 70
  4. Dextrose water 5%
  5. Dextrose saline


Answer: 1* Ringer's lactate

???) Which of the following IV solutions is the best plasma expander:
  1. 5% dextrose water
  2. 0,9% NaCl
  3. 0,45% NaCl
  4. Gelfusine
  5. 0,18% NaCl


Answer: 1* 5% dextrose water

???) In total parenteral nutrition the recommended method to give the IV solution is through a:
  1. Central venous line
  2. Peripheral arterial line
  3. Nasogastric feeding tube
  4. Peripheral venous line
  5. Feeding jejunostomy tube


Answer: 1* Central venous line

***) All of the following could be used as volume replacement in children, except:
  1. Plasma
  2. Albumen
  3. Factor 8
  4. Normal saline
  5. Blood


Answer: C* Factor 8


???) Malignant hyperthermia is treated specifically with:
A.    Dantrolene
B.     Chlorpromazine
C.     Sodium EDTA
D.    Calcium EDTA
E.     Calcium gluconate

Answer: A* Dantrolene


???) Regarding diazepam, all of the following are correct except:
A.    It is a respiratory depressant
B.     Has anticonvulsant effect
C.     Has a hypnotic effect
D.    Has antidepressant action
E.     Releases aggressive tendency

Answer: D* Has antidepressant action

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