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10 Cards in this Set
- Front
- Back
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2015-2
Consider the following arterial blood gas pH 7.28 PaCO2 36 Bicarbonate 18 mmol.l-1 (18-25) Base excess -7 mmol.l-1 (-4- +3) Na+ 142 mmol.l-1 (135-145) Cl- 112 mmol.l-1 (98-110) These blood gases are consistent with A. Acute renal failure B. Diabetic ketoacidosis C. Ethylene glycol overdose D. Intraoperative infusion of 6 litres of normal saline E. Salicylate overdose |
D
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2015-2
4 .What is the most sensitive monitor for detecting a venous air embolus during neuroanaesthesia? A. Transoesophageal electrocardiography (yes - it said electro) B. Precordial Doppler C. Precordial stethoscope D. Capnography E. Something else wrong |
A
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2015-2
5. A. 34 year old primigravida collapses soon after delivery of her baby, the presumptive diagnosis is amniotic fluid embolus. Which ONE. of the following supports this diagnosis? A. Markedly raised serum tryptase B. Decreased C3-C4 levels C. Thrombocytosis D. Raised CRP E. Hyperfibrinogenemia |
B
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2015-2
RH30. You are performing a peribulbar block for eye surgery. You decide to add hyalase to your local anaesthetic mix. What is the recommended concentration for hyalase? A. 25 U/ml B. 50 U/ml C. 100 U/ml D. 150 U/ml E. 1500 U/ml |
A
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2015-2
7 PZ106. A. 25 year old male presents for ECT at a free standing facility. He has a life threatening depressive illness that has not responded adequately to medication, however he is still taking tranylcypramine. The most appropriate course of action is A. Cancel the procedure, cease tranylcypramine and perform the ECT in 2 weeks B. Proceed with the ECT, but induce with midazolam and remifentanil C. Proceed with the ECT, but pre treat with esmolol D. Proceed with the ECT with caution, but with your usual drugs E. Transfer the patient to a tertiary centre for their ECT |
D but need to avoid indirect acting sympathomimetics, E unwarranted if using correct agnets
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2015-2
8. A. patient has been suffered a cardiac arrest. They are intubated but there is no IV access. Which drug can be given down the ETT? A. Amiodarone B. Calcium C. Lignocaine D. Magnesium E. Sodium bicarbonate |
C
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2015-2
9 SO19. A. well 65 year old is having a total hip replacement under GA. with sevo/nitrous/fentanyl. BP is 130/70 and stablE. Before the surgeon commences reaming and cementing, the best thing to do is A. Induce hypotension B. Raise BP with vasopressors C. Turn off nitrous D. Give steroids E. Give heparin 5000u |
C
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2015-2
10. Pt in ICU in their 20s is diagnosed with brain death. History is that of immunosuppression for a renal transplant but otherwise well (although brain dead, go figure). Patient has expressed a desire to be an organ donor. All these organs can be donated except A. Bone marrow B. Heart C. Lung D. Liver E. Transplanted kidney |
A
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2015-2
11. What is the IV loading dose of paracetamol for a 16kg child? A. <15mg/kg B. 15mg/kg C. 20mg/kg D. >20mg/kg |
B
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2015-2
28 PL35. Local anaesthetic systemic toxicity (LAST) Intralipid initial dose in mL/kg A. 0.5 B. 1 C. 1.5 D. 2 E. 5 |
C
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