Description : ASA standard monitors include all except A. Pulse oximeter B. CVP C. NIBP cuff D. ECG
Last Answer : Ans: B
Description : Life threatening risks of anesthesia include all except A. Hypoxic brain injury B. Myocardial infarction C. Postoperative nausea and vomiting D. Cerebrovascular accident
Last Answer : Ans: C
Description : A 47-year-old patient undergoing a complicated laparotomy for bowel obstruction develops a postoperative enterocutaneous fistula. Which of the following statement(s) is/are true concerning parenteral ... use of TPN better prepares the patient for surgery if surgical intervention proves necessary
Last Answer : Answer: a, b, d Patients with gastrointestinal-cutaneous fistulas represent the classical indication for TPN. In such patients, oral intake of food almost invariably results in increased ... treated more aggressively surgically after a defined period of nutritional support (unless closure occurs)
Description : ASA III is A. normal, healthy patient B. Patient with mild, well controlled systemic disease C. Patient with sever systemic disease that limits activity D. Patient with sever life threatening disease
Description : The following are the classical hemolytic transfusion reaction in general anesthesia except A. Hypotension B. Wheezing C. Hemoglobinuria D. bradycardia
Last Answer : Ans: D
Description : Ketamine; all are true except A. Induction of anesthesia by IV route B. Induction of anesthesia … C. Supplementation of sedation... D. Decrease cerebral blood flow
Description : Chance of a dog dying from anesthesia?
Last Answer : Did you vet this question? 1 in 233.
Description : Intravenous regional anesthesia is more commonly used for operations of A. Neck surgeries B. Lower abdomen C. Upper limbs D. Lower limbs
Description : Balanced General Anesthesia includes A. Skeletal muscle relaxant B. Loss of consciousness C. Analgesia D. All of the above
Description : In a lower segment caesarean section, which of the following techniques of anesthesia is desirable A. Spinal anesthesia B. Caudal anesthesia C. Combined Spinal Epidural D. General anesthesia
Description : Succinylcholine can produce all except A) Induce malignant hyperthermia in susceptible patients B) Prolonged paralysis occurs in case of butyrylcholinesterase abnormalities (as succinylcholine is not metabolized) C) Tachycardia, particularly in children D) Increase intraocular pressure
Description : Thiopental (sodium thiopental, Thiopentone, STP) characterized by the following except A. Prepares as a pale yellow 10.5 (alkaline) B. After iv bolus, rapidly ... C) Effects include decrease cerebral blood flow and O2 requirements D) Has good analgesic ...
Description : Signs of low perfusion include all except A. hypotension B. tachycardia C. High Urine Output D. Poor Capillary refill
Description : Symptoms of circulatory systemic overload during excessive IV fluids include all except A) Oliguria B) Increased BP C) Anxiety D) Pulmonary edema
Last Answer : Ans: A
Description : Which of the following statements about the presence of gallstones in diabetes patients is/are correct? A. Gallstones occur with the same frequency in diabetes patients as in the ... have prompt elective cholecystectomy, to avoid the complications of acute cholecystitis and gallbladder necrosis.
Last Answer : Answer: E DISCUSSION: Gallstones have been found to be very prevalent in patients with type II (non-insulin-dependent) diabetes mellitus, perhaps related to the dyslipoproteinemia in ... added mortality associated with it. There is no causal relationship between diabetes and pancreatic cancer
Description : Wounds are classified according to the likelihood of bacterial contamination. Which of the following statement(s) is/are true concerning wound classifications? a. A clean-contaminated wound would ... all clean-contaminated and contaminated wounds and selectively in patients involving a clean wound
Last Answer : Answer: a, b, c, d Wounds are classified under three classes according to the likelihood of bacterial contamination: 1) clean (no viscus is entered; e.g., herniorrhaphy); 2) clean- ... tenet involves cases in which a prosthetic material may be used (artificial joint, heart valve, tissue patch)
Description : In 70 kg patient one unit of platelet concentrate should increase platelet count A. 2000 - 5000 mm3 B. 5000 - 10000 mm3 C. 10000 - 20000 mm3 D. More than 20000 mm3
Description : Predictors of difficult intubation include A. Short muscular neck B. Prominent upper incisor C. Protruding mandible D. All of the above
Description : Regarding morphine, all are true Except A. Respiratory depression ... effect B. Can be IV subcutaneously, rectally and epidurally C. Can cause nausea and vomiting D. Less effective against pain of myocardial ischemia
Description : Appropriate guidelines for the use of TPN in cancer patients include: a. Long-term TPN in patients with rapid progressive tumor growth unresponsive to other therapy b. Mildly malnourished ... with severe malnutrition d. Patients in whom treatment toxicity precludes the use of enteral nutrition
Last Answer : Answer: c, d As a general rule, the most important factor to consider when making decisions about the use of TPN in patients with cancer is the response of the tumor to antineoplastic ... . Long-term TPN is not indicated with rapidly progressive tumor growth which is unresponsive to such therapy
Description : Which of the following statement(s) is/are true concerning the management of a patient with hemophilia A undergoing an elective surgical operation? a. Concentrates of factor VIII should be given ... observed e. A new recombinant preparation of factor VIII offers the advantage of being virus-free
Last Answer : Answer: b, c, e Although the half-life of factor VIII is 2.9 days in normal individuals, the half-life of factor VIII concentrates is 9 to l8 hours. Levels of 80% to ... infection in the hemophilia population. A new recombinant preparation of factor VIII offers the advantage of being virus-free
Description : In contrast to a patient undergoing an elective operation, which of the following statement(s) is/are true concerning a patient who has suffered a multiple trauma? a. Basal metabolic rates are ... is similar to their composition in skeletal muscle d. Fat and protein stores are rapidly depleted
Last Answer : Answer: b, d The degree of hypermetabolism is generally related to the severity of injury. Patients with long-bone fractures have a 15-25% increase in metabolic rate, whereas metabolic ... in injured subjects, if unfed, severely injured patients rapidly deplete their fat and protein stores
Description : When the indication for surgery is without delay, the nurse recognizes that the surgery will be classified as a) emergency. Emergency surgery means that the patient requires immediate attention and the ... there is an indication for surgery, but failure to have surgery will not be catastrophic.
Last Answer : a) emergency. Emergency surgery means that the patient requires immediate attention and the disorder may be life-threatening.
Description : The mean arterial pressure of a blood pressure of 160 80 is A. 90 mmHg B. 100 mmHg C. 110 mmHg D. 120 mmHg
Description : Factor at increase risk of aspiration includes A. drinking clear fluids 8 hours before operation B. gastro esophageal reflux C. chewing gum D. Two hours preoperative oral clear fluid administration
Description : Mallampati grade suggests difficult intubation A. grade I B. grade II C. grade IV D. All of the above
Description : Premedication that can be given A. Anxiolysis B. Anti- emetic C. Antacid D. all of the above
Description : Body Mass Index= A. Height in centimeters Weight (kg) B. Weight (kg) Height (M2) C. Height (M2) Weight (kg) D. Weight (kg) Height in centimeters
Description : Depolarizing block may be done by A. Atracurium B. Neostegmin C. Succinylcholine D. rocuronuim
Description : Which of the following medications used for the treatment of obesity prevents the absorption of triglycerides? a) Orlistat (Xenical) Orlistat (Xenical) prevents the absorption of triglycerides. Side effects of ... (Prozac) has not been approved by the FDA for use in the treatment of obesity.
Last Answer : a) Orlistat (Xenical) Orlistat (Xenical) prevents the absorption of triglycerides. Side effects of Xenical may include increased bowel movements, gas with oily discharge, decreased food absorption, decreased bile flow, and decreased absorption of some vitamins.
Description : A patient presented with abdominal pain and frequent unsatisfactory bowel movement. For the last one year he has been using a purgative twice weekly to open his bowel. On colonoscopy the colon was found to ... that the patient has been using: A. Liquid paraffin B. Ispaghula C. Senna D. Lactulose
Last Answer : C. Senna
Description : The effects of diethyl carbamazine citrate in filariasis include the following except: A. Rapid symptomatic relief in acute filarial attack B. Renders filarial patients noninfective to mosquitoes ... Prolonged treatment may achieve radical cure by killing adult filarial worms lodged in lymphatics
Last Answer : C. Prolonged treatment induces regression of filarial elephantiasis
Description : The evaluation of a patient scheduled for elective surgery should always include the following as tests of hemostasis and coagulation: A. History and physical examination. B. Complete blood count ( ... (APTT). D. Studies of platelet aggregation with adenosine diphosphate (ADP) and epinephrine.
Last Answer : Answer: A DISCUSSION: The evaluation of most patients scheduled for elective surgery who do not have a history of significant bleeding disorders is somewhat controversial. An adequate history and ... suspected of having qualitative defects of platelet function (e.g., von Willebrand's disease)
Description : A number of prospective clinical trials have addressed the role of total parenteral nutrition in the cancer patient. The results have been somewhat conflicting. Which of the following statement(s) ... hepatectomy for hepatoma d. TPN is of no benefit in patients undergoing bone marrow transplant
Last Answer : Answer: a, c Numerous clinical trials have failed to yield a consensus with regard to the efficacy of TPN in cancer patients. In 1991, a multicenter VA cooperative trial demonstrated ... patients receiving bone marrow transplantation has also been shown to be a valuable component of overall care
Description : A patient is admitted to the emergency room with orthostatic hypotension and evidence of marked GI bleeding. Which of the following most accurately describes the probable autonomic response to this ... constricted pupils, increased bowel sounds (e) Rapid heart rate, constricted pupils, warm skin
Description : A 17-year-old patient involved in an automobile accident is paralyzed with multiple peripheral extremity injuries. Nutritional support is instituted with a transnasal feeding catheter. Which of the ... pylorus into the first portion of the duodenum reduces the risk of regurgitation and aspiration
Last Answer : Answer: a, c, d The use of transnasal feeding catheters for intragastric feeding or for duodenal intubation are popular adjuncts for providing nutritional support by the enteral route. The ... the fourth portion of the duodenum reduces the risk of regurgitation and aspiration of feeding formulas
Description : Answer: e The role of nutritional support in the cancer patient remains an important component of overall therapy. Preoperative nutritional support should be given only to those patients who ... of bowel rest; this atrophy is not reversed by currently available total parenteral nutrition solutions
Last Answer : Which of the following hormones can be expected to be released as part of the stress response? a. Antidiuretic hormone (ADH) b. Aldosterone c. Insulin d. Epinephrine nswer: a, b, d ... This hormone has the exact opposite effect of insulin, which promotes glucose storage and uptake by the cells
Description : The following is not a valid indication for parenteral iron therapy: A. Inadequate response to oral iron due to patient noncompliance B. Anaemia during pregnancy C. Severe anaemia associated with chronic bleeding D. Anaemia in a patient of active rheumatoid arthritis
Last Answer : B. Anaemia during pregnancy
Description : The following is true of abciximab except: A. It is a monoclonal antibody against GPIIb/IIIa B. It inhibits platelet aggregation induced by a variety of platelet agonists C. It is antigenic D. It is used to reduce the risk of restenosis in patients undergoing PTCA
Last Answer : C. It is antigenic
Description : For individuals known to be dying by virtue of age and/or diagnoses, which of the following signs indicate approaching death: a) Increased restlessness As the oxygen supply to the ... Increased urinary output Based upon decreased intake, urinary output generally decreases in amount and frequency.
Last Answer : a) Increased restlessness As the oxygen supply to the brain decreases, the patient may become restless.
Description : Small Bowel Obstruction?
Last Answer : Most cases of intestinal blockage are known as small bowel obstruction. This condition is mainly seen in patients with a prior surgical history or patients with Crohn's disease or some other inflammatory ... , most of the time people with this problem can be treated in the hospital without surgery.
Description : What is the most common cause of small bowel obstruction? a) Adhesions Adhesions are scar tissue that forms as a result of inflammation and infection. b) Hernias Hernias are one of the second most ... d) Volvulus Volvulus (twisting of the bowel) is a less common cause of small bowel obstruction.
Last Answer : a) Adhesions Adhesions are scar tissue that forms as a result of inflammation and infection.
Description : What Environmental factors that can contribute to our epidemic of obesity include all of the following except?
Last Answer : Need answer
Description : When the nurse observes that the patient's systolic blood pressure is less than 80-90 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and ... d) Irreversible In refractory or irreversible shock, the patient requires complete mechanical and pharmacologic support.
Last Answer : a) Compensatory In compensatory shock, the patient’s blood pressure is normal, respirations are above 20, and heart rate is above 100 but below 150.
Description : True statements concerning hypoadrenal shock include which of the following? A. Adrenocortical insufficiency may manifest itself as severe shock refractory to volume and pressor therapy. B. ... test should be performed to help establish the diagnosis of acute adrenocortical insufficiency.
Last Answer : Answer: AD DISCUSSION: Shock due to acute adrenocortical insufficiency is relatively uncommon but must be considered when shock refractory to volume replacement and pressor therapy is present. ... and it is the corticosteroid of choice while the ACTH stimulation test is being performed
Description : A 65-year-old is interested in taking ginkgo. Which of the following statements is correct regarding ginkgo? (a) Ginkgo is contraindicated in diabetes and pregnancy (b) There is a ... drug-herb interaction between ginkgo and phenelzine (e) Ginkgo is contraindicated in patients with gallstone pain
Description : If someone needs dental treatment during pregnancy, can they get an anesthetic?
Last Answer : Don't worry, they won't be able to pull a tooth without an anesthetic, for example. Of course, you can get an anesthetic for the expectant mother, but the doctor must be informed about the pregnancy.
Description : Why should a benchmark statement be included in advertising objectives? A)The shareholders always like to see where a company is in relation to competition. B)It gives an indication of how ... have been accomplished. D)The objectives become more easily attainable when such a statement is included.
Last Answer : C)Without a reference point, it is difficult to determine to what degree the objectives have been accomplished.
Description : Advantages of patient-controlled analgesia (PCA) include: A. Immediate medication delivery. B. Less contact with nursing staff. C. Rapid onset of analgesia. D. Patient control over pain medication. E. All of the above.
Last Answer : Answer: ACD DISCUSSION: Advantages of PCA are immediate medication delivery, rapid onset of analgesia, and patient control over pain medication. Disadvantages of PCA are less contact with ... ' fears that they could inadvertently administer an overdose or possibly become addicted to the opioid
Description : Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP ... regarded as unfavorable because hyperthermia may indicate brain stem damage, a poor prognostic sign.
Last Answer : a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.