In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery?
24hrs
Which medication will induce remission in patients with Ulcerative Colitis and Crohn’s disease?
5-Acetylsalicylic acid
An adenocarcinoma esophageal tumor is located?
at the distal esophagus.
A 34-year-old patient diagnosed with acute pancreatitis is scheduled for surgery in the morning. The patient has the following laboratory values:
WBC 18,000
Platelets 150,000
AST 376
BUN 22
What is the patient’s risk of mortality?
20%
For patients with a history of esophageal diverticula, what are the anesthetic concerns? (Select 2).
- Apply cricoid pressure during induction.
- Increased risk of aspiration.
- Insert nasogastric tube post-induction.
- Elevate the head of bed during induction.
- Increased risk of aspiration.
- Elevate the head of bed during induction.
A diagnosis of Grave’s disease is consistent with:
Elevated TSH.
weight loss.
somnolence.
decreased T4.
Weight loss
Signs and symptoms of scleroderma include: (Select 2).
diffuse pitting edema.
diarrhea.
small bowel hypomotility.
decreased pulmonary compliance.
C & D
Which statement BEST characterizes myasthenia gravis?
Rigidity after exposure to volatile anesthetics.
Muscle weakness that improves with repeated effort.
Delayed muscle relaxation.
Fatiguability of skeletal muscle with repetitive use.
D
What are treatments indicated for a patient with rheumatoid arthritis?
Corticosteroids and DMARDS.
Immunoglobulin injections and DMARDS.
Alternating heat and cold therapies.
Plasmapheresis and thymectomy.
A
In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery:
12 hours.
8 hours.
4 hours.
24 hours.
D
All of the anesthetic considerations are indicated in a patient with hyperparathyroidism EXCEPT:
intravenous fluid administration.
administration of 40 mg of rocuronim.
pre-operative ECG.
avoiding the use of midazolam pre-operatively.
B
Which anesthetic plan is ideal for a patient with systemic lupus erythematosus?
Administer metoclopramide
Prepare patient for possible post-operative ventilator.
Order pre-operative CBC and ECG.
Avoid the use of volatile anesthetics.
C
Which statement BEST describes acromegaly?
Occurs due to a tumor in the posterior pituitary gland.
Decreased amount of neuromuscular blockers is recommended.
Hypoglycemia is a frequent concern.
An insufficiency of growth hormone.
B
Preoperative findings of Duchenne muscular dystrophy include:
sinus bradycardia.
kyphoscoliosis.
gastrointestinal hypermotility.
decreased serum creatinine kinase.
B
Anesthetic considerations for syndrome of inappropriate anti-diuretic hormone (SIADH) include: (Select 2).
stress dose of dexmethisone.
administration of pre-operative midazolam.
titrating intravenous fluid.
measurement of urine osmolality.
C & D
