Questions and answers

Sanabria, Fernando Raffan

doi:10.1016/j.rcae.2014.05.007

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Accept this challenge to test your reading comprehension and knowledge.<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005">1.All of the following relate to the term “medical error” except:<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0010">a.The inability to complete an action plan as expected</li><li class="elsevierStyleListItem" id="lsti0015">b.Most of the time it is the result of carelessness</li><li class="elsevierStyleListItem" id="lsti0020">c.The most serious events are associated with problems that are inherent (latent) to the processes used</li><li class="elsevierStyleListItem" id="lsti0025">d.Use of the wrong plan for achieving a goal</li></ul></li><li class="elsevierStyleListItem" id="lsti0030">2.Ventricular ejection time:<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0035">a.Is the period of time between the opening and closing of the aortic valve</li><li class="elsevierStyleListItem" id="lsti0040">b.Is independent from contractility</li><li class="elsevierStyleListItem" id="lsti0045">c.Is significantly reduced by mechanical ventilation</li><li class="elsevierStyleListItem" id="lsti0050">d.Does not change with changes in afterload</li></ul></li><li class="elsevierStyleListItem" id="lsti0055">3.Which of the following tools are less accurate for assessing cardiac volumes?<ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0060">a.Nuclear Magnetic Resonance</li><li class="elsevierStyleListItem" id="lsti0065">b.Echocardiography</li><li class="elsevierStyleListItem" id="lsti0070">c.Thermodilution</li><li class="elsevierStyleListItem" id="lsti0075">d.Systolic variability</li></ul></li><li class="elsevierStyleListItem" id="lsti0080">4.Of the following dietary supplements, which has the lowest level of recommendation:<ul class="elsevierStyleList" id="lis0025"><li class="elsevierStyleListItem" id="lsti0085">a.Melatonin</li><li class="elsevierStyleListItem" id="lsti0090">b.Co-enzyme Q10</li><li class="elsevierStyleListItem" id="lsti0095">c.Ginkgo biloba</li><li class="elsevierStyleListItem" id="lsti0100">d.Ginger</li></ul></li><li class="elsevierStyleListItem" id="lsti0105">5.In post cardiac arrest syndrome, all of the following are true, except:<ul class="elsevierStyleList" id="lis0030"><li class="elsevierStyleListItem" id="lsti0110">a.When the mechanism is pulseless electrical activity, progression to neurological damage is faster and the prognosis is worse than when defibrillation can be used</li><li class="elsevierStyleListItem" id="lsti0115">b.Hypothermia between 32 and 34°C is the gold standard in post cardiac arrest care</li><li class="elsevierStyleListItem" id="lsti0120">c.Neurological damage after 56minutes of cardiac arrest with no care is almost always irreversible</li><li class="elsevierStyleListItem" id="lsti0125">d.Better neurological results are seen when oxygen arterial pressure is greater than 200mm of mercury</li></ul></li><li class="elsevierStyleListItem" id="lsti0130">6.In the management of hypothermia in post-cardiac arrest syndrome it is true that:<ul class="elsevierStyleList" id="lis0035"><li class="elsevierStyleListItem" id="lsti0135">a.The induction phase must be started within two hours after spontaneous return of circulation</li><li class="elsevierStyleListItem" id="lsti0140">b.Magnesium sulphate administration has been suggested for the prevention of shivering from cold</li><li class="elsevierStyleListItem" id="lsti0145">c.During the induction phase, hypertension and hyperkalaemia are the most destabilizing factors for the patient</li><li class="elsevierStyleListItem" id="lsti0150">d.It is recommended to initiate hypothermia only after spontaneous cardiac activity returns</li></ul></li><li class="elsevierStyleListItem" id="lsti0155">7.During the rewarming phase in the management of postcardiac arrest the following is false:<ul class="elsevierStyleList" id="lis0040"><li class="elsevierStyleListItem" id="lsti0160">a.Rewarming must be done at a rate of 0.2 to 0.3 degrees centigrade per hour until normothermia is achieved</li><li class="elsevierStyleListItem" id="lsti0165">b.Prophylactic antibiotics must be given early on while hypothermia is maintained</li><li class="elsevierStyleListItem" id="lsti0170">c.The presence of seizures, hypertension and cerebral oedema has been described</li><li class="elsevierStyleListItem" id="lsti0175">d.QT interval prolongation, hypomagnesaemia and hypophosphatemia have been described</li></ul></li><li class="elsevierStyleListItem" id="lsti0180">8.The use of ultrasound by anaesthetists has shown to be effective in all of the following, except for:<ul class="elsevierStyleList" id="lis0045"><li class="elsevierStyleListItem" id="lsti0185">a.Diagnosis</li><li class="elsevierStyleListItem" id="lsti0190">b.Procedure guidance</li><li class="elsevierStyleListItem" id="lsti0195">c.Screening</li><li class="elsevierStyleListItem" id="lsti0200">d.Quantitative ultrasound</li></ul></li><li class="elsevierStyleListItem" id="lsti0205">9.Regarding simulation as a tool for safety initiatives, it has been found that:<ul class="elsevierStyleList" id="lis0050"><li class="elsevierStyleListItem" id="lsti0210">a.It has been used to train staff regarding safety and teamwork</li><li class="elsevierStyleListItem" id="lsti0215">b.Organizational and human factors have been proposed as limitations for the effect of many methodologies adopted</li><li class="elsevierStyleListItem" id="lsti0220">c.New concepts sometimes go against established ideas and emotions of the medical and other staff regarding healthcare functioning</li><li class="elsevierStyleListItem" id="lsti0225">d.All of the above are true</li></ul></li><li class="elsevierStyleListItem" id="lsti0230">10.Epidermolysis bullosa is a genetically determined mechanical blistering disease. About this disease, it is false that:<ul class="elsevierStyleList" id="lis0055"><li class="elsevierStyleListItem" id="lsti0235">a.It always produces severe dysfunction and patient survival is less than one year</li><li class="elsevierStyleListItem" id="lsti0240">b.One of its histologic form is dermolytic or dystrophic</li><li class="elsevierStyleListItem" id="lsti0245">c.The absence of laminin 5 protein is responsible for Herlitz epidermolysis bullosa</li><li class="elsevierStyleListItem" id="lsti0250">d.Locoregional technique is preferred over general anaesthesia as far as the intraoperative pharmacological treatment is concerned</li></ul></li></ul>ReferenceRaffan F. Preguntas y Respuestas. Rev Colomb Anestesiol. 2014;42: April–June(2)." ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22562087/0000004200000003/v2_201407220045/S2256208714000558/v2_201407220045/en/main.assets" "Apartado" => array:4 [ "identificador" => "950" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Questions and answers" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22562087/0000004200000003/v2_201407220045/S2256208714000558/v2_201407220045/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2256208714000558?idApp=UINPBA00004N"]

ISSN: 2256-2087

La Revista Colombiana de Anestesiología es la publicación trimestral de la Sociedad Colombiana de Anestesiología y Reanimación (S.C.A.R.E.) que lidera el desarrollo de la anestesiología dentro de los más altos estándares de calidad y seguridad y tiene como objetivo divulgar y publicar los conocimientos de la región y del mundo relacionados con la especialidad y las áreas afines como la medicina perioperatoria, el cuidado intensivo, la medicina del dolor y el cuidado paliativo.

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