Questions and Answers

Sanabria, Fernando Raffan

doi:10.1016/j.rcae.2014.02.008

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Preguntas y respuestas. Rev Colomb Anestesiol. 2014;42:136–137." ] ] "examen" => array:1 [ 0 => array:1 [ "preguntaReferenciaRespuesta" => array:2 [ 0 => null 1 => array:1 [ "pregunta" => array:2 [ "identificador" => "exq0005" "pregunta" => "This section includes questions prepared on the basis of the contents of the articles published in volume 42, number 1 of the Colombian Journal of Anesthesiology. Accept the challenge to test your reading comprehension and knowledge.<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005">1.The reported incidence of postoperative laryngopharyngeal symptoms following general anesthesia is between 5 and 70% of the patients. Which of the following distractors is not associated with an increased occurrence thereof?<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0010">a.Use of succinylcholine</li><li class="elsevierStyleListItem" id="lsti0015">b.Male gender</li><li class="elsevierStyleListItem" id="lsti0020">c.Higher incidence with endotracheal tube versus laryngeal mask</li><li class="elsevierStyleListItem" id="lsti0025">d.The presence of blood in the airway device during its removal</li></ul></li><li class="elsevierStyleListItem" id="lsti0030">2.The effectiveness of caruncular single peribulbar puncture technique in eye surgery after 10min is approximately:<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0035">a.90%</li><li class="elsevierStyleListItem" id="lsti0040">b.80%</li><li class="elsevierStyleListItem" id="lsti0045">c.70%</li><li class="elsevierStyleListItem" id="lsti0050">d.60%</li></ul></li><li class="elsevierStyleListItem" id="lsti0055">3.Phantom limb pain:<ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0060">a.Is less frequent in elderly versus pediatric patients</li><li class="elsevierStyleListItem" id="lsti0065">b.Does not depend on the level of amputation</li><li class="elsevierStyleListItem" id="lsti0070">c.Is gender-dependent</li><li class="elsevierStyleListItem" id="lsti0075">d.Is neuropathic in origin</li></ul></li><li class="elsevierStyleListItem" id="lsti0080">4.The following peripheral factors are related with the occurrence of phantom limb pain, except for:<ul class="elsevierStyleList" id="lis0025"><li class="elsevierStyleListItem" id="lsti0085">a.Sympathetic activation</li><li class="elsevierStyleListItem" id="lsti0090">b.Neuroplasticity</li><li class="elsevierStyleListItem" id="lsti0095">c.Selective loss of C-fibers</li><li class="elsevierStyleListItem" id="lsti0100">d.Development of non-functional connections</li></ul></li><li class="elsevierStyleListItem" id="lsti0105">5.The systemic local anesthetic toxicity following an inadvertent injection may be life threatening. Thus, a test dose is mandatory for preventing such event. The recommended drug is:<ul class="elsevierStyleList" id="lis0030"><li class="elsevierStyleListItem" id="lsti0110">a.Lidocaine 2% with epinephrine</li><li class="elsevierStyleListItem" id="lsti0115">b.100mcg of fentanyl</li><li class="elsevierStyleListItem" id="lsti0120">c.15mg of 0.5% bupivacaine</li><li class="elsevierStyleListItem" id="lsti0125">d.15mg lidocaine 0.5% plus 25mg epinephrine</li></ul></li><li class="elsevierStyleListItem" id="lsti0130">6.Super morbid obesity is a patient with a BMI greater than:<ul class="elsevierStyleList" id="lis0035"><li class="elsevierStyleListItem" id="lsti0135">a.50k/m2</li><li class="elsevierStyleListItem" id="lsti0140">b.60k/m2</li><li class="elsevierStyleListItem" id="lsti0145">c.65k/m2</li><li class="elsevierStyleListItem" id="lsti0150">d.70k/m2</li></ul></li><li class="elsevierStyleListItem" id="lsti0155">7.Which of the following risk factors increase postoperative morbidity/mortality in the obese patient:<ul class="elsevierStyleList" id="lis0040"><li class="elsevierStyleListItem" id="lsti0160">a.Female gender</li><li class="elsevierStyleListItem" id="lsti0165">b.Over 65 years old</li><li class="elsevierStyleListItem" id="lsti0170">c.BMI above 40</li><li class="elsevierStyleListItem" id="lsti0175">d.Asthma</li></ul></li><li class="elsevierStyleListItem" id="lsti0180">8.In trauma and cardiovascular surgery, lactate and base deficit are both biomarkers that should be quantified very early on and in a serial mode, since they are both independent predictors of mortality within the first 48h. Which of the following statements is false:<ul class="elsevierStyleList" id="lis0045"><li class="elsevierStyleListItem" id="lsti0185">a.In the presence of mitochondrial oxygen, 36 ATPs are produced per glucose molecule during oxidative phosphorylation</li><li class="elsevierStyleListItem" id="lsti0190">b.Excess pyruvate converts into lactate via the lactic dehydrogenase enzyme that produces 2 ATP molecules</li><li class="elsevierStyleListItem" id="lsti0195">c.2 categories of lactic acidosis are currently described: type A in the absence of tissue hypoxia and type B when lactic acidosis occurs with tissue hypoxia</li><li class="elsevierStyleListItem" id="lsti0200">d.Salicylate poisoning may result in lactic acidosis type B</li></ul></li><li class="elsevierStyleListItem" id="lsti0205">9.All of the following are true with regard to lactate and base deficit measurements, except for:<ul class="elsevierStyleList" id="lis0050"><li class="elsevierStyleListItem" id="lsti0210">a.The initial lactate value and its early clearance up to 9h are independent early (less than 48h) mortality factors</li><li class="elsevierStyleListItem" id="lsti0215">b.Lactate clearance enables the evaluation of the resuscitation process and quantification of the primary lesion</li><li class="elsevierStyleListItem" id="lsti0220">c.Regardless of the systolic pressure number, lactate levels of young patients admitted to the emergency room following blunt of penetrating trauma are predictive of the risk of receiving more than 6 red blood cell units in the first 24h</li><li class="elsevierStyleListItem" id="lsti0225">d.Base deficit and lactate are correlated in hemorrhagic shock. The former is a sound indicator of the actual effective circulating volume deficit</li></ul></li><li class="elsevierStyleListItem" id="lsti0230">10.Which of the following factors is not a predictor for difficult airway of the obese patient<ul class="elsevierStyleList" id="lis0055"><li class="elsevierStyleListItem" id="lsti0235">a.Neck circumference (>40cm)</li><li class="elsevierStyleListItem" id="lsti0240">b.Obstructive sleep apnea syndrome</li><li class="elsevierStyleListItem" id="lsti0245">c.Cervical mobility</li><li class="elsevierStyleListItem" id="lsti0250">d.Bite test</li></ul></li></ul>ReferenceRaffan F. Preguntas y Respuestas. Rev Colomb Anestesiol. 2013:XLI(1);70-1." ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22562087/0000004200000002/v1_201404120216/S2256208714000303/v1_201404120216/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/22562087/0000004200000002/v1_201404120216/S2256208714000303/v1_201404120216/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2256208714000303?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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