This section includes questions prepared on the basis of the contents of the articles published involume 40, number 4 of the Colombian Journal of Anesthesiology. Accept the challenge to test your reading comprehension and knowledge.
InstructionsThis is amultiple-choice questionnaire. Please mark the appropria teanswer.
- 1.
Risk factors associated to complications of radial artery cannulation include the following, except:
- A.
Prolonged time with an arterial line in place (over 72hours)
- B.
Catheter material
- C.
Use of vasoactive drugs
- D.
Female gender
- A.
- 2.
In terms of catheterization of the radial artery, which of the following statements is true?
- A.
The puncture method (direct or transfixing) has not been associated to an increased risk of thrombosis
- B.
Arterial catheters inserted with the seldinger technique have shown a significant reduction in the incidence of ischemic complications when compared against the direct puncture technique, without using a guide
- C.
The cutting point that increases the risk of complications is being over 70 years old
- D.
Allen's test performed before the puncture is a good predictor of ischemia in the absence of vascular disease
- A.
- 3.
Studies in patients undergoing myocardial revascularization have shown an increased development of hyperplasia, calcification and atheromatosis of the radial artery in patients with:
- A.
More than 50 years of age
- B.
Hypothyroidism
- C.
Alcoholism
- D.
Female gender
- A.
- 4.
When considering the lesion from red cell storage, which of the following distractors is false:
- A.
Those stored for less than 14 days are called young
- B.
When units stored longer than 14 days are administered, mortality increases if the units are not leukoreduced
- C.
Trauma patients receiving units stored for over 2 weeks stay longer with mechanical ventilation in the ICU and exhibit a higher frequency of septic episodes
- D.
The storage lesion is associated with a decrease in 2-3 diphosphoglycerate and a significant increase in antioxidant release after the second week of storage
- A.
- 5.
Fetal surgery is a rapidly progressing medical area; with regards to the development of pain pathways in the fetus, the following statement is false:
- A.
Peripheral pain receptors start developing during the seventh week of gestation
- B.
During the eighth week of gestation, the afferent fibers that communicate the peripheral receptors with the gelatinous substance start developing
- C.
The hypothalamic – pituitary adrenal cortex system becomes functional as of the the beginning of the third trimester
- D.
The serotonin – mediated descending inhibitory system of pain only develops after birth
- A.
- 6.
In terms of intraoperative management during fetal surgery, fluid management has to be rational since the amount of fluid associated with pulmonary edema is above:
- A.
500 cc
- B.
1000 cc
- C.
1500 cc
- D.
2000 cc
- A.
- 7.
With regards to the management of anesthesia for emergency cesarean section, a systematic literature review by Fuentes JB, Pinzón CE, Vasco M, report the following, except:
- A.
In a patient with epidural catheter for labor requiring extended anesthesia for cesarean section, the drug of choice is 2% lidocaine
- B.
Adding adrenalin to lidocaine decreases the latency of the local anesthetic agent
- C.
The use of bicarbonate as an adjuvant to 2% lidocaine decreases the latency and improves the quality of the block
- D.
The type of anesthesia delivered to the mother does not affect the long-term neonatal outcomes
- A.
- 8.
Of the following definitions, which is inconsistent with the term massive transfusion
- A.
The need to transfuse more than 10 units in 24hours
- B.
The need to transfuse more than 4 units in one hour
- C.
Replacing more than 50% of the blood volume in 3hours
- D.
Using 5 units of red blood cells in 4hours
- A.
- 9.
Referring to neuromuscular monitoring using blockers, which of the following statements is false
- A.
The recovery phase is defined as the start of the fourth response of the train of four and the establishment of the train of four ratio (T4/T1)
- B.
A simple stimulus is defined as the administration of supramaximum stimuli at a frequency ranging between 1 - 0.1Hz
- C.
The normalization of a train of four ratio of 0.8 against the baseline is considered to ensure adequate recovery of the neuromuscular block
- D.
Post-tetanic count is a useful tool for assessing deep blockade
- A.
- 10.
The following echocardiographic parameters assess the right ventricular systolic function, except:
- A.
Displacement of the tricuspid ring
- B.
Change in the fractional area
- C.
Right Tei-index
- D.
Right Ventricular Systolic Work Index
- A.
Raffán F. Preguntas y respuestas. Rev. colomb. anestesiol. 2012:40(4).
Answers:- 1.
A
- 2.
A
- 3.
A
- 4.
B
- 5.
C
- 6.
B
- 7.
C
- 8.
D
- 9.
C
- 10.
D