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WorksheetsAnesthesia for Vascular and Endovascular Surgeries
Total questions: 10
Worksheet time: 30mins
1. A hypertensive woman is well controlled by amlodipine and quinapril, and she is planned for cholecystectomy. According to the American College of Cardiology/American Heart Association (ACC/AHA) Guidelines for Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery, her antihypertensive medications should be:
Continued during the perioperative period
Held on the morning of surgery
Held for 24 hours before surgery
Replaced by intravenous medications on day of surgery
Reduced by 50% for 24 hours before surgery
1. A 70-year old man underwent coronary surgery with the aids of cardiopulmonary bypass and heparin. His chance of postoperative heparin-induced thrombocytopenia (HIT) is approximately
2%
20%
50%
80%
99%
The most effective medical therapy for atherosclerotic peripheral vascular disease is:
Dipyridamole
Urokinase
Warfarin (Coumadin)
Aspirin
Smoking cessation
Most neurologic deficits after carotid endarterectomy are thought to result from:
Concomitant contralateral carotid stenosis
Prolonged carotid artery cross-clamp in the absence of shunt use
Thromboembolism
Perioperative vasospasm
Inadequate intraoperative carotid artery perfusion pressure
The most important factor shown to be of clinical importance in preserving renal function during aortic cross-clamping is:
Lisinopril
Fenoldopam
Dopamine
Intravascular volume status
A. Mannitol
The clamping of the thoracic aorta in aneurysm repair is followed by:
Immediate hypotension
Immediate hypertension
Cardiac standstill
No change
Loss of blood pressure in the right arm
Ischemia from a right coronary artery lesion would most likely be evident on electrocardiographic lead:
I
II
aVL
V5
What is the most common presenting symptom of aortic dissection?
Midscapular pain
Anterior chest pain
All of the above
Described as “tearing in nature”above
The advantages of ultrasound-guided central venous catheter placement as compared to the landmark technique, include all of the following EXCEPT:
Prevention of arterial injury
Direct visualization of the target vessel
Decreased time required for internal jugular vein catheterization
Decreased number of attempts required
Decreased overall complication rate
Structures that pass anteriorly to the trachea include all of the following EXCEPT:
pulmonary artery
thyroid isthmus
innominate artery
aortic arch
