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Anesthesia for Thoracic Surgery 2022

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

Why is spirometry indicated intraoperatively in thoracic surgery cases?

a)

Measures TV to alert of air leaks and loss of lung isolation

b)

To isolate cases of infection and difficult airway

c)

Discover mediastinal shifts

d)

To determine gas exchange efficiency via diffusing capacity

2.

In hypoxic pulmonary vasoconstriction, pulmonary vascular resistance during non ventilated, non dependent lung will ___?

a)

Increase

b)

Decrease

c)

No change

d)

Stable

3.

OLV creates a R-L transpulmonary shunt through the non ventilated, non dependent lung if the V/Q ratio is

a)

0

b)

1

c)

2

d)

3

4.

Which of the following is true during VATS procedure?

a)

Insufflation should be maintained as low as possible

b)

CO2 inflow rate kept at 2L/min

c)

Higher pressures can cause mediastinal shift and hemodynamic compromise

d)

PEEP is used for treatment of hypoxemia during OLV to the non dependent operated lung

5.

How many lung segments are there in total?

a)

32

b)

42

c)

52

d)

63

6.

The second most common complication of mediastinoscopy is R sided pneumothorax occuring in 0.75% of patients

a)

True

b)

False

7.

What is the dose of Neostigmine IV to treat Myasthenia Gravis?

a)

0.5 mg

b)

0.7 mg

c)

1 mg

d)

2 mg

8.

What stage is MG that is mild-slow onset, usually ocular, spreading to skeletal and bulbar muscles, no respiratory involvement, good response to therapy and low mortality rate?

a)

IA

b)

IIA

c)

IIB

d)

III

9.

Non depolarizing NMBAs are favored over volatile anesthetics in Myasthenia Gravis patients

a)

True

b)

False

10.

Absolute indication for OLV, except

a)

Infection (abscess, infected cysts)

b)

Massive hemorrhage

c)

Unilateral lung lavage

d)

Lung volume reduction