A 40 year old female presents for a thyroidectomy for Graves disease. Her preoperative preparation should include: Administration of potassium iodide plus propranolol for 10 days A 1 week course of thyroxine (T4) A three day course of propylthiouracil Iodine -131 treatment

A 39 year old woman with a history of headaches, hypertension, palpitations and nephrolithiasis is undergoing a parathyroidectomy for parathyrpid adenoma. During induction,she develops severe hypertension and tachycardia. The most likely diagnosis for these signs is : a. Adrenal insufficiency b. Carcinoid syndrome c. Thyroid storm d. Pheochromocytoma

During a postoperative check on a 53 year old patient who underwent a total thyroidectomy earlier in the day. You notice that he is stridous and is complaining of muscle cramps. The best treatment for these symptoms is a. Administration of calcium gluconate b. Opening the neck wound c. Reintubation for airway protection d. Administration of sodium bicarbonate

A 65 year old diabetes mellitus patient should include which of the following preoperative assessment? a. An assessment of functional status b. 24 hour creationine clearance c. Pulmonary function test d. Cancellation of the surgical case if HbA1C >10%

Preferred anesthetic agent in a patient with hyperthyroidism includes a. Desflurane b. ketamine c. Sevoflurane d. Meperidine

A 78 year old patient with a history of hypertension and adult onset diabetes for which she takes chlorpropamide is admitted for elective cholecystectomy.On the day of admission, blood glucose is noted to be 270 mg/dL and the patient is treated with 15 units of regular insulin subcutaneously in addition to her regular dose of chlorpropamide. 24 hours later after overnight fasting, the patient is brought to the operating room without her daily dose of chlorpropamide and is anesthesized. A serum glucose is measured and found to be 35 mg/dL. The most likely explanation for this is a. Insulin b. Chlorpropamide c. hypovolemia d. effect of general anesthesia

Type 1 Diabetes Mellitus a. is characterized by a relative lack of insulin plus resistance to endogenous insulin b. Always requires insulin c. Affects 95% of patients with diabetes d. Can be controlled with diet, weight loss and oral hypoglycemic agents

A 27 year old obese woman is scheduled to undergo foot surgery under general anesthesia. She underwent a subtotal thyroidectomy 3 years ago and takes levothyroxine. Which of the following laboratory tests would be the most useful in evaluating whether this patient is euthyroid Total plasma thyroxine (T4) Total plasma triiodothyronine (T3) Thyroid Stimulating hormone (TSH) Resin triiodothyronine uptake

A 40 year old woman with history of Graves disease is in the recovery room after undergoing a Ct Scan under general anesthesia. While in the recovery room, her blood pressure drops to 80/55 mmHg, her heart rate increases to 140 bpm, and she becomes agitated and complains of difficulty breathing and feeling hot. The most likely diagnosis for these signs is Thyroid storm Carcinoid syndrome Malignant Hyperthermia Pheochromocytoma

1. Defined as rate of 120-250 bpm with wide and bizarre PVC-like QRS complexes

2. Defined as rate of 150-250 bpm with irregular rhythm and spindle-node pattern QRS complexes

3. Defined as rate of 120-250 bpm with regular rhythm and marked variation and inconsistency seen on QRS complexes

4. In the 2020 American Heart Association Adult Tachycardia with a Pulse Algorithm, what is the recommended dosage for Synchronized cardioversion?

5. Which of the following drugs is not used in Tachyarrhythmias?

6. Which of the following causes bradycardia

Hypoglycemia in the anesthesized patient:

A 40 year old female presents for a thyroidectomy for Graves disease. Her preoperative preparation should include:

A 39 year old woman with a history of headaches, hypertension, palpitations and nephrolithiasis is undergoing a parathyroidectomy for parathyrpid adenoma. During induction,she develops severe hypertension and tachycardia. The most likely diagnosis for these signs is :

During a postoperative check on a 53 year old patient who underwent a total thyroidectomy earlier in the day. You notice that he is stridous and is complaining of muscle cramps. The best treatment for these symptoms is

A 65 year old diabetes mellitus patient should include which of the following preoperative assessment?

Preferred anesthetic agent in a patient with hyperthyroidism includes

A 78 year old patient with a history of hypertension and adult onset diabetes for which she takes chlorpropamide is admitted for elective cholecystectomy. On the day of admission, blood glucose is noted to be 270 mg/dL and the patient is treated with 15 units of regular insulin subcutaneously in addition to her regular dose of chlorpropamide. 24 hours later after overnight fasting, the patient is brought to the operating room without her daily dose of chlorpropamide and is anesthesized. A serum glucose is measured and found to be 35 mg/dL. The most likely explanation for this is

Type 1 Diabetes Mellitus

A 27 year old obese woman is scheduled to undergo foot surgery under general anesthesia. She underwent a subtotal thyroidectomy 3 years ago and takes levothyroxine. Which of the following laboratory tests would be the most useful in evaluating whether this patient is euthyroid

A 40 year old woman with history of Graves disease is in the recovery room after undergoing a Ct Scan under general anesthesia. While in the recovery room, her blood pressure drops to 80/55 mmHg, her heart rate increases to 140 bpm, and she becomes agitated and complains of difficulty breathing and feeling hot. The most likely diagnosis for these signs is

A "sniffing" position improves airway patency by:

For a patient with retrognathia and obstructive sleep apnea, mask ventilation difficulty is predicted by:

For myringotomy in a child with URTI, you?

OTC antihistamines pose risk because of:

In type 1 pediatric OSAS, apnea occurs due to:

The STBUR questionnaire is primarily used to:

Mandibular distraction osteogenesis (MDO) relives OSAS because it:

Which combination yields longest time to rescue analgesia post-adenotonsillectomy?

First line treatment for post-tonsillectomy nausea and vomiting:

Middle ear negative pressure post-N2O cessation can cause:

1. According to the modified ASA difficult airway algorithm for trauma, failure of an awake intubation attempt would entail:

2. As the attending anesthesiologist, this patient has an ABC (Assessment of Blood Consumption) score of:

3. His ABG showed a base deficit of -11. This means that the patient is in:

4. Given the patient’s clinical condition, you immediately institute resuscitation. Which of the following is FALSE regarding damage-control resuscitation?

5. After bleeding has been controlled, tachycardia was resolved but the patient was still noted to be hypotensive. The surgeon tells you that intraoperative blood loss was estimated to be only 800cc and that 4 units of pack RBC has already been given. His ECG was noted to have a prolonged QT interval due to lengthening of the ST segment. Which of the following manoeuvres will you do next?

6. The following are challenges to acute pain management of trauma patients EXCEPT:

7. Of the drugs given for intraoperative management of traumatic brain injury, the only drug associated with an increase in mortality is:

8. A patient with a T5 spinal cord injury was referred to you for debridement of pressure ulcers of the right upper extremity. You then instituted general anesthesia for this case. Intraoperatively, you noted hypertension with bradyarrhythmia despite adequate analgesia and anesthetic depth. The next best thing to do is:

9. The following is not a feature of pericardial tamponade:

10. A patient at the ER was referred to you for intubation due to sudden loss of consciousness following a blow to the chest from a mixed martial arts tournament. He had a thready pulse when he arrived at the ER and his ECG showed a ventricular tachyarrhythmia. This patient probably has:

1. Which statement about serum calcium is true?

2. Which of the following is NOT a major calciotropic hormone?

3. The major etiology of hypermagnesemia is:

4. The vast majority of phosphate in the body (85-90%) is found in:

5. The Henderson–Hasselbalch equation relates pH to:

6. The following are consequences of severe acidemia (pH<7.2) EXCEPT:

7. Winter’s formula for expected pCO₂ in metabolic acidosis is:

8. An ABG showed a pH of 7.29, PaO2 of 93 mmHg, PaCO2 of 32 mmHg, HCO3 of 15 mEq/L, and serum electrolytes showed Na+ of 125 mEq/L, K+ of 3.2 mEq/L, and Cl- of 118 mEq/L. This means that:

9. A primary metabolic alkalosis can result from all EXCEPT:

10. In the Stewart approach, the following are determinants of pH and bicarbonate concentration EXCEPT: