Critical Care
Critical Care David Stahl, Daniel Johnson, and Edward Bittner 1. A 78-year-old otherwise-healthy woman arrives in the postanesthesia care unit after an urgent cystoscopy and ureteral stent placement for an impacted…
ANESTHESIA
Orthopedic Anesthesia
Orthopedic Anesthesia Thomas Halaszynski 1. The surgeon is performing a right total knee arthroplasty under a combined spinal–epidural anesthetic. The surgical team is providing you with information that within the next…
Fluid Management and Blood Transfusion
Fluid Management and Blood Transfusion Rebecca Kalman and Edward Bittner 1. All of the following are signs of dehydration, except A. Progressive metabolic acidosis B. Urinary specific gravity > 1.010 C. Urine osmolality <…
Pain Management
Pain Management Thomas Halaszynski 1. At what time frame following the postsurgical period does persistent postsurgical pain become defined as being “chronic pain”? A. 1 to 2 weeks B. 3 to 4 weeks…
Spinal and Epidural Anesthesia
Spinal and Epidural Anesthesia Thomas Halaszynski 1. A spinal neuraxial anesthetic was given 20 minutes earlier to a 28-year-old G3P2 parturient scheduled for repeat cesarean section. Alcohol swab exam revealed that…
Anesthetic Pharmacology
Anesthetic Pharmacology Mian Ahmad and Ashish Sinha 1. Correct statement about metabolism of drugs by the liver is A. For drugs with low extraction ratio, liver blood flow is the rate-limiting step…
Peripheral Nerve Blocks
Peripheral Nerve Blocks Thomas Halaszynski 1. An 85-year-old male is scheduled for a right distal radius and ulnar open reduction interior fixation at the wrist. Medical history is significant for chronic…
Neurosurgical and neurological disease in pregnancy
Figure 22.1 The pituitary. Lesions of the pituitary Mass lesions are usually primary adenomas of the anterior pituitary and stalk that may be secretory or non-secretory, and are either large…
Obesity and ultrasonography for central neuraxial blocks
Figure 18.1 Parasagittal (oblique) view. The laminae (L) form a ‘saw-tooth’ pattern. Figure 18.2 Parasagittal (oblique) view of L5–S1 junction. Figure 18.3 Transverse (interlaminar) view of the lumbar spine. Figure…
Haematologic disease in pregnancy
Figure 21.1 TEG graph and annotation. The reaction time (R-time) depicts the time for fibrin strands to form. It is decreased in hypercoagulable states such as pregnancy. A prolonged R-time…
