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Analgesia includes:
a) Muscle relaxation
b) Lack of pain sensation
c) Supressed counsiousness d) Lack of tactile sensation
e) Lack of thermal sensation
b. 1:50
c. 1:100
d. 1:200
e. 1:400
(SA) 11. In the list below the most potent systemic analgesic is:
a. Morphine
b. Codeine c. Fentanyl
d. Promedolum e. Omnoponum
(SA) 14. Which of the followin statements concerning barbiturates is not correct?
a. Hypnotic doses causes a transitory pulmonary hypoventilation
b. High doses can lead to miocardium depression c. Decrease muscular tonus
d. Increase respiratory minute volume e. Cause sedation
(SA) 26. Why for EKG monitoring during anesthesia usually is being used the II-nd
lead of EKG?
a. Does not rquire grounding
b. Better shows the ventricular (QRS) complex c. Better shows the P wave
d. The electrode position is left arm - left leg e. Technically is easier to be performed
(MA) 27. The following statements concerning the intervertebral disk(s) are correct:
a. Can be damaged by the needle for spinal anesthesia
(SA) 29. The drug of choice in treating convulsion after a local anesthetic overdose:
a. Droperidolum b. Diazepamum c. Fentanyl
d. Ketamine
e. Nitroglycerin
(MA) 32. Epinefrine (adrenaline) is added the local anesthesic solution because
provide the following advantages:
a. Increase in the anesthesia block length
b. Decrease the systemic absorbtion of the anesthetic c. Decrease the hemorhage
during the operation
d. Increase anesthesia risk
e. Facilitate the detection of intravascular injection of the anesthetic
(MA) 33. The gas blend exhaled by the anesthetised patient is partially or totally reinhaled in:
a. Open anesthesia circuit
b. Semi-open anesthesia circuit
c. Semi-closed anesthesia circuit d. Closed anesthesia circuit
e. All listed above
(SA) 34. Dillutional hypoxia can happen during inhalation anesthesia with:
a. Diethyl Ether
b. Halotane
c. Nitrous Oxyde d. Isoflurane
e. Sevoflurane
(MA) 44. The following statements concerning Nitrous oxide are correct:
a. Can be used as sole anesthetic (monoanesthesia)
b. The effect develops slowly c. Cause airways irritation
d. Provide analgesia e. Provide hypnosys
(MA) 45. The following anesthetics can be used for anesthesia induction:
a. Halotane b. Isoflurane
c. Sevoflurane
d. Nitrous oxide e. Propofol
(SA)1. Relation Higher end dyastolic volume higher stroke (systolic) volume is
known
as:
a. Frank-Starling law (mechanism)
b. Otto Frank law
c. Starling-Pappenheimer-Staverman law d. Laplace law
e. Hilton law
e. >20 mmHg
(SA)45. By W. Shoemaker, the optimal CVP value for a ventricle with normal
compliance is:
a. 14-16 mmHg
b. 8-10 mmHg c. <6 mmHg
d. >20 mmHg e. >25 mmHg
(SA) 5. By W. Shoemaker, the maximum (accepted) CVP value for a ventricle with
normal compliance is:
(SA) 7. The optimal PCWP (Pulmonary Capillary Wedge Pressure) for a healthy heart
is :
a. <12 mmHg
b. >20 mmHg
c. 18-20 mmHg d. 6-10 mmHg e. 12-16 mmHg
(SA) 8. In a patient with increased systemic vascular resistance and high blood
pressure the drug of choice is:
a. Vasodilator
b. Vasopressor c. Diuretic
d. Adrenergic Beta-blocker e. Fluids
(MA) 14. Cardiac failure with an elevated cardiac output can be present in:
a. Chronic anemia
b. Arteriovenous fistula
c. Acute myocardial infarction d. Hypercapnia
e. Hyperthyroidism
(MA) 15. The most coomon causes of left ventricle failure include:
a. Acute myocardial infarction
b. Aortic dissection c. Air embolisation
d. Mitral valve insufficiency e. Aortic valve stenosis
(MA) 16. The most coomon causes of right ventricle failure include:
a. Aortic valve stenosis
b. Thrombus pulmonary embolism c. Air embolization
d. Amniotic fluid embolization
e. Mechanical ventilation with excessive positive pressure
(MA) 17. The most common causes of global cardiac failure are:
a. Hypervolemia
b. Arrhythmia (Ventricular tachycardia , 3rd degree AV block)
c. Myocarditis
d. Hypertrophic and dilated cardiomyopathy e. Cardiac tamponade
(MA) 18. Dyastolic acute cardiac failure can develop through following mechanisms:
a. External compression
b. Increased myocardium stiffness c. Interventricular interference
(CM) 20. Dyastolic cardiac failure by ventricular interference can be produced by:
a. Massive myocardial infarction with involvement of interventricular septum
b. Pulmonary hypertension
c. Mitral valve insufficiency
d. Artificial lung ventilation with excessive PEEP
e. Tricuspidal valve insufficiency
b. Afterload
c. Heart rate and rithm d. Contractility
e. Tidal volume
(MA) 26. Concerning the relation between Heart Rate (HR) and Cardiac Output (CO):
a. In a healthy heart the maximal CO is acheived at a HR of 140 bpm
(MA) 28. In a hypotensive patient (BP= 80/65 mmHg, BPmed= 75 mmHg), with a
heart rate of 110 bpm, warm skin and delyed capillary refill there is:
a. Increased cardiac output
b. Low cardiac output
c. Decreased systemic vascular resistance d. Increased systemic vascular
resistance e. High stroke volume
(MA) 32. In a patent with cardiac failure with arterial hypotension or low systemic
vascular resistance are to be administered vasopressors. The target values for
Systolic Arterial Pressure (SAP) and Systemic Vascular Resistance (SVR) will be:
a. SAP = 70 mmHg
b. SAP = 100 mmHg
c. SVR >2400 dynescm-5/m2 d. SVR >1600 dynescm-5/m2 e. SAP > 140
mmHg
(SA)1 . T h e a n t e r i o r e d g e o f E p i g l o t t i s b i n d s t o :
a. T h yr o i d c a r t i l a g e
b. C r yc o i d c a r t i l a g e c. V o c a l c o r d s
d. A r yt e n o i d c a r t i l a g e
e. C o r n i c u l a t e - c u n e i p h o r m e c a r t i l a g e s
(SA) 2 . N o n - r e s p i r a t o r y f u n c t i o n s o f t h e l u n g a r e :
a.
Bloodfilter
b.
Participationtotheacid-basebalance
c.
Participationtothehydro-ionicbalance
d.
ConversionoftheangiotensineItoangiotensine II
e.
Alllistedabove
(SA) 3. P a O 2 / F i O 2 r a t i o i n A R D S :
a. < 5 0 0
b. < 3 0 0 c. < 2 0 0 d. > 2 0 0 e. > 3 0 0
(SA) 5. P a O 2 i s t h e a c r o n i m e f o r :
a. O x y g e n s a t u r a t i o n o f t h e a r t e r i a l b l o o d
b. Pa r t i a l p r e s s u r e o f O 2 i n a r t e r i a l b l o o d c. O 2 c o n t e n t i n a r
terialblood
d. Fraction of inspired O2
e. P a r t i a l p r e s s u r e o f O 2 i n v e n o u s b l o o d
(MA) 6. C o d i t i o n s t h a t c a n l e a d t o A R D S a r e :
a. P u l m o n a r y c o n t u s i o n
b. S e p s i s
c. P l e u r i t i s
d. S h o c k s a t a t e s
e. P n e u m o n i a
(SA) 7. F i O 2 i s t h e a c r o n y m f o r :
a. O x y g e n s a t u r a t i o n o f t h e a r t e r i a l b l o o d
b. P a r t i a l p r e s s u r e o f O 2 i n a r t e r i a l b l o o d c. O 2 c o n t e n t i n a r
terialblood
d. Fraction of inspired O2
e. P a r t i a l p r e s s u r e o f O 2 i n v e n o u s b l o o d
(SA)9.NormalrangeforPaO2is:
a. 95 - 1 0 0 m m H g b. 85 - 9 0 m m H g c. 75 - 8 0 m m H g d. 65 - 7 0 m m H g
e. < 6 0 m m H g
10. ( S A ) R e s p i r a t o r y c e n t e r i s l o c a t e d i n :
a. C e r e b r a l c o r t e x
b. H yp o t h a l a m u s c. C e r e b e l l u m
d. B r a i n s t e m e. S p i n a l c o r d
(SA)11.Inhypoventilationitcanbefound:
a. H yp o c a p n i a
b. R e s p i r a t o r y a c i d o s i s c. R e s p i r a t o r y a l c a l o s i s d. M e t a b o
licacidosis
e. I n r e a s e d t i d a l v o l u m e
(MA)12.Respiratorycompensationmechanisminmetabol
icacidosiscaninclude:
a. D e c r e a s e i n P a C O 2
b. I n c e r a s e i n P a C O 2
c. I n c e r a s e d r e s p i r a t o r y r a t e d. D e c r e a s e d r e s p i r a t o r y r a t
e e. A l l l i s t e d a b o v e
( M A ) 13 . H y p e r c a p n i a i s a c o n s e q u e n c e o f :
a. A l v e o l a r h yp e r v e n t i l a t i o n
b. A l v e o l a r h yp o v e n t i l a t i o n c. I n c r e a s e i n d e a d s p a c e
d. I n c r e a s e d O 2 c o n c e n t r a t i o n i n b r e a t i n g a i r
e. I n c r e a s e d C O 2 c o n c e n t r a t i o n i n t h e i n h a l e d b l e n d
(reinhalation)
( M A ) 14 . A d v a n t a g e s o f m e c h a n i c a l v e n t i l a t i o n a r e :
a. K e e p i n g O 2 a n d C O 2 v a l u e s i n a r t e r i a l b l o o d i n t h e n o r m a l
lrange
b. D e c r e a s e w o r k o f b r e a t h i n g c. D e c r e a s e v e n o u s r e t u r n
d. D e c r e a s e O 2 c o n s u m p t i o n e. I n c r e a s e v e n o u s r e t u r n
( M A ) 15 . O b j e c t i v e s f o r t r a c h e a l i n t u b a t i o n a r e :
a. T o p e r f o r m e m e c h a n i c a l v e n t i l a t i o n
b. S e c u r i n g a i r w a ys
c. P e r f o r m i n g e x t r a c o r p o r e a l o x y g e n a t i o n
d. D e l i v e r yn g h i g h O 2 c o n c e n t r a t i o n t o t h e p a t i e n t e. T o p r e
ventairwayobstruction
( M A ) 16 . C a u s e s o f h y p o x e m i a a r e :
a. Re d u c e d O 2 c o n c e n t r a t i o n i n t h e i n h a l e d a i r
b. V e n t i l a t i o n - p e r f u s i o n m i s m a t c h i n g c. R i g h t t o l e f t b l o o
dshunting
d. I m p a i r e d d i f f u s i o n t r o u h g a l v e o l a r - c a p i l l a r y m e m b r a n
e e. D e c r a e s e d O 2 c o n s u m p t i o n a t t h e t i s s u e l e v e l
(MA) 19. Criteria for weaning the patient from ventilator include:
a. P a O 2 > 7 0 m m H g o n F i O 2 < 0 , 4
b. P a C O 2 > 6 0 m m H g
c. S a O 2 > 9 5 % o n F i O 2 < 0 , 4 . d. P a O 2 / F i O 2 > 2 0 0 .
e. I m p r o v e m m e n t o n X - r a y e x a m i n a t i o n
a. Ringers solution
b. Ringers lactate solution (Hartmanns)
c. Normal Saline
d. Hydroxyethyl starch
e. 10% Glucose solution
Shock states
(SA)2. The drug of choice for treating the hypotension in septic shock is:
a. Epinephrine (Adrenalin)
b. Norepinephrine (Noradrenalin)
c. Mezaton
d. Dobutamine e. Vasopresine
(SA)3. The drug of choice for incereasing myocardial contractility in a septic schock
patient with compromised contractility will be:
a. Mezaton
b. Naoradrenaline c. Dobutamine
d. Izoprenaline e. Adrenaline
(MA)4. Drugs for Septic shock treatment include:
a. Normal saline
b. Dobutamine
c. Noradrenaline d. Hydrocortisone e. Nitroglycerine
(CS)5. The target hemoglobin concentration in septic shock treatment should be:
a. > 60 g/l
b. > 70 g/l c. > 80 g/l d. > 90 g/l e. > 100 g/l
7,4
b.
7,35
c.
7,3
d.
7,2
e.
7,10
(MA)7. Resuscitation goals for the first 6hrs of the septic shock resuscitation include:
a. CVP 8-12 mmHg
b. SvO2 (sperior vena vena cava) or mixed 70%
c. Mean arterial pressure 65 mm Hg
d. Urine output 0,5 ml/kg/hr
(SA)8. The drug of choice for the correction of hypotension (SBP < 70-80 mmHg) in
cardiogenic shock is:
a. Adrenaline
b. Mezaton
c. Dopamine
d. Dobutamine
e. Noradrenaline
(MA)9. For the treatment of cardiogenic shock in a patent with acute myocardial
infarction can be used the following drugs
a. Fentanyl
b. Nitroglycerine c. Noradrenaline d. Dopamine
e. Dobutamine
a. Generalized vasoplegia
b. Bronchospasm
c. Increased capillary permeability d. Hipervolemia
e. High cardiac output
Coma states
1.(SA) Which of the following drugs is used for treatin convulsions caused by a local
anesthetic:
a. Droperidol
b. Diazepam c. Fentanyl d. Ketamine e. Propofol
a. Cardiopulmonary resuscitation
b. Cerebral contusion
c. Transient ischemic attack d. Hemorrhagic stroke
e. Hypoalbuminemia
8.(MA) Which of the following increases Cerebral Blood Flow (CBF) and Intracranial
Pressure (ICP):
a. Hyperventilation
b. Hypoxemia c. Convulsions d. Hypercapnia
e. Hypothhermia
9.(MA) Which of the following decreases Cerebral Blood Flow (CBF) and Intracranial
Pressure (ICP):
a. Analgesia and sedation b. Hyperthermia
c. Positive end expiratory pressure (PEEP)
d. Respiratory alcalosis e. Acidosis