By Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe
Why waste time guessing at what you want to recognize for anesthesia in-service and board examination? Maximize your examination training time with this quick-hit query and resolution overview. the original query and single-answer structure removes the guesswork linked to conventional multiple-choice Q&A stories and reinforces basically the proper solutions you will need to grasp on examination day. Emphasis is put on distilling key evidence and scientific pearls crucial for examination luck. This high-yield assessment is ideal for severe, streamlined overview within the days and weeks earlier than your examination.
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Extra resources for Anesthesiology board review
The high serum catecholamine levels in this disorder cause increased glycogenolysis, and gluconeogenesis and decreased insulin secretion. With removal of the tumor, rapid decrease in catecholamine levels can result in marked hypoglycemia. A thyroidectomy patient in the PACU is having respiratory distress. What is your differential diagnosis? Vocal cord dysfunction from recurrent laryngeal nerve damage, cervical hematoma with airway compression, tracheomalacia and pneumothorax. A patient is to have lower extremity revascularization surgery.
They are clinically indistinguishable. Both are equally life threatening and can result in major cardiovascular, pulmonary, and dermatologic responses. What lab test can aid in making the diagnosis of allergic reaction in the OR? Serum tryptase. Tryptase is found in the mast cell along with histamine and has a half life of 2-3 hrs aiding in diagnosis. Which classes of anesthetic drugs are most likely responsible for allergic reactions intraoperatively? 1% 8% Why do muscle relaxants so frequently result in anaphylaxis and allergic reactions?
Diagnosis? Echothiophate inactivates plasma cholinesterase, thus prolonging the duration of action of succinylcholine. A patient develops a fever during hernia repair under general anesthesia. He was exposed to succinylcholine, atropine, fentanyl, midazolam, propofol, isoflurane, nitrous oxide and oxygen. What is the most likely diagnosis? Malignant hyperthermia until proven otherwise. An increase in end-tidal CO2 and unexplained tachycardia is usually the first sign. In children, in the face of normocarbia, a rise in temperature is most likely due to the anticholinergenic effect of atropine on sweat glands or overbundling.