Anesthesiology board review by Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe PDF

By Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe

Why waste time guessing at what you must comprehend for anesthesia in-service and board examination? Maximize your examination guidance time with this quick-hit query and solution overview. the original query and single-answer layout gets rid of the guesswork linked to conventional multiple-choice Q&A studies and reinforces in basic terms the right kind solutions you will have to understand on examination day. Emphasis is put on distilling key proof and scientific pearls crucial for examination luck. This high-yield overview is ideal for severe, streamlined evaluation within the days and weeks sooner than your examination.

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What are the relevant positioning concerns? Typically the patient would be in lithotomy position with arms placed outstretched on arm boards. Care must be exercised to avoid arm adduction beyond 90 degrees, which may be exacerbated in steep Trendelenburg. The patient’s head should be in a neutral position. Turning it to one side causes the brachial plexus on the contralateral side to be stretched. Flexion of the arms at the elbow will tend to relieve tension on the brachial plexus. 34 ANESTHESIOLOGY BOARD REVIEW  During diagnostic laparoscopy for primary infertility, the patient suddenly develops hypotension, hypoxemia, and then arrests.

AUTONOMIC PHARMACOLOGY AND PHYSIOLOGY If winning isn’t everything, why do they keep score? Vince Lombardi  A patient using echothiophate drops for treatment of glaucoma is scheduled for an emergency appendectomy. She was slow to recover muscle strength following succinylcholine. 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.

Correction of asphyxia and hypothermia.  What are the indications for intubation and ventilation after near drowning? Apnea, pulselessness, altered mental status, severe hypoxemia and respiratory acidosis. 42  ANESTHESIOLOGY BOARD REVIEW What is the major complication of a double lumen tube for independent lung ventilation? Malpositioning. The tube may be too deep, not deep enough, or have entered the wrong side resulting in loss of lung separation and potentially hypoxemia.  1. 2. 3. 4.  What are the major cardiovascular causes of hemoptysis?

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