ANESTHESIOLOGY (ABA) ORAL BOARDS QUESTIONS AND CORRECT VERIFIED ANSWERS

ANESTHESIOLOGY (ABA) ORAL BOARDS
QUESTIONS AND CORRECT VERIFIED
ANSWERS
MH:A2TreatmentA2-A2Ans--1.A2D/cA2triggeringA2agents
2.A2CallA2forA2help
3.A2100%A2FiO2;A2highA2flow;A2hyperventilate
4.A2Dantrolene:A22.5A2mg/kgA2IVA2everyA25A2minA2toA2maxA210A2mg/
kgA2orA2untilA2symptomsA2subside
5.A2CollectA2labs:A2bloodA2gases,A2electrolytes,A2calcium,A2LFT's,A2CK
6.A2TreatA2hyperkalemia:A2hyperventilate,A2dextroseA2+A2insulin
7.A2ActiveA2cooling:A2iceA2toA2groinA2andA2axilla,A2iceA2lavageA2ofA2stomach
8.A2MaintainA2>2A2ml/kg/
hrA2urineA2outputA2withA2fluids,A2lasixA2andA2mannitol;A2insertA2foley

HypothermiaA2-A2Ans--<35A2degreesA2celsius:A2plateletA2dysfunction
<33A2degreesA2celsius:A2decreasedA2synthesisA2ofA2clottingA2factors
<30A2degreesA2celsius:A2arrhythmias

TetA2Spell:A2TreatmentA2ofA2OutflowA2ObstructionA2ofA2HeartA2-A2Ans--
BetaA2blockersA2(esmolol,A2propranolol,A2inhalationalA2agents)
PhenylephrineA2toA2increaseA2SVR
IncreaseA2venousA2returnA2(push/liftA2legsA2toA2chest)

Wheezing-DifferentialA2DiagnosisA2-A2Ans--KinkedA2ETA2tubeA2(mostA2common)
EndobronchialA2intubation
PulmonaryA2edema
LeftA2heartA2failure
AmnioticA2fluidA2embolism
Bronchospasm
Aspiration
Thrombo-embolicA2phenomenon

*!NotA2allA2wheezingA2isA2asthma!*

NerveA2BlocksA2forA2AwakeA2FOIA2-A2Ans--*GlossopharyngealA2Nerve*
ProvidesA2sensoryA2innervationA2toA2theA2posteriorA2thirdA2ofA2theA2tongue,A2theA2vallecul
a,A2theA2anteriorA2surfaceA2ofA2theA2epiglottisA2(lingualA2branch),A2theA2wallsA2ofA2theA2pha
rynxA2(pharyngealA2branch),A2andA2theA2tonsilsA2(tonsillarA2branch).
*BlockA2Method*:A2ItA2canA2beA2blockedA2usingA2oneA2ofA2threeA2methods:A2topicalA2spray
A2application,A2directA2mucosalA2contactA2ofA2soakedA2pledgets,A2orA2directA2infiltrationA2b
yA2injection.

, *SuperiorA2LaryngealA2Nerve*
InnervatesA2theA2baseA2ofA2theA2tongue,A2posteriorA2surfaceA2ofA2theA2epiglottis,A2aryepigl
otticA2fold,A2andA2theA2arytenoids.
*BlockA2method*:DirectA2infiltrationA2isA2accomplishedA2atA2theA2levelA2ofA2theA2thyrohyoid
A2membraneA2inferiorA2toA2theA2cornuA2ofA2theA2hyoidA2bone.A2AA2reliableA2blockA2withA2aA2
definiteA2endpointA2isA2effectedA2byA2retractingA2theA2needleA2marginallyA2afterA2contactin
gA2theA2greaterA2cornuA2andA2injectingA22mLA2ofA2localA2anestheticA2afterA2negativeA2aspir
ation.A2LessA2invasiveA2blockadeA2canA2beA2accomplishedA2byA2placingA2anesthetic-
soakedA2cottonA2pledgetsA2intoA2theA2pyriformfossaeA2bilaterally.

*RecurrentA2LaryngealA2Nerve*
ProvidesA2sensoryA2innervationA2toA2theA2tracheaA2andA2vocalA2folds.A2
*BlockA2method*:A2trans-tracheal

Pre-Eclampsia:A2SystemicA2EffectsA2-A2Ans--*Neuro*
Stroke,A2bleed,A2seizure

*Airway/Resp*
EdemaA2(manifestingA2asA2voiceA2change)
PulmonaryA2edemaA2(endothelialA2dysfunction)
DecreasedA2FRC

*Cardiac*
VolumeA2depleted,A2increasedA2SVR

PulmonaryA2FunctionA2TestA2-A2Ans--NormalA2Values:

*FEV1*
80-120%
*FVC*
80-120%

TheA2testA2isA2interpretedA2asA2withinA2normalA2limitsA2ifA2bothA2theA2VCA2andA2theA2FEV1/
VCA2ratioA2areA2inA2theA2normalA2ranges.

*OBSTRUCTIVEA2ABNORMALITY*
TheA2testA2isA2interpretedA2asA2showingA2obstructiveA2abnormalityA2whenA2theA2FEV1/
VCA2ratioA2isA2belowA2theA2normalA2range.A2TheA2severityA2ofA2theA2abnormalityA2mightA2b
eA2gradedA2asA2follows:

*Mild*:A2
PredictedA2FEV1A2<100%A2andA2≥70%
*Moderate*:A2
PredictedA2FEV1A2<70%A2andA2≥60%
*ModeratelyA2severe*:A2
PredictedA2FEV1A2<60%A2andA2≥50%