Podiatric Medicine and Surgery - Part II National
Board Review Questions With Correct Answers
Describe a Mayo black. - CORRECT ANSWER✔✔-Local "ring" block of the 1st
| | | | | | | | | | | |
MTPJ.
Describe MAC anesthesia. - CORRECT ANSWER✔✔-IV sedation with a local
| | | | | | | | | |
anesthesia block. |
How does local anesthesia provide pain relief? - CORRECT ANSWER✔✔-Prevents
| | | | | | | | | |
sodium migration through the nerve membrane, which prevents depolarization
| | | | | | | | |
and causes inhibition of nerve conduction.
| | | | |
What is the basic treatment of shock? - CORRECT ANSWER✔✔-Fluids, ABCs,
| | | | | | | | | | |
monitor vitals. |
The ASA surgical risk classification system classifies "A healthy patient" as what
| | | | | | | | | | | |
class? - CORRECT ANSWER✔✔-Class 1
| | | |
List the complications associated with TQ use. - CORRECT ANSWER✔✔-Tissue
| | | | | | | | | |
necrosis, inflammation, paralysis, thrombosis, circulatory overload.
| | | | |
A contraindication to TQ use would be? - CORRECT ANSWER✔✔-Previous
| | | | | | | | | |
popliteal-dorsalis pedis bypass grafting, sickle cell disease.
| | | | | | |
,*TQ use causes low oxygen tension, which could cause cells to sickle.*
| | | | | | | | | | |
List the potential complications of endotracheal intubation. - CORRECT
| | | | | | | | |
ANSWER✔✔-Sore throat, tracheal edema, croup, laceration, pneumothorax. | | | | | |
When positioning a patient in the supine position during general anesthesia, the
| | | | | | | | | | | |
most common complication is? - CORRECT ANSWER✔✔-Ulnar nerve neuropathy.
| | | | | | | |
When positioning a patient in the prone position during general anesthesia, the
| | | | | | | | | | | |
most common complication is? - CORRECT ANSWER✔✔-Pressure on the orbit, as
| | | | | | | | | | |
well as the dorsum of the foot.
| | | | | |
During spinal anesthesia, the space in the lumbar area fo the spine into which the
| | | | | | | | | | | | | |
anesthetic is placed is the? - CORRECT ANSWER✔✔-Subarachnoid space, deep to
| | | | | | | | | | |
the dura.
| |
Complications of spinal anesthesia include? - CORRECT ANSWER✔✔-Headache,
| | | | | | | |
hypotension, cauda equina syndrome, infection. | | | |
Which stage of anesthesia is considered surgical anesthesia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Stage 3 |
There are four reflexes progressively lost in level 3 anesthesia. The third reflex lost
| | | | | | | | | | | | |
in the progression is? - CORRECT ANSWER✔✔-Thoracic musculature.
| | | | | | | |
,While performing an Austin bunionectomy under general anesthesia, you
| | | | | | | | |
overhear the anesthesiologist mention that he is administering Reglan
| | | | | | | | |
(metoclopramide). What is this for? - CORRECT ANSWER✔✔-Reduce gastric | | | | | | | | |
motility.
Pediatric hypoglycemia is extremely dangerous. Pediatric patients have a very
| | | | | | | | | |
limited amount of glycogen stores, and therefore should always have what fluid
| | | | | | | | | | | |
running their IV? - CORRECT ANSWER✔✔-D5W.
| | | | |
What are the effects of low serum calcium on the EKG? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
Wide QRS complex.
| |
What effect does Ketamine have on a patient? - CORRECT ANSWER✔✔-Amnesia
| | | | | | | | | | |
only.
Fentanyl is used as what? - CORRECT ANSWER✔✔-Narcotic analgesic.
| | | | | | | |
What drug has largely replaced sodium pentothal? - CORRECT ANSWER✔✔-
| | | | | | | | |
Diprivan (propofol). |
What is the first symptom of malignant hyperthermia? - CORRECT ANSWER✔✔-
| | | | | | | | | |
Tachycardia.
Describe the mechanism of breakdown for esters and amides. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Esters are hydrolyzed by pseudocholinesterase in plasma, while | | | | | | | |
amides are metabolized in the liver.
| | | | |
, What is the treatment for convulsions? - CORRECT ANSWER✔✔-Valium
| | | | | | | | |
(diazepam).
What is the most common cause of temperature elevation intraoperatively? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Malignant hyperthermia.
| |
What medication is used to treat malignant hyperthermia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Dantrium (dantrolene) IV. | |
What type of allergic reaction is anaphylaxis? - CORRECT ANSWER✔✔-A type 1
| | | | | | | | | | | |
IgE antibody mediated hypersensitivity reaction, seen immediately.
| | | | | |
What are early signs of anaphylaxis? - CORRECT ANSWER✔✔-Flush, difficulty in
| | | | | | | | | | |
breathing, wheezing, stridor, laryngeal edema.
| | | |
What is the treatment for anaphylaxis? - CORRECT ANSWER✔✔-Epinephrine 0.3-
| | | | | | | | |
0.5 mL SQ of a 1:1000 solution, along with antihistamines.
| | | | | | | | |
Describe the MOA of local anesthetics. - CORRECT ANSWER✔✔-Local anesthetics
| | | | | | | | | |
prevent conduction of the nerve by decreasing sodium permeability, thus
| | | | | | | | | |
increasing the excitation threshold.
| | |
What is the toxic dose of Xylocaine (lidocaine) 1% plain? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
300 mg (30 mL)
| | |
Board Review Questions With Correct Answers
Describe a Mayo black. - CORRECT ANSWER✔✔-Local "ring" block of the 1st
| | | | | | | | | | | |
MTPJ.
Describe MAC anesthesia. - CORRECT ANSWER✔✔-IV sedation with a local
| | | | | | | | | |
anesthesia block. |
How does local anesthesia provide pain relief? - CORRECT ANSWER✔✔-Prevents
| | | | | | | | | |
sodium migration through the nerve membrane, which prevents depolarization
| | | | | | | | |
and causes inhibition of nerve conduction.
| | | | |
What is the basic treatment of shock? - CORRECT ANSWER✔✔-Fluids, ABCs,
| | | | | | | | | | |
monitor vitals. |
The ASA surgical risk classification system classifies "A healthy patient" as what
| | | | | | | | | | | |
class? - CORRECT ANSWER✔✔-Class 1
| | | |
List the complications associated with TQ use. - CORRECT ANSWER✔✔-Tissue
| | | | | | | | | |
necrosis, inflammation, paralysis, thrombosis, circulatory overload.
| | | | |
A contraindication to TQ use would be? - CORRECT ANSWER✔✔-Previous
| | | | | | | | | |
popliteal-dorsalis pedis bypass grafting, sickle cell disease.
| | | | | | |
,*TQ use causes low oxygen tension, which could cause cells to sickle.*
| | | | | | | | | | |
List the potential complications of endotracheal intubation. - CORRECT
| | | | | | | | |
ANSWER✔✔-Sore throat, tracheal edema, croup, laceration, pneumothorax. | | | | | |
When positioning a patient in the supine position during general anesthesia, the
| | | | | | | | | | | |
most common complication is? - CORRECT ANSWER✔✔-Ulnar nerve neuropathy.
| | | | | | | |
When positioning a patient in the prone position during general anesthesia, the
| | | | | | | | | | | |
most common complication is? - CORRECT ANSWER✔✔-Pressure on the orbit, as
| | | | | | | | | | |
well as the dorsum of the foot.
| | | | | |
During spinal anesthesia, the space in the lumbar area fo the spine into which the
| | | | | | | | | | | | | |
anesthetic is placed is the? - CORRECT ANSWER✔✔-Subarachnoid space, deep to
| | | | | | | | | | |
the dura.
| |
Complications of spinal anesthesia include? - CORRECT ANSWER✔✔-Headache,
| | | | | | | |
hypotension, cauda equina syndrome, infection. | | | |
Which stage of anesthesia is considered surgical anesthesia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Stage 3 |
There are four reflexes progressively lost in level 3 anesthesia. The third reflex lost
| | | | | | | | | | | | |
in the progression is? - CORRECT ANSWER✔✔-Thoracic musculature.
| | | | | | | |
,While performing an Austin bunionectomy under general anesthesia, you
| | | | | | | | |
overhear the anesthesiologist mention that he is administering Reglan
| | | | | | | | |
(metoclopramide). What is this for? - CORRECT ANSWER✔✔-Reduce gastric | | | | | | | | |
motility.
Pediatric hypoglycemia is extremely dangerous. Pediatric patients have a very
| | | | | | | | | |
limited amount of glycogen stores, and therefore should always have what fluid
| | | | | | | | | | | |
running their IV? - CORRECT ANSWER✔✔-D5W.
| | | | |
What are the effects of low serum calcium on the EKG? - CORRECT ANSWER✔✔-
| | | | | | | | | | | | |
Wide QRS complex.
| |
What effect does Ketamine have on a patient? - CORRECT ANSWER✔✔-Amnesia
| | | | | | | | | | |
only.
Fentanyl is used as what? - CORRECT ANSWER✔✔-Narcotic analgesic.
| | | | | | | |
What drug has largely replaced sodium pentothal? - CORRECT ANSWER✔✔-
| | | | | | | | |
Diprivan (propofol). |
What is the first symptom of malignant hyperthermia? - CORRECT ANSWER✔✔-
| | | | | | | | | |
Tachycardia.
Describe the mechanism of breakdown for esters and amides. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-Esters are hydrolyzed by pseudocholinesterase in plasma, while | | | | | | | |
amides are metabolized in the liver.
| | | | |
, What is the treatment for convulsions? - CORRECT ANSWER✔✔-Valium
| | | | | | | | |
(diazepam).
What is the most common cause of temperature elevation intraoperatively? -
| | | | | | | | | | |
CORRECT ANSWER✔✔-Malignant hyperthermia.
| |
What medication is used to treat malignant hyperthermia? - CORRECT
| | | | | | | | | |
ANSWER✔✔-Dantrium (dantrolene) IV. | |
What type of allergic reaction is anaphylaxis? - CORRECT ANSWER✔✔-A type 1
| | | | | | | | | | | |
IgE antibody mediated hypersensitivity reaction, seen immediately.
| | | | | |
What are early signs of anaphylaxis? - CORRECT ANSWER✔✔-Flush, difficulty in
| | | | | | | | | | |
breathing, wheezing, stridor, laryngeal edema.
| | | |
What is the treatment for anaphylaxis? - CORRECT ANSWER✔✔-Epinephrine 0.3-
| | | | | | | | |
0.5 mL SQ of a 1:1000 solution, along with antihistamines.
| | | | | | | | |
Describe the MOA of local anesthetics. - CORRECT ANSWER✔✔-Local anesthetics
| | | | | | | | | |
prevent conduction of the nerve by decreasing sodium permeability, thus
| | | | | | | | | |
increasing the excitation threshold.
| | |
What is the toxic dose of Xylocaine (lidocaine) 1% plain? - CORRECT ANSWER✔✔-
| | | | | | | | | | | |
300 mg (30 mL)
| | |
