QSP EXAM 2LATEST VERFSION A&B 2024
COMPLETE 100 QUESTIONS AND
CORRECT DETAILED (VERIFIED) ANSWERS
ALREADY GRADED A+
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has some
hemoptysis. What is your next step in his management?
A. Awake Fibrotic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after tropicalizing with local anesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue x-ray of the neck
A 60 year old man with normal LV function is having coronary artery bypass grafting.
After separation from the bypass machine he becomes hypotensive with ST elevation in
leads II and if. The Swan Gang Catheter showed a PCWP of 25 and CVP of 15 with
normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypo kinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole
What is the test is decreased in Iron deficiency anemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
,20 yr. old male presents to ED with 30% burns from a fire. His approx weight is 80kg.
Based on the Parkland formula, how much fluid is required in the first 8hrs from time of
injury?
A. 2.4L N/S
B. 3.6L N/S
C. 3.6L Hartmann's
D. 4.8L N/S
E. 4.8L CSL
In regards to systemic sclerosis, what is the least likely cardiac manifestation?
A. accelerated coronary artery disease
B. atrioventricular conduction block
C. myocarditis
D. pericardial effusion
E. alular regurgitation
The reason that desflurane requires a heated vapor chamber can be best explained by
its:
A. Low saturated vapor pressure
B. High saturated vapor pressure
C. High boiling point
D. Low molecular weight
E. Very low solubility
A 30 year old lady has a vaginal forceps delivery without neuraxial blockade. The next
day she is noted to have loss of sensation over the anteriolateral aspect of her left thigh.
There are NO motor symptoms. The is best explained by damage to the left sided:
A. Lumbosacral trunk
B. Lateral cutaneous nerve of the thigh
C. Pudenda nerve
, D. L2/3 Nerve root
E. Sciatic nerve
A healthy 20 year old patient undergoing nasal surgery under general anesthesia has
the nose packed with gauze soaked in 0.5% phenylephrine and a sub mucosal injection
of lignocaine with 1:100,000 adrenaline. Over the next 10 minutes the blood pressure
rises from 130/80 to 220/120 mmHg and the heart rate from 60 to 100 beats per minute.
The LEAST appropriate management of this situation would be to
A. administer glycerol triturate
B. administer small
C. administer labetalol
D. administer sodium nitroprusside
E. deepen anesthesia with isoflurane
An 8 year old 30kg girl presents for resection of a Wilma tumor. Her starting hematocrit
is 35% and you decide that your trigger for transfusion will be 25%. The amount of
blood that she will need to lose prior to transfusion is
A. 400mL
B. 500mL
C. 600mL
D. 700mL
E. 800mL
An adult male preoperatively complains of pain similar to his angina. Initial treatment is
all below except:
A. Aspirin
B. heparin
C. morphine
D. nitrates
E. oxygen
COMPLETE 100 QUESTIONS AND
CORRECT DETAILED (VERIFIED) ANSWERS
ALREADY GRADED A+
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has some
hemoptysis. What is your next step in his management?
A. Awake Fibrotic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after tropicalizing with local anesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue x-ray of the neck
A 60 year old man with normal LV function is having coronary artery bypass grafting.
After separation from the bypass machine he becomes hypotensive with ST elevation in
leads II and if. The Swan Gang Catheter showed a PCWP of 25 and CVP of 15 with
normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypo kinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole
What is the test is decreased in Iron deficiency anemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
,20 yr. old male presents to ED with 30% burns from a fire. His approx weight is 80kg.
Based on the Parkland formula, how much fluid is required in the first 8hrs from time of
injury?
A. 2.4L N/S
B. 3.6L N/S
C. 3.6L Hartmann's
D. 4.8L N/S
E. 4.8L CSL
In regards to systemic sclerosis, what is the least likely cardiac manifestation?
A. accelerated coronary artery disease
B. atrioventricular conduction block
C. myocarditis
D. pericardial effusion
E. alular regurgitation
The reason that desflurane requires a heated vapor chamber can be best explained by
its:
A. Low saturated vapor pressure
B. High saturated vapor pressure
C. High boiling point
D. Low molecular weight
E. Very low solubility
A 30 year old lady has a vaginal forceps delivery without neuraxial blockade. The next
day she is noted to have loss of sensation over the anteriolateral aspect of her left thigh.
There are NO motor symptoms. The is best explained by damage to the left sided:
A. Lumbosacral trunk
B. Lateral cutaneous nerve of the thigh
C. Pudenda nerve
, D. L2/3 Nerve root
E. Sciatic nerve
A healthy 20 year old patient undergoing nasal surgery under general anesthesia has
the nose packed with gauze soaked in 0.5% phenylephrine and a sub mucosal injection
of lignocaine with 1:100,000 adrenaline. Over the next 10 minutes the blood pressure
rises from 130/80 to 220/120 mmHg and the heart rate from 60 to 100 beats per minute.
The LEAST appropriate management of this situation would be to
A. administer glycerol triturate
B. administer small
C. administer labetalol
D. administer sodium nitroprusside
E. deepen anesthesia with isoflurane
An 8 year old 30kg girl presents for resection of a Wilma tumor. Her starting hematocrit
is 35% and you decide that your trigger for transfusion will be 25%. The amount of
blood that she will need to lose prior to transfusion is
A. 400mL
B. 500mL
C. 600mL
D. 700mL
E. 800mL
An adult male preoperatively complains of pain similar to his angina. Initial treatment is
all below except:
A. Aspirin
B. heparin
C. morphine
D. nitrates
E. oxygen
