ABA ORAL BOARDS, Oral Boards continued,
Oral Boards, slinden33_Anesthesiology (ABA)
Oral Boards, Anesthesia Oral Boards, Oral
Boards Patients Latest Update 2024-2025 Actual
Exam from Credible Source with 385 Questions
and 100% Verified Detailed Correct Answers
Guaranteed A+ Approved by Professor
#1 Cause of morbidity and mortality with cerebral aneurysm's - CORRECT ANSWER:
Postoperative vasospasm
6 H's, 5 T's of ACLS - CORRECT ANSWER: Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hyper-/hypokalemia
Hypoglycemia
Hypothermia
Toxins (cocaine, overdose on meds, etc)
Tamponade(cardiac)
Tension pneumothorax
Thrombosis (ACS, PE)
Trauma
Acromegaly/Gigantism diagnosis - CORRECT ANSWER: Measurement of IGF-I, GH,
and oral glucose tolerance test
Adductor Canal Nerve Block - CORRECT ANSWER:
,Advantages of an awake CEA?
Disadvantages of an awake CEA? - CORRECT ANSWER: Advantages of an awake
patient: The most effective in detecting ischemic episodes, less post-op hypertension
when done under field block, easy post-op neurologic exam.
Disadvantages of an awake patient: Requires very cooperative patient. Patient may
panic, while draped in sterile field if he/she becomes aphasic or hemiplegic
intraoperatively, and could require immediate GA and a secured AW. Anxious patients
will have increased sympathetic response increasing risk for myocardial ischemia in
patients already prone to cardiac events. And not all surgeons can work quickly enough
to make a field block practical or tolerable for older arthritic patients.
Advantages of SSEPs for CEA?
Limitations? - CORRECT ANSWER: Advantages: also evaluates deep brain structures
vs. EEG and cortical function only, and may be better for patients with previous CVA and
EEG changes.
Disadvantages: Not felt to be as sensitive or specific for ischemic injury during CEA.
Requires considerable expertise. Also effected by choice of anesthesia and need
constant light plane to be maintained to accurately interpret changes in EPs.
After release of aortic-cross clamp, the BP drops to 82/40. Is this expected? -
CORRECT ANSWER: Yes. The hypotension is caused by washout of vasoactive and
cardiodepressant mediators, combined with distal pooling of blood. In this case, I would
initiate fluid boluses, provide 100% oxygen and ensure ventilation, administer
vasopressors, place the patient in t-berg position. Other causes include, myocardial
ischemia, LVF, dysrrhythmias, PTX, acid-base or electrolyte derangements. If
hypotension persists, then I would ask the surgeon to reapply the clamp and attempt
another release.
AHA Guidelines for Cardiac Work-Up - CORRECT ANSWER: Factors Considered in
Risk prediction models
- Surgery-specific risk
,- H/o ischemic heart disease
- H/o heart failure
- H/o cerebrovascular disease
- Insulin dependent DM
- Pre-op serum Cr > 2.0
Revised cardiac risk index
- No risk factors - 0.4%
- One risk factor - 1%
- Two risk factors - 2.4%
- Three or more risk factors - 5.4%
What to do
- if risk >1% consider stress testing or echo
Alpha stat (adult) - CORRECT ANSWER: CO2 is not added to correct temp and
maintain the PaCO2 of 40.
Thus there is no increase in vasodilation and thus less risk of embolic occurrence.
In adults brain injury is more commonly due to embolic events rather than ischemic and
thus this would be the best option instead of pH stat
Altered Mental Status/Delayed Emergence - CORRECT ANSWER: *a. ABCs*
• Hypoxia
• Hypercarbia (C02 narcosis)
• Hypocarbia (insufficient C02 stimulus)
*b. Medication effect*
• Premedications (sedatives, scopolamine, droperidol, benzodiazepines)
•Central anticholinergic syndrome (atropine, scopolamine, organophosphates, TCA)
, • Neuromuscular blocker
•Anesthetic (inhaled, intravenous)
• Usual medications (narcotics, sedatives, tranquilizers, lithium, reserpine, clonidine,
alpha-methyldopa, steroids, amphetamines, etc.)
• Substance abuse (alcohol, cocaine, LSD, heroin, etc.)
*c. Endocrinologic/metabolic*
• Hyponatremia
• Hypocalcemia
• Hypoglycemia
• Hypermagnesemia
• Hypothermia
• DKA
• Hepatic encephalopathy
• Renal encephalopathy
• Hypothyroidism
• Addison's Disease
• Cushing's Disease
*d. Neurologic*
• Ictal or post-ictal state
• CVA (ischemic, thrombotic, embolic, hemorrhagic)
• Cerebral edema
*e. Baseline condition*
Anaphylaxis Management - CORRECT ANSWER: High peak pressures, hypotension,
tachy/bradycardia, skin manifestations
1) Inform surgeon
Oral Boards, slinden33_Anesthesiology (ABA)
Oral Boards, Anesthesia Oral Boards, Oral
Boards Patients Latest Update 2024-2025 Actual
Exam from Credible Source with 385 Questions
and 100% Verified Detailed Correct Answers
Guaranteed A+ Approved by Professor
#1 Cause of morbidity and mortality with cerebral aneurysm's - CORRECT ANSWER:
Postoperative vasospasm
6 H's, 5 T's of ACLS - CORRECT ANSWER: Hypovolemia
Hypoxia
Hydrogen ion (acidosis)
Hyper-/hypokalemia
Hypoglycemia
Hypothermia
Toxins (cocaine, overdose on meds, etc)
Tamponade(cardiac)
Tension pneumothorax
Thrombosis (ACS, PE)
Trauma
Acromegaly/Gigantism diagnosis - CORRECT ANSWER: Measurement of IGF-I, GH,
and oral glucose tolerance test
Adductor Canal Nerve Block - CORRECT ANSWER:
,Advantages of an awake CEA?
Disadvantages of an awake CEA? - CORRECT ANSWER: Advantages of an awake
patient: The most effective in detecting ischemic episodes, less post-op hypertension
when done under field block, easy post-op neurologic exam.
Disadvantages of an awake patient: Requires very cooperative patient. Patient may
panic, while draped in sterile field if he/she becomes aphasic or hemiplegic
intraoperatively, and could require immediate GA and a secured AW. Anxious patients
will have increased sympathetic response increasing risk for myocardial ischemia in
patients already prone to cardiac events. And not all surgeons can work quickly enough
to make a field block practical or tolerable for older arthritic patients.
Advantages of SSEPs for CEA?
Limitations? - CORRECT ANSWER: Advantages: also evaluates deep brain structures
vs. EEG and cortical function only, and may be better for patients with previous CVA and
EEG changes.
Disadvantages: Not felt to be as sensitive or specific for ischemic injury during CEA.
Requires considerable expertise. Also effected by choice of anesthesia and need
constant light plane to be maintained to accurately interpret changes in EPs.
After release of aortic-cross clamp, the BP drops to 82/40. Is this expected? -
CORRECT ANSWER: Yes. The hypotension is caused by washout of vasoactive and
cardiodepressant mediators, combined with distal pooling of blood. In this case, I would
initiate fluid boluses, provide 100% oxygen and ensure ventilation, administer
vasopressors, place the patient in t-berg position. Other causes include, myocardial
ischemia, LVF, dysrrhythmias, PTX, acid-base or electrolyte derangements. If
hypotension persists, then I would ask the surgeon to reapply the clamp and attempt
another release.
AHA Guidelines for Cardiac Work-Up - CORRECT ANSWER: Factors Considered in
Risk prediction models
- Surgery-specific risk
,- H/o ischemic heart disease
- H/o heart failure
- H/o cerebrovascular disease
- Insulin dependent DM
- Pre-op serum Cr > 2.0
Revised cardiac risk index
- No risk factors - 0.4%
- One risk factor - 1%
- Two risk factors - 2.4%
- Three or more risk factors - 5.4%
What to do
- if risk >1% consider stress testing or echo
Alpha stat (adult) - CORRECT ANSWER: CO2 is not added to correct temp and
maintain the PaCO2 of 40.
Thus there is no increase in vasodilation and thus less risk of embolic occurrence.
In adults brain injury is more commonly due to embolic events rather than ischemic and
thus this would be the best option instead of pH stat
Altered Mental Status/Delayed Emergence - CORRECT ANSWER: *a. ABCs*
• Hypoxia
• Hypercarbia (C02 narcosis)
• Hypocarbia (insufficient C02 stimulus)
*b. Medication effect*
• Premedications (sedatives, scopolamine, droperidol, benzodiazepines)
•Central anticholinergic syndrome (atropine, scopolamine, organophosphates, TCA)
, • Neuromuscular blocker
•Anesthetic (inhaled, intravenous)
• Usual medications (narcotics, sedatives, tranquilizers, lithium, reserpine, clonidine,
alpha-methyldopa, steroids, amphetamines, etc.)
• Substance abuse (alcohol, cocaine, LSD, heroin, etc.)
*c. Endocrinologic/metabolic*
• Hyponatremia
• Hypocalcemia
• Hypoglycemia
• Hypermagnesemia
• Hypothermia
• DKA
• Hepatic encephalopathy
• Renal encephalopathy
• Hypothyroidism
• Addison's Disease
• Cushing's Disease
*d. Neurologic*
• Ictal or post-ictal state
• CVA (ischemic, thrombotic, embolic, hemorrhagic)
• Cerebral edema
*e. Baseline condition*
Anaphylaxis Management - CORRECT ANSWER: High peak pressures, hypotension,
tachy/bradycardia, skin manifestations
1) Inform surgeon
