Friday, March 2, 2012

1171-1180 MCQ in Facial Plastic and Reconstructive Surgery

1171-1180

1171) Which of the following inhalational anesthetic agents has been MOST commonly associated with malignant hyperthermia?

A. Nitrous oxide
B. Halothane
C. Enflurane
D. Isoflurane
E. Desflurane

1172) Which of the following statements regarding the Propofol is FALSE?

A. Rapid onset and short duration of action
B. Hypotension for peripheral vasodilation
C. Veno-irritation and phlebitis
D. Intense nausea in the awakening period
E. Kidney is the route of excretion

1173) Which of the following drugs are related to hallucinations during the recovery period?

A. Barbiturates
B. Etomidate
C. Propofol
D. Ketamine
E. Nitrous oxide

1174) Which of the following inhalational anesthetic agents has a high risk for renal toxicity?

A. Halothane
B. Enflurane
C. Isoflurane
D. Desflurane
E. Sevoflurane

1175) During the process of general anesthesia  of a pediatric patient a masseter muscle spasm occurs,  followed by sustained muscle rigidity, and increase core of body temperature.  The inhalation agent is stopped immediately . Which of the following pharmacology agents is usually necessary to treat this condition?

A. Diazepam
B. Succinylcholine
C. Atropine
D. Dandrolene
E. Nitrous oxide

1176) Which of the following palatoplaty technique is the one used in the drawing below?

 

A. Langenbeck palatoplasty
B. Two-flap palatoplasty
C. Three-flap palatoplaty
D. Furlow's palatoplasty
E. Schweckendiek technique

1177) Which of the following sign or symptom is MOST likely related to a TOXIC reaction of a local anesthetic?

A. Bronchospasm
B. Dyspnea
C. Laryngospasm
D.Diaphoresis
E. Metallic taste or tongue numbness

1178) The potency of a local anesthesia is directly related to

A. Class/Group  of local anesthetic
B. Concentration
C. Vasocontrictor effect
D. Vasodilation effect
E. Lipid solubility

1179) Which of the following local anesthetic is RARELY related to allergic reaction?

A. Cocaine
B. Procaine
C. Bupivacaine
D.Chloroprocaine
E. Benzocaine

1180) Which of the following intravenous pharmacologic agents has the MOST complete and longest acting amnesia effect?

A. Diazepam
B. Midazolam
C. Lorazepam
D. Oxazepam
E. Flumazenil                                



ANSWERS & REFERENCES

1171) B     Halothane

http://reference.medscape.com/drug/halothane-343096#5

1172) D     Intense nausea in the awakening period

http://emedicine.medscape.com/article/1271543-overview#a30

1173) D     Ketamine

http://reference.medscape.com/drug/ketalar-ketamine-343099#4

1174) B      Enflurane

http://reference.medscape.com/drug/ethrane-enflurane-999516#4

1175) D     Dandrolene

http://emedicine.medscape.com/article/1445509-overview

1176) D     Furlow's palatoplasty

http://emedicine.medscape.com/article/878062-treatment

1177) E      Metallic taste or tongue numbness

http://emedicine.medscape.com/article/873879-overview

1178) E     Lipid solubility

http://emedicine.medscape.com/article/873879-overview

1179) C     Bupivacaine

http://emedicine.medscape.com/article/873879-overview

1180) C     Lorazepam

Perlow M.: Anesthesia  for Facial Plastic Surgery,  Chapter 14, in Facial Plastic and Reconstructive Surgery (Papel, I. D, and Nachlas N. E. editors), First Edition, Mosby, 1992, pp. 124-128


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Updated: August 5, 2017

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