Anesthesia Clerkship Pocket Guide
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Questions and Answers

Which of the following is NOT a potential complication associated with IV insertion?

  • Thrombosis
  • Infection
  • Hypoglycemia (correct)
  • Hematoma

    • Which of the following crystalloid solutions is commonly used for fluid resuscitation?

  • D5W
  • NS (correct)
  • RL (correct)
  • All of the above

    • Which of the following is a required continuous monitor according to the Canadian Anesthesiologists' Society?

  • Stethoscope
  • Temperature probe
  • Peripheral nerve stimulator
  • Non-invasive blood pressure monitor (correct)

    • What is NOT a mechanical ventilation parameter?

    <p>Blood Pressure (B)</p> Signup and view all the answers

    What information can be obtained from an arterial line?

    <p>Blood pressure (A)</p> Signup and view all the answers

    What is a potential reason for an increase in end tidal CO2 during laparoscopic surgery?

    <p>Decreased ventilation due to abdominal distention (D)</p> Signup and view all the answers

    Which of the following is NOT a determinant of cardiac output?

    <p>Respiratory rate (A)</p> Signup and view all the answers

    What type of monitor is considered available without undue delay according to CAS guidelines?

    <p>Spirometer (B)</p> Signup and view all the answers

    Which of the following is an anesthetic consideration for laparoscopic surgery?

    <p>Potential for abdominal distention (D)</p> Signup and view all the answers

    What is the primary difference between placing an arterial line before and after induction?

    <p>The patient's hemodynamic stability. (D)</p> Signup and view all the answers

    Which type of shock is characterized by decreased preload and increased afterload?

    <p>Hypovolemic shock (B)</p> Signup and view all the answers

    How would you detect an intraoperative myocardial infarction?

    <p>Analysing ECG for ST segment elevation (D)</p> Signup and view all the answers

    What is an example of a system for delivering oxygen to patients?

    <p>Breathing circuit (C)</p> Signup and view all the answers

    Which of the following is a potential treatment for shock besides fluid resuscitation and vasopressors?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the correct way to manage an intraoperative myocardial infarction?

    <p>Administer medications to stabilize the heart rhythm and blood flow (C)</p> Signup and view all the answers

    What are the early signs and symptoms of local anesthetic systemic toxicity (LAST)?

    <p>Tinnitus, blurred vision, slurred speech, dizziness, agitation, muscle twitching, seizures (E)</p> Signup and view all the answers

    Which of the following is a potential complication associated with neuraxial anesthesia?

    <p>Post-dural puncture headache (PDPH) (C)</p> Signup and view all the answers

    What is the typical incidence of post-dural puncture headache (PDPH) in obstetric patients?

    <p>2-10% (A)</p> Signup and view all the answers

    What is the primary mechanism of action for post-dural puncture headache (PDPH)?

    <p>Leakage of cerebrospinal fluid (CSF), intracranial hypotension, and venodilation (B)</p> Signup and view all the answers

    Which of the following is NOT a recommended method to prevent post-dural puncture headache (PDPH)?

    <p>Administration of a large volume of anesthetic (B)</p> Signup and view all the answers

    What is the typical time frame for the resolution of post-dural puncture headache (PDPH)?

    <p>Within 1-2 weeks (C)</p> Signup and view all the answers

    What are the typical symptoms of post-dural puncture headache (PDPH)?

    <p>Radiating dull headache (exacerbated by movement/sitting or standing, relieved by lying down), neck ache, backache, N/V, vertigo, dizziness, tinnitus, hearing loss (C)</p> Signup and view all the answers

    Which of the following is NOT a potential differential diagnosis for post-dural puncture headache (PDPH)?

    <p>Local anesthetic systemic toxicity (A)</p> Signup and view all the answers

    When should the 'CICO Rescue' maneuver be initiated?

    <p>When a 'best effort' at all three lifelines has been unsuccessful. (D)</p> Signup and view all the answers

    What is the primary goal of the 'best effort' approach to airway management?

    <p>To maximize the chance of restoring alveolar oxygen delivery. (C)</p> Signup and view all the answers

    Which of the following is NOT a factor considered during a 'best effort' at a particular lifeline?

    <p>The clinician's personal preference for a specific technique. (D)</p> Signup and view all the answers

    What is the significance of the 'Green Zone' in the airway management tool?

    <p>Indicates that alveolar oxygen delivery has been achieved. (A)</p> Signup and view all the answers

    Which of the following best describes the purpose of the 'spiral movement' on the airway management tool?

    <p>It represents the progression from less to more invasive airway management techniques. (B)</p> Signup and view all the answers

    How does the 'Vortex Approach' address the challenge of a difficult airway?

    <p>By offering a structured approach for managing difficult airways based on a series of lifelines. (D)</p> Signup and view all the answers

    Why is the 'Green Zone' visible in the center of the airway management tool?

    <p>To illustrate the circular arrangement of the three lifelines. (A)</p> Signup and view all the answers

    What are the categories of optimization that should be applied to each of the three lifelines?

    <p>Patient positioning, adjuncts, airway maneuvers, ventilation strategy, optimization of oxygen delivery. (A)</p> Signup and view all the answers

    How does the 'Vortex Approach' help in optimizing oxygen delivery?

    <p>It highlights the importance of considering various options for maximizing success during a 'best effort' at any lifeline. (D)</p> Signup and view all the answers

    Which of the following is a potential risk associated with the use of Lactated Ringer's solution?

    <p>Theoretical coagulation risk with blood products (C)</p> Signup and view all the answers

    Which of the following is an indication for the use of 5% Dextrose (D5W)?

    <p>Hypernatremia (A)</p> Signup and view all the answers

    What is the primary reason why crystalloid solutions are used more frequently than colloids?

    <p>Crystalloids are less likely to cause complications. (A)</p> Signup and view all the answers

    Which of the following factors is NOT a sign of dehydration?

    <p>Increased urine output (A)</p> Signup and view all the answers

    What is the approximate percentage of a crystalloid solution that stays in the intravascular space after administration?

    <p>33% (B)</p> Signup and view all the answers

    Which of the following electrolyte imbalances can be caused by the administration of normal saline?

    <p>Hyperchloremia (D)</p> Signup and view all the answers

    Which of the following is a caution or contraindication for the use of albumin?

    <p>Severe anemia (C)</p> Signup and view all the answers

    Which of the following is a potential complication associated with the use of synthetic starches?

    <p>Coagulopathies (D)</p> Signup and view all the answers

    What are some signs and symptoms associated with anaphylaxis?

    <p>Decreased blood pressure, increased heart rate, decreased oxygen saturation, decreased end tidal carbon dioxide (ETCO2) (C)</p> Signup and view all the answers

    What is the most important initial step in managing anaphylaxis?

    <p>Removing the potential causal agents (D)</p> Signup and view all the answers

    What is the definition of aspiration?

    <p>Inhalation of gastric contents into the trachea and lung (C)</p> Signup and view all the answers

    Which of the following is NOT a risk factor for aspiration?

    <p>Hypoglycemia (B)</p> Signup and view all the answers

    In the D.O.P.E.S. mnemonic for diagnosing rapid deterioration/sudden cardiac arrest while intubated/ventilated, what does the 'S' stand for?

    <p>Stacking breaths (A)</p> Signup and view all the answers

    What is a potential complication of aspiration?

    <p>Chemical pneumonitis (D)</p> Signup and view all the answers

    What are some general strategies for anticipated difficult intubation?

    <p>Have a plan and be ready to call for help immediately; have backup equipment in the room (D)</p> Signup and view all the answers

    What is the definition of the "shark fin" waveform on capnography?

    <p>A wave pattern in the ETCO2 trace that is caused by a blocked circuit (B)</p> Signup and view all the answers

    Study Notes

    Anesthesia Clerkship Pocket Guide

    • This resource provides a practical guide for anesthesia clerkship learners.
    • It focuses on McMaster core anesthesia objectives and Essential Clinical Encounters (ECEs).
    • It aims to be accessible in the operating room and in the hospital.
    • It covers the required learning objectives and ECE topics.
    • The resource is intended to support student review during rotation.
    • It provides a comprehensive scope of knowledge.
    • References are included for further study.
    • The resource acknowledges the rapidly evolving nature of medicine and the possibility of errors.
    • Funding for the resource is noted.

    Contributors

    • The document lists the authors, editor-in-chief, section reviewers, and senior reviewers.
    • These individuals are affiliated with McMaster University's Michael G. DeGroote School of Medicine.

    Table of Contents

    • The document provides a comprehensive table of contents outlining the different anatomical and pharmacological topics covered in the guide.
    • Topics include preoperative assessment, airway management, intubation, emergencies, fluid management, pain control, obstetrical anesthesia, pediatric anesthesia and basic pharmacological principles in anesthesia.

    Global Objectives

    • The document aims to create a practical resource for anesthesia learners. This resource is suitable as a reference for clerks during their surgical rotation.
    • Scope for other specialties, including internal medicine, emergency medicine, critical care, OBGYN, and family medicine, by providing a sufficient body of knowledge.
    • The document aims to provide an understanding of the pharmacology behind commonly used anesthesia drugs.

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    Anesthesia: A Clerkship Pocket Guide (2020-2021) PDF

    Description

    This guide serves as a practical resource for anesthesia clerkship learners, aligning with McMaster's core anesthesia objectives. It is designed for use in both the operating room and hospital settings, covering essential clinical encounters and learning objectives to aid in student review during rotations.

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