Pre entrance Exam Anaesthesia (Single best answer)

A 73-year-old man has had an asystolic cardiac arrest. You have successfully intubated him and cardiopulmonary resuscitation is underway. Which is the most likely finding for this patient?

A 68-year-old woman, who had a grade I intubation, is having an open reduction and internal fixation of an ankle fracture. She is being ventilated at a rate of 14 breaths per minute, with a peak inspiratory pressure of 36 cmH2O, achieving a tidal volume of 210 mL. Which of the following is the most appropriate statement regarding lung compliance?

A 23-year-old man has sustained a traumatic intracranial haemorrhage with evidence of raised intracranial pressure (ICP). He is intubated and requires transfer to a specialist neurosurgical centre. Which of the following is most likely to reduce his ICP?

A 75-year-old man in the emergency department has a heart rate of 44 beats per minute and an unrecordable blood pressure. His pulses are not palpable. What is the first drug this patient should receive?

A 54-year-old woman is having a bunionectomy under general anaesthetic. You perform an ankle block using the landmark technique. Which of the following nerves could a nerve stimulator be used to block?

. An 8-year-old girl (30 kg body weight) presents for tonsillectomy. You have prepared drugs and equipment. Which calculation is correct?

A 34-year-old man has a rapid sequence induction for a perforated duodenal ulcer. Twenty minutes later his heart rate rises to 125 beats per minute, blood pressure decreases to 75/40 mmHg, airway pressures increase to 36 cmH2O and cutaneous urticaria is rapidly spreading. What is the most likely causative agent?

A 68-year-old woman with chronic obstructive airways disease and rheumatoid arthritis presents for a total shoulder placement. You perform an interscalene nerve block using a nerve stimulator technique. What is the most likely complication in this patient?

A 44-year-old man (100 kg body weight) in the intensive care unit with acute respiratory distress syndrome is being ventilated with volume-controlled ventilation at tidal volumes of 620 mL, peak inspiratory pressures of 29 cmH2O, positive end-expiratory pressure (PEEP) of 6 cmH2O and a Fio2 of 0.9. His arterial blood gas demonstrates a Pao2 of 6.9 kPa and a Paco2 of 7.3 kPa. What intervention is most likely to increase his Pao2?

A 22-year-old woman with a past medical history of asthma presents with difficulty in breathing, a respiratory rate of 28 breaths per minute, inability to complete sentences and wheeze. An arterial blood gas breathing room air reveals a Pao2 of 8.5 kPa and a Paco2 of 3.4 kPa. Five milligrams of nebulised salbutamol has been administered. What is the next step in this patient’s management?