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1b2fe1c7-61b2-558a-9744-fb6d8cb617d3 | 4 | C | 1 | ___________ allow us to deliver oxygen and anesthetic gas to the patient which maintains them at a surgical plane of anesthesia. | Vaporizers | Rebreathing bags | Endotracheal tubes | Scavenger units | ___________ 使我们能够向患者输送氧气和麻醉气体，从而使他们保持在手术麻醉平面。 | 挥发器 | 呼吸囊 | 气管插管 | 废气排放装置 | null | null | null | null | null | null | null | null | null | null |
f917de6b-3ead-5d3f-a349-dff9c248200a | 4 | A | 1 | Which of the following preanesthetic drugs lowers the seizure threshold? | Acepromazine | Valium | Xylazine | Fentanyl | 以下哪种术前用药会降低癫痫发作阈值？ | 氯丙嗪 | 安定 | 赛拉嗪 | 芬太尼 | null | null | null | null | null | null | null | null | null | null |
8fd8a55b-2d0d-5f34-9f06-26bcdd68ae98 | 4 | A | 1 | Overall, considering both spontaneous and controlled ventilation, the Mapleson circuit requiring the lowest fresh gas flow rates is the | A | B | C | D | 总体而言，考虑到自发通气和控制通气，Mapleson回路中所需新鲜气体流量最低的是 | A | B | C | D | null | null | null | null | null | null | null | null | null | null |
71d4b34c-c45b-5553-ae4d-fc5abf5a44ab | 4 | B | 1 | Regarding monitoring for pediatric inhalation induction: | Temperature monitoring is essential during induction. | It is unwise to upset anxious children by placing a blood pressure cuff before induction. | A baseline ECG must be obtained before induction, especially in anxious children | It is unnecessary to obtain pre-induction blood pressures in neonates, often difficult to obtain due to motion. | 关于儿童吸入诱导的监测： | 在诱导期间，温度监测是必不可少的。 | 在诱导前放置血压袖带可能会让焦虑的儿童不安，这是不明智的。 | 在诱导前必须获得基线心电图，尤其是对焦虑的儿童。 | 在新生儿中不需要获得诱导前的血压，因为由于运动通常难以获得。 | null | null | null | null | null | null | null | null | null | null |
9d80a081-b7c7-59a2-8d35-ce018c50f30d | 5 | D | 2 | In a 12-year-old child the length of an oral endotracheal tube (from the lips to the mid trachea) should be: | 12 cm | 14 cm | 16 cm | 18 cm | 在一名12岁的儿童中，口腔气管插管的长度（从嘴唇到气管中部）应为： | 12 厘米 | 14 厘米 | 16 厘米 | 18 厘米 | 20 cm | 20 厘米 | null | null | null | null | null | null | null | null |
0759d79b-e264-5427-92f5-a64bf720e9cf | 5 | B | 2 | A 6-year-old, 20-kg girl develops pulseless ventricular tachycardia after induction of anesthesia with halothane, nitrous oxide, and oxygen for a tonsillectomy. The anesthesiologist intubates the child, administers 100% oxygen, and starts chest compressions. When the defibrillator quickly arrives in the OR the defibrillator should be charged to what energy level for the initial shock? | 20 joules | 40 joules | 60 joules | 80 joules | 一名6岁、20公斤的女孩在用氟烷、氧化亚氮和氧气进行扁桃体切除术麻醉诱导后出现无脉性室性心动过速。麻醉师为孩子插管，给予100%氧气，并开始胸外按压。当除颤器迅速到达手术室时，初次电击应将除颤器充电到什么能量水平？ | 20 焦耳 | 40 焦耳 | 60 焦耳 | 80 焦耳 | 120 joules | 120 焦耳 | null | null | null | null | null | null | null | null |
7c158303-f7a5-5f8b-b931-733be0afccb9 | 4 | C | 1 | What is the first sign of inhalation anesthetic induction in a child? | Disappearance of eyelash reflex | Shallow, rapid breathing | Appearance of nystagmus | The patient does not react to verbal stimuli | 儿童吸入麻醉诱导的第一个征象是什么？ | 睫毛反射消失 | 呼吸浅快 | 眼球震颤出现 | 患者对语言刺激无反应 | null | null | null | null | null | null | null | null | null | null |
493dd2de-388e-52a3-bbb0-6962dcd8426d | 4 | D | 1 | In ambient conditions, the most important determinant of oxygen content is: | Increased pH | 2,3 DPG levels | Elevated temperature | Hemoglobin concentration | 在环境条件下，氧含量的最重要决定因素是： | pH值升高 | 2,3 DPG水平 | 温度升高 | 血红蛋白浓度 | null | null | null | null | null | null | null | null | null | null |
3c837b95-6080-58f0-ab41-e560f46a3235 | 4 | B | 2 | A patient develops auditory hallucinations and has a convulsion while you are reducing a nasal fracture and packing the nares. Spray and mucosal application of cocaine was used as an anesthetic. Appropriate management is: | Call 911 and wait for EMT transport | Airway management and IV diazepam | Succinylcholine IV | Epinephrine IV | 在您为一名患者复位鼻骨骨折并填塞鼻腔时，患者出现听觉幻觉并发生抽搐。使用可卡因喷雾和粘膜应用作为麻醉剂。适当的处理是： | 拨打911并等待急救人员运输 | 气道管理和静脉注射地西泮 | 静脉注射琥珀胆碱 | 静脉注射肾上腺素 | null | null | null | null | null | null | null | null | null | null |
9fc70cf1-54c9-50f5-9649-4aa2e64b21fe | 4 | A | 1 | The non-depolarizing agent that has a predictable rate of metabolism is: | Atracurium | D-tubocurarine | Vecruonium | Pancuronium | 具有可预测代谢率的非去极化药物是： | 阿曲库铵 | 筒箭毒碱 | 维库溴铵 | 潘库溴铵 | null | null | null | null | null | null | null | null | null | null |
c5b09ea6-c400-5cc2-8bcd-b3471c758e47 | 4 | A | 1 | The best method to determine the proper placement of an endotracheal tube is: | Exhaust tube capnography | Auscultation of the chest | Observation of chest motion with ventilation | Visualization of the chords | 确定气管插管正确放置的最佳方法是： | 呼气末二氧化碳监测 | 听诊胸部 | 观察通气时胸部运动 | 可视化声带 | null | null | null | null | null | null | null | null | null | null |
d5555f35-19ed-5c8a-ab2e-f5c106cd441e | 4 | C | 1 | A characteristic of first-order kinetics is: | Steady state levels cannot be predicted | A loading dose is determined by the desired plasma level | The half-life of a drug is equal to the rate of elimination | First order kinetics applies to all drugs | 一级动力学的一个特征是： | 稳态水平无法预测 | 负荷剂量由所需的血浆水平决定 | 药物的半衰期等于消除速率 | 一级动力学适用于所有药物 | null | null | null | null | null | null | null | null | null | null |
5cc837ec-d1be-5a33-bd6e-08fb9a5d629d | 4 | D | 1 | The most significant side effect of pancuronium is: | Hyperkalemia | Renal insufficiency | Hyperthermia | Sympathetic stimulation | 潘库溴铵最显著的副作用是： | 高钾血症 | 肾功能不全 | 高热 | 交感神经刺激 | null | null | null | null | null | null | null | null | null | null |
12f9fca1-5df0-59d0-bcc2-d49bdbd7f07c | 4 | D | 1 | The risk factor most responsible for increased morbidity and mortality is: | Age greater than 70 | Smoking 20 plus years | Diabetes mellitus on insulin | Prednisone 20mg for 6 months | 最主要导致发病率和死亡率增加的危险因素是： | 年龄大于70岁 | 吸烟超过20年 | 使用胰岛素的糖尿病 | 服用20mg泼尼松6个月 | null | null | null | null | null | null | null | null | null | null |
646bc5ea-4108-5a2a-883b-ab933042c397 | 4 | C | 2 | Preoperative preparation of a 70 yr old smoker with a normal EKG should include: | Coronary angiography | MRI | Stress test | Pulmonary function tests | 对一名70岁吸烟者进行术前准备，且其心电图正常，应包括： | 冠状动脉造影 | 核磁共振 | 压力测试 | 肺功能测试 | null | null | null | null | null | null | null | null | null | null |
062d6790-3334-502c-86b1-0cd4c6a223a8 | 4 | B | 1 | A contraindication for spinal anesthesia is: | Elderly patients | Sepsis | Infants | Diabetics | 椎管内麻醉的禁忌症是： | 老年患者 | 败血症 | 婴儿 | 糖尿病患者 | null | null | null | null | null | null | null | null | null | null |
7047b7b4-1915-5d7b-8281-8c6db605ccc2 | 5 | B | 2 | Which of the following supports the membrane lipid theory used to describe the mechanism of action of general anesthetics? | Anesthetics produce different levels or components of anesthesia at different anatomical loci | Hyperbaric condition reverses anesthesia | Anesthetics can be enantioselective and display steriochemical preference | Some lipid soluble, halogenated compounds do not have anesthetic activity | 以下哪项支持用于描述全身麻醉药作用机制的膜脂理论？ | 麻醉药在不同的解剖部位产生不同水平或成分的麻醉 | 高压条件下麻醉作用被逆转 | 麻醉药可以是对映选择性的，并显示立体化学偏好 | 一些脂溶性卤化合物没有麻醉活性 | Anesthetic agents have cellular mechanisms, such as ability to hyperpolarize neurons, inhibit transmitter release, enhance inhibitory neurotransmission | 麻醉剂具有细胞机制，例如能够使神经元超极化、抑制递质释放、增强抑制性神经传递 | null | null | null | null | null | null | null | null |
6ba0ed06-1baf-5674-85e9-85bd7c556c56 | 5 | E | 1 | Which of the following explains some of the actions of general anesthetics on ion channels? | Activation of a certain class of K+ channel | Increases the sensitivity of GABAa receptor to GABA | Inhibit excitatory current in NMDA receptor | Enhance the action of glycine on glycine receptor | 以下哪项解释了全身麻醉药对离子通道的一些作用？ | 激活某类K+通道 | 增加GABAa受体对GABA的敏感性 | 抑制NMDA受体的兴奋性电流 | 增强甘氨酸对甘氨酸受体的作用 | All of the above | 以上所有 | null | null | null | null | null | null | null | null |
b946d4cd-7fb2-5c6b-a2e8-7a7fb296fa2d | 5 | D | 1 | All of the following conditions would require a decrease in anesthetic dosing to produce anesthetic effects except: | Old age (elderly) | Young age (children) | Pregnancy | Stress & anxiety | 以下所有情况都需要减少麻醉剂量以产生麻醉效果，除了： | 老年（老人） | 年轻（儿童） | 怀孕 | 压力和焦虑 | All of the above | 以上所有 | null | null | null | null | null | null | null | null |
1ff3c9d1-a74a-5068-b8c3-f9c4d2c0f370 | 5 | A | 1 | General anesthetics are available in the following dosage forms except: | Oral | Intravenous | Inhaled gases and volatile liquids | Intramuscular | 全身麻醉剂可用于以下剂型，除了： | 口服 | 静脉注射 | 吸入气体和挥发性液体 | 肌肉注射 | Intrarectal | 直肠内给药 | null | null | null | null | null | null | null | null |
b9030ce2-a1de-50a7-94dd-a7bb03f115b1 | 5 | D | 1 | Place the following stages of anesthesia in order (from stage 1 to stage 4)
A. Surgical anesthesia
B. Amnesia, irregular respiration
C. Medullary depression
D. Analgesia | D, A, B, C | D, C, B, A | B, D, A, C | D, B, A, C | 将以下麻醉阶段按顺序排列（从第1阶段到第4阶段）
A. 手术麻醉
B. 失忆，呼吸不规则
C. 延髓抑制
D. 镇痛 | D, A, B, C | D, C, B, A | B, D, A, C | D, B, A, C | C, A, B, D | C, A, B, D | null | null | null | null | null | null | null | null |
dfd11a01-427f-5155-baa4-5c36fd2c3a1a | 5 | A | 1 | Which of the following describes the P3 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory Loss | Sleep | 以下哪项描述了麻醉的 P3 平面或亚阶段？ | 肌肉张力丧失 | 肋间肌麻痹 | 感觉丧失 | 睡眠 | Amnesia | 遗忘 | null | null | null | null | null | null | null | null |
7052948d-d14d-5735-9ebe-05652fda695e | 5 | D | 1 | Which of the following describes the P1 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory loss | Sleep | 以下哪项描述了麻醉的P1平面或亚阶段？ | 肌肉张力丧失 | 肋间肌麻痹 | 感觉丧失 | 睡眠 | Amnesia | 遗忘 | null | null | null | null | null | null | null | null |
fbf0d01c-4ed1-54c9-b2dd-6a697ca24d43 | 5 | B | 1 | Which of the following describes the P4 plane or substage of anesthesia? | Loss of muscle tone | Intercostal muscle paralysis | Sensory loss | Sleep | 以下哪项描述了麻醉的 P4 平面或亚阶段？ | 肌肉张力丧失 | 肋间肌麻痹 | 感觉丧失 | 睡眠 | Amnesia | 遗忘 | null | null | null | null | null | null | null | null |
8281e61a-5ced-5706-852a-eb925263882d | 5 | C | 1 | Which of the following stages of anesthesia is the best stage for surgery? | Stage 1 | Stage 2 | Stage 3 | Stage 4 | 以下哪一个麻醉阶段是手术的最佳阶段？ | 阶段 1 | 阶段 2 | 阶段 3 | 阶段 4 | Stage 5 | 阶段 5 | null | null | null | null | null | null | null | null |
e25ba197-4c7f-5262-846c-a4e9c7e49711 | 5 | A | 1 | Which of the following describes the mechanism for stage 4 (medullary depression) of anesthesia? | Neurons in medulla, normally insensitive, except at high concentrations | Higher center - increased excitatory neurotransmitters | Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors | Decreased spinal reflex and decreased firing of ascending pathways | 以下哪项描述了麻醉的第4阶段（延髓抑制）的机制？ | 延髓中的神经元通常不敏感，除非在高浓度下 | 高级中枢 - 兴奋性神经递质增加 | 麻醉剂阻止疼痛在脊髓束中的传递 - 背角、脊髓、伤害感受器 | 脊髓反射减少和上行通路的放电减少 | None of the above | 以上都不是 | null | null | null | null | null | null | null | null |
6b794f67-7b2c-5574-870d-1e2f963b917e | 5 | B | 1 | Which of the following describes the mechanism for stage 2 (amnesia, irregular respiration) of anesthesia? | Neurons in medulla, normally insensitive, except at high concentrations | Higher centers - increased excitatory neurotransmitters | Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors | Decreased spinal reflex and decreased firing of ascending pathways | 以下哪项描述了麻醉的第二阶段（遗忘，呼吸不规则）的机制？ | 延髓中的神经元，通常不敏感，除非在高浓度下 | 高级中枢 - 兴奋性神经递质增加 | 麻醉剂阻止脊髓束中的疼痛传递 - 背角，脊髓，伤害感受器 | 脊髓反射减少和上行通路的放电减少 | None of the above | 以上都不是 | null | null | null | null | null | null | null | null |
d30b06af-b494-534f-9eae-4041154b6d86 | 5 | D | 1 | Which of the following is not a parenteral anesthetic? | Propofol | Thiopental | Katamine | Ether | 以下哪一项不是肠外麻醉剂？ | 丙泊酚 | 硫喷妥钠 | 氯胺酮 | 乙醚 | All of the above answers are parenteral anesthetics. | 以上所有答案都是肠外麻醉剂。 | null | null | null | null | null | null | null | null |
9f8409fc-bd53-5be2-a604-2cba5109a479 | 5 | B | 1 | Which of the following is NOT a characteristic of katamine? | Highly lipid soluble | Produces hallucinations, illusions, and vivid dreams, especially in children. | A congener of phencyclidine (PCD) which was taken off the market due to side effects | Good for patients at risk for hypotension and bronchiospasm | 以下哪项不是氯胺酮的特征？ | 高度脂溶性 | 产生幻觉、错觉和生动的梦境，尤其是在儿童中。 | 是苯环利定（PCD）的类似物，因副作用被市场撤回 | 适用于有低血压和支气管痉挛风险的患者 | All of the following are characteristics of katamine | 以下所有都是氯胺酮的特征 | null | null | null | null | null | null | null | null |
c417e5bb-69e5-5108-bb61-c22fe8edb321 | 5 | E | 1 | Which of the following is the most commonly used parenteral anesthetic in the US? | Ether | Thiopental | Katamine | Etomidate | 以下哪种是美国最常用的非肠道麻醉剂？ | 乙醚 | 硫喷妥钠 | 氯胺酮 | 依托咪酯 | Propofol | 丙泊酚 | null | null | null | null | null | null | null | null |
250b2396-7c75-58e0-ab30-dd08671d429c | 5 | E | 1 | The depth of anesthesia of inhalation anesthetics depends on: | The alveolar concentration of the agent | The concentration of the agent in the inspired gas mixture | The solubility of the agent in the blood | Pulmonary blood flow (i.e. cardiac output) | 吸入麻醉药的麻醉深度取决于： | 药物的肺泡浓度 | 吸入气体混合物中药物的浓度 | 药物在血液中的溶解度 | 肺血流量（即心输出量） | All of the above | 以上所有因素 | null | null | null | null | null | null | null | null |
0f538c6c-a389-50ab-8a39-4a1e4beb553d | 5 | D | 1 | A major disadvantage of using inhalation anesthetics includes | Rapid onset | Limited amount of inhalation anesthetics available as compared to parenteral anesthetics available | High therapeutic index | Low margin of safety, therefore one of the most dangerous class of drugs | 使用吸入麻醉剂的一个主要缺点是 | 起效快 | 与可用的肠外麻醉剂相比，可用的吸入麻醉剂数量有限 | 高治疗指数 | 安全范围低，因此是最危险的药物类别之一 | Doesn't cross BBB | 不穿过血脑屏障 | null | null | null | null | null | null | null | null |
815cb4c2-31ed-54ee-b3cf-d806198846b6 | 5 | D | 1 | Minimal Alveolar Concentration (MAC) is: | The concentration necessary to produce amnesia in 100% of the population | The concentration necessary to inhibit bacterial growth | The concentration necessary to prevent the elimination of inhalation anesthetics | The concentration necessary to prevent responding (to the scalpel) in 50% of the population | 最小肺泡浓度（MAC）是： | 在100%的人群中产生遗忘所需的浓度 | 抑制细菌生长所需的浓度 | 防止吸入麻醉剂被消除所需的浓度 | 在50%的人群中防止对手术刀反应所需的浓度 | None of the above | 以上都不是 | null | null | null | null | null | null | null | null |
6ef72aa3-4c9f-56b7-9fef-355f18002c02 | 4 | D | 1 | Which of the following is NOT a stage of general anesthesia? | Induction | Maintenance | Emergence | Exacerbation | 以下哪一项不是全身麻醉的阶段？ | 诱导期 | 维持期 | 苏醒期 | 加重期 | null | null | null | null | null | null | null | null | null | null |
1cb84b85-5641-5469-a592-2af81a426859 | 5 | D | 1 | Which of the following is not a reason for using adjuncts for anesthetics? | Prevent undesirable effects | Reduces amount of anesthetic needed | Increase effectiveness of anesthetic | Increases anxiety | 以下哪一项不是使用麻醉辅助药物的原因？ | 防止不良反应 | 减少所需麻醉剂量 | 提高麻醉效果 | 增加焦虑 | All of the above are reasons for using adjuncts for anesthetics | 以上都是使用麻醉辅助药物的原因 | null | null | null | null | null | null | null | null |
a95f36a8-57db-5498-ae1c-e189da1efa96 | 5 | B | 1 | All of the following are characteristics of Xenon except | Minimal side effects | Relatively inexpensive | Ideal anesthetic | Extremely insoluble in blood | 以下哪项不是氙气的特征 | 副作用小 | 相对便宜 | 理想的麻醉剂 | 在血液中极不溶解 | Very rare drug | 非常稀有的药物 | null | null | null | null | null | null | null | null |
b6b082b6-6ced-504f-b615-c0b11128d41b | 5 | D | 1 | Which of the following anesthetic increases respiration? | Isoflurane | Halothane | Thiopental | Sevoflurane | 以下哪种麻醉剂会增加呼吸？ | 异氟醚 | 氟烷 | 硫喷妥钠 | 七氟醚 | None of the above | 以上都不是 | null | null | null | null | null | null | null | null |
431f1b88-bf8b-5ca9-bc2d-d212b184f2c2 | 4 | B | 1 | The following are all types of controls (drive mechanisms) except for: | Pneumatic | Galvanic | Fluidic | Electronic | 以下都是控制（驱动机制）的类型，除了： | 气动 | 电流 | 流体 | 电子 | null | null | null | null | null | null | null | null | null | null |
9f9aac9d-df59-5b4f-88a7-3021475baa9a | 4 | C | 1 | In an ascending bellows during exhalation, the driving gas will vent to: | Scavenging System | Breathing Bag | Atmosphere | Descending Bellows | 在呼气期间上升的风箱中，驱动气体将排放到： | 废气收集系统 | 呼吸袋 | 大气 | 下降的风箱 | null | null | null | null | null | null | null | null | null | null |
4d427cb0-d9fb-5c6e-9181-025c6647ff96 | 4 | D | 2 | Which of the following statements are true: | If you have a machine driven by air and a leak occcurs in the bellows you will get an increase in FiO2 | If you have a machine driven by oxygen and a leak occurs in the bellows you will get a decreased FiO2 | If you have a machine driven by air and a leak occurs in the bellows you will have no change in FiO2 | If you have a machine driven by air and a leak occurs in the bellows you will have a decrease in FiO2 | 以下哪项陈述是正确的： | 如果您有一台由空气驱动的机器，并且波纹管发生泄漏，您将获得FiO2的增加 | 如果您有一台由氧气驱动的机器，并且波纹管发生泄漏，您将获得FiO2的减少 | 如果您有一台由空气驱动的机器，并且波纹管发生泄漏，您的FiO2将没有变化 | 如果您有一台由空气驱动的机器，并且波纹管发生泄漏，您的FiO2将减少 | null | null | null | null | null | null | null | null | null | null |
edebe4f5-6a7f-5635-942b-8bd1ceb764a4 | 4 | A | 1 | Which of the following statements are false: | A piston is similar to an ascending bellows in the fact that they both move up during inspiration. | The Fabius GS is a continuous flow anesthesia machine in which gas delivery is purely pneumatic and electronically measured. | In event of an electrical power failure, an anesthetic can still be given to the patient using the Fabius GS. | An air entrainment valve protects the patient from negative pressures. | 以下哪些陈述是错误的： | 活塞与上升式风箱相似，因为它们在吸气时都会向上移动。 | Fabius GS 是一种连续流麻醉机，其气体输送完全是气动的，并通过电子测量。 | 在电力故障的情况下，仍然可以使用 Fabius GS 给患者施行麻醉。 | 空气引入阀保护患者免受负压影响。 | null | null | null | null | null | null | null | null | null | null |
ef647a9d-37cd-5ac2-abe4-76d4f11937db | 4 | C | 1 | The S-ORC Assembly is responsible for: | Protecting the patient from extremely high breathing pressures | Eliminating the APL valve during ventilatory modes. | Ensuring that the hypoxic mixtures are not given to the patient | Calibrating the O2 sensor | S-ORC组件负责： | 保护患者免受极高呼吸压力的影响 | 在通气模式下消除APL阀。 | 确保不给患者提供低氧混合物 | 校准氧气传感器 | null | null | null | null | null | null | null | null | null | null |
fed27253-64a8-5b28-a537-ea99b263f790 | 4 | D | 1 | During anesthetic management of a pt with HTN, you should seek to keep the intra-op BP within _____ of your baseline BP. | You should seek to reduce BP to normal range. | 10% | 5% | 20% | 在对高血压患者进行麻醉管理时，您应努力将术中血压保持在基线血压的_____范围内。 | 您应努力将血压降低到正常范围。 | 10% | 5% | 20% | null | null | null | null | null | null | null | null | null | null |
153ed577-cced-521b-9f58-4ae1c1e09413 | 4 | D | 1 | Which of the following does not typify the response expected when managing a pt with HTN? | Exaggerated hypotensive response to induction | Hypertension upon intubation of pt | Chronic volume depletion requiring fluid boluses during surgery | Resistance to vasoactive medications, requiring higher doses | 以下哪项不符合管理高血压患者时预期的反应？ | 诱导时出现夸张的低血压反应 | 插管时出现高血压 | 慢性容量不足，手术期间需要液体推注 | 对血管活性药物有抵抗力，需要更高剂量 | null | null | null | null | null | null | null | null | null | null |
959a4494-9873-54b5-845d-4e3d64ce7076 | 4 | D | 3 | A patient with critical mitral stenosis develops atrial fibrillation with an uncontrolled ventricular rate averaging 150 beats per minute and pulmonary edema. Which of the following courses of action would be most appropriate? | Administer a diuretic | Administer a positive inotropic agent | Administer a positive inotropic agent in combination with vasodilator | Administer a negative chronotropic agent | 一名患有严重二尖瓣狭窄的患者出现心房颤动，伴有平均心室率150次/分钟和肺水肿。以下哪种处理方式最为合适？ | 给予利尿剂 | 给予正性肌力药物 | 给予正性肌力药物联合血管扩张剂 | 给予负性变时药物 | null | null | null | null | null | null | null | null | null | null |
fdfbbd57-6783-50e9-aa89-7cf3a9ad38af | 4 | C | 2 | In which condition would sodium nitroprusside be the MOST beneficial to increase cardiac output? | Mitral stenosis | Aortic stenosis | Aortic regurgitation | Coronary artery disease | 在以下哪种情况下，硝普钠对增加心输出量最有益？ | 二尖瓣狭窄 | 主动脉瓣狭窄 | 主动脉瓣关闭不全 | 冠状动脉疾病 | null | null | null | null | null | null | null | null | null | null |
a4256aad-ad98-5c96-aca6-00de0a0254e9 | 4 | B | 1 | At what stage of hypertension would a patient begin to experience renal dysfunction? | Stage 4 | Stage 3 | Stage 2 | Stage 1 | 患者在高血压的哪个阶段会开始出现肾功能障碍？ | 阶段 4 | 阶段 3 | 阶段 2 | 阶段 1 | null | null | null | null | null | null | null | null | null | null |
73dead6a-ec99-5ccc-beef-7da37aa9d9d5 | 4 | D | 1 | Which of the following disease is not commonly associated with pts undergoing CEA? | CAD | Diabetes | CVA | Liver dx | 以下哪种疾病与接受颈动脉内膜切除术的患者不常相关？ | 冠心病 | 糖尿病 | 脑血管意外 | 肝病 | null | null | null | null | null | null | null | null | null | null |
b8d6da53-7ace-5c75-a97d-4fc1d0adeda6 | 4 | D | 2 | Appropriate interventions with surgical traction on the carotid sinus include: | Atropine | Infiltration with local anesthestic | Release of traction by surgeon | All the above are acceptable interventions | 对颈动脉窦进行手术牵引的适当干预措施包括： | 阿托品 | 局部麻醉药浸润 | 由外科医生释放牵引 | 以上所有都是可接受的干预措施 | null | null | null | null | null | null | null | null | null | null |
a3c38c28-eafc-50c6-ac08-ac554c8d5568 | 4 | C | 2 | All of the following hemodynamic changes should be anticipated during aortic cross-clamping in a patient with normal left ventricular function except: | Increased SVR | Increased MAP | Increased CO | Decreased EF% | 在左心室功能正常的患者中，主动脉夹闭期间应预期出现以下所有血流动力学变化，除了： | SVR增加 | MAP增加 | CO增加 | EF%减少 | null | null | null | null | null | null | null | null | null | null |
0300fe6e-b215-5273-848b-517373a79191 | 4 | B | 3 | Which of the following parameters will best assist you to decide the best anesthetic technique to use for a cardiac patient? | The type of surgery | Left ventricle function | The patient’s blood pressure | The patients’ heart rate | 以下哪个参数最能帮助您决定为心脏病患者使用最佳麻醉技术？ | 手术类型 | 左心室功能 | 患者的血压 | 患者的心率 | null | null | null | null | null | null | null | null | null | null |
4a7661d9-6621-544f-b70f-29be5b2541a9 | 4 | C | 1 | Hemodynamic goals for a CEA are: | Hypotension to prevent blood loss within the surgical field | Hypertension and tachycardia to maintain CPP | High-normal BP range to maintain CPP | No blood pressure concerns | CEA 的血流动力学目标是： | 低血压以防止手术区域内的失血 | 高血压和心动过速以维持脑灌注压 | 高正常血压范围以维持脑灌注压 | 没有血压方面的担忧 | null | null | null | null | null | null | null | null | null | null |
0ab9049f-d85b-5734-9b64-20e5b9ea0238 | 4 | A | 1 | Which of the following is not true regarding the management of a pt undergoing AAA repair? | During cross-clamp, vasoconstrict to keep BP slightly elevated and restrict fluids | You should have a central line, A-line, and large bore IV’s | During cross clamp you should turn off heating blankets | All the above are true | 以下关于进行 AAA 修复的患者管理哪一项是不正确的？ | 在夹闭期间，收缩血管以保持血压略微升高并限制液体 | 你应该有中心静脉导管、动脉导管和大口径静脉通路 | 在夹闭期间应关闭加热毯 | 以上全部正确 | null | null | null | null | null | null | null | null | null | null |
2a674c91-e8d4-50b1-adc4-1d53cb4cdc8c | 4 | A | 1 | Surgery on the ascending aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 升主动脉手术涉及： | 正中开胸和体外循环 | 正中开胸与深低温循环停滞 | 使用单肺通气的开胸夹闭 | 使用腹膜后途径的夹闭 | null | null | null | null | null | null | null | null | null | null |
d2b30078-8b1c-5bc2-8350-6538f7ea13ac | 4 | B | 1 | At what level should you seek to maintain your ETCO2 waveform on the anesthesia monitor during a CEA? | ETCO2 27 | ETCO2 36 | ETCO2 48 | Wherever the pt tolerates best | 在进行颈动脉内膜切除术（CEA）时，应将麻醉监护仪上的ETCO2波形维持在什么水平？ | ETCO2 27 | ETCO2 36 | ETCO2 48 | 患者耐受最佳的水平 | null | null | null | null | null | null | null | null | null | null |
f6aea869-23c8-5df3-a8ba-82dde654bd0f | 4 | B | 1 | A systolic murmur auscultated at 2nd intercostal space is typical for which type of valvular heart lesion? | Mitral stenosis | Aortic stenosis | Mitral prolapse | Aortic regurgitation | 在第2肋间隙听诊到的收缩期杂音典型地与哪种类型的心脏瓣膜病变有关？ | 二尖瓣狭窄 | 主动脉瓣狭窄 | 二尖瓣脱垂 | 主动脉瓣关闭不全 | null | null | null | null | null | null | null | null | null | null |
adcc0821-484e-537a-8ec1-72c05eb6dbc3 | 4 | D | 1 | All of the following are post-op complications related to CEA except: | Hemorrhage | HTN due to denervation of carotid baroreceptors | Injury to RLN | Injury to the optic nerve due to hypoperfusion | 以下哪项不是与颈动脉内膜切除术（CEA）相关的术后并发症： | 出血 | 由于颈动脉压力感受器去神经引起的高血压 | 喉返神经损伤 | 由于低灌注引起的视神经损伤 | null | null | null | null | null | null | null | null | null | null |
d27626a5-9999-55d7-902b-079319772aa9 | 4 | C | 2 | Which of the following drugs would you most likely administer after aortic clamping during elective AAA repair? | Neosynephrine | Apresoline | NTG | Dobutamine | 在选择性腹主动脉瘤修复术中，主动脉夹闭后您最有可能给予以下哪种药物？ | 新福林 | 阿普唑林 | 硝酸甘油 | 多巴酚丁胺 | null | null | null | null | null | null | null | null | null | null |
df369ebe-4f4f-5a7b-9513-6b3a5202721f | 5 | E | 1 | Where would you listen for a murmur on a patient with Mitral Regurge? | 1 | 2 | 3 | 4 | 在二尖瓣返流患者身上，您会在哪里听到杂音？ | 1 | 2 | 3 | 4 | 5 | 5 | null | null | null | null | null | null | null | null |
6c2f2a35-929e-5293-9c2e-bffd3a888998 | 4 | A | 1 | Appropriate interventions to counteract the effects of "unclamping" are all of the following except: | Vasodilators | Increase minute ventilation | Calcium Chloride | Sodium Bicarb | 以下所有措施均可用于抵消“解夹”效应，除了： | 血管扩张剂 | 增加每分钟通气量 | 氯化钙 | 碳酸氢钠 | null | null | null | null | null | null | null | null | null | null |
7173d069-740f-5abb-8ef3-6bd37ff34441 | 4 | A | 1 | Lactic acid build-up distal to the aortic clamp will cause: | Vasodilation | Bronchodilation | Vasoconstriction | Myocardial stimulation | 主动脉夹远端的乳酸堆积会导致： | 血管扩张 | 支气管扩张 | 血管收缩 | 心肌刺激 | null | null | null | null | null | null | null | null | null | null |
71e22728-f97d-5105-8d82-5c151b669e99 | 4 | A | 1 | A rumbling diastolic murmur heard at the apex of the heart is characteristic of which of the valvular lesions? | Mitral stenosis | Mitral regurgitation | Aortic stenosis | Aortic regurgitation | 在心尖部听到的隆隆舒张期杂音是哪个瓣膜病变的特征？ | 二尖瓣狭窄 | 二尖瓣关闭不全 | 主动脉瓣狭窄 | 主动脉瓣关闭不全 | null | null | null | null | null | null | null | null | null | null |
18092b62-0f80-5752-be26-820be359382d | 4 | B | 2 | In which cardiac condition is maintaining a normal sinus rhythm not an important contribution to a better stroke volume? | Mitral stenosis | Mitral regurgitation | Aortic stenosis | Idiopathic hypertrophied subaortic stenosis | 在以下哪种心脏病中，维持正常窦性心律对改善每搏输出量不是重要的贡献？ | 二尖瓣狭窄 | 二尖瓣关闭不全 | 主动脉瓣狭窄 | 特发性肥厚性主动脉下狭窄 | null | null | null | null | null | null | null | null | null | null |
fdc5a771-567a-5e43-98b9-7b5ecf3284a4 | 4 | B | 2 | Which of the following is not necessary for an ASA 3 pt undergoing an Aorta-life bypass? | Serial H&H and ABG’s | Bair Hugger for lower extremities | A-Line | Fluid Warmer | 以下哪项对于接受主动脉-生命旁路手术的ASA 3级患者不是必需的？ | 连续的血红蛋白和动脉血气分析 | 下肢使用Bair Hugger | 动脉导管 | 液体加温器 | null | null | null | null | null | null | null | null | null | null |
9612c252-6fab-52d9-865f-b4f4c7daa79e | 4 | B | 1 | Surgery on the transverse aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 横主动脉手术涉及： | 正中开胸和体外循环 | 正中开胸与深低温循环停滞 | 使用单肺通气的开胸交叉钳夹 | 使用腹膜后途径的交叉钳夹 | null | null | null | null | null | null | null | null | null | null |
bd41d073-a0ed-53a9-8aa2-db13576d29d4 | 4 | A | 2 | Your patient is having a left-sided CEA, the A-line should be placed: | On the right side because in case occlusion to left occurs | In femoral site due to risk of occluding the innominate | On the left side because you want to know how well the operative side is perfusing | Either side is acceptable | 您的患者正在进行左侧颈动脉内膜切除术，动脉线应放置在： | 右侧，因为如果左侧发生闭塞 | 股动脉部位，因为有闭塞无名动脉的风险 | 左侧，因为您想知道手术侧的灌注情况 | 任一侧都可以接受 | null | null | null | null | null | null | null | null | null | null |
86781538-8090-5cc1-9b53-3f097be91201 | 4 | D | 2 | Prior to aortic cross-clamp, you administered 7,500 units of heparin to your pt. It has now been one hour and the surgeon is asking you to give protamine. How much should you give? | 26 mg | 75 mg | 90 mg | 38 mg | 在主动脉阻断前，你给病人注射了7,500单位的肝素。现在已经过了一个小时，外科医生要求你给普鲁卡因。你应该给多少？ | 26毫克 | 75毫克 | 90毫克 | 38毫克 | null | null | null | null | null | null | null | null | null | null |
bdba7292-8fc5-5e07-9025-7ba511b133a9 | 4 | A | 1 | Where should you keep the HR on a pt with Mitral stenosis? | Equal to or slightly below baseline | Keep HR elevated above baseline | Aim for a HR >80 bpm | Aim for HR | 在二尖瓣狭窄患者中，心率应保持在什么水平？ | 等于或略低于基线 | 保持心率高于基线 | 目标心率 >80 bpm | 目标心率 | null | null | null | null | null | null | null | null | null | null |
afdc559d-c9ff-51c4-a70a-63bc4b7ae219 | 4 | B | 2 | Which of the following is not true regarding patients with Mitral Regurgitation? | Ketamine may be used for induction of MR patients | Decreases in SVR should be avoided | Decreases in HR should be avoided | Reversal of NMB may be done as usual | 关于二尖瓣关闭不全患者，下列哪项是不正确的？ | 氯胺酮可用于二尖瓣关闭不全患者的诱导 | 应避免全身血管阻力的降低 | 应避免心率的降低 | 神经肌肉阻滞的逆转可以照常进行 | null | null | null | null | null | null | null | null | null | null |
327d7920-30fb-5440-bab4-05f5131dabc4 | 4 | A | 1 | A pt with Aortic stenosis is most likely to experience which of the following? | Concentric Hypertrophy | Ischemic Cardiomyopathy | Eccentric Hypertrophy | Tamponade | 患有主动脉瓣狭窄的患者最有可能出现以下哪种情况？ | 向心性肥厚 | 缺血性心肌病 | 离心性肥厚 | 心脏压塞 | null | null | null | null | null | null | null | null | null | null |
26a44136-d562-56ea-b38d-62c1c274d6df | 4 | C | 1 | Surgery on the descending aorta involves: | Median sternotomy and CPB | Median sternontomy with deep hypothermic circulatory arrest | Cross clamping with thoractomy using OLV | Cross clamping using retroperitoneal approach | 降主动脉手术涉及： | 正中开胸和体外循环 | 正中开胸与深低温循环停滞 | 使用单肺通气的开胸交叉钳夹 | 使用腹膜后途径的交叉钳夹 | null | null | null | null | null | null | null | null | null | null |
746c2027-d0b0-5931-b3da-58daee78ecd3 | 4 | C | 1 | 90-95% of AAA's involve which part of the abdominal aorta? | Suprarenal | Juxtarenal | Infrarenal | Pararenal | 90-95%的腹主动脉瘤涉及腹主动脉的哪个部分？ | 肾上 | 近肾 | 肾下 | 旁肾 | null | null | null | null | null | null | null | null | null | null |
e4d01207-f438-5920-963f-1496d8277eb7 | 4 | C | 2 | Which of the following is true regarding anesthetic management of a pt with Mitral Stenosis? | Ketamine is drug of choice for induction of pts with severe MS | Narcotics and propofol infusions should be avoided due to myocardial suppression | Rocuronium or Sux would be drugs of choice for intubation of MS pts | Aggressive fluid therapy is necessary due to chronic fluid depleted state and risk for hypotension | 关于二尖瓣狭窄患者的麻醉管理，下列哪项是正确的？ | 氯胺酮是重度二尖瓣狭窄患者诱导的首选药物 | 应避免使用麻醉性镇痛药和丙泊酚输注，因为它们会抑制心肌 | 罗库溴铵或琥珀胆碱是二尖瓣狭窄患者插管的首选药物 | 由于慢性液体缺乏状态和低血压风险，需要积极的液体治疗 | null | null | null | null | null | null | null | null | null | null |
6e7dc8b5-70de-5050-bbc3-c99b42a7362b | 4 | A | 1 | What is the most common side effect associated with the administration of protamine? | Hypotension | Bradycardia | Hemorrhage | Allergic reaction | 与鱼精蛋白的使用相关的最常见副作用是什么？ | 低血压 | 心动过缓 | 出血 | 过敏反应 | null | null | null | null | null | null | null | null | null | null |
bb8cce38-057d-5ed9-b279-0110923924fc | 4 | D | 3 | Which of the following would you choose for the induction of a patient with severe aortic stenosis? | Inhalational induction with desflurane | Ketamine IV induction | Propofol IV Induction | High dose fentanyl induction | 对于严重主动脉瓣狭窄的患者，您会选择以下哪种诱导方法？ | 吸入诱导使用地氟烷 | 静脉注射氯胺酮诱导 | 静脉注射丙泊酚诱导 | 高剂量芬太尼诱导 | null | null | null | null | null | null | null | null | null | null |
1f69df8b-cb8d-53df-bf3b-02a491583f8b | 4 | A | 1 | During Carotid vascular surgery, BP should be maintained… | Slightly above pre-op levels | Slightly below pre-op levels | Equal to pre-op levels | Ummm, there is no BP on bypass. | 在颈动脉血管手术期间，血压应维持在… | 略高于术前水平 | 略低于术前水平 | 等于术前水平 | 呃，体外循环时没有血压。 | null | null | null | null | null | null | null | null | null | null |
3dab1eae-9524-5a25-94ce-3d8a18944f5c | 4 | B | 2 | Which of the following is not true regarding pts with Mitral Stenosis? | These patients are more prone to a-fib | Pavulon is a good choice for facilitating intubation | Sedative drugs should be given at a reduced dose, due to increased risk for ventilator depression | Use caution with fluid therapy as these pts are more prone to fluid overload | 关于二尖瓣狭窄患者，下列哪项是不正确的？ | 这些患者更容易发生房颤 | Pavulon 是促进插管的好选择 | 由于增加了呼吸抑制的风险，镇静药物应减少剂量 | 使用液体治疗时要小心，因为这些患者更容易发生液体超负荷 | null | null | null | null | null | null | null | null | null | null |
af1c6c99-6c06-5f5d-ba1a-e334a4577ff3 | 4 | D | 1 | What is the most common cause of Mitral Stenosis? | Hypertension | Aortic Regurge | Left Ventricular Hypertrophy | Rheumatic Fever | 二尖瓣狭窄最常见的原因是什么？ | 高血压 | 主动脉返流 | 左心室肥厚 | 风湿热 | null | null | null | null | null | null | null | null | null | null |
5169fa98-3f37-5fb1-a38b-dcbc55646762 | 4 | A | 1 | Acute mitral regurge is most commonly due to… | Myocardial Infarction | Rheumatic fever | Mitral Stenosis | Severe hypertensive episodes | 急性二尖瓣反流最常见的原因是… | 心肌梗死 | 风湿热 | 二尖瓣狭窄 | 严重的高血压发作 | null | null | null | null | null | null | null | null | null | null |
6a8d8506-f851-5f9c-8527-7b4e991eb7bb | 4 | C | 1 | How will Mitral regurge affect the Wedge waveform on your Swan line? | Absent A wave | Will show decrease wedge pressure | Prominent V wave | Large A wave | 二尖瓣反流将如何影响 Swan 导管的楔形波形？ | A 波消失 | 楔压降低 | V 波显著 | A 波增大 | null | null | null | null | null | null | null | null | null | null |
2d9a6641-5edf-5a3d-9c2f-7884b27067b5 | 4 | C | 1 | All of the following are characteristics of aortic stenosis except: | Concentric hypertrophy | Increased LVEDP | Increased ventricular compliance | Increased dependence on artial contraction | 以下哪项不是主动脉瓣狭窄的特征： | 向心性肥厚 | 左心室舒张末期压升高 | 心室顺应性增加 | 对心房收缩的依赖性增加 | null | null | null | null | null | null | null | null | null | null |
2f5e7874-c758-5518-b485-6391e7173db3 | 4 | D | 1 | The most common cause of postoperative mortality associated with AAA repair is | CVA | Mesenteric thrombosis | Acute renal failure | MI | 与AAA修复相关的术后死亡最常见的原因是 | 脑血管意外 | 肠系膜血栓 | 急性肾衰竭 | 心肌梗死 | null | null | null | null | null | null | null | null | null | null |
dec1d236-e9a9-5d86-b6b7-84796f193a36 | 4 | D | 1 | The most effective method to preserve renal function during aortic cross-clamping is: | Mannitol | Lasix | Fenoldopam | Hydration | 在主动脉夹闭期间保护肾功能的最有效方法是： | 甘露醇 | 速尿 | 非诺多泮 | 补液 | null | null | null | null | null | null | null | null | null | null |
f3b77827-ffbb-5c18-a67f-a3a22da5d6db | 4 | D | 1 | Which of the following is not required for symptomatic Aortic Stenosis pts? | Swan Ganz line | A-Line | Large Bore IV’s | All the above are required | 以下哪项不是症状性主动脉瓣狭窄患者所需的？ | Swan Ganz 导管 | 动脉导管 | 大口径静脉通路 | 以上都是必需的 | null | null | null | null | null | null | null | null | null | null |
2b93484d-ed53-5f14-aa2a-a6d0d0a3605c | 4 | B | 1 | Which of the following is not true of patients with Aortic Stenosis? | Sudden decreases in SVR should be avoided | For reversal, Atropine is preferred over Robinul | There is an increase in myocardial O2 demand | Maintenance is preferable with N2O and high dose narcotic | 以下哪项不适用于主动脉瓣狭窄患者？ | 应避免突然降低SVR | 逆转时，阿托品优于罗贝林 | 心肌氧需求增加 | 维持时优选使用N2O和高剂量麻醉药 | null | null | null | null | null | null | null | null | null | null |
5010925d-e408-587b-ba84-e73f65dc6f65 | 4 | B | 1 | Which of the following is not a necessity to monitor a pt undergoing a right CEA? | Left A-line | Femoral Central catheter | Large bore IV’s | Serial ABG’s | 以下哪项不是监测接受右侧颈动脉内膜切除术患者的必需品？ | 左侧动脉导管 | 股动脉中心导管 | 大口径静脉通路 | 连续动脉血气分析 | null | null | null | null | null | null | null | null | null | null |
1060c2d9-f091-550a-99ad-e01ca92f114b | 4 | C | 1 | What is the most common hemodynamic response following CEA? | Hypotension | Myocardial Ischemia | Hypertension | Pulmonary HTN | CEA后最常见的血流动力学反应是什么？ | 低血压 | 心肌缺血 | 高血压 | 肺动脉高压 | null | null | null | null | null | null | null | null | null | null |
5a782526-629d-574b-a414-e3de1455a575 | 4 | D | 1 | How will Mitral stenosis affect the Wedge waveform on your Swan line? | Prominent V wave | Absent A wave | Will show decrease wedge pressure | Large A wave | 二尖瓣狭窄将如何影响 Swan 导管的楔形波形？ | 明显的 V 波 | 缺失的 A 波 | 楔压降低 | 大的 A 波 | null | null | null | null | null | null | null | null | null | null |
87fdcc85-90b4-5f91-b877-8b7290f3c420 | 4 | C | 1 | Which of the following is the least dangerous of valvular disorders? | Aortic Stenosis | Mitral Regurge | Aortic Regurge | Mitral Stenosis | 以下哪种瓣膜疾病最不危险？ | 主动脉狭窄 | 二尖瓣反流 | 主动脉反流 | 二尖瓣狭窄 | null | null | null | null | null | null | null | null | null | null |
75f1e6fa-4bfb-565c-a54d-c10b1313c06a | 4 | B | 1 | Which of the following is not an indication to perform endovascular grafting procedure? | Active Infection | AAA rupture | Severe COPD | Severe cardiac Disease | 以下哪项不是进行血管内移植物手术的适应症？ | 活动性感染 | 腹主动脉瘤破裂 | 严重慢性阻塞性肺病 | 严重心脏病 | null | null | null | null | null | null | null | null | null | null |
53893469-7464-5a1a-9710-8e5e3ba3a8f7 | 4 | C | 2 | What changes would you expect to see in your pt following the release of the aortic cross-clamp? | Alkalotic ABG | Sudden increase in SVR | A sudden increase in ETCO2 | Need for NTG drip | 在解除主动脉交叉钳后，您预计会在患者身上看到哪些变化？ | 碱性动脉血气 | SVR突然增加 | ETCO2突然增加 | 需要使用NTG滴注 | null | null | null | null | null | null | null | null | null | null |
12bef2b5-52f7-5a50-a79a-564e4cebe174 | 4 | C | 1 | The most common arrhythmia seen in rheumatic mitral valve disease associated with left atrial enlargement is: | Atrial flutter | Atrial tachycardia | Atrial fibrillation | Paroxysmal atrial tachycardia | 与左心房扩大相关的风湿性二尖瓣病最常见的心律失常是： | 心房扑动 | 心房心动过速 | 心房颤动 | 阵发性心房心动过速 | null | null | null | null | null | null | null | null | null | null |
a7d690f1-df89-51aa-b468-9a552d8488a7 | 4 | C | 1 | What is the primary effect of aortic cross-clamping? | Decrease in preload | Increase in contractility | Increase in afterload | Mitral regurgitation | 主动脉夹闭的主要影响是什么？ | 前负荷减少 | 心肌收缩力增加 | 后负荷增加 | 二尖瓣返流 | null | null | null | null | null | null | null | null | null | null |
c351b1b0-5292-5d65-8335-84e7117f4033 | 4 | B | 1 | Regional anesthesia is sometimes preferred when performing a CEA primarily because: | Less post-op complications | Continuous neurological assessment | Less incidence of transient ischemia | Less hemodynamic fluctuations | 在进行颈动脉内膜切除术时，有时首选区域麻醉，主要是因为： | 术后并发症较少 | 可持续进行神经系统评估 | 短暂性缺血的发生率较低 | 血流动力学波动较小 | null | null | null | null | null | null | null | null | null | null |
eb6567cf-84cb-5435-a55d-f0120cae1f8c | 4 | A | 1 | Which of the following describes the proper intubation technique for a pregnant pet undergoing general anesthesia? | Rapid Sequence induction | Awake Fiber Optic Intubation | Regular induction, but have glidescope ready is needed | Perform all cases with LMA’s due to airway difficulty | 以下哪项描述了怀孕宠物在全身麻醉下的正确插管技术？ | 快速序贯诱导 | 清醒纤维光学插管 | 常规诱导，但准备好视频喉镜以备需要 | 由于气道困难，所有病例均使用喉罩通气 | null | null | null | null | null | null | null | null | null | null |
e11353ca-4519-5f01-ab18-3491a4194ca1 | 4 | B | 1 | If intubation should fail, as an anesthetist you should be most concerned with saving the life of the… | Fetus | Mother | Neither is more important than the other | Myself!!! | 如果插管失败，作为麻醉师，您最关心的是拯救……的生命 | 胎儿 | 母亲 | 两者同等重要 | 我自己！！！ | null | null | null | null | null | null | null | null | null | null |
868a7bf9-210b-5232-b403-8d1f60c9f188 | 4 | D | 3 | You are the SRNA for Ms. Tiyarah who is coming down for an emergent c-section due to fetal distress. She does not have an epidural, so must undergo general anesthesia since there is no time to insert one. You do a rapid sequence induction and are unable to intubate the pt. You are able to maintain ventilation with cricoids pressure but can’t get a tube in. What do you do? | Perform retrograde intubation | Perform Transtracheal Jet Ventilation | Wake pt up, then do an awake fiberoptic intubation | Maintain ventilation with cricoid pressure and proceed with surgery | 您是负责Tiyarah女士的麻醉护士，她因胎儿窘迫需要紧急剖腹产。她没有硬膜外麻醉，因此必须进行全身麻醉，因为没有时间插入硬膜外导管。您进行了快速序贯诱导，但无法插管。您可以通过环状软骨压力维持通气，但无法插入导管。您会怎么做？ | 进行逆行插管 | 进行经气管喷射通气 | 唤醒患者，然后进行清醒纤维支气管镜插管 | 在环状软骨压力下维持通气并继续手术 | null | null | null | null | null | null | null | null | null | null |
59256c9e-3500-5856-9b37-e6bf9179cd92 | 4 | A | 1 | Which of the following is not an indication for general anesthesia? | Precipitous labor | Fetal Distress | Pt hemorrhaging | Failed regional block | 以下哪项不是全身麻醉的适应症？ | 急产 | 胎儿窘迫 | 患者出血 | 区域阻滞失败 | null | null | null | null | null | null | null | null | null | null |
ddf73a89-d0f5-586a-af22-99c8703eff5b | 4 | B | 1 | Which nonparticulate antacid is commonly given to pregnant pts undergoing general anesthesia? | Metaclopromide | Bicitra | Calcium Carbonate | Pepcid | 哪种非颗粒性抗酸剂常用于接受全身麻醉的孕妇？ | 甲氧氯普胺 | Bicitra | 碳酸钙 | Pepcid | null | null | null | null | null | null | null | null | null | null |
5231d0a9-eb5c-576c-9117-871718ba5d18 | 4 | C | 2 | How should the pregnant pt be extubated upon emergence from general anesthesia? | Deep extubation | All pregnant pts should remain intubated until cleared by OB/GYN | Awake extubation | Extubate of jet stylet so re-intubation easier if necessary | 孕妇在全身麻醉苏醒后应如何拔管？ | 深度拔管 | 所有孕妇都应保持插管状态，直到得到妇产科医生的许可 | 清醒拔管 | 使用喷射导丝拔管，以便在必要时更容易重新插管 | null | null | null | null | null | null | null | null | null | null |
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