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3093 Anaesthesia

A 74-year-old man has a 5-hour elective operation for repair of an abdominal aoic aneurysm. He had a small myocardial infarction 3 years earlier. In the ICU on the first postoperative day, he is hypotensive and is receiving dobutamine by continuous infusion.select the best method of physiologic monitoring necessary for the patient.

ACentral venous catheterization
BPulmonary aery catheterization
CBlood-gas monitoring
DIntracranial pressure monitoring
Anaesthesia
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3094 Anaesthesia

A 70 kg old athlete was posted for surgery, Patient was administered succinylcholine due to unavailability of vecuronium. It was administered in intermittent dosing (total 640 mg). During recovery patient was not able to respire spontaneously & move limbs. What is the explanation ?

APseudocholinesterase deficiency increasing action of syccinylcholine
BPhase 2 blockade produced by succinylcholine
CUndiagnosed muscular dystrophy and muscular weakness
DMuscular weakness due to fasciculation produced by succinylcholine
Anaesthesia
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3096 Anaesthesia

A 29-year-old woman on oral contraceptives presents with abdominal pain. A computed tomography (CT) scan of the abdomen demonstrates a large hematoma of the right liver with the suggestion of an underlying liver lesion. Her hemoglobin is 6, and she is transfused 2 units of packed red blood cells and 2 units of fresh frozen plasma. Two hours after staing the transfusion, she develops respiratory distress and requires intubation. She is not volume overloaded clinically, but her chest x-ray shows bilateral pulmonary infiltrates. Which of the following is the management strategy of choice?

AContinue the transfusion and administer an antihistamine
BStop the transfusion and administer a diuretic
CStop the transfusion, perform bronchoscopy, and sta broad-spectrum empiric antibiotics
DStop the transfusion and continue suppoive respiratory care
Anaesthesia
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