Apex Mock Exam (Latest 2026/ 2027
Update) 100% Verified Questions &
Answers {Grade A}
Which of the following poses the highest risk of 30- day mortality in an elderly patient?
Age > 90 yrs
ASA 4
Acute renal impairment
Emergent surgery
Unplanned ICU admission - correct answer 1. Highest risk of 30 day mortality= ASA 4
2. Age >90
3. Acute renal impairment
4. Unplanned ICU admission
5. Lowest risk of 30 day mortality from options provided= emergent surgery
Acute intrinsic lung disease is characterized by ___
What are some examples? - correct answer fluid moving into alveoli and interstitial
space of lung parenchyma
,Examples: pulmonary edema, aspiration pneumonia, ARDS
When used in a balanced anesthetic, CV effects of N2O include: - correct answer SNS
activation: increased SVR, increased BP and increased HR
With combined with opioids, N2O can cause myocardial depression
Asynchronous pacing
-best to use in what kind of patients?
-what does this pacing mode do?
-what are some examples of this mode? - correct answer best to use in patients with
no underlying intrinsic rhythm (that way it can't produce R on T)
Paser
Asynchronous pacing = PACES ONLY
Does not sense or respond to sensed electrical event
Examples: AOO, VOO, DOO
Autonomic hyperreflexia
,What are the 2 most common symptoms?
What can occur to the heart, lungs and brain if not kept under control? - correct
answer Classic presentation= HTN and bradycardia
Stimulation of area below level of injury causes massive SNS activation below the
injury
Increased SVR --> HTN --> reflex bradycardia
Increased SVR --> LV failure --> pulmonary edema
Extreme HTN (beyond auto-regulation parameters) can cause increase in CPP and ICP
and can cause seizures
What is the initial dantrolene dose for treating MH? - correct answer 2.5 mg/kg
What is the most common complication of mediastinoscopy?
A) pneumothroax
B) phrenic nerve damage
, C) hemorrhage
D) MI - correct answer C) hemorrhage
What is the most common cause of death in patients having a carotid endarterectomy?
A) stroke
B) MI
C) hemorrhage
D) pulmonary embolism - correct answer b) MI
Which NMBD has antimuscarinic properties? - correct answer Antimuscarinic =
anticholinergic
Pancuronium
What virus is most easily transmitted by blood transfusion?
A) hep A
B) hep B
C) hep C
D) cytomegalovirus - correct answer d) cytomegalovirus
Update) 100% Verified Questions &
Answers {Grade A}
Which of the following poses the highest risk of 30- day mortality in an elderly patient?
Age > 90 yrs
ASA 4
Acute renal impairment
Emergent surgery
Unplanned ICU admission - correct answer 1. Highest risk of 30 day mortality= ASA 4
2. Age >90
3. Acute renal impairment
4. Unplanned ICU admission
5. Lowest risk of 30 day mortality from options provided= emergent surgery
Acute intrinsic lung disease is characterized by ___
What are some examples? - correct answer fluid moving into alveoli and interstitial
space of lung parenchyma
,Examples: pulmonary edema, aspiration pneumonia, ARDS
When used in a balanced anesthetic, CV effects of N2O include: - correct answer SNS
activation: increased SVR, increased BP and increased HR
With combined with opioids, N2O can cause myocardial depression
Asynchronous pacing
-best to use in what kind of patients?
-what does this pacing mode do?
-what are some examples of this mode? - correct answer best to use in patients with
no underlying intrinsic rhythm (that way it can't produce R on T)
Paser
Asynchronous pacing = PACES ONLY
Does not sense or respond to sensed electrical event
Examples: AOO, VOO, DOO
Autonomic hyperreflexia
,What are the 2 most common symptoms?
What can occur to the heart, lungs and brain if not kept under control? - correct
answer Classic presentation= HTN and bradycardia
Stimulation of area below level of injury causes massive SNS activation below the
injury
Increased SVR --> HTN --> reflex bradycardia
Increased SVR --> LV failure --> pulmonary edema
Extreme HTN (beyond auto-regulation parameters) can cause increase in CPP and ICP
and can cause seizures
What is the initial dantrolene dose for treating MH? - correct answer 2.5 mg/kg
What is the most common complication of mediastinoscopy?
A) pneumothroax
B) phrenic nerve damage
, C) hemorrhage
D) MI - correct answer C) hemorrhage
What is the most common cause of death in patients having a carotid endarterectomy?
A) stroke
B) MI
C) hemorrhage
D) pulmonary embolism - correct answer b) MI
Which NMBD has antimuscarinic properties? - correct answer Antimuscarinic =
anticholinergic
Pancuronium
What virus is most easily transmitted by blood transfusion?
A) hep A
B) hep B
C) hep C
D) cytomegalovirus - correct answer d) cytomegalovirus
