ANESTHESIOLOGY (ABA) ORAL
BOARDS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
CRPS Diagnostic Criteria (Budapest) - ANSWER-+Continuing pain that is
disproportionate to any inciting event.
+At least 1 symptom reported in at least 3 of the following categories:
*Sensory*: Hyperesthesia or allodynia
*Vasomotor*: Temperature asymmetry, skin color changes, skin color asymmetry
*Sudomotor/edema*: Edema, sweating changes, or sweating asymmetry
*Motor/trophic*: Decreased range of motion, motor dysfunction (eg, weakness,
tremor, dystonia), or trophic changes (eg, hair, nail, skin)
+At least 1 sign at time of evaluation in at least 2 of the following categories:
*Sensory*: Evidence of hyperalgesia (to pinprick), allodynia (to light touch,
temperature sensation, deep somatic pressure, or joint movement)
*Vasomotor*: Evidence of temperature asymmetry (>1°C), skin color changes or
asymmetry
*Sudomotor/edema*: Evidence of edema, sweating changes, or sweating asymmetry
*Motor/trophic*: Evidence of decreased range of motion, motor dysfunction (eg,
weakness, tremor, dystonia), or trophic changes (eg, hair, nail, skin)
+No other diagnosis better explaining the signs and symptoms
Assessment of Pulmonary Function - ANSWER-Evaluate with hx and exam.
-smoking history
-use of inhalers
-productive cough
-baseline symptoms
Line Isolation Monitor - ANSWER-Monitors the power lines of an isolated power
system. It continuously samples the difference between both lines of an ungrounded
power system and alarms when a short circuit that has the potential to allow 5 mA of
current flow to ground to develop.
Just because LIM alrams, does not mean there is an actual shock hazard, which
would only be the case if a 2nd fault were also present.
Fetal Assessment - ANSWER-*Early Decels*
Due to vagal compression of fetal head of stretching of neck
*Late Decels*
Smooth reduction in FHR after peak contraction due to uteroplacental insufficiency
*Variable Decels*
Abrupt and variable changes in FHR due to umbilical cord compression
, CRPS-Diagnostic Criteria - ANSWER-*Criteria for CRPS I*:
1)The presence of an initiating noxious event or a cause of immobilization
2)Continuing pain, allodynia (perception of pain from a nonpainful stimulus), or
hyperalgesia (an exaggerated sense of pain) disproportionate to the inciting event
3)Evidence at some time of edema, changes in skin blood flow, or abnormal
sudomotor activity in the area of pain
4)The diagnosis is excluded by the existence of any condition that would otherwise
account for the degree of pain and dysfunction.
*Criteria for CRPS II (causalgia)*:
1) The presence of continuing pain, allodynia, or hyperalgesia after a nerve injury,
not necessarily limited to the distribution of the injured nerve
2)Evidence at some time of edema, changes in skin blood flow, or abnormal
sudomotor activity in the region of pain
3)The diagnosis is excluded by the existence of any condition that would otherwise
account for the degree of pain and dysfunction.
CRPS: Management - ANSWER-1) Physical therapy
2) TCA's, gabapentin, mild opioid (to aid with tolerance of PT)
3) Diagnostic sympathetic block
4) Somatic block, if sympathetic block fails
5) Spinal cord stimulator
6) Intrathecal medications
Oliguria-Causes - ANSWER-1) Prerenal
-hypovolemia
-hypotension
-decreased CO
-increase in renal vascular resistance
2) Renal
-nephrotoxins
-intrinsic disease
-ischemia
-confirm ATN with FENa>2
3) Post-renal
-urethral obstruction/disruption
-ureteral obstruction/disruption
Risk Factors for Difficult Mask Ventilation - ANSWER-Increased Body Mask Index
(BMI >45)
Snoring/Obstructive Sleep Apnea
Presence of Beard
Lack of dentition
Age > 55 years
Mallampati III or higher
Male Gender
Airway masses/tumors
BOARDS EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
CRPS Diagnostic Criteria (Budapest) - ANSWER-+Continuing pain that is
disproportionate to any inciting event.
+At least 1 symptom reported in at least 3 of the following categories:
*Sensory*: Hyperesthesia or allodynia
*Vasomotor*: Temperature asymmetry, skin color changes, skin color asymmetry
*Sudomotor/edema*: Edema, sweating changes, or sweating asymmetry
*Motor/trophic*: Decreased range of motion, motor dysfunction (eg, weakness,
tremor, dystonia), or trophic changes (eg, hair, nail, skin)
+At least 1 sign at time of evaluation in at least 2 of the following categories:
*Sensory*: Evidence of hyperalgesia (to pinprick), allodynia (to light touch,
temperature sensation, deep somatic pressure, or joint movement)
*Vasomotor*: Evidence of temperature asymmetry (>1°C), skin color changes or
asymmetry
*Sudomotor/edema*: Evidence of edema, sweating changes, or sweating asymmetry
*Motor/trophic*: Evidence of decreased range of motion, motor dysfunction (eg,
weakness, tremor, dystonia), or trophic changes (eg, hair, nail, skin)
+No other diagnosis better explaining the signs and symptoms
Assessment of Pulmonary Function - ANSWER-Evaluate with hx and exam.
-smoking history
-use of inhalers
-productive cough
-baseline symptoms
Line Isolation Monitor - ANSWER-Monitors the power lines of an isolated power
system. It continuously samples the difference between both lines of an ungrounded
power system and alarms when a short circuit that has the potential to allow 5 mA of
current flow to ground to develop.
Just because LIM alrams, does not mean there is an actual shock hazard, which
would only be the case if a 2nd fault were also present.
Fetal Assessment - ANSWER-*Early Decels*
Due to vagal compression of fetal head of stretching of neck
*Late Decels*
Smooth reduction in FHR after peak contraction due to uteroplacental insufficiency
*Variable Decels*
Abrupt and variable changes in FHR due to umbilical cord compression
, CRPS-Diagnostic Criteria - ANSWER-*Criteria for CRPS I*:
1)The presence of an initiating noxious event or a cause of immobilization
2)Continuing pain, allodynia (perception of pain from a nonpainful stimulus), or
hyperalgesia (an exaggerated sense of pain) disproportionate to the inciting event
3)Evidence at some time of edema, changes in skin blood flow, or abnormal
sudomotor activity in the area of pain
4)The diagnosis is excluded by the existence of any condition that would otherwise
account for the degree of pain and dysfunction.
*Criteria for CRPS II (causalgia)*:
1) The presence of continuing pain, allodynia, or hyperalgesia after a nerve injury,
not necessarily limited to the distribution of the injured nerve
2)Evidence at some time of edema, changes in skin blood flow, or abnormal
sudomotor activity in the region of pain
3)The diagnosis is excluded by the existence of any condition that would otherwise
account for the degree of pain and dysfunction.
CRPS: Management - ANSWER-1) Physical therapy
2) TCA's, gabapentin, mild opioid (to aid with tolerance of PT)
3) Diagnostic sympathetic block
4) Somatic block, if sympathetic block fails
5) Spinal cord stimulator
6) Intrathecal medications
Oliguria-Causes - ANSWER-1) Prerenal
-hypovolemia
-hypotension
-decreased CO
-increase in renal vascular resistance
2) Renal
-nephrotoxins
-intrinsic disease
-ischemia
-confirm ATN with FENa>2
3) Post-renal
-urethral obstruction/disruption
-ureteral obstruction/disruption
Risk Factors for Difficult Mask Ventilation - ANSWER-Increased Body Mask Index
(BMI >45)
Snoring/Obstructive Sleep Apnea
Presence of Beard
Lack of dentition
Age > 55 years
Mallampati III or higher
Male Gender
Airway masses/tumors
