CBT Anesthesia Orthopedic Surgery Quiz
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During long bone surgery with the use of bone cement, what complication should be anticipated?
A. Bone Cement Implantation Syndrome (BCIS)
B. Anaphylactic reaction to cement
C. Hemolysis due to embolism
D. Massive air embolism
What is the best anesthesia technique for a patient with a femur fracture who cannot lie flat during surgery?
A. Intravenous sedation with ketamine
B. Spinal anesthesia in the lateral position
C. General anesthesia with intubation
D. Regional nerve block with light sedation
What is the main concern for a patient with anemia undergoing major orthopedic surgery?
A. Uncontrolled intraoperative blood loss
B. Risk of tissue hypoxia due to chronic anemia
C. Increased
A patient with a history of severe osteoporosis is undergoing hip prosthesis surgery. What is the main risk that needs to be considered during the procedure?
A. Intraoperative fracture of surrounding bone
B. Peripheral nerve injury
C. Increased risk of bleeding
D. Fat embolism due to bone manipulation
What is the most common perioperative complication in patients with adrenal insufficiency during orthopedic surgery?
A. Hyperkalemia due to aldosterone deficiency
B. Refractory hypotension to fluid resuscitation
C. Hypoglycemia due to cortisol insufficiency
D. Hyperthermia due to metabolic dysregulation
A 65-year-old male patient with a history of rheumatoid arthritis is undergoing total knee replacement. What is the most appropriate anesthesia technique?
A. General anesthesia with intubation
B. Spinal anesthesia with opioid adjuvant
C. Moderate sedation with nerve block
D. Regional anesthesia without additional sedation
What is the main concern during anesthesia for a patient with a history of diabetes mellitus undergoing orthopedic surgery?
A. Hypoglycemia due to interruption of oral intake
B. Hyperkalemia due to the use of crystalloid solutions
C. Hypothermia due to prolonged surgery duration
D. Bleeding risk due to diabetic neuropathy
What anesthesia technique is most commonly used for knee arthroscopy procedures?
A. Light sedation with propofol
B. Regional anesthesia with femoral sciatic block
C. General anesthesia with intubation
D. Spinal anesthesia with low dose
A 75-year-old male patient with a history of congestive heart failure is undergoing long bone surgery with spinal anesthesia. What is the main complication that needs to be anticipated?
A. Hypotension due to peripheral vasodilation
B. Tachycardia due to relative hypovolemia
C. Fat embolism during bone manipulation
D. Sepsis due to postoperative infection
What is the first sign of fat embolism in orthopedic patients with multiple fractures?
A. Hypotension with tachycardia
B. Sudden dyspnea with hypoxemia
C. Petechiae in the trunk area
D. Decreased consciousness without clear cause
What is the main benefit of regional anesthesia compared to general anesthesia in lower extremity orthopedic surgery?
A. Reducing the risk of surgical site infection
B. Increasing the duration of postoperative analgesia
C. Reducing the need for intravenous fluids during surgery
D. Lowering the risk of systemic complications such as aspiration
What should be done if BCIS occurs during orthopedic prosthesis placement?
A. Stop inhalation anesthesia, improve oxygenation, fluid resuscitation, and vasopressors if severe hypotension occurs
B. Administer fluid resuscitation with hypotonic fluid
C. Administer norepinephrine to increase blood pressure
D. Change anesthesia technique to intravenous sedation
What is the most common complication that occurs during the use of a tourniquet in orthopedic surgery?
A. Hypotension immediately after tourniquet release
B. Hypertension during tourniquet application
C. Local hypoxia in distal tissue
D. Metabolic acidosis postoperatively
What is the main risk of using inhalation anesthetics in orthopedic patients with a history of OSA?
A. Postoperative hypoxemia due to respiratory depression
B. Hypocapnia due to airway resistance
C. Aspiration due to relaxation of airway muscles
D. Hypotension due to systemic depressant effects
What is the main concern for patients with anemia undergoing major orthopedic surgery?
A. Uncontrolled intraoperative blood loss
B. Risk of tissue hypoxia due to chronic anemia
C. Increased colloid fluid requirements during surgery
D. Risk of hypoglycemia due to preoperative fasting