Table Of Content

McG r a w -Hill SP ECIALTY BO ARD REVIEW Seventh Edition Anesthesiology Examination & Board R view e Edited by Mark Dershwitz, M.D., Ph.D. Professor and Vice Chair of Anesthesiology Professor of Biochemistry & Molecular Pharmacology University of Massachusetts Medical School and J. Matthias Walz, M.D. Associate Professor of Anesthesiology and Surgery University of Massachusetts Medical School McGraw-Hill New York New York Chicago San Francisco Athens London Madrid Mexico City Milan New Delhi Singapore Sydney Toronto Copyright © 2014 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 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From M.D.: For Renée, Phil, Eli, & Sally From J.M.W.: To my wonderful wife Joanna, and my children Emily, Hannah, and Lucy This page intentionally left blank Co nte nts Contributors ........................................................................................................................................... ix Preface to the 7th Edition ..................................................................................................................... xi Introduction ......................................................................................................................................... xiii Part I: Basic Topics in Anesthesiology................................................................................................................1 1. Physics, Chemistry, and Mathematics Mar k Der shwit z, M.D., Ph.D. Questions ...........................................................................................................................................................3 Answers and Explanations .............................................................................................................................9 2. Anesthesia Equipment Mar k Der shwit z, M.D., Ph.D. Questions .........................................................................................................................................................13 Answers and Explanations ...........................................................................................................................19 3. Circulation Theodor e Al st on, M.D., Ph.D. Questions .........................................................................................................................................................25 Answers and Explanations ...........................................................................................................................35 4. Respiration St avr os G. Memt soudis, M.D., Ph.D. Questions .........................................................................................................................................................41 Answers and Explanations ...........................................................................................................................52 5. Nervous System Joh n J. A. Mar ot a, M.D., Ph.D. Questions .........................................................................................................................................................61 Answers and Explanations ...........................................................................................................................68 6. Renal, Hepatic, Endocrine, Hematologic, and Metabolic Systems Renée M. Goet zl er , M.D., M.P.H. and Mar k Der shwit z, M.D., Ph.D. Questions .........................................................................................................................................................75 Answers and Explanations ...........................................................................................................................88 7. Pharmacology J. Mat t hias Wal z, M.D. and Mar k Der shwit z, M.D., Ph.D. Questions .........................................................................................................................................................95 Answers and Explanations .........................................................................................................................116 v vvii 1C:o Pnhteanrtms acology 8. General Anesthesia Mar k Der shwit z, M.D., Ph.D. Questions .......................................................................................................................................................133 Answers and Explanations .........................................................................................................................138 9. Regional Anesthesia John G. Ant onakakis, M.D. and Br ian D. Sit es, M.D. Questions .......................................................................................................................................................143 Answers and Explanations .........................................................................................................................151 10. Practice Test The Aut hor s Questions .......................................................................................................................................................155 Answers and Explanations .........................................................................................................................176 Part II: Advanced Topics in Anesthesiology .................................................................................................189 11. Pharmacology J. Mat t hias Wal z, M.D. and Mar k Der shwit z, M.D., Ph.D. Questions .......................................................................................................................................................191 Answers and Explanations .........................................................................................................................200 12. Regional Anesthesia John G. Ant onakakis, M.D. and Br ian D. Sit es, M.D. Questions .......................................................................................................................................................207 Answers and Explanations .........................................................................................................................212 13. Anesthesia for Cardiothoracic and Vascular Surgery Chr ist ian Mül l er , M.D. and J. Mat t hias Wal z, M.D. Questions .......................................................................................................................................................215 Answers and Explanations .........................................................................................................................230 14. Anesthesia for Neurosurgery John J. A. Mar ot a, M.D., Ph.D. Questions .......................................................................................................................................................239 Answers and Explanations .........................................................................................................................247 15. Obstetric Anesthesia Ronal d B. Rubin, M.D. Questions .......................................................................................................................................................253 Answers and Explanations .........................................................................................................................270 16. Pediatric Anesthesia Rebecca Zanconat o, M.D. Questions .......................................................................................................................................................281 Answers and Explanations .........................................................................................................................296 Contents vii 17. Anesthesia for Miscellaneous Procedures El eanor M. Duduch, M.D. and Mar k Der shwit z, M.D., Ph.D. Questions .......................................................................................................................................................307 Answers and Explanations .........................................................................................................................318 18. Critical Care Medicine Robin Guil l or y, M.D. and Rae M. Al l ain, M.D. Questions .......................................................................................................................................................331 Answers and Explanations .........................................................................................................................347 19. Acute and Chronic Pain Sal ahadin Abdi, M.D., Ph.D. Questions .......................................................................................................................................................363 Answers and Explanations .........................................................................................................................373 20. Practice Test The Aut hor s Questions .......................................................................................................................................................385 Answers and Explanations .........................................................................................................................410 References.............................................................................................................................................................431 Index ......................................................................................................................................................................433 This page intentionally left blank Co ntributo rs Salahadin Abdi, M.D., Ph.D. Renée M. Goetzler, M.D., M.P.H. Professor and Chair Associate Program Director Department of Pain Medicine Carney Hospital Division of Anesthesiology and Critical Care Associate Clinical Professor of Medicine University of Texas MD Anderson Cancer Center Tufts University School of Medicine Houston, TX Boston, MA Rae M. Allain, M.D. Robin K. Guillory, M.D. Associate Director of Surgical Critical Care Co-Medical Director of the Neuroscience ICU Department of Anesthesiology & Pain Medicine University of Louisville Hospital St. Elizabeth’s Medical Center Assistant Professor of Anesthesiology Associate Professor of Anesthesiology Department of Anesthesiology and Perioperative Tufts University School of Medicine Medicine Boston, MA University of Louisville School of Medicine Louisville, KY Theodore Alston, M.D., Ph.D. Department of Anesthesia, Critical Care and Pain John J. A. Marota, M.D., Ph.D. Medicine Department of Anesthesia, Critical Care and Pain Massachusetts General Hospital Medicine Assistant Professor of Anesthesia Massachusetts General Hospital Harvard Medical School Assistant Professor of Anesthesia Boston, MA Harvard Medical School Boston, MA John G. Antonakakis, M.D. Staff Anesthesiologist Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. Portsmouth Regional Hospital Clinical Professor of Anesthesiology and Public Portsmouth, NH Health Weill Cornell Medical College Mark Dershwitz, M.D., Ph.D. Director of Critical Care Services Professor and Vice Chair of Anesthesiology Hospital for Special Surgery Professor of Biochemistry & Molecular New York, NY Pharmacology University of Massachusetts Medical School Christian Müller, M.D. Worcester, MA Director of Cardiac Anesthesia Assistant Professor of Anesthesiology Eleanor M. Duduch, M.D. University of Massachusetts Medical School Residency Program Director Worcester, MA Clinical Associate Professor of Anesthesiology University of Massachusetts Medical School Ronald B. Rubin, M.D., F.A.C.O.G. Worcester, MA Assistant Professor of Anesthesiology University of Massachusetts Medical School Worcester, MA ix