Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam - Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam

Question 1

A 45-year-old patient is undergoing general anesthesia maintained with desflurane in an oxygen/air mixture. Which of the following physical and pharmacological properties is characteristic of desflurane compared to sevoflurane and isoflurane?

Lowest blood:gas partition coefficient (~0.42), resulting in the fastest alveolar wash-in and wash-out kinetics Highest oil:gas partition coefficient, resulting in the lowest minimum alveolar concentration (MAC) High boiling point of 58.5°C, allowing administration through standard unheated tec vaporizers Absence of airway irritation when administered in high concentrations during mask induction

Correct Answer:

Lowest blood:gas partition coefficient (~0.42), resulting in the fastest alveolar wash-in and wash-out kinetics

Question 2

A 58-year-old male with severe ischemic cardiomyopathy (LVEF 22%) presents for urgent bowel obstruction repair. The anesthesiologist selects etomidate for induction of general anesthesia. What is the primary endocrine consideration associated with even a single induction dose of etomidate?

Immediate suppression of thyroid-stimulating hormone (TSH) secretion lasting 48 hours Reversible inhibition of 11-beta-hydroxylase, leading to transient adrenocortical suppression Profound stimulation of aldosterone synthase, causing acute hyperkalemia and metabolic acidosis Irreversible destruction of the adrenal cortex, requiring lifelong mineralocorticoid replacement

Correct Answer:

Reversible inhibition of 11-beta-hydroxylase, leading to transient adrenocortical suppression

Question 3

During elective laparoscopic cholecystectomy in a 70 kg patient, neuromuscular monitoring is performed using quantitative acceleromyography on the adductor pollicis muscle. After administering 40 mg of rocuronium, the surgeon finishes earlier than anticipated. Quantitative train-of-four (TOF) monitoring displays 2 twitches (moderate neuromuscular block). What is the recommended dose of sugammadex to achieve complete reversal (TOF ratio ≥0.9)?

0.5 mg/kg based on ideal body weight 1.0 mg/kg based on lean body mass 2.0 mg/kg based on actual body weight 16.0 mg/kg based on total blood volume

Correct Answer:

2.0 mg/kg based on actual body weight

Question 4

A 32-year-old patient undergoing knee arthroscopy receives an ultrasound-guided femoral nerve block with 20 mL of 0.5% bupivacaine. Five minutes after injection, the patient develops perioral numbness, metallic taste, sudden generalized tonic-clonic seizures, and wide-complex ventricular tachycardia. Which molecular mechanism explains the heightened cardiotoxicity of bupivacaine compared to lidocaine?

Selective blockade of L-type calcium channels without affecting myocardial sodium conduction Rapid dissociation from open voltage-gated potassium channels during the cardiac action potential Selective agonism of central alpha-2 adrenoceptors causing massive sympathetic outflow Slow dissociation kinetics from cardiac voltage-gated sodium channels during diastole ('fast-in, slow-out')

Correct Answer:

Slow dissociation kinetics from cardiac voltage-gated sodium channels during diastole ('fast-in, slow-out')

Question 5

A continuous target-controlled infusion (TCI) of remifentanil is administered during a 6-hour craniotomy. Why does remifentanil maintain a virtually constant context-sensitive half-time of 3 to 5 minutes regardless of the duration of infusion?

Rapid metabolism via non-specific esterases in blood and tissues into a weakly active metabolite Extensive pulmonary first-pass uptake followed by rapid renal excretion unchanged in urine Ultra-fast hepatic clearance mediated exclusively by cytochrome P450 CYP3A4 enzymes Immediate irreversible binding to plasma alpha-1-acid glycoprotein preventing tissue accumulation

Correct Answer:

Rapid metabolism via non-specific esterases in blood and tissues into a weakly active metabolite

Question 1

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Prepare with the Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam practice quiz. This question bank includes 100 questions covering year-old, patient, anesthesia, block, and severe. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam

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Facharzt FMH Anästhesiologie Practice Questions - Facharzt FMH für Anästhesiologie Spécialiste FMH en anesthésiologie Specialista FMH in anestesiologia Exam

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