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1. You are operating on a 10 year-old who weighs 30 kg. How much lidocaine can you give him? What are the symptoms of toxicity? How do you treat it? How does lidocaine work?
2. How much epinephrine do you need to produce vasoconstriction? How long does it take for epinephrine to work? (PRS 1973; 51:129)
3. Your patient's temperature goes to 104 degrees and his heart rate is up after induction of anesthesia. What do you do for malignant hyperthermia? What do you do if your patient has a history of malignant hyperthermia in the past? (PRS 1988; 82:878)
4. Tell us about cocaine. How does it work? What is a toxic dose? What are the symptoms of an overdose? How is it metabolized? What is a Casey Jones reaction?
5. Many people use marcaine in every wound at the end of a case to have longer acting analgesia. What is the dose? What are the particular side effects of marcaine?
6. What are the special risks paraplegics face under general anesthesia?
7. What qualifications are required for office anesthesia?
8. What are the general doses and when should you use ketamine?
9. Your facelift patient arrests after induction of anesthesia. Review the 1997 ACLS arrest guidelines.
10. You are doing a bilobed flap on the nose for basal cell cancer. Should you inject with lidocaine with epinephrine or plain lidocaine? What will epinephrine do to the flap? (PRS 1974; 54:324 and PRS 1978; 62:396)
11. Does the use of epinephrine in xylocaine potentiate infection? (PRS 1985; 76:933)
12. What special dangers do burn patients face in general anesthesia?
13. What is the mechanism of action of a local anesthesia? Discuss amides and esters.
14. Discuss standard tumescent solution. What is in it and why? What lidocaine levels are achieved in the patient?
16. You need to sedate a child in the ER to repair a laceration. What is now recommended?
18. Can you use the bovie while a patient receives nasal oxygen? How do OR fires occur?