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Anest Num

Anesthesia CME

QuestionAnswerExplanationsRef
Approximately what % of an anesthesiologists reported using drugs to “get high”? 30 Survey of 260 anesthesiologists from the Medical College of Wisconsin graduating between 1958 and 1988 Can J Anaesth 1993;40:915–21
Approximately what % of an anesthesiologists reported being drug dependent? 15 Survey of 260 anesthesiologists from the Medical College of Wisconsin graduating between 1958 and 1988 Can J Anaesth 1993;40:915–21
Approximately what % of an anesthesiologists that enroll in a PHP had a history of IV drug use? 40 A 5-yr, longitudinal, cohort study involving 904 physicians consecutively admitted to 1 of 16 state physician health programs (PHPs) between 1995 and 2001. 102 Anesthesiologists had a higher rate of IV drug use, 41% vs 10% for other physicians Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of substance-abusing anesthesiology residents had successful reentry back to training programs? 35 26 deaths (14% of the 180 reported cases), half attributed to drug relapse Menk et al Success of reentry into anesthesiology training programs by residents with a history of substance abuse. JAMA 1990;263:3060–2
Approximately what % of participants in PCP, were anesthesiologists? 10 96 (11.1%)of 862. Anesthesiologists comprised 4.1% of the approximately 749,000 physicians (excluding residents) providing patient care in the United States. The overrepresentation of anesthesiologists in the participant sample (odds ratio [OR] 2.9) Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of an anesthesiologists that enroll in a PHP had an opioid as primary drug of abuse? 55 The majority of nonanesthesiologists (52%) were enrolled because of alcohol-related problems Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of anesthesiologists that enroll in a PHP had tested positive for drugs in 5-yr follow-up? 10 Program participant tested positive for drugs, revealed that 11% of anesthesiologists had at least one positive test compared with 23% of nonanesthesiologists. Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of anesthesiologists that enroll in a PHP had completed their contracts and were no longer required to be monitored? 70 At the end of the 5-yr follow-up period, 71% of anesthesiologists and 64% of nonanesthesiologists had completed their contracts and were no longer required to be monitored Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of anesthesiologists that enroll in a PHP failed to complete the program? 10 A larger proportion of nonanesthesiologists (20%) failed to complete the program than anesthesiologists (9%) Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
Approximately what % of anesthesiologists are reported to state licensing agencies because of noncompliance with the terms of their physician health program agreement? 20 Approximately 20% of the participants in both groups were reported to their state licensing agencies because of noncompliance with the terms of the PHP agreement or relapse. Skipper et al Anesthesiologists with Substance Use Disorders A&A 2009; 109(3)891-6
For venous thromboembolism (VTE), the risk of a recurrent event is approximately **% during the first 3 months 50 These recurrent VTEs are associated with significant consequences Perioperative Management Strategies for the Patient Requiring Warfarin http://www.clevelandclinicmeded.com/online/casebased/perioperative/warfarin/article.htm
What is % of mortality rates for recurrent VTE? 5 between 5% and 10%, with morbidity rates for permanent disability at approximately 50%. An estimated 20% of arterial thromboembolisms are fatal and 50% result in permanent disability Schulman et al. A comparison of six weeks with six months of oral anticoagulant therapy after a first episode of venous thromboembolism. N Engl J Med 1995;332:1661-5.
What is estimated metabolic rate increases for every 1°C increase in temperature 13 Maintaining a patient at an elevated temperature increases the metabolic rate. Jonathan V. Roth, MD Some Unanswered Questions About Temperature Management A&A Vol.109(5), November 2009 p1696
Initial malpositioning of DLTs with blind placement is _ % of cases 30 Verification and adjustment with FOB immediately before initiating one-lung ventilation (OLV) Klein U, Karzai W, Bloos F, et al. Role of fiberoptic bronchoscopy in conjunction with the use of double-lumen tubes for thoracic anesthesia. Anesthesiology 1998;88:346 –50. in Lung Isolation in Anesthesia Peter Slinger IARS 2007 lectures
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