Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            d include 
all of the following, except 
A. Baricity of anesthetic solution 
B. Patient age 
C. Volume of anesthetic solution injected 
D. Patient gender 
 
12- All of the following factors may influence the spinal level achieved 
during spinal anesthesia, except 
A. Drug dose 
B. Needle direction 
C. Patient position at the time and immediately following injection 
D. Patient weight 
 
 
13- Complications from neuraxial blockade may include all of the 
following, except 
A. Radiculopathy 
B. Anterior spinal artery syndrome 
C. Arachnoiditis 
D. Constipation 
 
14- Neuraxial block complications using local anesthetics alone 
include all of the following, except 
A. Post–dural puncture headache 
B. Urinary retention 
C. Postoperative cognitive dysfunction 
D. High spinal anesthesia 
15- A higher-than-expected spinal level achieved or greater 
dermatomal spread of local anesthetic can be associated with all of 
the following clinical situations, except 
A. Pregnancy 
B. Ascites 
C. Elderly 
D. Female gender 
 
16- Commonly used spinal anesthesia adjuvants include all the 
following, except 
A. Morphine 
B. Clonidine 
C. Dexmedetomidine 
D. Ephedrine 
17- The most likely reason for dyspnea in a patient experiencing the 
effects of a high neuraxial blockade is 
A. Phrenic nerve palsy when the neuraxial level reaches T3–T5 
B. Patient is experiencing an anxiety attack 
C. Medullary hypoperfusion 
D. Congestive heart failure 
18- In the situation of a high spinal anesthetic, which of the following 
drug is pharmacodynamically considered the least useful in 
controlling hypotension 
A. Ephedrine 
B. Atropine 
C. Phenylephrine 
D. Epinephrine 
19- A supraclavicular approach for brachial plexus blockade would 
deposit local anesthetics at which of the following anatomical levels of 
the plexus? 
A. Branches 
B. Trunks/Divisions 
C. Cords 
D. Roots 
 
20- Which of the following local anesthetics is an ester? 
A. Lidocaine 
B. Prilocaine 
C. Mepivacaine 
D. Cocaine 
Intra operative anesthetic complications 
Delayed recovery  
1- The most common complication of inserting a central venous 
catheter is 
A. Carotid artery puncture 
B. Thrombosis 
C. Cardiac arrhythmias 
D. Air embolism 
 
2- The Likelihood of Intraoperative Awareness under General 
Anesthesia Is Highest With the Use Of 
(A) Inadequate Benzodiazepine Doses 
(B) High-Dose Opioids 
(C) Muscle Relaxants 
(D) No Premedication 
 
3- Which of the following mechanisms is most frequently responsible 
for hypoxia in the recovery room? 
A. Ventilation/perfusion mismatch 
B. Hypoventilation 
C. Hypoxic gas mixture 
D. Intracardiac shunt 
4- Damage to which nerve may lead to wrist drop? 
A. Radial 
B. Axillary 
C. Median 
D. Ulnar 
5- The most common adverse cardiac event in the pediatric 
population is 
A. Hypotension 
B. Bradycardia 
C. Tachycardia 
D. Bigeminy 
 
6- Pheochromocytoma would be MOST likely to coexist with which 
of the following? 
A. Insulinoma 
B. Pituitary adenoma 
C. Primary hyperaldoste

            Quiz: