Anesthesia and drugs Flashcards

1
Q

Which non-steroidal anti-inflammatory drug (NSAID) is highly toxic to cats

A

Paracetamol (acetaminophen)

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2
Q

Which statement is correct regarding anesthesiologic considerations of hypothyreoidism

o Due to thermoregulatory imbalance hyperthermia occurs
o The overall metabolic rate is decreased, drug metabolism is slower, therefore the “vulnerability” of the patient to anesthesia is lower
o Myocardial contractibility is decreased, tachycardia is present
o Obesity results in a limited range of motion of the diaphragm

A

o Obesity results in a limited range of motion of the diaphragm

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3
Q

Which local anesthetic technique is the safest from the patient ́s aspect

o Infiltrational
o Epidural
o Intrathecal
o Paravertebral

A

o Infiltrational

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4
Q

Which color is typical for compensatory stage of shock

o Pale
o Cyanotic
o Dirty red
o Bright red

A

o Bright red

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5
Q

Which procedure is a definite indication for preoperative administration of an antibiotic

o Splenectomy
o Small intestine biopsy
o Ovariectomy
o Removal of previously implanted, infected and fistulating ligament replacement material

A

o Removal of previously implanted, infected and fistulating ligament replacement material

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6
Q

Which statement is correct regarding recovery from anesthesia

o Extubation is done prior to the return of swallowing and coughing reflexes
o If aspiration is not a concern, the cuff of the endotracheal tube is better left inflated on extubation
o Takes place when the administration of the anesthetic (s) are discontinued or antagonists are administered
o The close observation of the patient is no longer necessary after extubation

A

o Takes place when the administration of the anesthetic (s) are discontinued or antagonists are administered

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7
Q

Which corticosteroid is recommended in the treatment of shock

o Methyl-prednisolone Na-succinate
o Prednisolone Na-succinate
o Dexamethasone
o Corticosteroids are not recommended in shock (steroids are NOT recommended)

A

o Methyl-prednisolone Na-succinate

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8
Q

Which statement is correct regarding acepromazine used in small animals

o Because of the inhibitory effect on the thermoregulatory center, hypothermia invariably develops with the usage of acepromazine
o High doses are recommended, as low doses merely prolong duration of action
o It is recommended for young anxious or aggressive patients of a good general condition
o It is anti-arrhythmogenic and anticonvulsive

A

o It is recommended for young anxious or aggressive patients of a good general condition

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9
Q

Stadium analgesia

o Is a transitional phase towards the state of complete unconsciousness
o Pupils are dilated to the maximum, and the cornea has lost its turgor
o Coughing reflex is still present, but endotracheal intubation is possible
o Gradually decreasing level of immobilisation

A

o Is a transitional phase towards the state of complete unconsciousness

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10
Q

Barium-sulphate can be used for which of the following procedures

o Myelography
o Gastric emptying study
o Retrograde cystography
o Arthrography

A

o Gastric emptying study

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11
Q

Which statement is correct regarding anesthesia of patients with renal dysfunction

o The prevention of intraoperative hypertonia is the primary goal
o Alpha-2 agonist decrease renal function
o Ketamine is contraindicated in dogs with kidney dysfunction
o Fentanyl and NSAID ́s are recommended for intraoperative analgesia (not)

A

o Alpha-2 agonist decrease renal function

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12
Q

Which statement is correct regarding the GGE (guaiphenesine)

o It has good analgesic effect
o It is available for induction alone
o It doesn’t cause ataxia
o It is a muscle relaxant

A

o It is a muscle relaxant

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13
Q

Optional drug for preoperative analgesia are

o Phenotiazines and butyrophenone-derivates
o Alpha2-antagonist and NMDA-agonist
o Local anesthetics and muscle relaxant
o Alpha2-agonists and NMDA-antagonist

A

o Alpha2-agonists and NMDA-antagonist

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14
Q

General infusion rate in perioperative period in dogs and cats

o 1ml/kg/h e.g. 17-20 drops/kg/h
o 10ml/kg/h e.g. 1700-2000 drops/10kg/h
o 10ml/kg/h e.g 170-200 drops/10kg/h
o 10ml/kg/h e.g 170-200 drops/kg/min

A

o 10ml/kg/h e.g 170-200 drops/10kg/h

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15
Q

What do we use the grid for in radiography

o To filter scattered beam
o To improve image sharpness
o To reduce radiation exposure of the staff
o To restrain the animal

A

o To filter scattered beam

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16
Q

Which statement is correct

o Compressive spinal injury needs emergency treatment
o Spinal cord injury has no effect for visceral functions
o The treatment of patients with spinal cord injury is hopeless
o Corticosteroid and NSAID treatment is recommended in case of acute spinal injury

A

o Corticosteroid and NSAID treatment is recommended in case of acute spinal injury

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17
Q

Which statement is correct

o The overexposed area is dark in the digital x-ray image
o The overexposed area is “noisy” in the digital x-ray image
o It is easy to overexpose digital radiographs
o Overexposure looks the same on both digital and analogous radiographs

A

o Overexposure looks the same on both digital and analogous radiographs

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18
Q

Which statement is not correct

o The commotion causes irreversible damage in the brain
o Haematoma can be the consequence of a contusion
o The urinary bladder injury can cause bloody urine
o In case of severe pneumothorax, emergency thoracocentesis is necessary

A

o The commotion causes irreversible damage in the brain

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19
Q

Which of the following can happen if alpha-2 agonist is injected intraarterially

o Collapse
o Oxytocin-like effect
o Awakening
o Ileus

A

o Collapse?

20
Q

Which statement is correct concerning pulse oxymetry

o The status of the peripheral circulation has no effect on pulse oxymetry values
o Low environmental temperature has no effect on pulse oxymetry values
o Bilirubinaemia has no effect on pulse oxymetry values
o Hypertension has no effect on pulse oxymetry values (hypotension has)

A

o Hypertension has no effect on pulse oxymetry values (hypotension has)

21
Q

Reversible drugs and their antagonists

A

o Diazepam:flumazenil; fentanyl:naloxone; medetomidine:atipamezole

22
Q

Which statement is correct concerning preanesthetic assessment

o Sedation is always recommended, regardless of the general condition of the patient, in order to reduce further anesthetic doses
o Following the physical examination of the respiratory, circulatory, renal and hepatic function, complementary diagnostic measures are taken
o Recommended “minimum” laboratory parameters are WBC, PCV, TPP, Crea, Urea, ALT and AST
o The enhanced preanesthetic blood test protocol includes complete hematology panel, coagulation tests, blood gas analysis, electrolyte balance, blood glucose and urinalysis

A

o Recommended “minimum” laboratory parameters are WBC, PCV, TPP, Crea, Urea, ALT and AST

23
Q

Which solution of the most alkalizing effect in the treatment of metabolic acidosis

o NaCl solution
o NaHCO3 solution
o Lactated Ringer ́s
o Acetated Ringer ́s

A

o NaHCO3 solution

24
Q

Which statement is correct concerning capnometry

o The end tidal CO2 (EtCO2) equals to the arterial partial CO2 pressure (PaCO2)
o PaCO2 is less than EtCO2
o The physical principle of measurement is HPLC (measurement of absorption)
o It is the analysis of the CO2 concentration of the inhaled and exhaled gas mixture

25
Which is correct regarding inhalant anaesthetics ? o they are flammable and explosive agents o most inhalant anesthetics are liquid at room temp o in low doses , they are no threat to the health of the surgical personnel in the long run (occupational risk) o as isoflurane is highly irritative as inhalation , halothane is preferred for mask induction
o most inhalant anesthetics are liquid at room temp
26
Which is NOT correct regarding balance anaesthesia o recovery is better than at the inhalational anesthesia o mortality rate is reduced than at inhalational anesthesia o MAC is lower than at inhalational anesthesia o drug accumulation should be considered in case of a longer surgery
o drug accumulation should be considered in case of a longer surgery
27
Which procedure is a definite indication for preoperative administration of an antibiotic o Splenectomy o Small intestine biopsy o Ovariectomy o Removal of previously implanted, infected and fistulating ligament replacement material
o Removal of previously implanted, infected and fistulating ligament replacement material
28
Where is/are the scrotal incision(s) made for castration ? o along the line of raphe scroti o parallel with raphe scroti -1cm from the midline, 1 incision o parallel with raphe scroti-1 cm from the midline, 2 incisions o parallel with raphe scroti- 5cm from the midline ,2 incisions
o parallel with raphe scroti-1 cm from the midline, 2 incisions
29
Which statement is correct o The overexposed area is dark in the digital x-ray image o The overexposed area is “noisy” in the digital x-ray image o It is easy to overexpose digital radiographs o Overexposure looks the same on both digital and analogue radiographs
o The overexposed area is dark in the digital x-ray image?
30
Which statement is correct regarding anesthesia of patients with liver dysfunction ``` o Diazepam is the choice of drug in a patient with hepatic disease, instead of midazolam o Phencyclidines (e.g. ketamine) may induce a bout of hepatic encephalopathy o Isoflurane and sevoflurane significantly affects hepatic function o Administration of colloid solutions in case of hypoalbuminemia is risky ```
?
31
Which statement is correct regarding intra-and postoperative hypothermia? o Decreased anesthetic demand o Doxopram is the drug of choice in case of hypothermia o Is mostly due to the use of opioids o Increases the oxygen demand of the central nervous system
o Decreased anesthetic demand
32
Which statement is correct concerning the maintenance phase of anesthesia? o General anesthesia may be maintained by either inhalant or injectable agents; combinations for maintenance are contraindicated o In the maintenance phase of anesthesia, application of 100 ml/bwkg/h crystalloid infusion is recommended to maintain normovolemia and normotension o The goal is to maintain the “surgical tolerance” depth of anesthesia using the lowest sufficient dose of anesthetics o The main duties of the anesthetist are monitoring of the patient, maintenance of homeostasis, fine adjustment of the depth of anesthesia and preservation of vagotonia
o The goal is to maintain the “surgical tolerance” depth of anesthesia using the lowest sufficient dose of anesthetics
33
Current concepts of pain management/analgesia is ``` o Presumptive (prophylactic) and multimodal (acting at several different sites of action) o Preemptive (prophylactic) and multimodal (acting at several different sites of action) o Preemptive (prophylactic) and multilocal (acting at several different sites of action) o Of higher importance in adults than in pediatric patients ```
o Preemptive (prophylactic) and multimodal (acting at several different sites of action)
34
Which statement is correct concerning pain o During hypnosis there is no conscious perception of pain, therefore analgesia is only required pre-, and postoperatively o Stress and fear have no effect on subjective pain sensation o Of several concurrent noxious stimuli, the most intensive one is perceived o There is no linear correlation between the physical extent of damage, and the intensity of pain experience by the patient
o There is no linear correlation between the physical extent of damage, and the intensity of pain experience by the patient
35
Which sign of the following reflects the most severe acute respiratory distress (pO2 is less than 60mmHg) o Dyspnoe o Cyanosis o Hyperventilation o Labial breathing
o Cyanosis
36
Which statement is correct regarding physiology of the pediatric patient
o The vegetative innervation of the heart and the vasomotor function is immature
37
Which one is opioid antagonist
o Naloxon
38
Which statement is correct o Glucocorticoids specifically inhibit the cyclo-oxygenase (COX) enzyme o Non-steroids (NSAID ́s) inhibit the production of leukotrienes o NSAID ́s inhibit phospholipase A2 (false) o Glucocorticoids inhibit the production of inflammatory prostaglandins
o Glucocorticoids inhibit the production of inflammatory prostaglandins
39
Which statement is correct concerning endotracheal tube?
o Not only aspiration may be prevented by using endotracheal tubes, but it also allows for connection to the anesthesia machine by the Y-piece and mechanical ventilation
40
Which of the following does not represent an increased risk of infection of surgical infection o Antimicrobial prophylaxis for a previous surgical procedure o Prolonged hospitalization o Obesity o Prolonged procedure time
o Antimicrobial prophylaxis for a previous surgical procedure
41
Which statement is correct o Mepivicain is less irritant than lidocaine o Bupivacain har longer duration than mepivacaine o Bupivacain has approx. 4 hours of duration o All of them are correct
o All of them are correct
42
Which statement is correct o The direct effect of the bullet is the traumatic shock o Injuries caused by gun shots regenerate if the bullet only hits the muscle o Both o None?
o Injuries caused by gun shots regenerate if the bullet only hits the muscle
43
Which statement is correct regarding electricity caused injuries o It is always lethal above 50 mA o It is always lethal above 100 mA o Both o None
o It is always lethal above 100 mA
44
Which statement is correct regarding anesthesia of patients with liver dysfunction ``` o Diazepam is the choice of drug in a patient with hepatic disease, instead of midazolam o Phencyclidines (e.g. ketamine) may induce a bout of hepatic encephalopathy o Isoflurane and sevoflurane significantly affects hepatic function o Administration of colloid solutions in case of hypoalbuminemia is risky ```
o Phencyclidines (e.g. ketamine) may induce a bout of hepatic encephalopathy
45
Which statement is correct o Wobbler-syndrome affects small breeds o The site of disc protrusion can be exactly determined in the survey radiograph o The basic types of compressive processes found with myelography: extradural, intradural, extramedullary o Positioning of cervical spine generally needs sedation or anesthesia
o Positioning of cervical spine generally needs sedation or anesthesia
46
Which therapy has of primary importance in case of cranial injury o Analgesia o Anti-convulsion therapy o Intracranial pressure decrease o Artificial hypothermia
o Intracranial pressure decrease