Anesthesia, Practice Management, Safety, Coding

Question 1

Ketamine: effects on BP and HR

Answer 1

increases both (is the only induction agent that does this)

Question 2

Propofol: effect on BP

Answer 2

hypotension

Question 3

Malignant hypothermia: assoc drugs (6)

Answer 3

HIS ED’S
halothane
isoflurane
sevoflurane

enflurane
desflurane

succinylcholine

Question 4

Bupivacaine: max dosing with vs without epi

Answer 4

with: 2.5 - 4 mg/kg
without: 2.5 mg/kg

Question 5

Lidocaine: max doing with vs without epi vs tumescent

Answer 5

with: 7 mg/kg
without: 4.5 mg/kg
tumescent: 35 mg/kg

Question 6

Tumescent: timing of peak systemic lidocaine levels

Answer 6

12-14 hours

Question 7

4% topical cocaine: max dose

Answer 7

1.5 mg/kg

Question 8

4% topical cocaine: con

Answer 8

coronary vasoconstriction

Question 9

effect of injection of intra-arterial bupivacaine

Answer 9

irreversible heart block and cardiac collapse

Question 10

epi related ischemia management (3)

Answer 10

elevation
warm/cold compress

phentolamine

Question 11

early vs late signs of lidocaine toxicity (3, 3)

Answer 11

headache
tinnitus
perioral numbness

seizures
cardiac collapse
resp collapse

Question 12

EMLA: composition and risk

Answer 12

lidocaine + prilocaine

small risk of methemoglobinemia (mostly bc of prilocaine but assoc with lido and benzocaine too)

Question 13

Flumazenil: MOA

Answer 13

benzodiazepine receptor antagonist

reversal agent for benzos

Question 14

Malignant hyperthermia: symptoms (8)

Answer 14

fever
muscle rigidity
hypotension

tachycardia
tachypnea

arrythmia
acidosis

rhabdomyolysis
increased end-tidal CO2

Question 15

Malignant hyperthermia: tx

Answer 15

hyperventilation with 100% O2

dantrolene

Question 16

Clonidine: MOA

Answer 16

alpha2 agonist

Question 17

Methemoglobinemia: early and late symptoms (2, 3)

Answer 17

headache
cyanosis

arrhythmia
seizures
anoxic brain injury/death

Question 18

Methemoglobinemia: treatment (2)

Answer 18

100% O2

IV methylene blue

Question 19

Antiemetics: drugs that are dopamine antagonists (3)

Answer 19

chlorpromazine
prochlorperazine

metaclopramide

Question 20

Antiemetics: drugs that are antihistamines (2)

Answer 20

dihenhydramine

promethazine

Question 21

Antiemetics: drugs that are anticholinergics (2)

Answer 21

scopolamine

atropine

Question 22

COX2 inhibitors (3)

Answer 22

diclofenac
celecoxib
rofecoxib

Question 23

global period for most surgeries

Answer 23

90 days

Question 24

global period for skin excisions

Answer 24

10 days

Question 25

coding for excision of lesion (both benign and malignant) with simple closure vs intermediate vs complex (just in general, not the actual cpts)

Answer 25

simple closure is included in the excision cpt

intermediate and complex closure are listed in addition to the excision

Question 26

coding for excision with ATT for closure (in general, not the actual cpt)

Answer 26

only code ATT (this code includes the excision)