Basic exam 3

Question 1

What medication can you give to someone to prevent anesthesia awareness?

Answer 1

Benzodiazepine

Question 2

What can cause the oculocardiac reflex?

Answer 2

Pressure on the globe

pressure on extraocular muscles

Question 3

Preop patient is anxious what dose of diazepam would you give them?

Answer 3

2-5mg of diazepam PO

Question 4

Type One OR fire is located?

Answer 4

In and on the patient

Question 5

What does BIS monitor assess?

Answer 5

Monitors anesthetic depth

Question 6

What is implicit memory?

Answer 6

Patient can follow commands but has no memory

Question 7

Regional Ophthalmic anesthesia(Potential risk factors with various types of anesthesia?

Answer 7

Seizure is a risk

Question 8

What medication has alpha, minimal beta- used for phentolamine reversal?

Answer 8

Phenylephrine

Question 9

Risks associated with strabismus surgery?

Answer 9

MH
PONV
OCR

Question 10

Laryngospasm mediated from?

Answer 10

Superior laryngeal nerve branch of the Vagal Nerve

Question 11

OCR is afferent and efferent, tell me two details about that (which one is Afferent/efferent, and which is one is to the CNS and from the CNS)

Answer 11

Afferent trigeminal, efferent vagal

Afferent is to CNS; Efferent is from CNS

Question 12

Epiglottitis most likely caused by which pathogen?

Answer 12

Acute haemophilus influenzae type B

Question 13

Tell me what you will and will not do with a kid who comes in with Epiglottitis?

Answer 13

Do NOT attempt to directly visualize the glottis unless you are in the OR with a surgeon ready and proficient with surgical airways and intubation/airway experience.

Do not administer anesthesia until the correct equipment and people are ready and there.

Question 14

02 levels should be what percent to avoid OR fire?

Answer 14

less than 30%

Question 15

High CO2, Increased inspiratory pressure, decreased O2 may indicate?

Answer 15

ETT dislodgement

Question 16

Concentration of O2 that causes OR fire in 0.1 sec in cotton huck towel?

Answer 16

95%

Question 17

A patient that would benefit from prolonged post op monitoring after TNA?

Answer 17

< 4 years of age

Question 18

What patient would NOT be a candidate for a stand alone clinic?

Answer 18

Insulin dependent diabetic

also that combined with or stand alone CHF or TIA recently patient

Question 19

Why is Remifentanil helpful in ear surgeries?

Answer 19

reduces middle ear blood flow, creating a dry surgical field for tympanoplasty

Question 20

What induction medication may reduce PONV?

Answer 20

Propofol

Question 21

What ventilation technique can cause IOP?

Answer 21

bag/face masking

Question 22

Most common cause of post op eye pain?

Answer 22

Corneal abrasions

Question 23

True or false:

Afferent carries stimulus from the CNS?

Answer 23

False, Afferent carries stimulus to the CNS

Question 24

How do you identify an ester from an Amide?

Answer 24

one “i” esters

Question 25

Normal IOP is?

Answer 25

10-22 mmHg

Question 26

Oculocardiac reflex can be abated by what?

Answer 26

Parasympatholytic (atropine/glycopyrrolate)

Question 27

What combination of anesthetic techniques could improve patient satisfaction?

Answer 27

combined regional and GA

Question 28

An Adult with URI is scheduled for surgery. How long would you delay the surgery?

Answer 28

6 weeks

Question 29

A child has an URI: How long would you delay?

Answer 29

2 weeks

Question 30

What medication should be stopped 10 hours before surgery?

Answer 30

ACE inhibitors

Question 31

Obese patient supine for surgery, becomes hypoxic, why physiologically did this happen?

Answer 31

decreased FRC

Question 32

What is true regarding stopping metformin prior to surgery?

Answer 32

Should be Dc'd 48 hours prior to surgery, and it is controversial

Question 33

Regarding HbA1C, erythrocytes have a life span of?

Answer 33

120 days

Question 34

Lidocaine 0.75% is equal to what in mg?

Answer 34

7.5mg

Question 35

What should you do regarding an OR fire in the airway?

Answer 35

Simultaneously stop gases, remove ETT, disconnect circuit.

Question 36

Type 1 OR fires consists of? (2)

Answer 36

Can include drapes and surgical towels Usually in or on patient

Question 37

What is true regarding 02 rich atmospheres in the OR (2)

Answer 37

Decreases temperature at which a fuel will ignite Fire will burn more vigorously

Question 38

What can you allow to happen in order to decrease fires in the OR?

Answer 38

Make sure the prep dries completely before placing drape

Question 39

What anesthetic gas would you consider NOT using in a patient that experiences post op NV?

Answer 39

N2O

Question 40

What patient would you consider using triple medication therapy on? (anti-PONV)

Answer 40

A patient with a past experience of PONV that usually requires pain medications 3-7 days post op

Question 41

What will sevoflurane combine with to form an exothermic reaction in the OR (choose 2)

Answer 41

Soda lime | baralyme

Question 42

Bovie would be called what in the triad of fire?

Answer 42

Ignition

Question 43

If a patient drank water how long will you have to delay the surgery?

Answer 43

2 hours

Question 44

Patient that had steak dinner one hour ago, how long to keep NPO?

Answer 44

7 hours (total of 8 hours after a full meal or fatty foods)

Question 45

What medication would you avoid to prevent IOP?

Answer 45

Succinylcholine

Question 46

A patient should DC metformin 48 hours preoperatively to decrease what incidence?

Answer 46

Fatal lactic acidosis

Question 47

What type of response can spinal anesthesia cause?

Answer 47

Parasympathetic response

Question 48

Spinal anesthesia can cause what to happen to the blood pressure?

Answer 48

Hypotension

Question 49

Tell me what Implicit and Explicit memory means?

Answer 49

Implicit: unconscious memory Explicit: conscious

Question 50

What type of anesthesia has a decreased risk of PONV?

Answer 50

Regional

Question 51

A patient showing signs of lactic acidosis without signs of hypoperfusion or hypoxia. What would you do? (Lactic acidosis r/t Metformin)

Answer 51

Give fluids

Question 52

3 major causes of Intraoperative awareness of anesthesia?

Answer 52

light anesthesia increased patient anesthetic requirement anesthetic delivery problems

Question 53

High level transverse fracture above the malar bone and through the orbits describes which Lefort?

Answer 53

Lefort III