CE05

Question 1

If pus is in the chest drainage system, what is being drained?

Answer 1

Empyema

Question 2

Auscultatory crackles would most likely be associated with...
A. Asthma
B. Airway stenosis
C. Pulmonary embolism
D. Congestive heart failure

Answer 2

D. Congestive heart failure

Question 3

What nerves are at risk when NIBP is measured on the upper arm?

Answer 3

Radial and ulnar

Question 4

What nerve is at risk when the blood pressure cuff is placed too low on the upper arm?

Answer 4

Ulnar

Question 5

What is the normal lung compliance value? (CL)

Answer 5

200ml/cmh2o

Question 6

What is the calculation for lung/thoracic compliance?

Answer 6

1/CLT=1/CL + 1/CT

Question 7

How do you calculate the fraction of applied airway pressure that will be transmitted into the pleural space?

Answer 7

f=CL/(CL+CT)

Question 8

When does aspiration most often occur?

Answer 8

During induction

Question 9

For safe, cost-effective preparation for an elective case, how many ETTs should be opened?

Answer 9

1

Question 10

An otherwise healthy 29-year-old woman is scheduled to undergo BTL. What is a BTL?

Answer 10

Bilateral tubal ligation

Question 11

An appropriately sized NIBP cuff should be __% of the width of the patient’s upper arm

Answer 11

40

Question 12

An appropriately sized NIBP cuff should be __% of the length of the patient’s upper arm

Answer 12

80

Question 13

What is the function of the anesthesia reservoir bag?

Answer 13

To help meet peak inspiratory flow requirements

Question 14

You should stay below __cmH2O during bag/mask ventilation to avoid insufflating the stomach

Answer 14

20

Question 15

What is a major contraindication to the placement of a NIBP cuff?

Answer 15

AV fistula

Question 16

What does the acronym SVC stand for?

Answer 16

Superior vena cava

Question 17

Which nerve is at risk of injury when a face mask strap is used?

Answer 17

Facial (cranial nerve VII)

Question 18

What is the internal diameter of an anesthesia face mask connector?

Answer 18

22mm

Question 19

What observational assessment is the best means for assessing effectiveness of bag-and-mask ventilation?

Answer 19

Chest rise and fall

Question 20

Below what MAC level will sevoflurane not increase heart rate?

Answer 20

1.5

Question 21

Comparing blood pressure measurements taken on an upper arm and the ispilateral calf, how will the systolic and diastolic values compare?

Answer 21

Systolic increases more than diastolic

Question 22

Name one contraindication to hetastarch administration?

Answer 22

Allergic reaction

Question 23

When performing bag-and-mask ventilation in an adult, which fingers must be applied only to the bony rim of the mandible?

Answer 23

3, 4

Question 24

For vascular access procedures, a safe, effective alternative preparation for an iodine-allergic patient would be…

Answer 24

Chlorhexadine 4%

Question 25

Which intra-op physiologic changes most often causes prolonged duration of action of a non-depolarizing muscle relaxant?

Answer 25

Temperature

Question 26

During induction of anesthesia, what breath-to-breath end-point are you trying to achieve with bag-and-mask ventilation

Answer 26

Good tidal volumes

Question 27

If aseptic technique is employed consistently, how long can a multidose drug vial continue to be used?

Answer 27

Until its expiration date

Question 28

Which IVFs are contraindication for dilution of PRBCs or contiguous administration with PRBCs?

Answer 28

LR

Question 29

Which IV fluids are relatively contraindicated in patients with ESRD?

Answer 29

LR

Question 30

What are the normal values for prothrombin time?

Answer 30

11-15 seconds

Question 31

What is the effect of an undersized BP cuff on the BP reading?

Answer 31

It will overestimate the pressure

Question 32

What are the difference in arm vs. leg BP measurements?

Answer 32

BPs taken on the leg will read higher pulse pressures, higher systolics and higher diastolics (systolic increases more than diastolic)

Question 33

How do you calculate transmural CVP?

Answer 33

Trans CVP=Direct CVP - (f x Paw) | *convert cmH2O to mmHg

Question 34

What is the osmolarity of saline 3%?

Answer 34

1027 mOsm

Question 35

What is an example of a hypo-osmolar crystalloid IV solution?

Answer 35

LR

Question 36

What peak airway pressure should you stay below during BMV to avoid insufflating the stomach?

Answer 36

20cmH2o

Question 37

What attribute of CVP catheters is associated with increasing risk of infection?

Answer 37

Increasing number of lumens