Exam 3 Review

Question 1

Chronic pain definition

Answer 1

Physical and emotional response to tissue damage that lasts longer than the expected duration of pain

Question 2

Pain following a distribution of a nerve or a group of nerves is known as

Answer 2

Neuralgia

Question 3

3. What are three definitive signs of recurarization in the PACU? NOT Sustained head lift for > 5 seconds

Answer 3

a. appears uncoordinated
b. declining O2 saturation
d. increased respiratory effort

Question 4

What is the primary route of elimination for Anectine?

Answer 4

Plasma Cholinesterase

Question 5

Which neuromuscular blocker is ideal for a patient with renal disease?

Answer 5

Cisatracurium

Question 6

Which of the following is inappropriate for an epidural placement?

Answer 6

Platelet count : 44

Question 7

Fast impulses for sharp pain is mediated by what specific nerve fiber?

Answer 7

A (/) delta fibers

Question 8

All of the following are reliable for monitoring neuromuscular blockade. (EXCEPT)

Answer 8

Normal Tidal Volume

Question 9

Most neuromuscular disorders would contraindicate administration of succinylcholine due to this major
adverse reaction.

Answer 9

c. hyperkalemia

Question 10

Patients w myasthenia gravis are _______ to non depolarizers

Answer 10

Sensitive

Question 11

The entry of this ion facilitates release of the

neurotransmitter at the neuromuscular endplate.

Answer 11

Calcium

Question 12

The last to be paralyzed but the first to recover among the different muscles of the body from non-depolarizers
are the muscles of the:

Answer 12

a. diaphragm

Question 13

Train of four monitoring is used to determine?

Select one:

Answer 13

c. Neuromuscular Blockade

Question 14

When using train of four to identify level of paralysis. How many twitches would equate to 90% of the
receptors being occupied?

Answer 14

1/4

Question 15

Understanding the concept of receptor changes during a massive burn, the patient would require a/an _____
dose with non-depolarizers to achieve an adequate neuromuscular blockade

Answer 15

INCREASED

Question 16

In the treatment of chronic pain, a spinal cord stimulator may be implanted in order to:

Answer 16

Stimulate large A-beta fibers in the dorsal columns of the spinal cord

Question 17

Which of the following is an absolute contraindication to neuraxial anesthesia?

Answer 17

Patient refusal

Question 18

For epidural catheter insertion, what is the optimal depth of the cather into the epidural space?
Select one:

Answer 18

3-5 cm

Question 19

Spinal and epidural anesthesia have been shown to do all EXCEPT:

Answer 19

Increase morbidity and mortality in high-risk surgical patients.

Question 20

What is the concentration of epinephrine that corresponds to a 1:200,000 mixture?Select one:

Answer 20

5 mcg/mL

Question 21

The perception of an ordinarily non-noxious stimulus as pain known as?

Answer 21

Allodynia

Question 22

The area of cutaneous sensation supplied by a spinal nerve that is anatomically identified as it passes through
an inter vertebral foramen is known as a: Select one:

Answer 22

Dermatome

Question 23

When a opioid is administered epidurally, it needs to cross from epidural space through the dura to reach the
opioid receptor located in the? Select one:

Answer 23

Substantia Gelatinosa

Question 24

Advantages of a continuous epidural catheter include three of the following: Select one or more:

Answer 24

Useful in the treatment of chronic pain
Useful in cases of prolonged duration
Useful for prolonged post op analgesia

Question 25

In what space is the local anesthetic injected in for caudal anesthesia? Select one:

Answer 25

Epidural

Question 26

What is the site of action for neuraxial blockade?

Select one:

Answer 26

Nerve Roots and Dural Cuffs

Question 27

What level has the Spinal/Epidural reached if the patient reports numbness in the proximity of the umbilicus?
Select one:

Answer 27

Approximately T10

Question 28

Hypothermic patient’s exhibit a ______ duration of neuromuscular blockade to all muscle relaxants.
Select one:

Answer 28

Increased