General Anesthesia

Question 1

Propofol (Diprivan) is classified as a/an

Answer 1

Anesthetic

Question 2

General anesthetic drugs are most commonly administered by what route?

Answer 2

Inhalation and intravenous

Question 3

Steps of induction

Answer 3

Preoxygenation with 100% oxygen, administration of propofol, administration of muscle relaxant, intubation

Question 4

Emergence is a term used to describe when the patient:

Answer 4

Is brought from an unconscious state to a conscious state.

Question 5

A fasciculation is a/an:

Answer 5

Muscle contraction

Question 6

During what stage of anesthesia does the excitement stage occur?

Answer 6

Induction

Question 7

Succinlcholine

Answer 7

Depolaring Neuromuscular Blocker

Question 8

Reversal agent (Neuromuscular Antagonist)

Answer 8

Neostigmine

Question 9

Non-depolarizing Neuromuscular Blocker

Answer 9

Rocuronium

Question 10

Isoflurane is marketed under what trade name?

Answer 10

Forane

Question 11

What muscle relaxants has no reversal agent and must be allowed to wear off?

Answer 11

Anectine

Question 12

A supraglottic airway is also known as a(n)

Answer 12

LMA

Question 13

Cardiac arrhythmias are often observed in surgical patients with imbalances of which electrolytes?

Answer 13

Potassium

Question 14

5 phases of general anesthesia:

Answer 14

1. Preinduction
2. Induction
3. Maintenance
4. Emergence
5. Recovery

Question 15

Process used to secure and control the airway quickly

Answer 15

rapid sequence induction (RSI)

Question 16

As the procedure is complete, the ________ phase begins, during which anesthetic agents are discontinued and allowed to wear off, the patient begins to awaken and the airway is removed (extubation replaced with O2 mask)

Answer 16

emergence

Question 17

Trade name for Ketamine:

Answer 17

Ketalar

Question 18

Trade name for Propofol:

Answer 18

Diprivan

Question 19

The most commonly used agent for induction, ________, is injected intravenously and produces an unconscious state within a minute. It has a characteristic milky white appearance.

Answer 19

Propofol (Diprivan)

Question 20

The depolarizing succinylcholine may trigger…

Answer 20

malignant hypothermia

Question 21

What type of neuromuscular blocking agent is succinylcholine?

Answer 21

depolarizing

Question 22

Which one of the inhalation agents is a gas, not a vapor?

Answer 22

Nitrous oxide

Question 23

Muscle relaxants produces fasciculations?

Answer 23

Succinylcholine

Question 24

Trade name for succinylcholine

Answer 24

Anectine

Question 25

Opioids are reversed using

Answer 25

Narcan

Question 26

Why might lidocaine be administered in management of cardiac arrest?

Answer 26

to treat ventricular arrhythmias

Question 27

Which medication is administered intravenously for anaphylaxis when it occurs under general anesthesia?

Answer 27

Dopamine

Question 28

Which medication used to manage laryngospasm with oxygen desaturation after extubation?

Answer 28

Anectine

Question 29

involuntary contraction of the bronchi

Answer 29

bronchospasm

Question 30

hypnotic agent

Answer 30

Etomidate (Amidate)

Question 31

Analgesic, used during induction phase prior to intubation and may be used in maintenance phase if patient responds to painful stimuli. May be used in recovery phase if patient complains of pain.

Answer 31

Alfentanil and Fentanyl

Question 32

Non depolarizing neuromuscular blocker. Duration 30-40min total 50mins.

Answer 32

Rocuronium

Question 33

Reversal for non depolarizing muscle relaxants used during the emergence phase.

Answer 33

Neostigmine

Question 34

Benzodiazepine used in the preinduction phase to alleviate anxiety and cause retrograde amnesia.

Answer 34

Versed

Question 35

combination of inhalation and intravenous agents to accomplish general anesthesia.

Answer 35

Balanced anesthesia

Question 36

4 Stages of Anesthesia

Answer 36

1) Amnesia 2) Delirium 3) Surgical Anesthesia 4) Overdose

Question 37

What is cricoid pressure?

Answer 37

- aka Sellick maneuver - gently compresses the esophagus - reduces risk of gastric contents entering the trachea and lungs - facilitates visualization of vocal cords

Question 38

How long is cricoid pressure maintained?

Answer 38

Until the ET tube is in correct position

Question 39

Common complication during emergence from general anesthesia

Answer 39

Hypoxia

Question 40

When general anesthesia is used, what stage is the eyelid reflex lost

Answer 40

Stage II - when patient loses consciouness

Question 41

Barbiturate that might be used for sleep the night before surgery

Answer 41

Secobarbital

Question 42

General and regional anesthesia contribute to body heat loss by causing

Answer 42

Vasodilation