General/Local Anesthetics

Question 1

What is monitored anesthesia care?

Answer 1

Midazolam followed by titrated propofol infusion

Provides anxiolysis, amnesia, and mild sedation

Question 2

What is conscious sedation?

Answer 2

Benzos, opioid analgesics

Question 3

What reverses benzos?

Answer 3

Flumazenil

Question 4

What reverses opioid analgesics?

Answer 4

Nalaxone

Question 5

What causes deep sedation?

Answer 5

Propofol and midazolam

Question 6

Low blood solubility = ____ onset

Answer 6

Fast

Question 7

Low blood solubility drugs

Answer 7

NO, desflurane

Question 8

High blood solubility drugs

Answer 8

Halothane

Question 9

High MAC% = ____ onset

Answer 9

Fast

Question 10

Low blood:gas coefficient = ___ onset

Answer 10

Fast

Question 11

Anesthesia potency is described by MAC, required to prevent response to surgical incision

Answer 11

response to surgical stimulation in 50% of subjects

Question 12

All inhaled anesthetics can _____ right arterial pressure in dose-related manner, caused by depressed myocardial function

Answer 12

increase

Question 13

Inhaled anesthetics

Answer 13

Desflurane
Enflurane
Halothan
Isoflurane
NO
Sevoflurane

Question 14

Enflurane side effect

Answer 14

Renal toxicity

Question 15

Halothane side effect

Answer 15

hepatitis

Question 16

Sevoflurane side effect

Answer 16

Renal toxicity

Question 17

IV anesthetics

Answer 17

Diazepam
Etomidate
Fentanyl
Ketamine
Midazolam
Propofol

Question 18

Etomidate side effect

Answer 18

Decreases steroidogenesis, adrenocortical suppression via inhibiting 11B-hydroxylase

Question 19

Fentanyl

Answer 19

Balanced anesthesia and conscious sedation

Question 20

Ketamine side effect

Answer 20

Psychotic hallucinations, HTN, tachy

Question 21

Midazolam reversed by

Answer 21

Flumazenil

Question 22

Propofol

Answer 22

Causes hypotension and anti-emetic effects

Question 23

Propofol MOA

Answer 23

Targets GABA-A receptor and potentiates Cl- current

Decreases blood pressure

Question 24

What is an ester local AE?

Answer 24

Procaine

Question 25

What is an amide local AE?

Answer 25

Lidocaine

Question 26

Benzocaine

Answer 26

surface use only

Derm conditions, hemorrhoids, premature ejaculation, lube

Question 27

Bupivacaine

Answer 27

Cardiotoxic

Sensory block

Question 28

Dibucaine

Answer 28

Used only as topical cream on skin

Question 29

Lidocaine

Answer 29

CNS toxicity

Alternative to ester type anesthetic

Question 30

Procaine

Answer 30

Slower onset, shorter duration of action

Used for infiltration anesthesia

Question 31

Procaine metabolized by

Answer 31

Para-aminobenzoic acid