Practice Questions Flashcards
An increased _______ indicates an increased risk of bleeding during surgery
TSH
PTT
CPK
All of the above
B and C
PTT
TSH is thyroid stimulating hormones and will determine how much thyroid hormones should be released and will not have any effect on bleeding.
PTT stands for partial thromboplastin time and is a blood test that determines how long it will take for your blood to clot so an increased number means that it will take longer for the blood to clot and there is an increased risk for surgery.
Creatine phosphokinase (CPK) is an enzyme that will be released when muscle tissue is damaged and can be used in order to determine whether there has been stress or injury to the heart and is not used to determine bleeding risk.
An anesthesiologist is assessing a patient for a mitral valve replacement. The patient is 78 year old, has COPD and the expected surgery time is approximately four hours. The anesthesiologist should opt for which type of anesthesia, given what you know about this patient?
General
Regional
Peripheral
None of the above
General
General anesthesia needs to used as this is a major surgery and the patient will need to be completely under anesthesia.
Oral intubation for a patient with a Class IV Mallampati would be considered
Easy
Difficult
Neither of the above
Difficult
A patient has just been induced and has stopped breathing, according to the patient monitor. Which of the following is the optimal action at this time?
Use the Glide Scope to visualize the cords and orally intubate
Use an LMA to ensure an airway
Bag mask ventilation on 100% oxygen
Bag mask ventilation on blended oxygen/sevoflurane
Bag mask ventilation on 100% oxygen
A #4.5 ETT should be used on
A newborn
1 year old
3 year old
5 year old
3 year old
A patient is about to undergo a skull fracture repair to the back of his head. In order to prevent any complications due to positioning during surgery, which position should the patient be in for the procedure
Lateral Decubitus
Prone with Wilson Frame
Lithotomy
Prone with lawn chair support
Prone with Wilson Frame
Most surgical procedures outside of OR occurs
In the ER
In an outpatient surgical center
In the dentist office
All of the above
All of the above
Vital signs should be monitored every _______ in the PARR?
30 minutes
15 minutes
5 minutes
Continuously
15 minutes
A patient in the PARR is continuing to experience neuromuscular blockade post-surgery. Which of the following could be responsible for this effect?
Lasic
Flagyl
Pregnancy
All of the above
All of the above
Which of the following respiratory complications are commonly observed in PARR
I. Stridor
II. Laryngospasm
III. Sleep Apnea
IV. Airway Edema
1, 2, 3, 4
Post operative ventilatory failure occurs because of
A depressed respiratory center in the brain
Residual weakness from neuromuscular blocking agents
Abdominal distension
A and B
A, B, and C
A, B, and C
Post operative pulmonary shunt may occur due to
Atelectasis
Hypoventilation
Blood Loss
A and B
A and B
Causes of hypotension in PARR may include
Sepsis
Allergic Reactions
Anxiety
A and B
A and B
Transporting an apneic patient from the OR to PARR should include
RT
Bagging Unit
Oxygen
A patent Airway
All of the above
All of the above
