Quiz 1

Question 1

Pre-op oral meds should be given how long before surgery?

Answer 1

60 min-90 “sip of water up to 150 ml (adult) 75 ml (children) up to 1 hour before surgery)

Question 2

For maximum benefits, the pt should stop smoking how long before surgery?

Answer 2

4-8 weeks to prevent postop pulmonary complications (minimum of 12 hours, may need 2 days)

Question 3

What are the elements of anesthesia?

Answer 3

amnesia, akinesia, analgesia

Question 4

JCAHO requires all pts…

Answer 4

receive preop anesthetic evaluation- information should be complete and legible

Question 5

Failing to get consent for non-emergency case can be an example of?

Answer 5

assault and battery

Question 6

What are the tests to predict difficulty of intubations?

Answer 6

mallampati, thyromental distance, intercisor distance, head and neck movement, mandibular mobility

Question 7

Mallampati

Answer 7

tongue size relative to oral cavity (1 is easiest, 4 i hardest)

Question 8

thyromental distance

Answer 8

distance between thyroid cartilage and bony point of lower mandible with neck fully extended- less than 3 fingers or 7 cm associated with difficult intubation

Question 9

intercisor distance

Answer 9

degree of mouth opening- adults should be able to have 4 cm/2 finger breadths

Question 10

IBW Calculations

Answer 10

Males: 105+6 lbs for every inch over 5’ Females: 100+ 5 lbs for every inch over 5’

Question 11

STOP BANG Assessment

Answer 11

assesses severity of OSA

Question 12

Beta blocker recommendations for surgery

Answer 12

continue taking if previously treated for heart disease, arrhythmia, HTN (therapy should be initiated >45 days before surgery to eval)

Question 13

All women of child bearing age should have?

Answer 13

pregnancy test