Quiz 4

Question 1

The reduction in alveolar minute ventilation leading to an insufficient elimination of CO2 from the body is known as…

Answer 1

hypoventilation

Question 2

The insufficient amount of oxygen in arterial blood that results in reduced oxygen concentration is known as…

Answer 2

hypoxemia

Question 3

The clinical situation where there is below normal arterial blood pressure is known as…

Answer 3

hypotension

Question 4

The clinical situation where there is a body temperature that is below normal is known as…

Answer 4

hypothermia

Question 5

Which of the following PaCO2 levels would be considered also known Hypercapnia?

Answer 5

50 mm Hg

Question 6

Which of the following are contributors to hypoventilation?

Answer 6

anesthetic agents
increased mechanical dead space
exhausted CO2 absorbent

Question 7

How can hypoventilation be prevented?

Answer 7

Providing an anesthetic patient 1 – 2 positive pressure ventilations / minute.

Question 8

Which of the following is the most common cause of Hypoxemia?

Answer 8

V/Q mismatch

Question 9

V/Q mismatch is defined as…

Answer 9

ventilation of a lung area without sufficient perfusion of the lung area.

Question 10

Which of the following would be a cause of V/Q mismatch?

Answer 10

Long term lateral recumbency of a canine anesthesia patient
Atelectasis
Bronchial intubation

Question 11

Severe hypoventilation, which can lead to hypoxemia, is of most concern during which period of anesthesia?

Answer 11

Recovery

Question 12

Which of the following is / are a method(s) for preventing Hypoxemia?

Answer 12

Intubating and placing an anesthetic patient on 100% oxygen regardless of inhalation anesthetic use.

Question 13

Treating Hypoxemia can be difficult. Of the following, which option would be recommended?

Answer 13

Positive pressure ventilation, holding the inspiratory pressure of 15 – 20 cm of H2O for 3-5 seconds.

Question 14

A MAP that is less than 60 mm Hg in an anesthetized cat is an indication of…

Answer 14

Hypotension

Question 15

Excessive Inspiratory Pressure (Inspiratory positive pressure ventilation – IPPV) can lead to…

Answer 15

increased pressure on the vena cava resulting in decreased blood returning to the heart (preload)

rupture of alveoli

pneumothorax and hypoxia

Question 16

Which of the following could be used for treating hypotension?

Answer 16

Fluids
Inotropes
Sympathomimetics

Question 17

Relative Hypovolemia is due to…

Answer 17

Vasodilation

Question 18

Which of the following physical parameters may indicated hypovolemia?

Answer 18

Prolonged capillary refill time (CRT)

Question 19

What is the percentage of total blood volume loss that a healthy patient undergoing surgery
Would NOT be able to tolerate?

Answer 19

21%

Question 20

What is the ratio of the volume of crystalloids administered to the volume of blood loss?

Answer 20

3 ml for every 1 ml of blood loss

Question 21

Which of the following fluid types may be beneficial for the treatment of blood loss?

Answer 21

Hypertonic Saline
Synthetic Colloids
Blood Products

Question 22

Which of the following statements if FALSE for hypothermia?

Answer 22

The use of electrical heating pads or warming fluid bags in the microwave are acceptable methods of warming patients.

Question 23

Which of the following statements if FALSE for hypoglycemia?

Answer 23

Blood glucose levels are less important to monitor in pediatric patients than is healthy adults.

Question 24

Hyperthermia has many causes including anesthetic medication. Which of the following
statements if FALSE for hyperthermia?

Answer 24

The use of icepacks, full submersion in a cool water or alcohol bath is the treatment of choice for hyperthermia.

Question 25

Hyperventilation occurs when PaCO2 is less than 35 mm Hg. It can be caused by…

Answer 25

Pain perception during anesthesia Positive pressure ventilation that results in an excessive tidal volume administration or an excessive respiratory rate Hyperthermia

Question 26

Which of the following drugs would NOT have a side effect of hypertension?

Answer 26

Acepromazine

Question 27

Which of the following is / are appropriate treatment(s) for apnea of an anesthetic patient?

Answer 27

Decrease the delivery % of the inhalation agent Use PPV until the patient begins spontaneous ventilation Administer butorphanol if a pure Mu agonist had been administered.

Question 28

In general, which of the following anesthesia patients would be more prone to postoperative myopathy?

Answer 28

an 80 pound Labrador Retriever.

Question 29

Which of the following is / are a warning sign(s) for Cardiopulmonary Arrest CPA?

Answer 29

Agonal breaths Unresponsive hypotension Irregular pulses

Question 30

Which of the following from the lecture were drugs to be used cautiously or not at all compared to the reading assignment?

Answer 30

Lidocaine and Doxapram