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QUIZ Ch. 9 - Surgical Pharmacology and Anesthesia > QUIZ Ch. 9 - Surgical Pharmacology and Anesthesia > Flashcards

QUIZ Ch. 9 - Surgical Pharmacology and Anesthesia Flashcards

1
Q

The surgical technologist (ST) and circulating RN verify a drug’s name, strength, expiration, and amount together; then the ST labels any container holding it; and states the drug name and strength aloud to the surgeon as it is being passed.

True
False

A

True

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2
Q

Which drug is administered intravenously to treat life-threatening cardiac ventricular arrhythmias?

a.
cimetidine

b.
diazepam

c.
naloxone HCl

d.
lidocaine HCl

A

c.
naloxone HCl

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3
Q

A widely accepted list of safety measures is entitled the Six “__________“_ of Medication Administration.

a.
Rights

b.
Standards

c.
Points

d.
Laws

A

a.
Rights

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4
Q

Which of the following pharmacological agents provides muscle relaxation by preventing acetylcholine from stimulating muscle contraction?

a.
induction

b.
dissociative

c.
volatile

d.
nondepolarizing

A

d.
nondepolarizing

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5
Q

Drugs used for prophylaxis relieve pain or other symptoms of a disease process.

True
False

A

False

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6
Q

What is the pharmacological agent administered specifically to treat malignant hyperthermia (MH)?

a.
dantrolene

b.
succinylcholine

c.
curare

d.
sevoflurane

A

a.
dantrolene

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7
Q

What is the term for the portion of the endotracheal tube that is inflated to create a closed airway system?

a.
neck

b.
cuff

c.
jacket

d.
sleeve

A

b.
cuff

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8
Q

How are most drugs absorbed by the body?

a.
dissolution

b.
passive transport

c.
vasoconstriction

d.
active transport

A

b.
passive transport

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9
Q

What is done to an upper extremity with an Esmarch bandage prior to inflation of the double-cuffed tourniquet used in Bier block anesthesia?

a.
exsanguination

b.
embolization

c.
extravasation

d.
evisceration

A

a.
exsanguination

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10
Q

Which of the following is NOT a drug administration route?

a.
topical

b.
parenteral

c.
enteral

d.
biodegradable

A

d.
biodegradable

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11
Q

Teratogens fall into which category of medication effects?

a.
adverse

b.
therapeutic

c.
addiction

d.
toxic

A

d.
toxic

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12
Q

Which anatomical structure regulates temperature by monitoring processes of heat production and loss in the human body?

a.
cerebellum

b.
hypothalamus

c.
pituitary gland

d.
thyroid gland

A

b.
hypothalamus

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13
Q

The ratio of a solution’s solute to solvent is its:

a.
concentration

b.
conversion rate

c.
chemical index

d.
cumulative dose

A

a.
concentration

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14
Q

What is another term for spinal anesthesia?

a.
Bier

b.
retrobulbar

c.
intrathecal

d.
local

A

c.
intrathecal

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15
Q

Antibiotics and the anticoagulant heparin are frequently diluted with normal saline to achieve a more powerful dosage than the original strength.

True
False

A

False

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16
Q

Which drug is an anticoagulant antagonist used to reverse the effects of heparin?

a.
naloxone HCl

b.
dantrolene sodium

c.
sodium bicarbonate

d.
protamine sulfate

A

d.
protamine sulfate

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17
Q

Which of the following topical anesthetics is used as a “freezing” method to block pain receptors in skin?

a.
ethyl chloride

b.
tetracaine

c.
cocaine

d.
lidocaine

A

a.
ethyl chloride

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18
Q

Which type of anesthesia would be considered nontraditional in the United States?

a.
monitored

b.
acupuncture

c.
Bier block

d.
spinal block

A

b.
acupuncture

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19
Q

A patient prescribed sublingual nitroglycerin for angina would:

a.
rub it into his chest

b.
place it under his tongue

c.
instill drops in his eyes

d.
spray it into his nostrils

A

b.
place it under his tongue

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20
Q

Extreme caution should be exercised when using which of the following for localized anesthesia of fingers, toes, or the penis, or in neonates?

a.
hyaluronidase

b.
bupivacaine

c.
epinephrine

d.
mepivacaine

A

c.
epinephrine

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21
Q

What type of irrigating solution is used during placement of synthetic grafts in cardiovascular surgery to prevent clotting?

a.
antibiotic NaCl

b.
heparinized saline

c.
sterile distilled water

d.
balanced salt solution

A

b.
heparinized saline

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22
Q

Which anesthetic monitoring device registers the brain wave activity of the patient and enables anesthetic titration for optimal level of consciousness during surgical intervention?

a.
electrocardiogram

b.
Doppler device

c.
pulse oximeter

d.
bispectral index

A

d.
bispectral index

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23
Q

Which type of reaction occurs when a drug potentiates or enhances the effect of another substance?

a.
additive

b.
antagonistic

c.
anaphylactic

d.
agonistic

A

d.
agonistic

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24
Q

During which type of assessment would Korotkoff’s sounds be heard?

a.
while using sterile Doppler probe to find blockage

b.
during coughing during the recovery phase

c.
using a stethoscope for manual blood pressure

d.
listening for breathing before initiating CPR

A

c.
using a stethoscope for manual blood pressure

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25
Q

What is the term for a spinal anesthetic solution that has the same specific gravity as cerebrospinal fluid?

a.
hypobaric

b.
isobaric

c.
hyperbaric

d.
antibaric

A

b.
isobaric

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26
Q

During which phase of general anesthesia would the risk of aspiration be the greatest?

a.
recovery

b.
induction

c.
emergence

d.
maintenance

A

b.
induction

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27
Q

Cough syrups containing codeine would be placed in which classification of controlled substances?

a.
Class IV

b.
Class II

c.
Class V

d.
Class

A

c.
Class V

28
Q

The practice of applying cricoid pressure during endotracheal intubation was named for a British anesthesiologist named:

a.
Korotkoff

b.
Heimlich

c.
Sellick

d.
Doppler

A

c.
Sellick

29
Q

When a patient undergoes induced hypothermia to a level of 68°F or below, it is termed to be:

a.
profound

b.
deep

c.
moderate

d.
ligh

A

a.
profound

30
Q

What would be the scrubbed surgical technologist’s role in the general anesthesia induction phase?

a.
maintains absolute quiet

b.
initates the “time-out”

c.
applies cricoid pressure for intubation

d.
suctions oral secretions

A

a.
maintains absolute quiet

31
Q

Which classification of drugs is used to induce uterine contractions and reduce bleeding after vaginal or cesarean section delivery?

a.
adrenergic

b.
immunoglobulin

c.
oxytocic

d.
steroid

A

c.
oxytocic

32
Q

Fentanyl citrate is the generic name for which of the following analgesics?

a.
Demerol

b.
Toradol

c.
Sublimaze

d.
morphine

A

c.
Sublimaze

33
Q

Lidocaine, bupivacaine, and ropivicaine are examples of which type of nerve conduction blocking agents?

a.
amino esters

b.
adrenergics

c.
amino amides

d.
adjunctive

A

c.
amino amides

34
Q

What type of anesthesia nerve block involves injecting local anesthetics with Wydase around the optic nerves?

a.
epidural

b.
retrobulbar

c.
caudal

d.
Bier

A

b.
retrobulbar

35
Q

Diminished cardiac and urinary output, hypotension, and tachycardia are signs of:

a.
malignant hyperthermia

b.
disseminated intravascular coagulopathy

c.
shock

d.
pseudocholinesterase deficiency syndrome

A

c.
shock

36
Q

Nonsteroidal anti-inflammatory drugs (NSAIDS) are also known as:

a.
analgesics

b.
antibiotics

c.
adrenergics

d.
antihypertensives

A

a.
analgesics

37
Q

Which type of medication container would pose the highest risk of injury to the handler and contamination of the medication by glass particles?

a.
tube

b.
vial

c.
ampule

d.
preloaded syringe

A

c.
ampule

38
Q

What is the medical term for normal breathing?

a.
dyspnea

b.
eupnea

c.
apnea

d.
bradypnea

A

b.
eupnea

39
Q

Benzodiazepines are classified by the Controlled Substances Act as which class?

a.
Class III

b.
Class II

c.
Class V

d.
Class IV

A

d.
Class IV

40
Q

By what name is the International System of Units more commonly known?

a.
quantitative system

b.
household system

c.
apothecary system

d.
metric system

A

d.
metric system

41
Q

Which vitamin is required for activation of the body’s natural clotting mechanism?

a.
D

b.
C

c.
B

d.
K

A

d.
K

42
Q

What side effects after the use of the dissociative agent ketamine HCl make it contraindicated for use on adults?

a.
morbid hallucinations

b.
hangover feeling

c.
urinary incontinence

d.
vomiting and nausea

A

a.
morbid hallucinations

43
Q

A bovine-derived enzyme used as a chemical method of hemostasis is:

a.
heparin

b.
epinephrine

c.
collagen

d.
thrombin

A

d.
thrombin

44
Q

Ancef, Kefzol, and Keflex are brand names for which category of antibiotic/anti-infective agents?

a.
aminoglycosides

b.
penicillins

c.
cephalosporins

d.
anti-amebicides

A

c.
cephalosporins

45
Q

A patient taking a medication for a long period may experience tolerance, resulting in the need to increase the dosage to achieve the same benefit as before.

True
False

A

True

46
Q

Which type of drug is used to treat possible postoperative nausea and vomiting?

a.
antimuscarinic

b.
antiemetic

c.
antihistamine

d.
anti-arrhythmic

A

b.
antiemetic

47
Q

What is the topical agent used by peripheral vascular and neurosurgeons to dilate blood vessels intraoperatively?

a.
epinephrine

b.
papaverine HCl

c.
lidocaine HCl

d.
heparin

A

b.
papaverine HCl

48
Q

Minums, drams, and drops are volume measurements in which measurement system?

a.
apothecary

b.
metric

c.
common

d.
household

A

a.
apothecary

49
Q

To convert weight in pounds to kilograms for a near estimate in an emergency, divide the pounds in half and then subtract the first digit of the answer from the answer itself to get the conversion total. For example, 160/2 = 80, 80 - 8 = 72.

True
False

A

True

50
Q

Which type of drug preparation both is sweetened and contains alcohol?

a.
solution

b.
syrup

c.
emulsion

d.
elixir

A

d.
elixir

51
Q

Which measurement method is used to determine end tidal volume of expired carbon dioxide?

a.
spirometry

b.
tomography

c.
oximetry

d.
capnography

A

d.
capnography

52
Q

Avitene is the brand name for which type of chemical hemostatic agent?

a.
topical thrombin

b.
oxidized cellulose

c.
absorbable gelatin

d.
microfibrillar collagen

A

d.
microfibrillar collagen

53
Q

Which type of ophthalmic medication constricts the pupil?

a.
cycloplegic

b.
mydriatic

c.
miotic

d.
viscoelastic

A

c.
miotic

54
Q

Which of the following naming categories for pharmaceutical drugs would NOT be used in a health care setting?

a.
street

b.
trade

c.
generic

d.
chemica

A

a.
street

55
Q

Magnesium, calcium, and zinc come from which drug source?

a.
mineral

b.
biotechnology

c.
animal

d.
plant

A

a.
mineral

56
Q

Why would a neurosurgeon order mannitol for a patient during a craniotomy for excision of tumor?

a.
reduce vasospasm

b.
decrease intracranial pressure

c.
prevent surgical site infection

d.
muscle relaxation

A

b.
decrease intracranial pressure

57
Q

In which anatomical organ does biotransformation of drugs most often take place?

a.
liver

b.
brain

c.
kidney

d.
colon

A

a.
liver

58
Q

Which category of drug is used to outline hollow or tubular anatomical structures for radiographic visualization?

a.
stains

b.
dyes

c.
contrast media

d.
vasodilator

A

c.
contrast media

59
Q

What is the chemical name for a chemical or drug that causes birth defects?

a.
parenteral

b.
teratogen

c.
agonist

d.
synergist

A

b.
teratogen

60
Q

The apothecary system of measurement based weight measurement on a grain of:

a.
bran

b.
wheat

c.
rice

d.
sand

A

b.
wheat

61
Q

What is the name of the device used to support or modify the curvature of an endotracheal tube during intubation?

a.
tube

b.
stylet

c.
circuit

d.
balloon

A

b.
stylet

62
Q

Which type of pharmaceutical agent binds to another agent’s receptor site, preventing the other agent from binding there and causing its desired effect?

a.
antagonist

b.
anaphylactic

c.
additive

d.
agonist

A

a.
antagonist

63
Q

Drugs used for ophthalmological procedures are similar to those for systemic use but must be:

a.
less viscoelastic

b.
less concentrated

c.
more pure

d.
more diluted

A

c.
more pure

64
Q

The anesthesia provider would assign which physical status classification rating to a patient with severe systemic disease, massive obesity, poorly controlled hypertension, or status postmyocardial infarction?

a.
ASA 4

b.
ASA 1

c.
ASA 2

d.
ASA 3

A

d.
ASA 3

65
Q

Which governmental regulatory agency has oversight of pharmaceutical companies?

a.
OSHA

b.
FDA

c.
NIH

d.
EPA

A

b.
FDA

QUIZ Ch. 9 - Surgical Pharmacology and Anesthesia (1 decks)

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