Score Set 2

Question 1

Rocuronium dose for RSI

Answer 1

1.2 Mg/kg

Question 2

When to avoid propofol for RSI?

Answer 2

If hypotensive

Question 3

Highest risk non cardiac surgery?

Answer 3

Open vascular procedures

Question 4

MOA of local anesthetics?

Answer 4

Block Na+ channels

Question 5

Amides vs Esters

Answer 5

Two classes of local anesthetics. AmIdes have 2 “I”s, Esters have 1.

Question 6

Volatile anesthetics are cleared by ______.

Answer 6

Exhalation (and minimally by metabolism).

Question 7

PONV risk factors

Answer 7

Female gender, non smoker, h/o PONV, prior h/o prolonged use of postop opioids. Use of inhalational anesthetics.

Question 8

Anesthetics that decrease risk of PONV

Answer 8

IV agents such as propofol and short-acting narcotics such as remifentanyl

Question 9

Symptoms of LAST

Answer 9

Ringing in ears, perineal numbness, dizziness, headache -> seizures

Question 10

Steps to take for CO2 embolus

Answer 10

Immediate desufflation, positioning to shift CO2 bubble to apex of right ventricle, hemodynamic support, ventilation with 100% O2. Aspiration of bubble can be attempted thru central venous catheter.

Question 11

Ketamine MOA

Answer 11

NMDA receptor antagonist

Question 12

Ketamine contraindications

Answer 12

Aortic dissection, aortic aneurysm, MI (causes transient HTN), delirium, chronic alcoholism or acute intoxication, schizophrenia, pregnancy or breastfeeding.

Question 13

What % of prescribed opioid tablets after common elective surgeries ends up unused?

Answer 13

72% (Hill et al)