Self Assessment Questions for Exam 2 (Dr. Erickson) Flashcards
Part of properly assessing Mallampati includes:
A. The patient seated upright with head extended.
B. The patient opening their mouth and phonating.
C. No phonation.
D. the tongue in a neutral position.
C. No phonation.
What is the LEAST LIKELY cause of dental injury during anesthesia?
A. Biting down on an endotracheal tube.
B. Use of a laryngoscope blade.
C. Oropharyngeal airway placement.
D. Aggressive mask ventilation.
D. Aggressive mask ventilation.
Prognathic ability is a measurement of: (Select 2).
A. The extension of the upper incisors beyond the lower incisors.
B. The ability of the lower incisors to bite the upper lip.
C. The extension of the lower incisors beyond the upper incisors.
D. The ability of the upper incisors to bite the lower lip.
B. The ability of the lower incisors to bite the upper lip.
C. The extension of the lower incisors beyond the upper incisors.
What information regarding the patient’s anesthetic history would indicate potential airway concerns? (Select 2).
A. Report of a Mallampati II score.
B. Report of cut lips or broken teeth.
C. Report of excessive sore throat.
D. Report of oxygen saturation at 95% on room air.
B. Report of cut lips or broken teeth.
C. Report of excessive sore throat.
Which airway assessment finding is more predictive of difficult intubation than a high BMI?
A. Neck carcinoma
B. Cervical traction
C. Receding mandible
D. Neck size of 45 cm
D. Neck size of 45 cm
In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery:
A. 8 hours
B. 4 hours
C. 24 hours
D. 12 hours
C. 24 hours
A 34-year-old patient diagnosed with acute pancreatitis is scheduled for surgery in the morning. The patient has the following laboratory values:
WBC 18,000
Platelets 150,000
AST 376
BUN 22
What is the patient’s risk of mortality?
A. 40%
B. 20%
C. <5%
D. 100%
B. 20%
For patients with a history of esophageal diverticula, what are the anesthetic concerns? (Select 2).
A. Increased risk of aspiration.
B. Elevate the head of bed during induction.
C. Insert nasogastric tube post-induction.
D. Apply cricoid pressure during induction.
A. Increased risk of aspiration.
B. Elevate the head of bed during induction.
An adenocarcinoma esophageal tumor is located:
A. at the mid-esophagus.
B. at the pyloric sphincter.
C. at the distal esophagus.
D. at the proximal esophagus.
C. at the distal esophagus
Which medication will induce remission in patients with Ulcerative Colitis and Crohn’s disease?
A. Ciproflaxacin
B. Glucocorticoids
C. 5-Acetylsalicylic acid
D. Octreotide
C. 5-Acetylsalicylic acid
5-ASA is the mainstay therapy for mild to moderate inflammatory bowel disease. It is effective in inducing remission in both UC and Crohn’s. -Stoelting’s
A diagnosis of Grave’s disease is consistent with:
A. decreased T4.
B. weight loss.
C. Elevated TSH.
D. somnolence.
B. weight loss.
Preoperative findings of Duchenne muscular dystrophy include:
A. gastrointestinal hypermotility.
B. kyphoscoliosis.
C. decreased serum creatinine kinase.
D. sinus bradycardia.
B. kyphoscoliosis.
Signs and symptoms of scleroderma include: (Select 2).
A. decreased pulmonary compliance.
B. small bowel hypomotility.
C. diarrhea.
D. diffuse pitting edema.
A. decreased pulmonary compliance.
B. small bowel hypomotility.
Which anesthetic plan is ideal for a patient with systemic lupus erythematosus?
A. Avoid the use of volatile anesthetics.
B. Prepare patient for possible post-operative ventilator.
C. Administer metoclopramide
D. Order pre-operative CBC and ECG.
D. Order pre-operative CBC and ECG.
All of the anesthetic considerations are indicated in a patient with hyperparathyroidism EXCEPT:
A. pre-operative ECG.
B. Avoid the use of midazolam pre-operatively.
C. intravenous fluid administration.
D. administration of 40 mg of rocuronim.
D. administration of 40 mg of rocuronim.
Hypercalcemia = muscle weakness
What are treatments indicated for a patient with rheumatoid arthritis?
A. Corticosteroids and DMARDS.
B. Immunoglobulin injections and DMARDS.
C. Plasmapheresis and thymectomy.
D. Alternating heat and cold therapies.
A. Corticosteroids and DMARDS.
Anesthetic considerations for syndrome of inappropriate anti-diuretic hormone (SIADH) include: (Select 2).
A. titrating intravenous fluid.
B. stress dose of dexmethisone.
C. measurement of urine osmolality.
D. administration of pre-operative midazolam.
A. titrating intravenous fluid.
C. measurement of urine osmolality
Which statement BEST describes acromegaly?
A. Hypoglycemia is a frequent concern.
B. Occurs due to a tumor in the posterior pituitary gland.
C. Decreased amount of neuromuscular blockers is recommended.
D. An insufficiency of growth hormone.
C. Decreased amount of neuromuscular blockers is recommended.
In patients with carcinoid tumors, how early should octreotide be administered to prevent crisis during surgery:
A. 8 hours.
B. 24 hours.
C. 4 hours.
D. 12 hours.
B. 24 hours.
Which statement BEST characterizes myasthenia gravis?
A. Muscle weakness that improves with repeated effort.
B. Rigidity after exposure to volatile anesthetics.
C. Delayed muscle relaxation.
D. Fatiguability of skeletal muscle with repetitive use.
D. Fatiguability of skeletal muscle with repetitive use.
