The General Anesthesia Quiz! Trivia

26 Questions | By Twimo | Updated: Mar 22, 2022 | Attempts: 1227

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The General Anesthesia Quiz! Trivia - Quiz

The general anaesthesia quiz trivia! General anaesthesia is a form of anaesthesia in which a patient is rendered completely unconscious as a procedure is being carried out on him for a long time. Do you know what other types of anaesthesia exist, what sets them apart and the different types of drugs administered to a patient? In this quiz, you will refresh your understanding of some of the main facts surrounding general anaesthesia.

Questions and Answers

1.

All of the following about anesthesia are true except?
- A.
  
  Irreversible
- B.
  
  Can involve analgesia
- C.
  
  Loss of consciousness
- D.
  
  Involves amnesia
- E.
  
  Increased autonomic responses
2.

Which of the following supports the membrane lipid theory used to describe the mechanism of action of general anesthetics?
- A.
  
  Anesthetics produce different levels or components of anesthesia at different anatomical loci
- B.
  
  Hyperbaric condition reverses anesthesia
- C.
  
  Anesthetics can be enantioselective and display steriochemical preference
- D.
  
  Some lipid soluble, halogenated compounds do not have anesthetic activity
- E.
  
  Anesthetic agents have cellular mechanisms, such as ability to hyperpolarize neurons, inhibit transmitter release, enhance inhibitory neurotransmission
3.

Which of the following actions of general anesthetics on neuronal systems is FALSE?
- A.
  
  Enhancement of memory
- B.
  
  Enhancement of excitatory pathways, such as GABA or glycine
- C.
  
  Selective depression of synaptic functions
- D.
  
  Activation of the reticular activating system (RAS)
- E.
  
  Analgesic effects due to release of natural opiates or possibly direct effect on the hypothalamus, cerebral cortex, and midbrain
4.

Which of the following explains some of the actions of general anesthetics on ion channels?
- A.
  
  Activation of a certain class of K+ channel
- B.
  
  Increases the sensitivity of GABAa receptor to GABA
- C.
  
  Inhibit excitatory current in NMDA receptor
- D.
  
  Enhance the action of glycine on glycine receptor
- E.
  
  All of the above
5.

All of the following conditions would require a decrease in anesthetic dosing to produce anesthetic effects except:
- A.
  
  Old age (elderly)
- B.
  
  Young age (children)
- C.
  
  Pregnancy
- D.
  
  Stress & anxiety
- E.
  
  All of the above
6.

General anesthetics are available in the following dosage forms except:
- A.
  
  Oral
- B.
  
  Intravenous
- C.
  
  Inhaled gases and volatile liquids
- D.
  
  Intramuscular
- E.
  
  Intrarectal
7.

Place the following stages of anesthesia in order (from stage 1 to stage 4) A. Surgical anesthesia B. Amnesia, irregular respiration C. Medullary depression D. Analgesia
- A.
  
  D, A, B, C
- B.
  
  D, C, B, A
- C.
  
  B, D, A, C
- D.
  
  D, B, A, C
- E.
  
  C, A, B, D
8.

Which of the following describes the P3 plane or substage of anesthesia?
- A.
  
  Loss of muscle tone
- B.
  
  Intercostal muscle paralysis
- C.
  
  Sensory Loss
- D.
  
  Sleep
- E.
  
  Amnesia
9.

Which of the following describes the P1 plane or substage of anesthesia?
- A.
  
  Loss of muscle tone
- B.
  
  Intercostal muscle paralysis
- C.
  
  Sensory loss
- D.
  
  Sleep
- E.
  
  Amnesia
10.

Which of the following describes the P4 plane or substage of anesthesia?
- A.
  
  Loss of muscle tone
- B.
  
  Intercostal muscle paralysis
- C.
  
  Sensory loss
- D.
  
  Sleep
- E.
  
  Amnesia
11.

Which of the following stages of anesthesia is the best stage for surgery?
- A.
  
  Stage 1
- B.
  
  Stage 2
- C.
  
  Stage 3
- D.
  
  Stage 4
- E.
  
  Stage 5
12.

Which of the following describes the mechanism for stage 4 (medullary depression) of anesthesia?
- A.
  
  Neurons in medulla, normally insensitive, except at high concentrations
- B.
  
  Higher center - increased excitatory neurotransmitters
- C.
  
  Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors
- D.
  
  Decreased spinal reflex and decreased firing of ascending pathways
- E.
  
  None of the above
13.

Which of the following describes the mechanism for stage 2 (amnesia, irregular respiration) of anesthesia?
- A.
  
  Neurons in medulla, normally insensitive, except at high concentrations
- B.
  
  Higher centers - increased excitatory neurotransmitters
- C.
  
  Anesthetic stops pain transmission in spinal tract - dorsal horn, spinal cord, nociceptors
- D.
  
  Decreased spinal reflex and decreased firing of ascending pathways
- E.
  
  None of the above
14.

Which of the following is not a parenteral anesthetic?
- A.
  
  Propofol
- B.
  
  Thiopental
- C.
  
  Katamine
- D.
  
  Ether
- E.
  
  All of the above answers are parenteral anesthetics.
15.

Which of the following is NOT a characteristic of katamine?
- A.
  
  Highly lipid soluble
- B.
  
  Produces hallucinations, illusions, and vivid dreams, especially in children.
- C.
  
  A congener of phencyclidine (PCD) which was taken off the market due to side effects
- D.
  
  Good for patients at risk for hypotension and bronchiospasm
- E.
  
  All of the following are characteristics of katamine
16.

Which of the following is the most commonly used parenteral anesthetic in the US?
- A.
  
  Ether
- B.
  
  Thiopental
- C.
  
  Katamine
- D.
  
  Etomidate
- E.
  
  Propofol
17.

The depth of anesthesia of inhalation anesthetics depends on:
- A.
  
  The alveolar concentration of the agent
- B.
  
  The concentration of the agent in the inspired gas mixture
- C.
  
  The solubility of the agent in the blood
- D.
  
  Pulmonary blood flow (i.e. cardiac output)
- E.
  
  All of the above
18.

A major disadvantage of using inhalation anesthetics includes
- A.
  
  Rapid onset
- B.
  
  Limited amount of inhalation anesthetics available as compared to parenteral anesthetics available
- C.
  
  High therapeutic index
- D.
  
  Low margin of safety, therefore one of the most dangerous class of drugs
- E.
  
  Doesn't cross BBB
19.

Minimal Alveolar Concentration (MAC) is:
- A.
  
  The concentration necessary to produce amnesia in 100% of the population
- B.
  
  The concentration necessary to inhibit bacterial growth
- C.
  
  The concentration necessary to prevent the elimination of inhalation anesthetics
- D.
  
  The concentration necessary to prevent responding (to the scalpel) in 50% of the population
- E.
  
  None of the above
20.

Which of the following is not an adverse effect of halothane?
- A.
  
  Bronchodilation
- B.
  
  Increases blood pressure
- C.
  
  Widely used in the US
- D.
  
  Liver toxicity
- E.
  
  Depresses cardiac rhythm
21.

Which of the following anesthetics are used primarily for the maintenance of anesthesia?
- A.
  
  Sevoflurane
- B.
  
  Isoflurane
- C.
  
  Thiopental
- D.
  
  Enflurane
- E.
  
  Desflurane
22.

Which of the following is not a reason for using adjuncts for anesthetics?
- A.
  
  Prevent undesirable effects
- B.
  
  Reduces amount of anesthetic needed
- C.
  
  Increase effectiveness of anesthetic
- D.
  
  Increases anxiety
- E.
  
  All of the above are reasons for using adjuncts for anesthetics
23.

Examples of major adjuncts to anesthetics include
- A.
  
  Nitrous oxide
- B.
  
  Diazepam
- C.
  
  Succinylcholine
- D.
  
  Desflurane
- E.
  
  Fentanyl
24.

All of the following are characteristics of Xenon except
- A.
  
  Minimal side effects
- B.
  
  Relatively inexpensive
- C.
  
  Ideal anesthetic
- D.
  
  Extremely insoluble in blood
- E.
  
  Very rare drug
25.

Which of the following anesthetic increases respiration?
- A.
  
  Isoflurane
- B.
  
  Halothane
- C.
  
  Thiopental
- D.
  
  Sevoflurane
- E.
  
  None of the above