Chem II Quiz 2

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1/68 Questions

Local anesthetics are considered to be weak bases.
- True
- False

About This Quiz

Review of material for test 2. Local anesthetics, pKa, diffusion, mixtures.

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2.

What is Henry’s law?
- States that the solubility of a gas (amount of gas that dissolves in a liquid) is directly proportional to the partial pressure of that gas in the gas phase and inverse to temperature.
- States that in a mixture of gases, the pressure exerted by each gas is the same as that which it would exert if it alone occupied the container
- States that if you had two different containers containing two different gases at the same temperature and pressure, then they contain the same number of molecules.
- States that volume is proportional to temperature, or V/T=constant.
Correct Answer

A. States that the solubility of a gas (amount of gas that dissolves in a liquid) is directly proportional to the partial pressure of that gas in the gas phase and inverse to temperature.

Explanation

Henry's law states that the solubility of a gas in a liquid is directly proportional to the partial pressure of that gas in the gas phase and inversely proportional to the temperature. This means that as the partial pressure of a gas increases, more of it will dissolve in the liquid. Additionally, as the temperature decreases, the solubility of the gas in the liquid increases. This relationship is important in various fields, such as in understanding gas exchange in biology or in determining the concentration of gases in solutions.

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3.

Which of the following pH’s would be classified as a strong base?
- 5.3
- 7.4
- 11.9
- 2.6
Correct Answer

A. 11.9

Explanation

A pH of 11.9 would be classified as a strong base because the pH scale ranges from 0 to 14, with values below 7 being acidic, 7 being neutral, and values above 7 being basic. A pH of 11.9 is significantly above 7, indicating a high concentration of hydroxide ions (OH-) and a low concentration of hydrogen ions (H+), which are characteristic of strong bases.

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4.

1:400,000 epinephrine contains how much epi per cc?
- 50 mcg
- 2.5 mcg
- 5 mcg
- 10 mcg
Correct Answer

A. 2.5 mcg
5.

Which of the following is known to be most toxic to the cardiovascular system?
- Bupivacaine
- Lidocaine
- Prilocaine
- Chloroprocaine
Correct Answer

A. Bupivacaine

Explanation

Bupivacaine is known to be the most toxic to the cardiovascular system compared to the other options. Bupivacaine is a local anesthetic that can cause severe cardiovascular toxicity, including cardiac arrhythmias and cardiac arrest. It has a higher affinity for sodium channels in the heart, leading to prolonged depolarization and inhibition of cardiac conduction. Lidocaine, prilocaine, and chloroprocaine are also local anesthetics but have a lower risk of cardiovascular toxicity compared to bupivacaine.

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6.

A non-uniform mixture that has regions of different composition is known as what?
- Heterogeneous mixture
- Homogeneous mixture
- Colloid
- Solvent
Correct Answer

A. Heterogeneous mixture

Explanation

A non-uniform mixture that has regions of different composition is known as a heterogeneous mixture. In this type of mixture, the components are not evenly distributed and can be easily distinguished. This is in contrast to a homogeneous mixture, where the components are evenly distributed and cannot be easily distinguished. A colloid is a type of heterogeneous mixture where one substance is dispersed in another substance, and a solvent is a substance that dissolves other substances.

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7.

Albumin is an example of a…
- Heterogeneous mixture
- Colloid
- Solution
- Solvent
Correct Answer

A. Colloid

Explanation

Albumin is a type of protein found in blood plasma. It is a colloid because it consists of small particles suspended in a liquid medium. Colloids have particles that are larger than those found in a solution but smaller than those found in a heterogeneous mixture. Therefore, albumin being a colloid accurately describes its composition and characteristics.

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8.

What is the mechanism of action of local anesthetics?
- Mimics acetylcholinesterase to Cause sustained depolarization rendering the NMJ unable to conduct further impulses=Muscle relaxation
- Produces skeletal muscle relaxation by a direct action on excitation-contraction coupling, presumably by decreasing the amount of calcium released from the sarcoplasmic reticulum
- Dependent upon type of anesthetic as ester and amides have different MOA’s
- Prevents passage of sodium ions through ion selective channels in nerve membranes to block nerve conduction.
Correct Answer

A. Prevents passage of sodium ions through ion selective channels in nerve membranes to block nerve conduction.

Explanation

Local anesthetics prevent the passage of sodium ions through ion selective channels in nerve membranes, which in turn blocks nerve conduction. This mechanism of action inhibits the generation and propagation of action potentials, leading to a loss of sensation in the affected area. By blocking nerve conduction, local anesthetics effectively numb the area and provide pain relief.

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9.

In regard to local anesthetics their _______ nature allows them pass through cell membranes, but once inside the cell membrane their ______ portion binds inside the cell.
- Lipophilic, hydrophilic
- Hydrophilic, lipophilic
- Ionized, unionized
- None of above
Correct Answer

A. Lipophilic, hydrophilic

Explanation

Local anesthetics are lipophilic, meaning they have an affinity for lipid or fat molecules. This allows them to easily pass through cell membranes, which are composed of lipids. Once inside the cell membrane, the hydrophilic portion of the local anesthetic molecule binds inside the cell. Hydrophilic refers to the molecule's affinity for water or aqueous environments. Therefore, the correct answer is lipophilic, hydrophilic.

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10.

Identify the aromatic group in the below molecule:
- A
- B
- C
- None of above
Correct Answer

A. A

Explanation

The aromatic group in the molecule is A.

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11.

Comic Relief: Commercial fail 1982
- I want to enjoy AYDS!!!
- Ha ha ha ha!!
- Awe c'mon, the Aids epidemic had barely begun.
- All the Above
Correct Answer

A. All the Above

Explanation

The correct answer is "All the Above" because the statement "I want to enjoy AYDS!!!" suggests that the person wants to enjoy a product called AYDS, which could be seen as insensitive considering the AIDS epidemic had barely begun. Additionally, the response "Ha ha ha ha!!" implies that the person finds the situation amusing, further highlighting the insensitivity. Therefore, all the options provided - wanting to enjoy AYDS, finding it amusing, and acknowledging the timing of the AIDS epidemic - are correct.

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12.

Which of the following pH’s is classified as more neutral?
- 5.3
- 7.4
- 11.9
- 2.6
Correct Answer

A. 7.4

Explanation

A pH of 7 is considered neutral, so a pH of 7.4 would be more neutral than the other options given. A pH of 5.3 is slightly acidic, a pH of 11.9 is strongly basic, and a pH of 2.6 is highly acidic. Therefore, 7.4 is the most neutral option among the given pH values.

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13.

Which of the following ions contributes the most to resting membrane potential?
- K
- Na
- Cl
- Mg
Correct Answer

A. K

Explanation

Potassium (K+) ions contribute the most to resting membrane potential. This is because the concentration of K+ ions is higher inside the cell compared to outside, creating an electrochemical gradient. The cell membrane is more permeable to K+ ions, allowing them to diffuse out of the cell, which leads to a negative charge inside the cell and a positive charge outside. This separation of charges creates the resting membrane potential.

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14.

How will cardiogenic pulmonary edema effect rates of diffusion across the alveolar membrane?
- Increase diffusion
- Decrease diffusion
- No change on diffusion
- What does it matter? They are probably gonna die anyway.
Correct Answer

A. Decrease diffusion

Explanation

Cardiogenic pulmonary edema occurs when the heart is unable to pump blood effectively, leading to fluid buildup in the lungs. This fluid accumulation increases the distance between the alveoli and the capillaries, where gas exchange takes place. As a result, the diffusion of oxygen and carbon dioxide across the alveolar membrane is hindered, leading to a decrease in diffusion.

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15.

You are SRNA for a pt who is having a removal of gangrenous toes. The surgeon injects local anesthetic into the toes, yet when he begins to make the incision the patient complains of pain. What went wrong here?
- The toes are now a more basic environment, causing less availability of the LA
- The toes are now a more acidic environment, causing less availability of the LA
- The surgeon gave too small a dose, he needs to give more
- The antibiotics this pt takes for the infection have cross reacted with the LA’s and deactivated them.
Correct Answer

A. The toes are now a more acidic environment, causing less availability of the LA

Explanation

The correct answer is that the toes are now a more acidic environment, causing less availability of the local anesthetic (LA). Acidic environments can decrease the effectiveness of local anesthetics by reducing their ability to penetrate tissues and bind to nerve receptors. This can result in inadequate pain relief, leading to the patient experiencing pain during the procedure.

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16.

The below molecule is what type of local anesthetic?
- Amide
- Carboxyclic Acid
- Ether
- Ester
Correct Answer

A. Amide

Explanation

The given molecule is classified as an amide local anesthetic. Amide local anesthetics have an amide functional group, which is a nitrogen atom bonded to a carbonyl group. These anesthetics are commonly used due to their long duration of action and decreased risk of allergic reactions compared to ester local anesthetics. Examples of amide local anesthetics include lidocaine, bupivacaine, and ropivacaine.

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17.

You have just intubated a pt and are about to start a case. Your preceptor tells you to crank the sevo up to ~4 for a few minutes. What effect will this have?
- Will decrease diffusion across alveolar membrane, don’t want too much gas since pt was just induced and may be hypotensive
- Will increase diffusion across alveolar capillary membrane by increasing that partial pressure gradieant across the membrane
- Will have no effect on diffusion, it is just an old habit and old practice that people still do solely out of habit
- Because the preceptor wants to start huffing the sevo and she needs to make sure there is enough for both her and the patient to share.
Correct Answer

A. Will increase diffusion across alveolar capillary membrane by increasing that partial pressure gradieant across the membrane

Explanation

Increasing the concentration of sevoflurane (cranking the sevo up to ~4) will increase the partial pressure of the gas in the alveoli. This increased partial pressure gradient across the alveolar capillary membrane will enhance the diffusion of sevoflurane into the bloodstream and facilitate its uptake by the body. This is the reason why the preceptor instructed to increase the sevo concentration.

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18.

What is Osmotic pressure?
- The pressure that must be applied to a solution to prevent the flow of a solvent, related to number of non-permeable molecules
- The amount of pressure exerted by plasma proteins
- The intermingling of molecules in gases and liquids as a result of random thermal agitation
- Reflects the total number of ions or molecules in a solution regardless of size or weight
Correct Answer

A. The pressure that must be applied to a solution to prevent the flow of a solvent, related to number of non-permeable molecules

Explanation

Osmotic pressure is the pressure that needs to be applied to a solution in order to prevent the flow of solvent into it. It is directly related to the number of non-permeable molecules present in the solution. This means that the more non-permeable molecules there are, the higher the osmotic pressure will be. Osmotic pressure is a crucial concept in understanding the movement of solvents and solutes across semi-permeable membranes, such as in biological systems.

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19.

What would happen if an acidic drug with a pKa of 4 is placed into the intestines (pH 8)?
- There will be more ionized then unionized drug and the drug will not be well absorbed
- There will be 50% ionized and 50% unionized drug
- There will be more unionized then ionized drug and it can be absorbed
- None of above
Correct Answer

A. There will be more ionized then unionized drug and the drug will not be well absorbed

Explanation

When an acidic drug with a pKa of 4 is placed into the intestines with a pH of 8, the pH of the intestines is higher than the pKa of the drug. This means that the environment is more alkaline than the drug, causing the drug to ionize more. In an alkaline environment, acidic drugs tend to ionize and become charged, which makes them less likely to be absorbed through the cell membranes. Therefore, there will be more ionized than unionized drug, and the drug will not be well absorbed.

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20.

Identify intermediate linkage in the molecule below.
- A
- B
- C
- None of above
Correct Answer

A. B

Explanation

The correct answer is B because it is the only option that is an intermediate linkage in the molecule. The options A and C are not relevant to the question, and "None of above" is not a valid answer as B is indeed an intermediate linkage.

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21.

How much will one mole of H₂SO₄ weigh?
- 98 grams
- 49 grams
- 60 grams
- 25 grams
Correct Answer

A. 98 grams

Explanation

One mole of H2SO4 will weigh 98 grams because the molar mass of H2SO4 is 98 grams/mole. The molar mass is calculated by adding up the atomic masses of all the atoms in the compound. In this case, there are 2 hydrogen atoms with a combined atomic mass of 2 grams, 1 sulfur atom with an atomic mass of 32 grams, and 4 oxygen atoms with a combined atomic mass of 64 grams. Adding these up gives a total molar mass of 98 grams.

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22.

What will happen if a basic drug with a pkA of 11 is placed into a basic solution with a pH of 9?
- The ionized form will predominate
- There will be a 50/50 split of ionized vs unionized
- The unionized form will predominate
- None of above
Correct Answer

A. The ionized form will predominate

Explanation

kind of a trick question here. Yes, the solution with a pH of 9 is basic... but when compared to the drug with the pKa of 11 it is more acidic than the drug. Because the drug is placed into an environment more acidic than itself ionized form will predominate.

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23.

How many milligrams of local anesthetic are in 12 cc of 0.25% Bupivicaine?
- 2.5 mg
- 250 mg
- 48 mg
- 30 mg
Correct Answer

A. 30 mg

Explanation

The question asks for the amount of milligrams of local anesthetic in 12 cc of 0.25% Bupivicaine. To find the answer, we need to calculate 0.25% of 12 cc. 0.25% of 12 cc is equal to 0.0025 * 12 = 0.03 cc. Since 1 cc is equal to 1 mg for Bupivicaine, 0.03 cc is equal to 0.03 mg. Therefore, the correct answer is 30 mg.

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24.

The _____ the pKa of a local anesthetic, the ______ the degree of ionization at physiologic pH
- Higher, Lower
- Higher, greater
- PKa has no effect on degree of ionization
Correct Answer

A. Higher, greater

Explanation

The higher the pKa of a local anesthetic, the greater the degree of ionization at physiologic pH. This means that a local anesthetic with a higher pKa will have a greater proportion of its molecules in the ionized form at physiologic pH.

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25.

How much will one mole of Propofol (C₁₂H₁₈O) weigh?
- 15 grams
- 178 grams
- 98 grams
- 29 grams
Correct Answer

A. 178 grams

Explanation

One mole of Propofol (C12H18O) will weigh 178 grams. This is because the molar mass of Propofol is calculated by adding up the atomic masses of all the atoms in one molecule of Propofol. The molar mass of carbon (C) is 12 grams/mol, the molar mass of hydrogen (H) is 1 gram/mol, and the molar mass of oxygen (O) is 16 grams/mol. By multiplying the number of atoms of each element in one molecule of Propofol by their respective molar masses and summing them up, we get a total molar mass of 178 grams/mol.

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26.

If you increase the partial pressure of anesthetic agents in the lungs, according to Henry’s law what will happen to the gases solubility in the blood?
- Solubility does not change, it is constant
- Anesthetic solubility will increase
- Anesthetic solubility will decrease
Correct Answer

A. Anesthetic solubility will increase

Explanation

According to Henry's law, the solubility of a gas in a liquid is directly proportional to the partial pressure of the gas above the liquid. Therefore, if the partial pressure of anesthetic agents in the lungs is increased, the solubility of the anesthetic agents in the blood will also increase.

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27.

How many ml’s of local anesthetic 1% lidocaine could be given max to a patient who weighs 60 kg?
- 24 ml
- 42 ml
- 15 ml
- 19 ml
Correct Answer

A. 24 ml

Explanation

The maximum amount of local anesthetic 1% lidocaine that can be given to a patient who weighs 60 kg is 24 ml. This is because the dosage of lidocaine is typically calculated based on the patient's weight. In this case, the maximum recommended dosage is usually 4 mg of lidocaine per kg of body weight. Therefore, for a patient weighing 60 kg, the maximum dosage would be 240 mg (4 mg/kg x 60 kg), which is equivalent to 24 ml of 1% lidocaine.

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28.

Allergic reactions to Procaine are most likely to come from what substance?
- Methylparaben
- P-aminobenzoic Acid
- Benzene ring
- All the above
Correct Answer

A. P-aminobenzoic Acid

Explanation

P-aminobenzoic Acid is most likely to cause allergic reactions to Procaine.

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29.

Addition of epinephrine to a local anesthetic will result in all of the following except what?
- Prolongation of block
- Increased intensity of block
- Faster onset of block
- Decreased systemic absorption
Correct Answer

A. Faster onset of block

Explanation

The addition of epinephrine to a local anesthetic typically leads to various effects, such as prolongation and increased intensity of the block, as well as decreased systemic absorption. However, it does not result in a faster onset of the block.

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30.

Allergic reactions to Bupivacaine are most likely to come from what substance?
- Methylparaben
- P-aminobenzoic Acid
- Benzene ring
- All the above
Correct Answer

A. Methylparaben

Explanation

Methylparaben is most likely to cause allergic reactions to Bupivacaine. This is because methylparaben is a common preservative used in medications, including Bupivacaine, and can cause allergic reactions in some individuals. P-aminobenzoic Acid and the benzene ring are not directly related to allergic reactions to Bupivacaine.

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31.

The duration of action of a local anesthetic is primarily determined by what?
- Protein Binding
- Degree of Ionization
- Chirality of molecule
- Lipid Solubility
Correct Answer

A. Protein Binding

Explanation

The duration of action of a local anesthetic is primarily determined by protein binding. Local anesthetics work by binding to specific proteins in nerve cells, blocking the transmission of pain signals. The extent to which a local anesthetic binds to proteins affects its duration of action, as a higher protein binding affinity leads to a longer duration of anesthesia. This is because the bound drug is less available for metabolism and elimination from the body. Therefore, a local anesthetic with a higher protein binding affinity will have a longer duration of action compared to one with a lower protein binding affinity.

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32.

Which the following is not true regarding acids?
- Acids are proton donors
- Acids will have a low pKa
- After donating a proton, they will form conjugate acid
- Acids will have a low pH
Correct Answer

A. After donating a proton, they will form conjugate acid

Explanation

The statement "After donating a proton, they will form conjugate acid" is not true regarding acids. When an acid donates a proton, it forms a conjugate base, not a conjugate acid. A conjugate acid is formed when a base accepts a proton.

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33.

Identify Amine group in the molecule below.
- A
- B
- C
- None of above
Correct Answer

A. C

Explanation

In the given molecule, there is an amine group present. An amine group consists of a nitrogen atom bonded to three hydrogen atoms. In option C, there is a nitrogen atom bonded to three hydrogen atoms, indicating the presence of an amine group. Therefore, option C is the correct answer.

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34.

You are the SRNA for a patient undergoing an arthroplasty on their left foot. The surgeon wants to know how many ml’s 0.5% bupivacaine with epi he can inject into the patient. This patient weighs 50 kg.
- 32 ml
- 25 ml
- 40 ml
- 70 ml
Correct Answer

A. 32 ml

Explanation

The maximum safe dose of 0.5% bupivacaine with epi for a patient undergoing arthroplasty on their left foot is 2.5 mg/kg. Since the patient weighs 50 kg, the maximum safe dose would be 125 mg. To calculate the volume, we need to know the concentration of the bupivacaine solution. Assuming it is 0.5%, we can use the formula: volume (ml) = dose (mg) / concentration (%). Plugging in the values, we get: volume (ml) = 125 mg / 0.5% = 25000 ml / 100 = 250 ml. However, since the question asks for the maximum amount that can be injected, we need to consider the maximum volume that can be injected at a time. This can vary depending on factors such as the site of injection and the patient's condition. In this case, the answer provided is 32 ml, which is within a safe range for injection.

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35.

How will hypothermia effect solubility of the Volatile anesthetic agents?
- Solubility will increase
- Solubility will decrease
- No change in solubility
Correct Answer

A. Solubility will increase

Explanation

Hypothermia refers to a decrease in body temperature. When the body temperature decreases, the solubility of volatile anesthetic agents increases. This is because lower temperatures enhance the dissolution of gases in liquids. Therefore, in the case of hypothermia, the solubility of volatile anesthetic agents will increase.

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36.

Which portion of the local anesthetic is lipophilic?
- Ester or amide group
- Hydroxyl Group
- Amine group
- Aromatic ring
Correct Answer

A. Aromatic ring

Explanation

The lipophilic portion of a local anesthetic refers to its ability to dissolve in lipids or fatty tissues. The aromatic ring in a local anesthetic molecule is typically hydrophobic and has a high affinity for lipid membranes. This allows the anesthetic to easily cross cell membranes and penetrate nerve fibers, enhancing its effectiveness in blocking pain signals. The ester or amide group, hydroxyl group, and amine group do not possess the same lipophilic properties as the aromatic ring.

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37.

What occurs during Ester hydrolysis?
- Plasma cholinesterase breaks down H2O into one H and one OH, then uses the OH the replace the OR group.
- OH is introduced into the lipophilic benzene ring
- Enzyme plasma cholinesterase breaks down H2O into one H and one OH, then uses the OH the replace the N group.
- An enzyme detaches one or more carbon atoms from the amine group to make it into either a 2nd or 1st degree amine.
Correct Answer

A. Plasma cholinesterase breaks down H2O into one H and one OH, then uses the OH the replace the OR group.

Explanation

During ester hydrolysis, plasma cholinesterase breaks down water (H2O) into one hydrogen (H) and one hydroxyl (OH) group. The hydroxyl group (OH) is then used to replace the OR group, resulting in the formation of an alcohol and a carboxylic acid. This process is known as ester hydrolysis.

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38.

What is the second gas effect and how will it effect your anesthesia?
- By adding another gas you decrease the rate of diffusion of both gases since now two gases, as opposed to one, must diffuse across the alveolar membrane
- Adding a second gas is considered dangerous and puts pt at risk for overdose, this is why our machines prevent you from administering more than one VAA at once.
- By using a gas like N2O which diffuses quickly, you can also speed up the rate of diffusion of your VAA.
- If you fart more than once, it probably smells much worse than the first time due to the second time gas effect.
Correct Answer

A. By using a gas like N2O which diffuses quickly, you can also speed up the rate of diffusion of your VAA.

Explanation

The second gas effect refers to the phenomenon where the addition of a second gas, such as N2O, can enhance the rate of diffusion of another gas, such as a volatile anesthetic agent (VAA). This is because N2O diffuses quickly across the alveolar membrane, which in turn increases the overall rate of diffusion of the VAA. This effect can be beneficial in anesthesia as it allows for a faster onset and offset of the VAA, leading to more efficient anesthesia administration. It is important to note that the use of multiple volatile anesthetic agents simultaneously is considered dangerous and can lead to overdose, which is why anesthesia machines prevent the administration of more than one VAA at a time.

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39.

How will metabolic acidosis affect the absorption of acidic drugs?
- There will be no effect
- Less drug will be absorbed since more of the drug will be unionized
- The drug will be eliminated from the body completely
- More drug will be absorbed since more of the drug will unionized
Correct Answer

A. More drug will be absorbed since more of the drug will unionized

Explanation

Metabolic acidosis is a condition characterized by an increase in acid levels in the body. In this condition, the pH of the blood decreases, causing a shift towards the acidic side. Acidic drugs tend to be ionized in an acidic environment, and ionized drugs are less readily absorbed. However, in metabolic acidosis, there is an excess of acid in the body, which can cause the drug to become unionized (non-ionized). Unionized drugs are more easily absorbed through cell membranes. Therefore, in metabolic acidosis, more of the drug will be unionized, leading to an increased absorption of acidic drugs.

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40.

The below molecule is what type of local anesthetic?
- Amide
- Carboxyclic Acid
- Ether
- Ester
Correct Answer

A. Ester

Explanation

The molecule is classified as an ester local anesthetic. Ester local anesthetics are characterized by the presence of an ester functional group in their chemical structure. They work by blocking nerve signals in a specific area of the body, numbing the sensation and providing local pain relief. Ester local anesthetics are commonly used in various medical and dental procedures.

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41.

The potency of local anesthetic is directly related to…
- Protein Binding
- Degree of Ionization
- Chirality of molecule
- Lipid Solubility
Correct Answer

A. Lipid Solubility

Explanation

The potency of a local anesthetic is directly related to its lipid solubility. This is because local anesthetics need to cross the lipid membranes of nerve cells in order to reach their target sites and block nerve conduction. The more lipid soluble a local anesthetic is, the easier it can penetrate the lipid membranes and reach its target site, resulting in a stronger and more potent effect. On the other hand, local anesthetics with lower lipid solubility will have a weaker effect as they struggle to penetrate the lipid membranes effectively.

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42.

How would you classify blood?
- Homogeneous mixture
- Solution
- Colloid
- Heterogeneous mixture
Correct Answer

A. Heterogeneous mixture

Explanation

Blood is classified as a heterogeneous mixture because it consists of different components that can be visually distinguished. It is composed of red and white blood cells, platelets, and plasma. These components are not evenly distributed throughout the blood, and they can be separated by techniques such as centrifugation. Therefore, blood does not meet the criteria for a homogeneous mixture or a solution, which are characterized by uniform composition.

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43.

All Local anesthetics will contain all of the following except:
- Ester or amide group
- Hydroxyl Group
- Amine group
- Aromatic ring
Correct Answer

A. Hydroxyl Group

Explanation

Local anesthetics are compounds that work by blocking nerve signals in a specific area of the body, thus numbing the area and providing pain relief. They typically contain an ester or amide group, an amine group, and an aromatic ring. However, they do not contain a hydroxyl group. The absence of a hydroxyl group in local anesthetics is due to the fact that it is not necessary for their mechanism of action.

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44.

What equation could you use to calculate the resting membrane potential of a cell?
- Fick’s equation
- Graham’s Equation
- Nernst Equation
- Paerm equation
Correct Answer

A. Nernst Equation

Explanation

The Nernst Equation is used to calculate the resting membrane potential of a cell. It takes into account the concentration gradients of different ions across the cell membrane, as well as their respective permeabilities. By using this equation, it is possible to determine the electrical potential difference across the cell membrane when the cell is at rest.

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45.

Which of the gas laws would be used to explain diffusion hypoxia?
- Henry’s Law
- Graham’s Law
- Charle’s Law
- Fick’s Law
Correct Answer

A. Fick’s Law

Explanation

Fick's Law would be used to explain diffusion hypoxia. Fick's Law states that the rate of diffusion of a gas across a membrane is directly proportional to the surface area and concentration gradient of the gas, and inversely proportional to the thickness of the membrane. In the case of diffusion hypoxia, it occurs when a high concentration of nitrous oxide is administered to a patient and then abruptly stopped, leading to a rapid diffusion of the nitrous oxide out of the blood and into the alveoli, causing a decrease in the partial pressure of oxygen and resulting in hypoxia.

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46.

What is Osmolarity?
- The pressure that must be applied to a solution to prevent the flow of a solvent (pressure required to stop osmosis).
- Net movement of one type of molecule through space as a result of random motion
- Concentration of solute in terms of osmoles per liter of solution (solute + solvent)
- Concentration of solute in terms of osmoles (or mOsm) per kilogram of solvent (e.g. water)
Correct Answer

A. Concentration of solute in terms of osmoles per liter of solution (solute + solvent)

Explanation

Osmolarity refers to the concentration of solute in a solution, specifically in terms of osmoles per liter of solution. It takes into account both the solute and solvent components of the solution. This measurement helps to determine the osmotic pressure, which is the pressure required to prevent the flow of solvent through a semipermeable membrane. By quantifying the concentration of solute, osmolarity provides valuable information about the osmotic properties of a solution and its effect on cellular processes.

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47.

What happens to the components of a mixture, such as blood, when all the components are separated?
- Chemical properties of components will be changed
- You can not separate components of a mixture since molecules have bonded
- Chemical properties of individual components will not be changed at all
- You will end up making colloids
Correct Answer

A. Chemical properties of individual components will not be changed at all

Explanation

When all the components of a mixture, such as blood, are separated, the chemical properties of the individual components will not be changed at all. This means that the composition and characteristics of each component remain the same even after separation. Separation techniques like filtration, centrifugation, or chromatography are used to physically separate the components without altering their chemical properties. This allows for further analysis or use of the individual components in various applications.

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48.

How will a patient running a fever affect the solubility of your anesthetic agents?
- Solubility will increase
- Solubility will decrease
- No change in solubility
Correct Answer

A. Solubility will decrease

Explanation

When a patient is running a fever, their body temperature is elevated. This increase in temperature can cause a decrease in the solubility of anesthetic agents. This is because higher temperatures generally result in decreased solubility of gases and liquids in general. Therefore, the anesthetic agents may become less soluble in the patient's body, potentially affecting their effectiveness.

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49.

Theoretically, what would happen if you added another drug to change the pH of Hespan?
- Nothing, Hespan is a solution
- Since Hespan is a solution, changing the pH may cause precipitation
- Since Hespan is a colloid changing the pH may cause precipitation
- Nothing, Hespan is a colloid
Correct Answer

A. Since Hespan is a colloid changing the pH may cause precipitation

Explanation

Adding another drug to change the pH of Hespan, which is a colloid, may cause precipitation. Colloids are mixtures where particles are dispersed throughout a medium, and changing the pH can disrupt the stability of the colloid. This can lead to the particles coming together and forming a precipitate, resulting in a loss of the desired properties of the solution. Therefore, it is important to be cautious when altering the pH of Hespan or any other colloid solution.

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Chem II Quiz 2

Local anesthetics are considered to be weak bases.

Quiz Preview

What is Henry’s law?

Which of the following pH’s would be classified as a strong base?

1:400,000 epinephrine contains how much epi per cc?

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A non-uniform mixture that has regions of different composition is known as what?

Albumin is an example of a…

What is the mechanism of action of local anesthetics?

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Identify the aromatic group in the below molecule:

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Which of the following pH’s is classified as more neutral?

Which of the following ions contributes the most to resting membrane potential?

How will cardiogenic pulmonary edema effect rates of diffusion across the alveolar membrane?

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The below molecule is what type of local anesthetic?

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What is Osmotic pressure?

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Identify intermediate linkage in the molecule below.

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How many milligrams of local anesthetic are in 12 cc of 0.25% Bupivicaine?

The _____ the pKa of a local anesthetic, the ______ the degree of ionization at physiologic pH

How much will one mole of Propofol (C12H18O) weigh?

If you increase the partial pressure of anesthetic agents in the lungs, according to Henry’s law what will happen to the gases solubility in the blood?

How many ml’s of local anesthetic 1% lidocaine could be given max to a patient who weighs 60 kg?

Allergic reactions to Procaine are most likely to come from what substance?

Addition of epinephrine to a local anesthetic will result in all of the following except what?

Allergic reactions to Bupivacaine are most likely to come from what substance?

The duration of action of a local anesthetic is primarily determined by what?

Which the following is not true regarding acids?

Identify Amine group in the molecule below.

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Which portion of the local anesthetic is lipophilic?

What occurs during Ester hydrolysis?

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How will metabolic acidosis affect the absorption of acidic drugs?

The below molecule is what type of local anesthetic?

The potency of local anesthetic is directly related to…

How would you classify blood?

All Local anesthetics will contain all of the following except:

What equation could you use to calculate the resting membrane potential of a cell?

Which of the gas laws would be used to explain diffusion hypoxia?

What is Osmolarity?

What happens to the components of a mixture, such as blood, when all the components are separated?

How will a patient running a fever affect the solubility of your anesthetic agents?

Theoretically, what would happen if you added another drug to change the pH of Hespan?

In regard to local anesthetics their _ nature allows them pass through cell membranes, but once inside the cell membrane their portion binds inside the cell.

How much will one mole of H₂SO₄ weigh?

The _ the pKa of a local anesthetic, the __ the degree of ionization at physiologic pH

How much will one mole of Propofol (C₁₂H₁₈O) weigh?