Otterbein/Grant CRNA Basics Final Review

55 Questions | Total Attempts: 44

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Otterbein/Grant CRNA Basics Final Review - Quiz

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Questions and Answers
  • 1. 
    Indications for using regional anesthesia include: avoiding general anesthesia, obstetric procedures, urology procedures, orthopedic procedures, patient choice, and pulmonary/cardiac issues.
    • A. 

      True

    • B. 

      False

  • 2. 
    All of the following are symptoms of local anesthetic toxicity except:
    • A. 

      Hyperventilation

    • B. 

      Numbness/tingling of lips and tongue, metallic taste, ringing in the ears

    • C. 

      Dizziness, visual disturbances, disorientation

    • D. 

      Tremors, twitching, leading to convulsions

  • 3. 
    When added to a local anesthetic, epinephrine causes vasoconstriction which decreases the amount of drug carried away to be metabolized.  This may increases the length of time a block is effective by ____. 
    • A. 

      50%

    • B. 

      20%

    • C. 

      2x

    • D. 

      0%

  • 4. 
    Musculotcutaneous, median, ulnar, radial and ________ nerves are all major terminal branches of the brachial plexus.
  • 5. 
    The brachial plexus is divided into ________ trunks, divisions, cords, and branches.
  • 6. 
    PA catheter indications include all of the following except:
    • A. 

      Pulmonary stenosis

    • B. 

      Impaired cardiac function

    • C. 

      Evaluation of response to fluids/drugs

    • D. 

      Cross clamping of the aorta, suspected/diagnosed pulmonary emboli, ARDS, COPD, pulm. HTN

  • 7. 
    Normal SVO2 is 60-80%, all of the following will increase SVO2 except:
    • A. 

      Shivering

    • B. 

      Sepsis

    • C. 

      Cyanid poisoning

    • D. 

      Increased cardiac output

  • 8. 
    All of the following will decrease SVO2 except:
    • A. 

      Leftward shift of oxyhemoglobin curve

    • B. 

      Hyperthermia/shivering

    • C. 

      Seizures

    • D. 

      Hemorrhage/Decreased CO

  • 9. 
    When interpreting a CVP waveform, the C wave represents:
    • A. 

      Ventricular contraction

    • B. 

      RA contraction

    • C. 

      Atrial filling

    • D. 

      Tricuspid valve opening

  • 10. 
    You're performing an Allen's test, you release the ulnar artery and expect color to return to the hand within how many seconds?
  • 11. 
    The dicrotic notch occurs when ventricular pressure becomes less than that of the aortic root, closing the aortic valve, and is associated with the onset of:
    • A. 

      Diastole

    • B. 

      Systole

  • 12. 
    Respiratory variation in arterial waveforms > 10 mmHg indicates ________ intravascular volume.
    • A. 

      Decreased

    • B. 

      Increased

    • C. 

      Option 3

    • D. 

      Option 4

  • 13. 
    Left IJ CVP insertion is associated with __________ duct injury.
  • 14. 
    What is the most common mechanism of nerve injury in the OR?
    • A. 

      Compression

    • B. 

      Stretch

    • C. 

      Transection

    • D. 

      Kinking

  • 15. 
    The lung zones shift from vertical to horizontal when going from standing to a supine position.
    • A. 

      True

    • B. 

      False

  • 16. 
    Which of the following ligaments creates the popping sensation when placing an epidural? 
    • A. 

      Ligamentum flavum

    • B. 

      Interspinous

    • C. 

      Supraspinous

  • 17. 
    When performing a spinal anesthetic using the midline approach, the layers of anatomy that are traversed (from posterior to anterior) are skin, subcutaneous fat, supraspinous ligament, interspinous ligament, ligamentum flavum, dura mater, subdural space, arachnoid mater, and finally the subarachnoid space.
    • A. 

      True

    • B. 

      False

  • 18. 
    Systemic absorption of LA is greatest at which of the following?
    • A. 

      Tracheal

    • B. 

      Caudal

    • C. 

      Epidural

    • D. 

      Subcutaneous

  • 19. 
    Regarding local anesthetics, ________ lipid solubility correlates with increased protein binding, potency, duration of action, and a higher tendency for severe toxicity, especially cardiotoxicity.
    • A. 

      Increased

    • B. 

      Decreased

  • 20. 
    The addition of epinephrine to bupivacaine, ropivacaine, or etidocaine will prolong their duration of action.
    • A. 

      True

    • B. 

      False

  • 21. 
    Muscle cramps, tingling, numbness, hyperactive deep tendon reflees, Trousseau's sign (carpopedal spasm), Chvostek's sign (masster spasm), laryngeal spasms, convulsions, AND prolonged QT/ST segments are all associated with:
    • A. 

      Hypocalcemia

    • B. 

      Hypercalcemia

  • 22. 
    What would be the maintenance fluid requirement for a 85 kg person?
  • 23. 
    An 85 kg person has been NPO for 6 hours, what is their NPO deficit?
  • 24. 
    And 85 kg person who has been NPO for 6 hours is having a bowel resection, how many mL's of fluid do you anticipate administering in the 1st hour of surgery?
  • 25. 
    Which West zone should a PA catheter tip be placed?
    • A. 

      III

    • B. 

      II

    • C. 

      I

    • D. 

      IV

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