Otterbein/Grant CRNA Basics Midterm Review Pre-OP And Airway
- 1.You are performing anesthesia on a 10 month old. They last breastfed at 0400. Which is the earliest time could you safely induce the child?
- A.
0500
- B.
0700
- C.
0800
- D.
1000
- 2.You are performing general anesthesia on a healthy 28 y.o. smoker for a scheduled procedure. What is their ASA classification?
- A.
ASA 1
- B.
ASA 2
- C.
ASA 3
- D.
ASA 1E
- 3.Which of the following are indicators of a potential difficult intubation?
- A.
Mallampati 1
- B.
Mallampati 3
- C.
Thyromental distance of 4 cm
- D.
A history of TMJ with an interincisor distance of 2.5 cm
- E.
A history of snoring/sleep apnea
- 4.All of the following are necessary for a fire to occur in the OR EXCEPT:
- A.
A source of ingition
- B.
A flammable agent
- C.
A gas that supports combustion
- D.
The use of high FGF
- 5.Which type of heat loss has the greatest effect on a patient's temperature in the OR?
- A.
Convection
- B.
Radiation
- C.
Conduction
- D.
Evaporation
- 6.This process involves the conduction of heat via air currents around the body and accounts for the 2nd largest source of heat loss in the OR.
- A.
Radiation
- B.
Conduction
- C.
Convection
- D.
Evaporation
- 7.Automatic implantable cardioverter-defibrillators (AICD's) need to be deactivated when the surgeon plans on using a Bovie.
- A.
True
- B.
False
- 8.ANSI/ASHRAE/ASHE standard 170 reduced the required humidity percentage in the operating room to _____ ?
- 9.Which of the following is NOT a complication of hypothermia?
- A.
Increased surgical wound infection rates.
- B.
Increased risk of clotting.
- C.
Increased metabolic demand upon re-warming
- D.
Increased length of hospital stay.
- 10.The maximum amount of electrical leakage in the OR is how many mA?
- 11.Garlic, gingko, and ginseng are 3 herbal medications associated with increased clot formation.
- A.
True
- B.
False
- 12.In order for a smoker to decrease carboxyhemoglobin levels they should refrain from smoking for how many hours?
- 13.What is the greatest risk factor for post-operative pulmonary complications?
- A.
Obesity
- B.
Surgical incision location.
- C.
A history of smoking.
- D.
A history of asthma.
- 14.Which of the following is NOT an indicator for a pre-operative chest x-ray?
- A.
History of tuberculosis
- B.
Congenital heart disease
- C.
A history of well-controlled asthma
- D.
Presence of malignancy in the thoracic cavity
- 15.A patient undergoing major surgery must have a CBC, BMP, EKG, room air O2 saturations, and a toxicology & screen performed. Their history and physical and lab draws must be completed within how much time related to the date of surgery?
- 16.This cardiovascular condition poses the greatest risk for patients undergoing anesthesia and is associated with a 14-fold increase risk of perioperative sudden death.
- A.
Ischemic heart disease
- B.
Left ventricular dysfunction
- C.
Severe aortic stenosis
- D.
Dilated cardiomyopathy
- 17.The highest period of risk for reinfarction following an acute MI is during the emergent CABG performed the day of the original MI.
- A.
True
- B.
False
- 18.You are going to be performing anesthesia on a patient with Type 1 diabetes mellitus. During their pre-op assessment two weeks prior to surgery, the patient asks you what they should do with their insulin regimen on the day of surgery. You advise them:
- A.
Do not take any insulin due to your NPO status.
- B.
Double their typical insulin dose due to the stress of surgery increasing glucose levels.
- C.
Take 1/3-1/2 of their intermediate to long acting insulin dose the morning of surgery.
- D.
Tell them to google it.
- 19.Which of the following are contraindications for peri-operative beta-blockers?
- A.
CHF
- B.
2nd degree heart block
- C.
History of acute MI
- D.
A resting heart rate of 54.
- E.
A blood pressure of 110/60.
- F.
Acute bronchospasm.
- 20.During your patient's pre-operative assessment for an elective procedure you note that their blood pressure is 210/100 mmHg. True or false: The procedure should still occur since you feel comfortable controlling their blood pressure intraoperatively with nipride
- A.
True
- B.
False
- 21.Which of the following will NOT reduce the risk of aspiration during intubation?
- A.
RSI
- B.
Prolonging the pre-op NPO period.
- C.
Metoclopramide - gastrokinetic
- D.
Ranitidine - H2 receptpor agonist
- 22.You are happily performing general anesthesia on your intubated patient when a series of unfortunate events occurs and their ETT spontaneously combusts into flames. After you scream like a little girl, what should be your next action?
- A.
Immediately remove the airway and discontinue O2.
- B.
Accept the fate of your imminent death/disfigurement.
- C.
Provide total IV anesthetic.
- D.
Increase the tidal volumes on your ventilator due to your patient's newly decreased compliance.
- 23.The temperature of an OR in a pediatric hospital is typically less than that of an adult hospital.
- A.
True
- B.
False
- 24.This nerve provides sensation to the posterior 1/3 of the tongue, the roof of the pharynx, tonsils, and the undersurface of the soft palate. It also provides the afferent signal of the gag reflex.
- A.
Lingual nerve
- B.
Superior laryngeal nerve
- C.
Vagus nerve
- D.
Glossopharyngeal nerve
- 25.Which of the following is NOT a paired cartilage in the larynx?
- A.
Arytenoid
- B.
Corniculate
- C.
Cricoid
- D.
Cuneiform
Questions: 25 | Attempts: 580 | Last updated: Jan 4, 2018
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