This quiz, titled 'Otterbein\/Grant CRNA Basics Midterm Review Pre-Op and Airway', evaluates essential skills in anesthesia and airway management for CRNAs. It covers pre-operative assessments, anesthesia induction times for infants, ASA classifications, intubation challenges, OR safety, and heat loss management.
Call your attorney.
Pursue an emergency surgical airway.
Patiently wait for the pancuronium to wear off so the patient can breath spontaneously.
Administer more sedation.
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Immediately remove the airway and discontinue O2.
Accept the fate of your imminent death/disfigurement.
Provide total IV anesthetic.
Increase the tidal volumes on your ventilator due to your patient's newly decreased compliance.
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A 50 year old man with a basilar skull fracture.
A 29 year old patient with active profuse epistaxis.
A 78 year old man currently taking Coumadin with an INR of 4.2
A 20 year old patient undergoing jaw surgery.
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BVM, apply cricoid pressure, attempt intubation, administer drugs.
Preoxygenate w/o PPV, administer drugs, apply cricoid pressure, successful intubation.
Option 3
Option 4
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ASA 1
ASA 2
ASA 3
ASA 1E
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Large tongue
High-arched narrow palate
Wide palate
Large teeth
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History of difficult intubation
Neck mass
High aspiration risk
Cervical collar in place.
All of the above.
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A source of ingition
A flammable agent
A gas that supports combustion
The use of high FGF
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True
False
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History of tuberculosis
Congenital heart disease
A history of well-controlled asthma
Presence of malignancy in the thoracic cavity
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Lingual nerve
Superior laryngeal nerve
Vagus nerve
Glossopharyngeal nerve
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Proseal LMA
Fastrach LMA
ETT
IGel LMA
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0500
0700
0800
1000
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Continuous etCO2 monitoring of 40 for >3-5 breaths.
O2 saturation
Tube condensation
Initial color change on CO2 detector.
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True
False
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Ischemic heart disease
Left ventricular dysfunction
Severe aortic stenosis
Dilated cardiomyopathy
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Arytenoid
Corniculate
Cricoid
Cuneiform
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Place a surgical airway.
Attempt ventilation with an LMA or combitube that you keep in your backstand because you are so prepared.
Administer more sedation/paralytic and reattempt intubation.
Start freaking out, man.
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Do not take any insulin due to your NPO status.
Double their typical insulin dose due to the stress of surgery increasing glucose levels.
Take 1/3-1/2 of their intermediate to long acting insulin dose the morning of surgery.
Tell them to google it.
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14g IV catheter
Ultrasound guidance
Barrel of a 3 mL syringe
Oxygen supply
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Obesity
Diabetes mellitus
A gunshot wound to the leg
COPD
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Sphenopalatine
Transtracheal
Glossopharyngeal
Superior laryngeal nerve
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Is less than 6 Cm or 3 ordinary fingerbreadths.
Is ideal for intubation.
Indicates that the anterior larynx is at a more acute angle and that their is less space for the tongue to be compressed during laryngoscopy.
Is an indicator of a difficult airway.
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True
False
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Bilateral superior laryngeal nerve
Unilateral vagus nerve
Unilateral recurrent laryngeal nerve
Bilateral recurrent laryngeal nerve
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True
False
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Radiation
Conduction
Convection
Evaporation
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Spinal accessory nerve
Superior laryngeal nerve - internal branch.
Recurrent laryngeal nerve
Superior laryngeal nerve - external branch.
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Ability to lift head for 8 seconds.
3/4 strong twitches.
Vital capacity > 10mL/kg
Respiratory rate of 16.
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Get help.
100% FiO2
Succinylcholine 10-20 mg
Aggressive continuous airway pressure of 40 cmH2O
Percutaneous cricothyrotomy
Retrograde intubation
JET ventilation
Tracheostomy
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Convection
Radiation
Conduction
Evaporation
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True
False
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Epiglottitis
Cervical halo in place
High risk of aspiration
Mass present on neck
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Posterior cricoarytenoid
Lateral cricoarytenoid
Thyroarytenoid
Arytenoids
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Lidocaine
Benzocaine
Tetracaine
Cocaine
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Transtracheal
Spenopalatine
Glossopharyngeal
Superior laryngeal
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4 mL
10 mL
Until you can palpate the cuff in the sternal notch.
6 mL
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Obesity
Surgical incision location.
A history of smoking.
A history of asthma.
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RSI
Prolonging the pre-op NPO period.
Metoclopramide - gastrokinetic
Ranitidine - H2 receptpor agonist
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1st and 3rd
2nd and 5th
4th and 6th
6th and 8th
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True
False
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Recurrent laryngeal nerve
Glossopharyngeal nerve
External branch of superior laryngeal nerve
Internal branch of superior laryngeal nerve
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