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. 
B. 
C. 
D. 
2.
You are performing general anesthesia on a healthy 28 y.o. smoker for a scheduled procedure. What is their ASA classification?
A. 
B. 
C. 
D. 
3.
Which of the following are indicators of a potential difficult intubation?
A. 
B. 
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. 
B. 
C. 
A gas that supports combustion
D. 
5.
Which type of heat loss has the greatest effect on a patient's temperature in the OR?
A. 
B. 
C. 
D. 
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. 
B. 
C. 
D. 
7.
Automatic implantable cardioverter-defibrillators (AICD's) need to be deactivated when the surgeon plans on using a Bovie.
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.
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. 
B. 
Surgical incision location.
C. 
D. 
14.
Which of the following is NOT an indicator for a pre-operative chest x-ray?
A. 
B. 
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. 
B. 
Left ventricular dysfunction
C. 
D. 
17.
The highest period of risk for reinfarction following an acute MI is during the emergent CABG performed the day of the original MI.
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. 
19.
Which of the following are contraindications for peri-operative beta-blockers?
A. 
B. 
C. 
D. 
A resting heart rate of 54.
E. 
A blood pressure of 110/60.
F. 
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
21.
Which of the following will NOT reduce the risk of aspiration during intubation?
A. 
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.
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. 
B. 
C. 
D. 
25.
Which of the following is NOT a paired cartilage in the larynx?
A. 
B. 
C. 
D.