Otterbein/Grant CRNA Basics Midterm Review Pre-OP And Airway

57 Questions | Total Attempts: 49

SettingsSettingsSettings
Please wait...
CRNA Quizzes & Trivia

Questions and Answers
  • 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

Back to Top Back to top