Pharmacology Of Anesthesia Quiz: Exam!
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Pharmacology of anaesthesia quiz: exam! There are different ways that a medical practitioner can mess up while performing anaesthesia, and this is why one needs to know the different drugs that can be used and how. How conversant are you with the most common drugs and how they are used? This quiz is a perfect test and refresher. Do check it out and see how well you do!
- 1.Which of the following is not at an increased risk for Malignant Hyperthermia?
- A.
Patient with Muscular Dystrophy
- B.
Patient who is immunosuppressed
- C.
Patient who had a heat stroke last year while playing outdoors
- D.
Patients whose mother has MH.
- 2.The non-barbituate agents have short duration of action mainly due to…
- A.
Redistribution
- B.
Metabolism
- C.
Low lipid solubility
- D.
Low potency
- 3.What is an appropriate intubating dose of Atracurium?
- A.
1-1.5 mg/kg
- B.
.08-0.1 mg/kg
- C.
0.6-1.2 mg/kg
- D.
0.15-0.2 mg/kg
- E.
0.4-0.5 mg/kg
- 4.What would be an appropriate starting dose of dantrolene to give to a 2 yr old child weighing 14 kg?
- A.
14 mg
- B.
140 mg
- C.
35 mg
- D.
280 mg
- 5.Which of the non-barbituate agents is unique due to the fact it has no stereoisomers?
- A.
Etomidate
- B.
Propofol
- C.
Ketamine
- D.
Thiopental
- 6.You are the SRNA for a 12 yr old male who is 5’0” and weighs 45 kg. What would be an appropriate intubating dose of vecuronium?
- A.
45 mg
- B.
4.5 mg
- C.
54 mg
- D.
9 mg
- E.
22.5 mg
- 7.It is perfectly safe to use regional anesthetics on malignant hyperthermia susceptible patients.
- A.
True
- B.
False
- 8.What is the purpose of giving lidocaine prior to administration of propofol?
- A.
To make the propofol slightly more acidic
- B.
To prevent allergic reaction to egg lecithin
- C.
To prevent burning upon injection
- D.
To decrease ability of bacteria to grow in propofol
- 9.What is the maximum dose of Dantrolene which can be given to a 10 yr old child weighing 30 kg?
- A.
75 mg
- B.
300 mg
- C.
600 mg
- D.
30 mg
- 10.You are the SRNA for a 58 yr old female having open heart surgery. She is 5’4” and 70 kg. What would be an appropriate intubating dose of pancuronium?
- A.
7 mg
- B.
105 mg
- C.
84 mg
- D.
14 mg
- E.
35 mg
- 11.Which of the following patients should NOT receive propofol? PICK TWO
- A.
72 yr old male, allergy to egg whites
- B.
89 yr old male, severe CV shock, EF 10%
- C.
45 yr old male, allergy to sulfites
- D.
8 yr old male with history of asthma
- 12.What test could be done on a patient suspected to have MH?
- A.
DNA Hyperthermia test
- B.
Succinylcholine challenge test
- C.
There are no tests available.
- D.
Caffeine Halothane Test
- 13.You are caring for a 60 yr old male going in for removal of abdominal mass. He is 6’0” and 90 kg, what would be an appropriate intubating dose of succinylcholine?
- A.
135 mg
- B.
9 mg
- C.
81 mg
- D.
18 mg
- E.
45 mg
- 14.You were a very good SRNA this morning and drew up all your drugs, including the propofol, at 6:15 am. At the last minute your first case of the day was cancelled and you did not get another case until 1:30 pm. Can you still use your propofol on this patient?
- A.
No, too much time has passed
- B.
Yes, but only if you remembered to refrigerate the propofol.
- C.
Yes, propofol is good for 12 hours after opening.
- 15.Dantrolene should be continued for ____ Hours post MH episode.
- A.
24
- B.
12
- C.
48
- D.
6
- 16.Which of the following agents has the highest degree of protein binding?
- A.
Etomidate
- B.
Propofol
- C.
Ketamine
- D.
All have similar protein binding
- 17.You are the SRNA for a 75 yr old female going in for a bowel resection. She is 5’2” and 50 kg. What would be an appropriate intubating dose of Rocuronium?
- A.
75 mg
- B.
5 mg
- C.
30 mg
- D.
10 mg
- E.
90 mg
- 18.What is the name of the receptor that is responsible for MH?
- A.
Ranitidine
- B.
Ryanodine
- C.
Cyanide
- D.
Muscarinic
- 19.Propofol is metabolized extensively in the liver, as well as in the lungs and other sites. How will hepatic disease affect the half life of Propofol?
- A.
Effects can be prolonged
- B.
Decrease the half life
- C.
Contraindicated in liver disease
- 20.What is an appropriate intubating dose of Nimbex for a 50 yr old 5’11” male weighing 110 kg?
- A.
165 mg
- B.
11 mg
- C.
100 mg
- D.
22 mg
- E.
55 mg
- 21.Hyperthermia is an early sign of MH.
- A.
True
- B.
False
- 22.You are caring for a 82 yr old woman who is about to be induced for surgery. You plan to use propofol for your induction and would plan that….
- A.
You would reduce your dose by 25-50%
- B.
With no prior medical history you could use the standard dosage of propofol
- C.
You would increase your dose by 25-50%
- 23.How much can your temperature increase every 5 minutes in MH? (pick best answer)
- A.
1 degree C
- B.
1-2 degrees C
- C.
0.5-1 degree C
- D.
0.1 degree C
- 24.What would be an appropriate intubating dose of Atracurium for a 5’1” 48 yr old female weight 60 kg?
- A.
90 mg
- B.
6 mg
- C.
70 mg
- D.
12 mg
- E.
30 mg
- 25.What is an appropriate induction dose of propofol for a 50 yr old male who is 5’10” and weighs 80 kg?
- A.
80 mg
- B.
160 mg
- C.
16 mg
- D.
400 mg
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