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!
Rocuronium
Mivacurium
Succinylcholine
Vecuronium
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You would reduce your dose by 25-50%
With no prior medical history you could use the standard dosage of propofol
You would increase your dose by 25-50%
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True
False
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Ketamine
Etomidate
Propofol
Thiopental
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Etomidate
Propofol
Ketamine
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Ketamine
Propofol
Etomidate
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True
False
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True
False
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Vecuronium
Rocuronium
Pancuronium
Succinylcholine
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Etomidate
Ketamine
Propofol
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No, too much time has passed
Yes, but only if you remembered to refrigerate the propofol.
Yes, propofol is good for 12 hours after opening.
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Effects can be prolonged
Decrease the half life
Contraindicated in liver disease
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Masseter
Chest wall
Diaphragm
Bicep
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Selective modulation of GABA receptors
Non-competitive antagonist binding to the phencyclidine recognition site on the NMDA receptor & acts on opioid receptors
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
Inhibition of acetycholinesterase
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24
12
48
6
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Etomidate
Propofol
Ketamine
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1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
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45 mg
4.5 mg
54 mg
9 mg
22.5 mg
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Etomidate
Ketamine
Propofol
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He may be too light on anesthesia, give some fentanyl and go up on your sevo.
This may be the beginning stages of Malignant hyperthermia. Call for Help.
He is not paralyzed enough, give some vec.
Do nothing, the tachycardia will go away once the incision portion is over.
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24
12
48
6
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Propofol
Ketamine
Etomidate
Thiopental
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True
False
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Arrythmias
Hyperkalemia
Myalgia
Elevated Intraocular Pressure
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Arrythmias
Hyperkalemia
Myalgia
Elevated Intraocular Pressure
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Nimbex
Vecuronium
Succinylcholine
Pancuronium
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Etomidate
Ketamine
Propofol
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Redistribution
Metabolism
Low lipid solubility
Low potency
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True
False
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Mivacurium
Vecuronium
Pancuronium
Rocuronium
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0.6 mg
0.32 mg
0.021 mg
3 mg
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Works at spinal nerve roots to cause paralysis and NMJ
Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine.
By potentiating the inhibitory effects of GABA
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
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Ranitidine
Ryanodine
Cyanide
Muscarinic
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Love it
Now I have that song stuck in my head....
All of the above.
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By delivering small doses calculated on patient weight
By pre-medication with an opioid
Through inactivation of acetylcholinesterase
By concurrently administering an anticholinergic drug
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Propofol
Etomidate
Ketamine
All of the above
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Pseudocholinesterase
Acetylcholine
Monocholine
Muscarinic receptors
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True
False
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True
False
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Rocuronium 90 mg
Succinylcholine 120 mg
Mivacurium 20 mg
Rapid sequence can not be done on this patient without prolonged effect of muscle relaxant.
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Attenuate the peripheral muscarinic effects of NMBA's.
Inhibition of the hydrolysis of acetylcholine resulting in greater availability at its sites of action
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
Selective inhibition of GABA
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Mivacurium
Pancuronium
Atracurium
Rocuronium
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True
False
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When you have 0/4 twitches
When you have at least 1 /4 twitches
You must have 4/4 twitches prior to administration
After your anesthetic agent has been turned off.
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True
False
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Acetic Acid
Choline
Succinylmonocholine
Cholinesterase
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Works at spinal nerve roots to cause paralysis and NMJ
Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine.
By potentiating the inhibitory effects of GABA
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
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Etomidate
Ketamine
Propofol
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