Anesthesia Pharmacology Exam: Hardest Quiz

171 Questions | Total Attempts: 1389

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Anesthesia Quizzes & Trivia

Anaesthesia pharmacology exam: hardest quiz! There are different types of anaesthetic drugs with varying results. It is important for a medical practitioner to know the difference between them and how to administer them. If you are sure in your ability to give these drugs to your patients, this quiz will give you the practice you need. Do check it out and see if you might need a refresher on this course.


Questions and Answers
  • 1. 
    Define Pharmacokinetics.
    • A. 

      Describes the relationship between the drug concentration and the response.

    • B. 

      What the drug does to the body

    • C. 

      Is the relationship between the dose of the drug given and its observed plasma concentration and/or tissue concentration

    • D. 

      The time necessary for plasma drug concentration to fall by 50% or other % after a continuous infusion or specific duration.

  • 2. 
    Define Pharmacodynamics.
    • A. 

      The time necessary for plasma drug concentration to fall by 50% or other % after a continuous infusion or specific duration.

    • B. 

      Is the relationship between the dose of the drug given and its observed plasma concentration and/or tissue concentration

    • C. 

      What the body does to the drug

    • D. 

      Describes the relationship between the drug concentration and the response.

  • 3. 
    PK and PD can vary between patients.  Which of the following would be a reason for variation?
    • A. 

      AGE

    • B. 

      Concominant Medications

    • C. 

      Concurrent Illness

    • D. 

      All of the Above

  • 4. 
    What is assumed if the oral dose of a drug is the same as the IV dose of the same drug?
    • A. 

      The drug is liquid in oral form.

    • B. 

      The drug is bound to protein.

    • C. 

      There is little first dose metabolism

    • D. 

      The patient has a big mouth

  • 5. 
    The transfer of drug across a membrane is based on what?
    • A. 

      Molecular size

    • B. 

      Degree of ionization

    • C. 

      Lipid solublity

    • D. 

      Protein binding

    • E. 

      All of the above

  • 6. 
    What is the pKa of a drug?
    • A. 

      An estimate of the osmotic gradient of the drug

    • B. 

      Is the ph at which ionized vs nonionized form of the drug are the same.

    • C. 

      The kick after a touchdown worth one point.

    • D. 

      The amount of drug bound to protein.

  • 7. 
    Define pH.
    • A. 

      An estimate of the osmotic gradient of the drug

    • B. 

      The natural log [H+]

    • C. 

      The negative log [H+].

    • D. 

      A new application for the Iphone

  • 8. 
    Which anesthetic agent has analgesic effects?
    • A. 

      Desflurane

    • B. 

      Sevoflurane

    • C. 

      Isoflurane

    • D. 

      Nitrous oxide

  • 9. 
    What was the main problem with early anesthetic agents?
    • A. 

      Early agents needed CO2 to vaporize

    • B. 

      They caused coronay steal

    • C. 

      Early agents were toxic

    • D. 

      All of the above

  • 10. 
    When is a basic drug ionized.
    • A. 

      When it is eliminated by the body.

    • B. 

      When the pH is less than the pKa

    • C. 

      When the pH is more than the pKa

    • D. 

      When the pH is equal to the pKa

  • 11. 
    What helped decreased flammability of the anesthetic agents
    • A. 

      Elimintating the use of oxygen in the ventilator

    • B. 

      Combining carbon with fluorine

    • C. 

      The use of industrial gas cylinders

    • D. 

      The use of the positive pressure scavenging system

  • 12. 
    Which drug has the tendency to potentiate cardiac arrythmias when halothane is used?
    • A. 

      Lidocaine

    • B. 

      Atropine

    • C. 

      Epinepherine

    • D. 

      Adenosine

  • 13. 
    Which inhaled agent can cause renal failure?
    • A. 

      Methoxyflurane

    • B. 

      Enflurane

    • C. 

      Isoflurane

    • D. 

      Desflurane

  • 14. 
    The less soluble the agent....
    • A. 

      The slower the patient falls to sleep

    • B. 

      The more nephrotoxic the drug is

    • C. 

      The faster the drug goes to the brian

    • D. 

      The slower the drug goes to the brain

  • 15. 
    Why do babies and infants require more anesthetic agent?
    • A. 

      They have large heads compared to their chest

    • B. 

      Because they have less surface area than adults

    • C. 

      They have higher metabolic rates

    • D. 

      They don't, they require less

  • 16. 
    Which patient will require the least anesthetic
    • A. 

      A chronic alcoholic

    • B. 

      A heavily intoxicated high school student

    • C. 

      An infant

    • D. 

      An chronic heroin user

  • 17. 
    Why is isoflurane not the best choice for inhalation induction in children
    • A. 

      Agent is too powerful for a child

    • B. 

      Agent has pungent odor

    • C. 

      Isoflurane is the best choice for inhalation induction

    • D. 

      It requires higher peak pressures to deliver the agent to the patient

  • 18. 
    Which agent is least likely to form carbon monxide when introduced to co2 absorbers?
    • A. 

      N20

    • B. 

      Halothan

    • C. 

      Sevoflurane

    • D. 

      Desflurane

  • 19. 
    What is the blood-gas solubility coefficient an indicator of? 
    • A. 

      Which fluid compartment the anesthetic will occupy

    • B. 

      Speed of uptake and elimination

    • C. 

      If the anesthetic is a gas or liquid at room temperature

    • D. 

      The relative toxicity of the drug

  • 20. 
    What does the Oil-gas coefficient represent?
    • A. 

      The lower the coefficient the more potent the gas

    • B. 

      The higer the coefficient the more potent the gas

    • C. 

      The proper placement of a hanger yoke

    • D. 

      The acceptable trace levels of oils in the vaporizers

  • 21. 
    Define general anesthesia.
    • A. 

      An altered physiologic state characterized by loss of consciousness analgesia of the entire body, amnesia, and to some degree muscle relaxation

    • B. 

      When 50 percent of the population between 33 and 55 years old has complete muscle relaxation

    • C. 

      When a patient is able to respond to commands during anesthesia however is able to make their own adjustments in regards to airway management

    • D. 

      Minimum alveolar concentration

  • 22. 
    What does MAC stand for.
    • A. 

      Maximum allowable hematocrit loss

    • B. 

      Minimum arterial capacity

    • C. 

      Minimum alveolar concentration

    • D. 

      Manageable airway contacts

  • 23. 
    P-450 sevoflurabe
    • A. 

      A

    • B. 

      B

  • 24. 
    Factors that influence the magnitude of carbon monoxide production from volatile anesthetics include:
    • A. 

      Dryness of the carbon dioxide absorbent with hydration preventing formation

    • B. 

      High temperatures of carbon dioxide absorbent as during low fresh gas flows and/or increased metabolic production of carbon dioxide.

    • C. 

      Prolonged high fresh gas flows that cause dryness.

    • D. 

      Type of carbon dioxide absorbent.

    • E. 

      All of the above

  • 25. 
    • A. 

      When Co2 absorbers have been left out of the anesthesia machine

    • B. 

      When CO2 absorbers have been exhausted over the weekend from lack of use and are no longer effective

    • C. 

      The phenomena of more accidents occuring on Mondays in the OR

    • D. 

      The phenomena of Miami Dolphins fans questioning the effectiveness of the "wildcat" offense