Anesthesia For Laparoscopic Surgery Quiz

25 Questions | Attempts: 5084

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Anesthesia For Laparoscopic Surgery Quiz - Quiz

Check out our online quiz to test your knowledge, prepare for an upcoming exam, and learn interesting facts about anesthesia for laparoscopic surgery.


Questions and Answers
  • 1. 
    False statement regarding intraop hypoxemia during laparoscopy 
    • A. 

      It may be due to gastric aspiration 

    • B. 

      It is uncommon in healthy patients

    • C. 

      Increased IAP caused a decrease in chest wall mechanical impedance 

    • D. 

      It may be due to decreased lung compliance, decreased FRC and V/Q mismatch 

  • 2. 
    Effects of pneumoperitoneum, EXCEPT 
    • A. 

      Subcutaneous emphysema 

    • B. 

      No change in plasma concentration of dopamine, epinephrine and vasopressin 

    • C. 

      Decreased cardiac index, increased MAP and increased SVR

    • D. 

      Right sided pneumothorax 

  • 3. 
    True regarding laparoscopic cholecystectomy in pregnant patients, EXCEPT 
    • A. 

      The incidence is approximately 0.05%

    • B. 

      The need for surgery is approximately 40%

    • C. 

      Intraabdominal pressure should be limited

    • D. 

      It should not be performed during the 2nd trimester

  • 4. 
    Potential complication/s associated with trocar insertion 
    • A. 

      GI perforations 

    • B. 

      Major vascular trauma 

    • C. 

      Hepatic and splenic tears

    • D. 

      All

  • 5. 
    True of regional anesthesia during laparoscopy 
    • A. 

      T2 level is required 

    • B. 

      Occasional shoulder pain due to diaphragmatic irritation 

    • C. 

      All

    • D. 

      None

  • 6. 
    Position used during laparoscopic cholecystectomy, EXCEPT 
    • A. 

      Trendelenburg 

    • B. 

      Steep headup

    • C. 

      Left lateral decubitus 

    • D. 

      Right lateral decubitus 

  • 7. 
    Treatment of CO2 gas embolism, EXCEPT 
    • A. 

      Immediate release of pneumoperitoneum

    • B. 

      Insertion of central venous catheter 

    • C. 

      Place patient in headup left lateral decubitus position 

    • D. 

      Increased minute ventilation by 12-16%

  • 8. 
    False statement during laparoscopy
    • A. 

      Controlled ventilation is preferred 

    • B. 

      Cuffed ETT is recommended 

    • C. 

      Bladder decompression is recommended 

    • D. 

      LMA can be used in laparoscopic cholecystectomy 

  • 9. 
    True about gas insufflation during laparoscopy 
    • A. 

      Nitrous oxide does not support combustion 

    • B. 

      Extra peritoneal insufflation may cause a sudden decrease in EtCO2 

    • C. 

      CO2 is rapidly excreted via the lungs 

    • D. 

      Helium is not blood insoluble and easy to extract when gas embolization occurs 

  • 10. 
    Possible causes of acute hypotension or hypoxemia during laparoscopy, EXCEPT 
    • A. 

      Inadvertent extra peritoneal insufflation 

    • B. 

      Venous gas embolism 

    • C. 

      Reflex increased vagal tone

    • D. 

      Pneumothorax 

  • 11. 
    Pulmonary changes during pneumoperitoneum 
    • A. 

      Increased peak inspiratory pressure 

    • B. 

      Decreased PaCO2 

    • C. 

      Increased vital capacity 

    • D. 

      Increased FRC

  • 12. 
    True of complications of laparoscopic cholecystectomy a
    • A. 

      Bile duct injuries are more common 

    • B. 

      Bile duct injuries are more extensive and higher in the ductal system 

    • C. 

      Misidentification of the CBD and subsequent clamping or resection is the most common form of injury 

    • D. 

      All

  • 13. 
    False statement regarding positioning during laparoscopic procedures 
    • A. 

      Left main bronchus intubation and hypoxemia in the head down position is the most common form of injury 

    • B. 

      Extent of physiologic changes is associated with the extent of tilt, patient’s age and volume status 

    • C. 

      Trendelenburg position of 10-20deg result in an increased central blood volume 

    • D. 

      Positioning is required to produce a gravitational displacement of the abdominal viscera 

  • 14. 
    Potential intraop complications of pneumoperitoneum, EXCEPT 
    • A. 

      Pneumomediastinum 

    • B. 

      Subcutaneous emphysema 

    • C. 

      Cardiac arrhythmia 

    • D. 

      None

  • 15. 
    IAP threshold that is recommended to avoid cardiovascular compromise 
    • A. 

      <7 mmHg

    • B. 

      <12 mmHg

    • C. 

      <16 mmHg

    • D. 

      <20 mmHg

  • 16. 
    Thromboembolism of the lower legs is due to
    • A. 

      Increased intraabdominal pressure 

    • B. 

      Headup position 

    • C. 

      Both 

    • D. 

      None 

  • 17. 
    Not associated with narcotic induced spasm of sphincter of Oddi
    • A. 

      Tramadol 

    • B. 

      Morphine

    • C. 

      Demerol

    • D. 

      Fentanyl 

  • 18. 
    Hypoxemia due to decreased FRC is uncommon in healthy patients during laparoscopy 
    • A. 

      True

    • B. 

      False

  • 19. 
    CO2 absorption is greater during intraperitoneal insufflation
    • A. 

      True

    • B. 

      False

  • 20. 
    Urine output decreases significantly following pneumoperitoneal deflation 
    • A. 

      True

    • B. 

      False

  • 21. 
    Pressure volume loop monitors can help in the diagnosis of possible bronchospasm, pneumothorax and endobronchial intubation 
    • A. 

      True

    • B. 

      False

  • 22. 
    There is conclusive evidence that nitrous oxide is associated with increased incidence of PONV
    • A. 

      True

    • B. 

      False

  • 23. 
    The incidence of fatal pulmonary embolism is lower following laparoscopic cholecystectomy than after open surgery 
    • A. 

      True

    • B. 

      False

  • 24. 
    Bile duct injuries are more common with open cholecystectomy 
    • A. 

      True

    • B. 

      False

  • 25. 
    ETCO2 is not a reliable index of PaCO2 during CO2 insufflation in ASA 3 patients with cardiopulmonary disease 
    • A. 

      True

    • B. 

      False

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