Anesthesia For Laparoscopic Surgery Quiz

25 Questions | Total Attempts: 84

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Anesthesia For Laparoscopic Surgery 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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