Principles #3

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  • 1/128 Questions

    Why is extubating a patient in Stage II not desirable?

    • Increased risk of larynospasm
    • Too sedated
    • Regular BP & RR
    • Not Ready
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Principles #3 - Quiz
About This Quiz

Test reviewing the material for Test #3 in principles class.

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  • 2. 
    What portion of the spinal vertebrae are pictured in green? - ProProfs

    What portion of the spinal vertebrae are pictured in green?

    • Thoracic

    • Lumbar

    • Sacral

    • Cervical

    Correct Answer
    A. Thoracic
  • 3. 

    What should be included in your report to the PACU nurse?

    • What you did

    • What patient did

    • How patient is now

    • All of the above

    Correct Answer
    A. All of the above
  • 4. 

    The aldrete score of a patient who can move all extremities, able to take deep breaths and cough, full pre-anesthetic BP level, awake, talking and normal skin color is

    • 10

    • 8

    • 5

    • 0

    Correct Answer
    A. 10
  • 5. 
    Identify 3. - ProProfs

    Identify 3.

    • Ligamentum Flavum

    • Supraspinous Ligament

    • Intraspinous Ligament

    • Dura Mater

    Correct Answer
    A. Ligamentum Flavum
  • 6. 

    During which stage of anesthesia would a patient be at increased risk for laryngospasm?

    • Stage 2

    • Stage 1

    • Stage 4

    • Stage 3

    Correct Answer
    A. Stage 2
  • 7. 

    What should you choose for reversal of benzodiazepine sedation?

    • Just sit and wait, there is no way to reverse them.

    • Flumazenil 0.2 mg IV over 15 seconds, may give up to 1 mg.

    • Narcan 2mg IV

    • Neostigmine .08 mg/kg given with glycopyrolate

    Correct Answer
    A. Flumazenil 0.2 mg IV over 15 seconds, may give up to 1 mg.
  • 8. 

    What is the difference when doing a spinal vs epidural?

    • The location of injection

    • Technique used

    • Medications used

    • No difference

    Correct Answer
    A. The location of injection
  • 9. 

    Optimal depth of anesthesia will maintain the BIS Number…

    • 40-60

    • 60-70

    • 80-100

    • 15-30

    Correct Answer
    A. 40-60
  • 10. 

    What would be the best choice for induction of a 5 yr male undergoing repair of a broken elbow?

    • Intravenous induction with versed and vecuronium

    • IM injection with induction agents

    • Institute the Vulcan death grip at the base of his neck.

    • Inhalational Induction with sevoflurane

    Correct Answer
    A. Inhalational Induction with sevoflurane
  • 11. 

    What is the most frequently used method of anesthesia induction in adults?

    • Inhalational induction

    • IM injection

    • Intravenous induction

    • Administration of oral agents.

    Correct Answer
    A. Intravenous induction
  • 12. 

    During general anesthesia, we should try to maintain the patient at what stage of anesthesia?

    • Stage 4

    • Stage 3

    • Stage 2

    • Stage 1

    Correct Answer
    A. Stage 3
  • 13. 
    What portion of the spinal vertebrae are pictured in red? - ProProfs

    What portion of the spinal vertebrae are pictured in red?

    • Thoracic

    • Lumbar

    • Sacral

    • Cervical

    Correct Answer
    A. Cervical
  • 14. 

    What is the preferred positioning of the patient for administration of spinal & epidural anesthesia?

    • Laying supine.

    • Spine flexed with pt bent at the waist and bringing the chin toward the chest.

    • Laying prone due to ease of performing the procedure in this position.

    Correct Answer
    A. Spine flexed with pt bent at the waist and bringing the chin toward the chest.
  • 15. 

    On which of the following patients would you consider using rapid sequence induction?

    • A patient have cardiac bypass

    • A patient coming in for emergent open cholecystectomy

    • A patient with past medical history of psychiatric illness

    • A patient with an anticipated difficult airway

    Correct Answer
    A. A patient coming in for emergent open cholecystectomy
  • 16. 

    During anesthesia what leads would be most appropriate to choose to monitor your pt for cardiac ischemia?

    • I & avF

    • II & V5

    • III & V3

    • AvL & I

    Correct Answer
    A. II & V5
  • 17. 

    MAC patients should be arousable.

    • True

    • False

    Correct Answer
    A. True
  • 18. 

    The Goals of any MAC case in include all of the following except:

    • Maintain Safety

    • Alleviate pain & minimize discomfort

    • Keep them heavily sedated and unarousable

    • Amnesia & anxiolysis

    Correct Answer
    A. Keep them heavily sedated and unarousable
  • 19. 

    Why are spinals inserted at a precise level in the lumbar spine?

    • Because 38% of the population have herniated disks

    • Because you have better access to CSF

    • Because you minimize the risk of the injuring the spinal cord

    • Because it minimizes the risk of having a “wet tap”

    Correct Answer
    A. Because you minimize the risk of the injuring the spinal cord
  • 20. 

    What would be an appropriate induction plan for a patient with an anticipated difficult airway?

    • Awake intubation under topical anesthesia

    • Inhalational induction and plan to mask the entire case

    • Rapid sequence induction and having a glide scope ready

    • Call the MDA to intubate this patient.

    Correct Answer
    A. Awake intubation under topical anesthesia
  • 21. 

    You are the SRNA up on the OB floor today and are in the process of giving an epidural to a 34 yr old female in labor. Where do you want to inject your anesthetic?

    • SubArachnoid Space

    • Ligamentum Flavum

    • Pia Mater

    • Epidural Space

    Correct Answer
    A. Epidural Space
  • 22. 

    General anesthesia includes all of the following except:

    • Paralysis

    • Amnesia

    • Awareness

    • Analgesia

    Correct Answer
    A. Awareness
  • 23. 

    You have just extubated Mr. Woo, and he begins to have a laryngospasm. What should you do?

    • Put on a non-rebreather mask with 100% O2 and wheel him to the PACU

    • Give 100% O2 via face mask, use the bag to apply some positive pressure, and apply jaw thrust.

    • Re-intubate him immediately and then extubate at a higher stage of anesthesia.

    • Give an albuterol treatment.

    Correct Answer
    A. Give 100% O2 via face mask, use the bag to apply some positive pressure, and apply jaw thrust.
  • 24. 

    Where you expect the Spinal Cord to end on an adult patient?

    • L1-L2

    • L3

    • L5

    • Sacral Hiatus

    Correct Answer
    A. L1-L2
  • 25. 

    You have just performed spinal anesthesia and find your patient has experienced total spinal anesthesia. What do you do?

    • Prepare for the patient to be placed on cardiac bypass due to arrhythmias.

    • Intubate the patient and wait it out.

    • Deliver neo and glyco to reverse the paralysis.

    • Begin delivering pain medication to counteract the headache.

    Correct Answer
    A. Intubate the patient and wait it out.
  • 26. 

    You are the SRNA for Mrs. Green who is having removal of a foriegn object from the bottom of her left foot. Her past medical history includes COPD, Diabetes, and cardiac impairment. What would be the the best choice for this patient?

    • Peripheral nerve block

    • Spinal Anesthesia

    • Epidural anesthesia

    • Tell her to stop stepping on sharp rocks.

    Correct Answer
    A. Peripheral nerve block
  • 27. 

    The main difference between conscious sedation and deep sedation is

    • The kind of IV hypnotics used

    • Type of airway used

    • Ability to maintain protective reflexes

    • Ability to return to pre-procedural state

    Correct Answer
    A. Ability to maintain protective reflexes
  • 28. 

    What would be an appropriate BIS value to maintain during maintenance of anesthesia?

    • 100

    • 30

    • 70

    • 50

    Correct Answer
    A. 50
  • 29. 

    If you were to apply a BIS monitor to yourself RIGHT NOW, what would your BIS value most likely be?

    • 0

    • 76

    • 98

    • 54

    Correct Answer
    A. 98
  • 30. 

    Which of the following statements is false:

    • There are 7 pairs of cervical nerve roots

    • There are 12 pairs of thoracic nerve roots

    • There are 5 pairs of lumbar nerve roots

    • There are 5 pairs of sacral nerve roots

    Correct Answer
    A. There are 7 pairs of cervical nerve roots
  • 31. 

    The critical flaws when providing a MAC case is failure to consider which of the following except?

    • The surgeon

    • The patient

    • The procedure

    • The family

    Correct Answer
    A. The family
  • 32. 

    MAC cases are easier than General cases because the patient is conscious and cooperative.

    • True

    • False

    Correct Answer
    A. False
  • 33. 

    Why can a higher dose of local anesthetics be given when using epinephrine?

    • The 2 drugs counteract one another (one is more potent than the other)

    • Using 2 drugs minimizes risk of toxicity

    • Vasoconstriction effect of Epi, localizes the concentration

    • Vasodilation effect of the local is counteracted by Epi

    Correct Answer
    A. Vasoconstriction effect of Epi, localizes the concentration
  • 34. 

    Which of the following cases would be inappropriate for MAC anesthesia?

    • Cataract surgery on an 78 yr old Female

    • Pacemaker insertion on 56 yr old male

    • Bone marrow biopsy on 5 yr old female

    • Open hysterectomy on a 43 yr old female

    Correct Answer
    A. Open hysterectomy on a 43 yr old female
  • 35. 

    At what level should Spinal Anesthesia be performed?

    • Can be performed at any level

    • At level of T 12

    • At L1

    • Below level of L1

    Correct Answer
    A. Below level of L1
  • 36. 
    Identify 2. - ProProfs

    Identify 2.

    • Supraspinous Ligament

    • Ligamentum Flavum

    • Dura Mater

    • Interspinous Ligament

    Correct Answer
    A. Interspinous Ligament
  • 37. 

    CVP monitoring is most frequently used...

    • When wide swings in BP are expected

    • To measure cardiac output and left venticulat end-diastolic pressures

    • To help in assessment of patients intravascular status

    • To get a unidimensional view of the myocardium.

    Correct Answer
    A. To help in assessment of patients intravascular status
  • 38. 

    During which level of anesthesia induced depression would your patient experience an increased somatic response and be most susceptible to laryngospasms?

    • Depression-Excitation

    • Sedated-unconscious

    • Deep anesthesia

    • Minimal anesthesia

    Correct Answer
    A. Depression-Excitation
  • 39. 

    The primary site of action for both spinal and epidural anesthesia is the Nerve Root.

    • True

    • False

    Correct Answer
    A. True
  • 40. 

    You are attemtping to give spinal anesthesia, where do you want to inject your anesthetic?

    • Epidural Space

    • Pia Mater

    • Subarachnoid Space

    • Ligamantum Flavum

    Correct Answer
    A. Subarachnoid Space
  • 41. 
    What portion of the spinal vertebrae are pictured in blue? - ProProfs

    What portion of the spinal vertebrae are pictured in blue?

    • Thoracic

    • Lumbar

    • Sacral

    • Cervical

    Correct Answer
    A. Lumbar
  • 42. 
    Identify 1. - ProProfs

    Identify 1.

    • Interspinous Ligament

    • Ligamentum Flavum

    • Supraspinous Ligament

    • Dura Mater

    Correct Answer
    A. Supraspinous Ligament
  • 43. 

    When using the midline technique for application of spinal anesthesia what will be the FIRST ligament your needle encounter as it passes from the skin to the subarachnoid space?

    • Inerspinous ligament

    • Supraspinous ligament

    • Pia Mater

    • Ligamentum Flavum

    Correct Answer
    A. Supraspinous ligament
  • 44. 

    What is the primary advantage of adding epinephrine to tetracaine for spinal anesthesia?

    • Increased duration of spinal anesthesia.

    • Decrease in ICP.

    • Decreased risk for neurotoxicity or neurological symptoms.

    • Increase in spinal cord blood flow.

    Correct Answer
    A. Increased duration of spinal anesthesia.
  • 45. 

    Decreasing consciousness increases safety risk.

    • True

    • False

    Correct Answer
    A. True
  • 46. 

    You are the SRNA for Karianne, who is having her broken finger surgically repaired. The surgeon is doing a peripheral nerve block and is using bupivicaine plain during this case. Karianne weighs approximately 60 kg and the surgeon is asking what is the max dose of bupivicaine he can give to her. What do you say?

    • 150 mg

    • 192 mg

    • 240 mg

    • Tell him to give her all he wants.... this is a fun experiment.

    Correct Answer
    A. 150 mg
  • 47. 

    CSF is found in the:

    • Epidural space

    • Subdural space

    • Subarachnoid space

    Correct Answer
    A. Subarachnoid space
  • 48. 

    If you have a hyperbaric solution (compared to CSF) and you place your patient in a trendelenburg to minimize any vasodilating effects, you would except the block to move:

    • Caudad

    • Cephalad

    • No change

    • Posterior

    Correct Answer
    A. Cephalad
  • 49. 

     During Stage I of Anesthesia the patient should experience all of the following except:

    • Sedation

    • Consciousness

    • Paralysis

    • Drowsiness

    Correct Answer
    A. Paralysis

Quiz Review Timeline (Updated): Dec 14, 2012 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Dec 14, 2012
    Quiz Edited by
    ProProfs Editorial Team
  • Nov 25, 2008
    Quiz Created by
    Scottishduffy
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