Technology Exam 2

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  • 1/137 Questions

    Malfunctioning of either unidirectional valve in a circle system may allow rebreathing of carbon dioxide, resulting in hypercapnia.

    • True
    • False
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About This Quiz

Review of material for exam 2. Including breathing circuits and ECG and ETCO2 monitoring.

Technology Exam 2 - Quiz

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  • 2. 

    How often should a patients BP be measured during general anesthesia?

    • Every 1-2 minutes

    • Every 3-5 minutes

    • Every 15 minutes

    • Whenever I damn well feel like it.

    Correct Answer
    A. Every 3-5 minutes
  • 3. 

    Intra-op hypothermia causes decreased drug metabolism, so  your pt will take longer to wake up.

    • True

    • False

    Correct Answer
    A. True
  • 4. 

    Mapleson Circuits require high fresh gas flows to prevent re-breathing.

    • True

    • False

    Correct Answer
    A. True
  • 5. 

    In a semi-open breathing system, FGF must be 2-3x the minute ventilation to prevent any rebreathing.

    • True

    • False

    Correct Answer
    A. True
  • 6. 

    Which of the following is not one of the monitored gases?

    • CO2

    • Anesthetic Agent

    • Driving Gas

    • Expired Concentration of Gases

    Correct Answer
    A. Driving Gas
  • 7. 

    For anesthetic purposes, what is the only reliable method of measuring urinary output?

    • Monitoring closely I&O, including blood

    • No reliable method

    • Inserting a foley

    • Fluid Volume Status

    Correct Answer
    A. Inserting a foley
  • 8. 

    Long breathing tubes with high compliance increase the difference between the volume of gas delivered to a circuit by a reservoir bag or ventilator and the volume actually delivered to a patient.

    • True

    • False

    Correct Answer
    A. True
  • 9. 

    When using a BP cuff, the first oscillations heard when deflating the cuff correlate with...

    • Diastolic BP

    • Systolic BP

    • MAP

    • Perfusion Pressure

    Correct Answer
    A. Systolic BP
  • 10. 

    When using a BP, the last oscillation heard correlates with...

    • Systolic BP

    • MAP

    • Diastolic BP

    • Perfusion Pressure

    Correct Answer
    A. Diastolic BP
  • 11. 

    What are the two fundamental purposes of all anesthesia breathing systems? (click two answers)

    • Delivery of O2 & anesthetic gases.

    • To accurately measure amount of FGF going into vaporizer

    • To provide the perfect medium for application of Poiseuille's law

    • Elimination of CO2

    Correct Answer(s)
    A. Delivery of O2 & anesthetic gases.
    A. Elimination of CO2
  • 12. 

    Which non-rebreathing circuit contains a Fresh gas hose inside the expiratory limb?

    • Mapleson F (Jackson-Rees)

    • Mapleson A

    • Mapleson D (Bain)

    • Mapleson C

    Correct Answer
    A. Mapleson D (Bain)
  • 13. 
    Identify the above rhythm. - ProProfs

    Identify the above rhythm.

    • Right Atrial Hypertrophy

    • Inferior wall MI

    • Dig Toxicity

    • Premature Atrial Contractions

    Correct Answer
    A. Inferior wall MI
  • 14. 
    The above capnogram represents what? - ProProfs

    The above capnogram represents what?

    • Hypoventilation

    • COPD or Bronchospasm

    • Normal Capnogram

    • Rebreathing of CO2

    Correct Answer
    A. Normal Capnogram
  • 15. 

    The pulse oximeter operates on what principle?

    • Pousielles Law

    • Korotkoffs Principle

    • Gay-Lusaacs Law

    • Lamber Beer Law

    Correct Answer
    A. Lamber Beer Law
  • 16. 

    According to M&M which two leads should you choose to monitor for most pts in the OR?

    • I & avL

    • III & V3

    • II & V5

    • V1 & avF

    Correct Answer
    A. II & V5
  • 17. 
    Identify the above ECG rhythm. - ProProfs

    Identify the above ECG rhythm.

    • 2nd degree heart block

    • Hyperkalemia

    • Sinus Tach

    • NSR

    Correct Answer
    A. NSR
  • 18. 

    Which of the following techniques for non-invasive BP monitoring would be MOST effective to use for monitoring of BP during a case?

    • Palpation

    • Doppler

    • Oscillometry

    • Arterial Tonometry

    Correct Answer
    A. Oscillometry
  • 19. 

    When the patient is spontaneously ventilating, the APL valve needs to be closed so that circuit pressure remains negligible throughout inspiration and expiration.

    • True

    • False

    Correct Answer
    A. False
  • 20. 

    Does setting a non-zero vapor concentration at the vaporizer immediately result in an identical inspired vapor concentration?

    • Yes

    • No

    • Depends on FGF

    • Depends on setting of vaporizer knob

    Correct Answer
    A. No
  • 21. 

    What is true regarding flow?

    • Is measured by pressure/resistance

    • Is measured by resistance/pressure

    • Is adequate as long as resistance is more than pressure.

    • According to rapper 'Flo Rida", this is what shawty hit before she got "low low low low low"

    Correct Answer
    A. Is measured by pressure/resistance
  • 22. 
    The above capnogram is indicative of what? - ProProfs

    The above capnogram is indicative of what?

    • Hypoventilation

    • Pregnant pt

    • Normal capnogram

    • Rebreathing of CO2

    Correct Answer
    A. Rebreathing of CO2
  • 23. 
    Identify the above rhythm. - ProProfs

    Identify the above rhythm.

    • NSR

    • Inferior Wall MI

    • Left Bundle Branch Block

    • High Lateral MI

    Correct Answer
    A. Left Bundle Branch Block
  • 24. 

    All of the following will reduce Resistance in Laminar flow except...

    • Increasing Flow Rate

    • Increasing Viscosity

    • Increasing diameter of tubing.

    • Decreasing length of tubing.

    • Eliminating unnecessary valves

    Correct Answer
    A. Increasing Viscosity
  • 25. 
    The above capnogram is indicative of what? - ProProfs

    The above capnogram is indicative of what?

    • Pregnant patient

    • COPD or Bronchospasm

    • Malignant Hyperthermia

    • Spontaneous ventilation

    Correct Answer
    A. COPD or Bronchospasm
  • 26. 

    What is a normal PR interval?

    • 0.2-1 second

    • 0.12-0.20 seconds

    • It is dependent upon the R-to-R interval

    Correct Answer
    A. 0.12-0.20 seconds
  • 27. 

    Resistance through the breathing circuit can be decreased by all of the following except...

    • Decreasing length of tube

    • Increasing diameter of tube

    • Avoiding kinks or bends

    • Maintaining turbulent flow

    Correct Answer
    A. Maintaining turbulent flow
  • 28. 

    Proper placement of a non-invasive cuff include all of the following except?

    • The cuff should be placed loosely for comfort of the patient

    • Wrapping of the limb may be provided for comfort where the cuff is placed

    • The cuff should be placed tight enough so it won’t slide down the limb

    • An appropriate size cuff should be place according to the patient’s size of the limb

    Correct Answer
    A. The cuff should be placed loosely for comfort of the patient
  • 29. 

    Circle system at extremely low FGF with an APL valve closed is an example of what class of breathing circuit:

    • Open

    • Semi-open

    • Semi-closed

    • Closed

    Correct Answer
    A. Closed
  • 30. 

    How much FGF do you need in a semi-open system?

    • Less than minute ventilation to encourage rebreathing.

    • Equal to minute ventilation

    • 4L/min

    • 2-3 times minute ventilation

    Correct Answer
    A. 2-3 times minute ventilation
  • 31. 

    What would happen if your pts pacemaker were to accidentally during the relative refractory period?

    • Not a damn thing. No electrical impulse will make the heart conduct here.

    • An R-on-T PVC which may throw the pt into VT.

    • A normal QRS comples will be conducted as this is when the pacer *should* fire.

    Correct Answer
    A. An R-on-T PVC which may throw the pt into VT.
  • 32. 

    Does changing the setting on the N2O flowmeter from 3.5 L/min to 0 L/min immediately result in an inspired N2O concentration of 0?

    • Yes

    • No

    • Depends on FGF

    • Depends on O2 flowmeter settings

    Correct Answer
    A. No
  • 33. 

    The function of the breathing circuit is all of the following except:

    • Convey O2 and anethestic gas to the patient

    • Deliver negative pressure ventilation

    • Remove waste from patient

    • Transfer excess gas to scavenging system

    Correct Answer
    A. Deliver negative pressure ventilation
  • 34. 

    The greatest decrease in temperature occurs during what portion of the anesthetic process?

    • Phase I (1st hour)

    • Phase II (3-4 hours)

    • Emergence

    • In PACU

    Correct Answer
    A. Phase I (1st hour)
  • 35. 
    Identify the above rhythm. (That is NOT a U-wave) - ProProfs

    Identify the above rhythm. (That is NOT a U-wave)

    • Hyperkalemia

    • Old MI

    • 2:1 AV Block

    • NSR

    Correct Answer
    A. 2:1 AV Block
  • 36. 
    The above capnogram is indicative of what? - ProProfs

    The above capnogram is indicative of what?

    • Curare Cleft

    • Malfunctioning valve

    • Normal capnogram

    • Lung Transplant

    Correct Answer
    A. Curare Cleft
  • 37. 

    A sudden drop in you CO2 on the capnometer may also indicate what?

    • Pulmonary HTN

    • Hypercarbia

    • Re-breathing of CO2

    • Decrease in cardiac Output

    Correct Answer
    A. Decrease in cardiac Output
  • 38. 

    Which of the following is not a characteristic of A-fib?

    • Recognizable QRS complexes

    • Atrial kick is lost

    • Risk of thrombus formation is significant after 48 hours

    • Abnormally tall, peaked P waves before every QRS

    Correct Answer
    A. Abnormally tall, peaked P waves before every QRS
  • 39. 

    What is the primary determinant of whether a system if closed, semi closed, or semi open within our breathing circuits?

    • Presence of CO2 absorber

    • Size of the circuit

    • Amount of Fresh Gas Flow

    • Ability to add PEEP into circuit

    Correct Answer
    A. Amount of Fresh Gas Flow
  • 40. 

    You are the SRNA for Mr. Pier and notice his O2 sat drops from 98 to 94 percent. His O2 sat is steady at 94 and does not appear to drop further, but should you be concerned?

    • Yeah! The oxyhemoglobin dissociation curve is very steep and even slight drops in O2 sat will correlate to a huge drop in the pts PaO2.

    • Nope, as long as the pulse ox is >90 then the oxyhemoglobin dissociation curve is not that steep.

    • That depends entirely upon how concerned my preceptor appears to be.

    Correct Answer
    A. Nope, as long as the pulse ox is >90 then the oxyhemoglobin dissociation curve is not that steep.
  • 41. 

    A 12-lead ECG measures mechanical activity of the heart.

    • True

    • False

    Correct Answer
    A. False
    Explanation
    measures electrical, not mechanical, activity.

    Rate this question:

  • 42. 

    Which of the following is NOT true regarding a closed circuit?

    • Allows for total rebreathing of gases

    • Only to be used during controlled ventilations with open pop-off valve

    • Always provides for neutralization of CO2

    • Always contains unidirectional valves.

    Correct Answer
    A. Only to be used during controlled ventilations with open pop-off valve
  • 43. 

    Which type of circuit is most efficient during Controlled ventilation?

    • Mapleson D

    • Maplseon C

    • Mapleson A

    • Mapleson F

    Correct Answer
    A. Mapleson D
  • 44. 

    Which ECG leads are your inferior leads?

    • V3-4

    • V5-6

    • II, III, & avF

    • I, avL

    Correct Answer
    A. II, III, & avF
  • 45. 

    In a patient with Pulmonary Embolism, what would you expect would happen with your ETCO2 readings?

    • Increase ETCO2

    • Decrease ETCO2

    • Stay the same due to compensatory mechanisms.

    Correct Answer
    A. Decrease ETCO2
  • 46. 

    Continual measurement of NIBP may cause development of petechiae on all of the following patients except?

    • Those on anticoagulants

    • Those taking NSAIDS

    • Those taking Tylenol

    • Those with thin, redundant skin

    Correct Answer
    A. Those taking Tylenol
  • 47. 

    What are the components of a circle system?

    • Breathing tube, Fresh gas inlet, APL valve, Reservoir bag, Mask

    • Breathing tube, Fresh gas inlet, APL valve, Reservoir bag, Mask, Unidirectional Valves

    • Breathing tube, Fresh gas inlet, APL valve, Mask

    • Breathing tube, Fresh gas inlet, Uni-directional valves, APL valve, Reservoir Bag, CO2 Absorbent, CO2 Absorber, Mask

    Correct Answer
    A. Breathing tube, Fresh gas inlet, Uni-directional valves, APL valve, Reservoir Bag, CO2 Absorbent, CO2 Absorber, Mask
  • 48. 

    In Laminar flow resistance is ______________ to flow rate.

    • Directly proportional

    • Equal

    • Indirectly Proportional

    Correct Answer
    A. Indirectly Proportional
  • 49. 

    Which of the following is NOT a characteristic of a semi-closed circuit?

    • Always provides for neutralization of CO2

    • Contains unidirectional valves

    • Always has a reservoir bag

    • Allows for Total rebreathing of gases

    Correct Answer
    A. Allows for Total rebreathing of gases

Quiz Review Timeline (Updated): May 22, 2019 +

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

  • Current Version
  • May 22, 2019
    Quiz Edited by
    ProProfs Editorial Team
  • Oct 18, 2008
    Quiz Created by
    Scottishduffy
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