APEX Anesthesia Mock Exam Questions and
Answers
Question 1
Click On The Region Supplied By The Median Nerve:
Correct Answer
Explanation:
- The Median Nerve Supplies The Palm Of The Hand, Ventral Region Of The Thumb,
& Distal Portions Of The Index Finger, Middle Finger & Medial Half Of The Ring
Finger.
Page 1 of 186
,Question 2
Click On The Area When The Nerve Stimulator Should Be Placed To Elicit Contraction
Of The Adductor Pollicis Muscle.
Correct Answer
Explanation:
- The Adductor Pollicis Muscle Contraction Is Caused By Stimulation Of The ULNAR
NERVE.
- The Distal Electrode Should Be Placed Over The Proximal Flexor Crease Of The
Wrist & The Proximal Electrode Placed Over Flexor Carpi Tendon.
- When Assessing Recovery Of NMB Prior To Extubation, You Should Monitor Ulnar
Nerve, The Adductor Pollicis Is One Of The Last Muscles To Recover From NDNMB.
Page 2 of 186
,Question 3
When Used As A Part Of A Balanced Anesthetic, Cardiovascular Effects Of Nitrous
Oxide Include: (Select 2.)
A. Myocardial Depression.
B. Unchanged Heart Rate.
C. Increased Blood Pressure.
D. Decreased Systemic Vascular Resistance.
Correct Answer
A. Myocardial Depression
C. Increased Blood Pressure
Explanation:
- Nitrous Oxide Activates SNS - Leads To INC. SVR, BP, & Heart Rate.
- When Combined With Opioids, The Myocardial Depressant Effects Can Create
Hemodynamic Instability In Patient With A Sick Heart (Poor LV Function Or Valve
Disease).
Page 3 of 186
, Question 4
Which Pharmacologic Agents Are MOST Likely To Precipitate Carcinoid Syndrome?
(Select 3.)
A. Desflurane
B. Octreotide
C. Succinylcholine
D. Thiopental
E. Epinephrine
F. Ondansetron
Correct Answer
C. Succinylcholine
D. Thiopental
E. Epinephrine.
Explanation:
- Carcinoid Crisis: Seen In Patients With Carcinoid Tumors, Which Release GI
Peptides & Vasoactive Substances.
- Symptoms Of Carcinoid Crisis: Intense Flushing, Diarrhea, Abdominal Pain,
Tachycardia, HTN or Hypotension.
- Carcinoid Crisis Can Be Initiated By Stress, Chemotherapy Or Biopsy.
- Drugs That Precipitate Carcinoid Crisis: Succinylcholine, Atracurium, Thiopental,
Epinephrine, Norepinephrine & Isoproterenol.
Why Other Answer Choices Are Wrong:
- NONE Of The VA Cause Carcinoid Crisis.
- Octreotide & Ondansetron Are Used In The Management Of Patients With
Carcinoid Tumors.
Page 4 of 186
Answers
Question 1
Click On The Region Supplied By The Median Nerve:
Correct Answer
Explanation:
- The Median Nerve Supplies The Palm Of The Hand, Ventral Region Of The Thumb,
& Distal Portions Of The Index Finger, Middle Finger & Medial Half Of The Ring
Finger.
Page 1 of 186
,Question 2
Click On The Area When The Nerve Stimulator Should Be Placed To Elicit Contraction
Of The Adductor Pollicis Muscle.
Correct Answer
Explanation:
- The Adductor Pollicis Muscle Contraction Is Caused By Stimulation Of The ULNAR
NERVE.
- The Distal Electrode Should Be Placed Over The Proximal Flexor Crease Of The
Wrist & The Proximal Electrode Placed Over Flexor Carpi Tendon.
- When Assessing Recovery Of NMB Prior To Extubation, You Should Monitor Ulnar
Nerve, The Adductor Pollicis Is One Of The Last Muscles To Recover From NDNMB.
Page 2 of 186
,Question 3
When Used As A Part Of A Balanced Anesthetic, Cardiovascular Effects Of Nitrous
Oxide Include: (Select 2.)
A. Myocardial Depression.
B. Unchanged Heart Rate.
C. Increased Blood Pressure.
D. Decreased Systemic Vascular Resistance.
Correct Answer
A. Myocardial Depression
C. Increased Blood Pressure
Explanation:
- Nitrous Oxide Activates SNS - Leads To INC. SVR, BP, & Heart Rate.
- When Combined With Opioids, The Myocardial Depressant Effects Can Create
Hemodynamic Instability In Patient With A Sick Heart (Poor LV Function Or Valve
Disease).
Page 3 of 186
, Question 4
Which Pharmacologic Agents Are MOST Likely To Precipitate Carcinoid Syndrome?
(Select 3.)
A. Desflurane
B. Octreotide
C. Succinylcholine
D. Thiopental
E. Epinephrine
F. Ondansetron
Correct Answer
C. Succinylcholine
D. Thiopental
E. Epinephrine.
Explanation:
- Carcinoid Crisis: Seen In Patients With Carcinoid Tumors, Which Release GI
Peptides & Vasoactive Substances.
- Symptoms Of Carcinoid Crisis: Intense Flushing, Diarrhea, Abdominal Pain,
Tachycardia, HTN or Hypotension.
- Carcinoid Crisis Can Be Initiated By Stress, Chemotherapy Or Biopsy.
- Drugs That Precipitate Carcinoid Crisis: Succinylcholine, Atracurium, Thiopental,
Epinephrine, Norepinephrine & Isoproterenol.
Why Other Answer Choices Are Wrong:
- NONE Of The VA Cause Carcinoid Crisis.
- Octreotide & Ondansetron Are Used In The Management Of Patients With
Carcinoid Tumors.
Page 4 of 186
