NCCAA Certification Exam (New 2026/
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
A patient with a history of acute intermittent porphyria is scheduled for general
anesthesia. What induction agent is contraindicated?
A. Ketamine
B. Etomidate
C. Sodium Thiopental
D. Succinylcholine - Correct answer C. Sodium Thiopental
Which agent can produce extrapyramidal reaction?
A. Reglan
B. H2 blockers
C. Naloxone
D. Etomidate - Correct answer A. Reglan
If you were to create the optimal opioid agent that provided primarily spinal analgesia
without dysphoria and sedation. Which opioid receptor would be utilized?
,A. Mu-1
B. Mu-2
C. Kappa
D. Delta - Correct answer B. Mu-2
Which opioid receptor mediates euphoria and pruritus?
A. Kappa
B. Delta
C. Mu-2
D. Mu-1 - Correct answer D. Mu-1
Which opioid agonist is metabolized by plasma cholinesterases?
A. Sufentanil
B. Alfentanil
C. Remifentanil
D. Fentanyl - Correct answer C. Remifentanil
Alfentanil is
,A. More potent than Fentanyl with a shorter duration
B. Less potent than Fentanyl with a shorter duration
C. 100x more potent than morphine
D. Same potency as Sufentanil with a longer duration - Correct answer B. Less potent
than Fentanyl with a shorter duration
Which is the true opioid agonists agent lacks action at delta and kappa receptors?
A. Nubian
B. Remifentanil
C. Sufentanil
D. Fentanyl - Correct answer B. Remifentanil
Which ranking of least to most favorable interactions with beta blocked patients is
most correct?
A. Opioids > Ketamine > Isoflurane
B. Halothane > Opioids > Ketamine
C. Ketamine > Halothane > Enflurane
D. Ketamine > Enflurane > Opioids - Correct answer D. Ketamine > Enflurane > Opioids
, Bleeding risk is increased with chronic therapy of which herbal medications?
A. Ginger
B. Gingko
C. Garlic
D. All of the above - Correct answer D. All of the above
What is the reversal drug for benzodiazepines? - Correct answer Flumazenil
(Romazicon)
How do you reverse benzodiazepines with Flumazenil? - Correct answer 0.2mg doses
until desired level of consciousness is achieved up to a max dose of 1mg
A 12 year old male presents for an emergent exploratory laparotomy s/p MVA straight
from the ER. The patient is unable to move his lower extremities, but other systems
seem stable. What induction method is best?
A. RSI using succinylcholine
B. Standard induction with Rocuronium
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
A patient with a history of acute intermittent porphyria is scheduled for general
anesthesia. What induction agent is contraindicated?
A. Ketamine
B. Etomidate
C. Sodium Thiopental
D. Succinylcholine - Correct answer C. Sodium Thiopental
Which agent can produce extrapyramidal reaction?
A. Reglan
B. H2 blockers
C. Naloxone
D. Etomidate - Correct answer A. Reglan
If you were to create the optimal opioid agent that provided primarily spinal analgesia
without dysphoria and sedation. Which opioid receptor would be utilized?
,A. Mu-1
B. Mu-2
C. Kappa
D. Delta - Correct answer B. Mu-2
Which opioid receptor mediates euphoria and pruritus?
A. Kappa
B. Delta
C. Mu-2
D. Mu-1 - Correct answer D. Mu-1
Which opioid agonist is metabolized by plasma cholinesterases?
A. Sufentanil
B. Alfentanil
C. Remifentanil
D. Fentanyl - Correct answer C. Remifentanil
Alfentanil is
,A. More potent than Fentanyl with a shorter duration
B. Less potent than Fentanyl with a shorter duration
C. 100x more potent than morphine
D. Same potency as Sufentanil with a longer duration - Correct answer B. Less potent
than Fentanyl with a shorter duration
Which is the true opioid agonists agent lacks action at delta and kappa receptors?
A. Nubian
B. Remifentanil
C. Sufentanil
D. Fentanyl - Correct answer B. Remifentanil
Which ranking of least to most favorable interactions with beta blocked patients is
most correct?
A. Opioids > Ketamine > Isoflurane
B. Halothane > Opioids > Ketamine
C. Ketamine > Halothane > Enflurane
D. Ketamine > Enflurane > Opioids - Correct answer D. Ketamine > Enflurane > Opioids
, Bleeding risk is increased with chronic therapy of which herbal medications?
A. Ginger
B. Gingko
C. Garlic
D. All of the above - Correct answer D. All of the above
What is the reversal drug for benzodiazepines? - Correct answer Flumazenil
(Romazicon)
How do you reverse benzodiazepines with Flumazenil? - Correct answer 0.2mg doses
until desired level of consciousness is achieved up to a max dose of 1mg
A 12 year old male presents for an emergent exploratory laparotomy s/p MVA straight
from the ER. The patient is unable to move his lower extremities, but other systems
seem stable. What induction method is best?
A. RSI using succinylcholine
B. Standard induction with Rocuronium
