Principles Test 3 Apex/Team 19 questions With Complete Solutions

A pregnant patient at 8 weeks gestation is scheduled for an elective D&C for a missed Ab (miscarriage). The patient is stable and is not bleeding. She ate a bowl of cereal with milk and coffee at 0800; what is the earliest time that this elective procedure can safely begin? a. 1000 b. 1200 c. 1400 d. 1600 correct answer: D. 1600 Where do anesthetics work? a. Spinal cord b. Brainstem c. Cerebral cortex d. All of the above correct answer: D How do anesthetics alter synapse function in the central nervous system? a. Presynaptic enhancement of neurotransmitter release b. Inhibition of excitatory neurotransmitter effects c. Enhancement of excitatory neurotransmitter effects d. All of the above correct answer: B Which patient is not a good candidate for MAC anesthesia? a. 10-year-old Down's Syndrome patient b. 78-year-old patient with asthma c. 45-year-old patient with HTN d. 22-year-old patient with carpal tunnel disease correct answer: A Effect site equilibration time is an important concept related to: a. Metabolism of drugs b. Dosing interval/bolus spacing c. Duration of action d. Infusion duration correct answer: B The greatest danger with MAC anesthesia is: a. Patient movement b. An unsecured airway c. Incidence of recall d. Cost correct answer: B When should a patient be questioned about any recall of intraoperative events? a. Immediately upon awakening b. In the PACU c. After discharge from the PACU d. They should be asked as it may plant seeds of doubt about the care they received correct answer: C When choosing an anesthetic for a