Anesthesiology EXAM|
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DETAILED QUESTIONS AND
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tranquilization - correct answer✔️✔️a state of tranquility and calmness in which
the animal is awake, relaxed, and unconcerned about its surroundings. The animal
is easily arousable and will respond to painful stimuli.
sedation - correct answer✔️✔️more profound central nervous system depression
than tranquilization in which the animal is awake, sleepy, but still able to be
aroused by stimulation. Minor manipulations can be performed, and aggressive
animals may be easier to handle.
surgical anesthesia - correct answer✔️✔️reversible loss of sensation to all or part
of the body. Unconsciousness, analgesia, and hyporeflexia (relaxation) are
characteristic of the anesthetic state. Additionally, lack of purposeful movement
and prevention of undesirable autonomic responsiveness are desirable anesthetic
characteristics. Anesthesia is produced by the administration of drugs that
depress the central and/or peripheral nervous systems.
balanced anesthesia - correct answer✔️✔️a technique of general anesthesia
based on the concept that administration of a mixture of small amounts of several
neuronal depressants (for example, narcotics and inhalational agents) maximizes
the advantages, but not the disadvantages of, the individual components of the
mixture. (from medical-dictionary.thefreedictionary.com)
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dissociative anesthesia - correct answer✔️✔️type of general anesthesia in which
the animal is 'dissociated' from its surroundings and unaware of external stimuli.
These agents interrupt neurotransmission between the thalamocortical and
limbic areas of the CNS. The animal retains some muscle rigidity (catalepsy); open
eyes with palpebral reflexes; and somewhat intact swallowing reflexes.
What are the 5 necessary components of general anesthesia? - correct
answer✔️✔️- Unconsciousness
- Amnesia
- Analgesia (more accurately antinociception)
- Immobility
- Attenuation of autonomic response to noxious stimuli
Why is analgesia NOT a necessary component of general anesthesia? - correct
answer✔️✔️because when an animal is anesthetized it is unconscious and is
therefore it cannot feel pain.
An animal in Stage 2 would show what kind of signs? Is this animal consciously
aware of its environment? - correct answer✔️✔️- Delirium or involuntary
excitement
- No
Up to this point, your sophomore surgery dog has been quite stable at 1.25%
isoflurane. However, when the ovarian pedicle is stretched, your dog's heart rate
and respiratory rate increase. Is this dog:
a) awake and feeling pain? - correct answer✔️✔️No
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Up to this point, your sophomore surgery dog has been quite stable at 1.25%
isoflurane. However, when the ovarian pedicle is stretched, your dog's heart rate
and respiratory rate increase. Is this dog: showing signs of autonomic stimulation?
- correct answer✔️✔️Yes
Up to this point, your sophomore surgery dog has been quite stable at 1.25%
isoflurane. However, when the ovarian pedicle is stretched, your dog's heart rate
and respiratory rate increase. Is this dog: purposefully responding to inadequate
anesthesia? - correct answer✔️✔️No
Medicine wishes to "sedate" a dog for percutaneous liver biopsy. Will sedation be
sufficient to perform this procedure? Why or why not? - correct answer✔️✔️- No
because a sedated animal is awake and will still be able to be aroused by this type
of procedure
- Not considered a minor manipulation, could be painful or uncomfortable past
the point tolerated by a sedated animal
When queried further, Medicine would prefer the dog in (5) to be unconscious,
relaxed, analgesic, and nonresponsive to surgical stimulation. What specific term
would best describe their request? - correct answer✔️✔️General anesthesia
What is the minimum amount of laboratory data that should be obtained before
anesthetizing a young, healthy animal? Why is this information important? -
correct answer✔️✔️- Packed Cell Volume (PCV) and Total Protein (TP)
- Prognostic indicators for how this patient will do under anesthesia
Give an example of a type of patient that would be classified with each of the ASA
physical status classes I through V. - correct answer✔️✔️- I- healthy puppy
undergoing an OHE
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- II- mildly obese dog undergoing an uncomplicated ACL repair
- III- Dog undergoing surgery for a HBC
- IV- great dane undergoing surgery for a GDV
- V- severe HBC with poor prognosis for surviving past the next 24 hours
What types of abnormalities should be corrected prior to the administration of
anesthetic drugs? Explain why. - correct answer✔️✔️- Stabilize the patient
preoperatively: This may involve parenteral fluid administration, antibiotics,
warmth, pain control, etc
- Corrected in order to minimize surgical and anesthetic risk
- These are all areas that are likely to be influenced by anesthetic drugs so you
want them as close to normal as possible before you administer drugs that may
alter these parameters
What are the minimum physical exam findings that the anesthetist should be
familiar with before administering anesthetic drugs? - correct answer✔️✔️-
auscultate the heart and lungs
- note any abnormal cardiac rhythms or murmurs
- palpate a peripheral pulse and record heart rate
- note any abnormal lung sounds, record respiratory rate
- note the color of the mucous membranes and the capillary refill time
- evaluate the hydration status
- note the patient's mentation and behavior
What information is necessary to formulate an anesthetic care plan? - correct
answer✔️✔️preanesthetic medication, anesthetic induction choices, equipment
preparation, monitoring/support plan, and plans for maintenance and recovery
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