RNA 805 Exam 1 Questions with Answers (100% Correct
Answers)
You are called to intubate a patient presenting to the emergency
department with a spinal cord transection at C3. You would expect
which of the following on first assessment:— Answer: Bradycardia
Which of the following stimuli would be most likely to precipitate
autonomic hyperreflexia in a patient with a T7 lesion?— Answer:
Bladder catheterization
The loss of sympathetic tone and concomitant administration of
corticosteroids in patients with spinal cord injury can predispose the
patient to— Answer: peptic ulceration
A patient with a suspected cervical spine injury is transported to the
emergency department by ambulance. On arrival, an LMA is in place.
The patient exhibits no spontaneous respirations and is unconscious,
but you are able to bag-ventilate the patient with ease. You should—
Answer: replace the LMA with an endotracheal tube
Spinal shock is a condition that can last— Answer: 1-3 weeks
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,2
Autonomic hyperreflexia— Answer: represents the return of spinal
reflexes
The diaphragm is innervated by fibers originating from which nerve
roots?— Answer: C3, C4, and C5
Spinal shock is consistent with which of the following?— Answer:
Warm, pink extremities
Which patient would be most likely to exhibit warm, pink
extremities?— Answer: A patient in spinal shock
The critical level for the development of autonomic hyperreflexia due
to a spinal cord lesion is— Answer: T6
All of the following are symptoms of acute spinal cord injury except:—
Answer: Rigid paralysis below the level of the injury
You are evaluating a patient with cerebral palsy for general anesthesia.
You know that this patient has a significantly increased risk for—
Answer: gastric reflux
Which drug regimen is used in the treatment of muscle spasticity in
patients with cerebral palsy?— Answer: Dantrolene
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, 3
Which of the following illustrates a correct understanding of the
anesthestic management of the patient with cerebral palsy? (select
two)— Answer: The patient is at severe risk for gastric aspiration
Patients with cerebral palsy are more at risk for hypothermia
Which of the following is true regarding patients with cerebral
palsy?— Answer: MAC is decreased
The underlying cause of organ failure due to disseminated
intravascular coagulation is— Answer: organ ischemia due to
thrombosis
Which of the following values may be elevated in patients with
disseminated intravascular coagulation?— Answer: The PT, PTT,
thromboplastin time, D-dimer, and fibrin degradation products are all
elevated in patients with acute DIC.
Which of the following contribute to the development of disseminated
intravascular coagulation?— Answer: Excessive fibrinolysis
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