Anesthesiology Study Questions With Complete Solutions
A 12 yr old Golden Retriever dog arrives in the ICU on a Friday
afternoon. The dog has severe inspiratory dyspnea, cyanosis,
and an exaggerated, labored thoracic and abdominal breathing
pattern. A quick physical exam reveals a rectal temperature of
41.1 C, and stridor localized to the larynx. Laryngeal paralysis is
suspected. How will you initially stabilize this patient? Be
specific. Correct Answers - Give oxygen
- Sedate to decrease stress - acepromazine
A 4kg dachshund dog is anesthetized for a myelogram prior to a
hemilaminectomy. After 2 hrs in radiology, the heart rate has
fallen to 49 beats/min, and multiple doses of glycopyrolate have
had no effect. How will you make the definitive diagnosis?
Correct Answers Take a rectal temperature
A 4kg dachshund dog is anesthetized for a myelogram prior to a
hemilaminectomy. After 2 hrs in radiology, the heart rate has
fallen to 49 beats/min, and multiple doses of glycopyrolate have
had no effect. How will you treat this animal? Correct Answers
- For hypothermia, give him a bair hugger, warm water blanket,
heater, warm lavage fluids, shorten anesthesia time, etc.
- Glycopyrrolate likely not working because it is inactive at
lower temperatures.
A Boer Billy goat (last year's get-rich-quick species) insured for
$30,000 dies while under general anesthesia to surgically repair
a ruptured bladder secondary to urethral obstruction. The owner
wants to get something for his money and decides to have a
barbecue. Is this a good idea? Why or why not? Are you going
,back for seconds? Correct Answers - No, drugs used for
anesthesia may have adverse effects on human health
- No
A dairy farmer has a lame 3 year-old cow. Which would be the
preferred NSAID: phenylbutazone, flunixin, or meloxicam?
Correct Answers Flunixin
A dog which received a severe brain injury following a big dog-
little-dog incident is recovering in ICU. The dog is in lateral
recumbency, vocalizing, breathing spontaneously, and exhibits
various reflexes, including corneal and palpebral, but does not
respond purposefully to touch or verbal commands. Are these
signs of Connectedness? Responsiveness? Conscious
perception? Wakefulness? Correct Answers - Connectedness-
yes
- Responsiveness- yes (spontaneous)
- Conscious perception- No
- Wakefulness- No
A miniature schnauzer dog arrives in ICU on the same July day
as in question 1. It was locked it in a closed car for 30 min while
its owner was running some errands. The dog is unconscious
and has a weak, rapid pulse. How will you make the definitive
diagnosis? Correct Answers Take a rectal temperature
A miniature schnauzer dog arrives in ICU on the same July day
as in question 1. It was locked it in a closed car for 30 min while
its owner was running some errands. The dog is unconscious
and has a weak, rapid pulse. How will you treat this animal?
Correct Answers - Hyperthermia. Put water on pads of feet
,(more effective than alcohol). Surface cooling is more effective
than lavage or cold-water enemas.
- Do this gradually to avoid shock or cardiac rhythm
disturbances.
A patient with previously normal blood volume undergoes
cardiac arrest during anesthesia. You should: Correct Answers
Administer a vasopressor
A puppy with cleft palate has aspiration pneumonia, but has to
be anesthetized anyway. What can you do to optimize its
respiratory status during the anesthetic period? Be specific.
Correct Answers Intubate with ET tube to ensure oxygen flow.
Pneumonia is a parenchymal pulmonary dz so he has a low
PaO2, low V/Q ratio. We fix this by increasing FiO2 (increasing
FiO2 should increase PaO2 and allow for a normal V/Q ratio).
A severely lame horse is to be donated to a local wild carnivore
refuge for tiger food. Which of the following methods is most
appropriate for euthanasia of this animal? Correct Answers
gunshot or penetrating captive bolt applied to the head
A shelter worker refuses to participate in the weekly killing of
unwanted animals. As their supervisor, you should: Correct
Answers respect their wishes
Accuracy of any indirect blood pressure method is directly
related to Correct Answers cuff fit
Active regurgitation in ruminants is seen most often during
(deep or light) anesthesia? What specific required procedure
, associated with induction of general anesthesia can precipitate
active regurgitation in ruminants? Correct Answers - Light
- Pharyngeal stimulation
Adequacy of ventilation is defined solely by what objective
parameter? Correct Answers Carbon dioxide levels in the last
gas exiting the lungs during normal tidal expiration
(capnograph)
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges.
What is your choice of premedication agent? Why? Correct
Answers - Ace + Butorphanol
- Sedation and pain control in an otherwise healthy dog
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges. What is your choice of induction agent? Why?
Correct Answers - Propofol
- Quick onset of action, safe
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges. What is your choice of maintenance agent? Why?
Correct Answers - Iso or sevo
- Rapid onset and recovery
A 12 yr old Golden Retriever dog arrives in the ICU on a Friday
afternoon. The dog has severe inspiratory dyspnea, cyanosis,
and an exaggerated, labored thoracic and abdominal breathing
pattern. A quick physical exam reveals a rectal temperature of
41.1 C, and stridor localized to the larynx. Laryngeal paralysis is
suspected. How will you initially stabilize this patient? Be
specific. Correct Answers - Give oxygen
- Sedate to decrease stress - acepromazine
A 4kg dachshund dog is anesthetized for a myelogram prior to a
hemilaminectomy. After 2 hrs in radiology, the heart rate has
fallen to 49 beats/min, and multiple doses of glycopyrolate have
had no effect. How will you make the definitive diagnosis?
Correct Answers Take a rectal temperature
A 4kg dachshund dog is anesthetized for a myelogram prior to a
hemilaminectomy. After 2 hrs in radiology, the heart rate has
fallen to 49 beats/min, and multiple doses of glycopyrolate have
had no effect. How will you treat this animal? Correct Answers
- For hypothermia, give him a bair hugger, warm water blanket,
heater, warm lavage fluids, shorten anesthesia time, etc.
- Glycopyrrolate likely not working because it is inactive at
lower temperatures.
A Boer Billy goat (last year's get-rich-quick species) insured for
$30,000 dies while under general anesthesia to surgically repair
a ruptured bladder secondary to urethral obstruction. The owner
wants to get something for his money and decides to have a
barbecue. Is this a good idea? Why or why not? Are you going
,back for seconds? Correct Answers - No, drugs used for
anesthesia may have adverse effects on human health
- No
A dairy farmer has a lame 3 year-old cow. Which would be the
preferred NSAID: phenylbutazone, flunixin, or meloxicam?
Correct Answers Flunixin
A dog which received a severe brain injury following a big dog-
little-dog incident is recovering in ICU. The dog is in lateral
recumbency, vocalizing, breathing spontaneously, and exhibits
various reflexes, including corneal and palpebral, but does not
respond purposefully to touch or verbal commands. Are these
signs of Connectedness? Responsiveness? Conscious
perception? Wakefulness? Correct Answers - Connectedness-
yes
- Responsiveness- yes (spontaneous)
- Conscious perception- No
- Wakefulness- No
A miniature schnauzer dog arrives in ICU on the same July day
as in question 1. It was locked it in a closed car for 30 min while
its owner was running some errands. The dog is unconscious
and has a weak, rapid pulse. How will you make the definitive
diagnosis? Correct Answers Take a rectal temperature
A miniature schnauzer dog arrives in ICU on the same July day
as in question 1. It was locked it in a closed car for 30 min while
its owner was running some errands. The dog is unconscious
and has a weak, rapid pulse. How will you treat this animal?
Correct Answers - Hyperthermia. Put water on pads of feet
,(more effective than alcohol). Surface cooling is more effective
than lavage or cold-water enemas.
- Do this gradually to avoid shock or cardiac rhythm
disturbances.
A patient with previously normal blood volume undergoes
cardiac arrest during anesthesia. You should: Correct Answers
Administer a vasopressor
A puppy with cleft palate has aspiration pneumonia, but has to
be anesthetized anyway. What can you do to optimize its
respiratory status during the anesthetic period? Be specific.
Correct Answers Intubate with ET tube to ensure oxygen flow.
Pneumonia is a parenchymal pulmonary dz so he has a low
PaO2, low V/Q ratio. We fix this by increasing FiO2 (increasing
FiO2 should increase PaO2 and allow for a normal V/Q ratio).
A severely lame horse is to be donated to a local wild carnivore
refuge for tiger food. Which of the following methods is most
appropriate for euthanasia of this animal? Correct Answers
gunshot or penetrating captive bolt applied to the head
A shelter worker refuses to participate in the weekly killing of
unwanted animals. As their supervisor, you should: Correct
Answers respect their wishes
Accuracy of any indirect blood pressure method is directly
related to Correct Answers cuff fit
Active regurgitation in ruminants is seen most often during
(deep or light) anesthesia? What specific required procedure
, associated with induction of general anesthesia can precipitate
active regurgitation in ruminants? Correct Answers - Light
- Pharyngeal stimulation
Adequacy of ventilation is defined solely by what objective
parameter? Correct Answers Carbon dioxide levels in the last
gas exiting the lungs during normal tidal expiration
(capnograph)
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges.
What is your choice of premedication agent? Why? Correct
Answers - Ace + Butorphanol
- Sedation and pain control in an otherwise healthy dog
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges. What is your choice of induction agent? Why?
Correct Answers - Propofol
- Quick onset of action, safe
After initial attempts to stabilize the dog, soft tissue surgery
service decides to do a laryngeal exam followed by placing a
laryngeal suture prosthesis to abduct one of the arrytenoid
cartiledges. What is your choice of maintenance agent? Why?
Correct Answers - Iso or sevo
- Rapid onset and recovery
