NIFA PERIOPERATIVE TEST BANK
2026 QUIZ 1 AND 2 COMPREHENSIVE
QUESTIONS AND SOLUTIONS
VERIFIED
◉ In the United States, malignant hyperthermia occurs more often in:
a. Younger patients.
b. Males.
c. Certain states.
d. All of the above. Answer: Answer: D
◉ Anesthetic agents that are known to trigger malignant hyperthermia
include:
a. Halothane.
b. Benzodiazepines.
c. Nitrous oxide.
d. All of the above. Answer: Answer: A
◉ The earliest and most sensitive indicator of an acute MH crisis is:
a. An increase in end-tidal carbon dioxide.
b. A sudden increase in body temperature.
c. Masseter muscle rigidity.
d. Cola-colored urine. Answer: Answer: A
,◉ Every facility in which general anesthesia is administered should
stock an MH cart with:
a. 9 vials of dantrolene.
b. 16 vials of dantrolene.
c. 30 vials of dantrolene.
d. 36 vials of dantrolene. Answer: Answer: D
◉ Because of the expense involved in maintaining dantrolene in stock, it
is reasonable for nearby institutions to share a supply of dantrolene.
a. True.
b. False. Answer: Answer: B
◉ Patients who report having previously undergone uneventful
anesthesia with MH triggering agents may be assumed not to be
susceptible to MH.
a. True.
b. False. Answer: Answer: B
◉ Every preoperative history should routinely include questions about:
a. Any personal history of MH or adverse reaction to anesthesia.
b. Any family history of unexplained death under general anesthesia.
c. Any family or personal history of myopathy.
d. All of the above. Answer: Answer: D
,◉ Core body temperature should be monitored in all patients receiving:
a. Any anesthetic for 30 minutes or more.
b. Any inhalation anesthetic for 30 minutes or more.
c. Any general anesthetic for 30 minutes or more.
d. Any general anesthetic for 60 minutes or more. Answer: Answer: C
◉ The caffeine-halothane contracture test is recommended for:
a. All children who will undergo general anesthesia with triggering
agents.
b. Everyone who will undergo general anesthesia.
c. Everyone who will undergo general anesthesia with triggering agents.
d. Only individuals with family members who have experienced MH
crises. Answer: Answer: D
◉ The caffeine-halothane contracture test has:
a. A high degree of both sensitivity and specificity.
b. A high degree of sensitivity and an acceptable degree of specificity.
c. An acceptable degree of sensitivity and a high degree of specificity.
d. An average degree of both sensitivity and specificity. Answer:
Answer: B
◉ Pretreatment of most MH-susceptible patients with dantrolene:
a. Is recommended.
, b. Is not recommended. Answer: Answer: B
◉ Which of the following is considered safe for MH-susceptible
patients?
a. General anesthesia with non-triggering agents.
b. Regional anesthesia.
c. Local anesthesia.
d. All of the above. Answer: Answer: D
◉ Following uneventful ambulatory surgery, MH-susceptible patients
should be observed for:
a. 1 to 2 hours before discharge.
b. 4 hours before discharge.
c. 12 hours before discharge.
d. 24 hours before discharge. Answer: Answer: B
◉ If masseter muscle rigidity occurs following succinylcholine
administration, the anesthesiologist
may:
a. Discontinue the anesthetic and postpone elective surgery.
b. Continue anesthesia with non-triggering agents, while monitoring ET
CO2 and core temperature.
c. A or B. Answer: Answer: C
2026 QUIZ 1 AND 2 COMPREHENSIVE
QUESTIONS AND SOLUTIONS
VERIFIED
◉ In the United States, malignant hyperthermia occurs more often in:
a. Younger patients.
b. Males.
c. Certain states.
d. All of the above. Answer: Answer: D
◉ Anesthetic agents that are known to trigger malignant hyperthermia
include:
a. Halothane.
b. Benzodiazepines.
c. Nitrous oxide.
d. All of the above. Answer: Answer: A
◉ The earliest and most sensitive indicator of an acute MH crisis is:
a. An increase in end-tidal carbon dioxide.
b. A sudden increase in body temperature.
c. Masseter muscle rigidity.
d. Cola-colored urine. Answer: Answer: A
,◉ Every facility in which general anesthesia is administered should
stock an MH cart with:
a. 9 vials of dantrolene.
b. 16 vials of dantrolene.
c. 30 vials of dantrolene.
d. 36 vials of dantrolene. Answer: Answer: D
◉ Because of the expense involved in maintaining dantrolene in stock, it
is reasonable for nearby institutions to share a supply of dantrolene.
a. True.
b. False. Answer: Answer: B
◉ Patients who report having previously undergone uneventful
anesthesia with MH triggering agents may be assumed not to be
susceptible to MH.
a. True.
b. False. Answer: Answer: B
◉ Every preoperative history should routinely include questions about:
a. Any personal history of MH or adverse reaction to anesthesia.
b. Any family history of unexplained death under general anesthesia.
c. Any family or personal history of myopathy.
d. All of the above. Answer: Answer: D
,◉ Core body temperature should be monitored in all patients receiving:
a. Any anesthetic for 30 minutes or more.
b. Any inhalation anesthetic for 30 minutes or more.
c. Any general anesthetic for 30 minutes or more.
d. Any general anesthetic for 60 minutes or more. Answer: Answer: C
◉ The caffeine-halothane contracture test is recommended for:
a. All children who will undergo general anesthesia with triggering
agents.
b. Everyone who will undergo general anesthesia.
c. Everyone who will undergo general anesthesia with triggering agents.
d. Only individuals with family members who have experienced MH
crises. Answer: Answer: D
◉ The caffeine-halothane contracture test has:
a. A high degree of both sensitivity and specificity.
b. A high degree of sensitivity and an acceptable degree of specificity.
c. An acceptable degree of sensitivity and a high degree of specificity.
d. An average degree of both sensitivity and specificity. Answer:
Answer: B
◉ Pretreatment of most MH-susceptible patients with dantrolene:
a. Is recommended.
, b. Is not recommended. Answer: Answer: B
◉ Which of the following is considered safe for MH-susceptible
patients?
a. General anesthesia with non-triggering agents.
b. Regional anesthesia.
c. Local anesthesia.
d. All of the above. Answer: Answer: D
◉ Following uneventful ambulatory surgery, MH-susceptible patients
should be observed for:
a. 1 to 2 hours before discharge.
b. 4 hours before discharge.
c. 12 hours before discharge.
d. 24 hours before discharge. Answer: Answer: B
◉ If masseter muscle rigidity occurs following succinylcholine
administration, the anesthesiologist
may:
a. Discontinue the anesthetic and postpone elective surgery.
b. Continue anesthesia with non-triggering agents, while monitoring ET
CO2 and core temperature.
c. A or B. Answer: Answer: C
