Apex Mock Exam 2 Questions and Answers
2026/2027 Sure Pass
Which option initiates hypoxic
alveolar hypoxia
pulmonary vasoconstriction?
Pulmonary hypertension is defined
25mmHg and a PAOP of no more
as PAP of at least? than 15mmHg
When properly placed the distal tip cricopharyngeus muscle (upper
of the LMA sits at the? esophageal sphincter)
When properly placed, the ProSeal
30cm H2O
LMA allows a positive ventilation
pressure of?
In which circumstances is
Pulmonary edema
supplemental oxygen LEAST likely
to increase arterial oxygenation?
Pulmonary edema
What are (2) examples of instrinsic Aspiration
restrictive lung disease?
pneumonia
Acute Intrinsic= caused by fluid
moving into the interstitial space of
the pulmonary parenchyma.
A patient received a citrated non-
particulate antacid, but the case has
60minutes
been delayed. How long after the
initial dose should a second dose
be considered?
1
,Match the Intrinsic Laryngeal
Muscle with its action on layrngeal a) Aryepiglottic - closes glottic
movement?
opening b)cricothyroid - lengthens
a)Aryepiglottic
vocal cords c)posterior
b)cricothyroid
cricoarytenoid - abducts vocal
c) posterior cricoarytenoid
cords d)thyroarytenoid - adducts
d) thyroarytenoid
vocal cords
PAO2 = (FiO2 x (Pb - PH20) -
(PaCO2/RQ)
Calculate expected PAO2 when
the PaCO2= 80mmHg, FiO2= 0.28 x(760-47) - (80/0.8)
28%, and A-a gradient is 35 200-100 = 100mmHg
100mmHg - 35(A-a gradient) =
65mmHg
2
, Oral (OA)
Which (3) axes must be aligned to
ensure the best chance for Pharyngeal
successful laryngoscopy and (PA)
intubation? Laryngeal
(LA)
In a male patient, what is the next
Rotate the DLT 90 degrees in the
step after the tip of the double
direction of the bronchus to be
lumen ETT passes through the
intubated
vocal cords?
When used during laparoscopic can be used if the procedure is less
procedure, an LMA: than 15minutes
Bradycardia
Muscarinic-2 stimulation causes
M2 receptor slows cardiac
conduction
Can cause HTN(central A2
stimulation causes vasodilation,
sedation, and analgesia. Peripheral
Dexmedetomidine (2 reactions) stimulation initiates vasoconstriction)
reduces adenylate
cyclase(stimulation of G protein
inhibits adenylate cyclase and
reduces cAMP)
Systolic murmur heard over 5th
intercostal space and MCL. What Mitral regurgitation
type of valvular disease would one
expect?
Identify the vessel that will have
reverse blood flow as a result of left
subclavian steal syndrome?
3
2026/2027 Sure Pass
Which option initiates hypoxic
alveolar hypoxia
pulmonary vasoconstriction?
Pulmonary hypertension is defined
25mmHg and a PAOP of no more
as PAP of at least? than 15mmHg
When properly placed the distal tip cricopharyngeus muscle (upper
of the LMA sits at the? esophageal sphincter)
When properly placed, the ProSeal
30cm H2O
LMA allows a positive ventilation
pressure of?
In which circumstances is
Pulmonary edema
supplemental oxygen LEAST likely
to increase arterial oxygenation?
Pulmonary edema
What are (2) examples of instrinsic Aspiration
restrictive lung disease?
pneumonia
Acute Intrinsic= caused by fluid
moving into the interstitial space of
the pulmonary parenchyma.
A patient received a citrated non-
particulate antacid, but the case has
60minutes
been delayed. How long after the
initial dose should a second dose
be considered?
1
,Match the Intrinsic Laryngeal
Muscle with its action on layrngeal a) Aryepiglottic - closes glottic
movement?
opening b)cricothyroid - lengthens
a)Aryepiglottic
vocal cords c)posterior
b)cricothyroid
cricoarytenoid - abducts vocal
c) posterior cricoarytenoid
cords d)thyroarytenoid - adducts
d) thyroarytenoid
vocal cords
PAO2 = (FiO2 x (Pb - PH20) -
(PaCO2/RQ)
Calculate expected PAO2 when
the PaCO2= 80mmHg, FiO2= 0.28 x(760-47) - (80/0.8)
28%, and A-a gradient is 35 200-100 = 100mmHg
100mmHg - 35(A-a gradient) =
65mmHg
2
, Oral (OA)
Which (3) axes must be aligned to
ensure the best chance for Pharyngeal
successful laryngoscopy and (PA)
intubation? Laryngeal
(LA)
In a male patient, what is the next
Rotate the DLT 90 degrees in the
step after the tip of the double
direction of the bronchus to be
lumen ETT passes through the
intubated
vocal cords?
When used during laparoscopic can be used if the procedure is less
procedure, an LMA: than 15minutes
Bradycardia
Muscarinic-2 stimulation causes
M2 receptor slows cardiac
conduction
Can cause HTN(central A2
stimulation causes vasodilation,
sedation, and analgesia. Peripheral
Dexmedetomidine (2 reactions) stimulation initiates vasoconstriction)
reduces adenylate
cyclase(stimulation of G protein
inhibits adenylate cyclase and
reduces cAMP)
Systolic murmur heard over 5th
intercostal space and MCL. What Mitral regurgitation
type of valvular disease would one
expect?
Identify the vessel that will have
reverse blood flow as a result of left
subclavian steal syndrome?
3
