APEX Anesthesia Mock Exams 1 & 2 (Latest 2026/2027 Update) Questions with Verified Answers & Rationale | 100% Correct| Graded A.

APEX Anesthesia Mock Exams 1 & 2
(Latest 2026/2027 Update) Questions
with Verified Answers & Rationale |
100% Correct| Graded A.
Question:
When Providing Anesthesia To A Patient Undergoing Video Assisted
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Thoracoscopic Surgery For Removal of Bullae: i,- i,- i,- i,- i,- i,-




A. 50% Nitrous Oxide Is An Acceptable Technique.
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B. Jet Ventilation Should Be Avoided
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C. A Small Tidal Volume With High Respiratory Rates Is Preferred
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D. A Bronchial Blocker Is Preferred To A Double Lumen Endotracheal Tube?
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Answer:

C. A Small Tidal Volume With High Respiratory Rates Is Preferred
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Explanation: i,-




- Bullae Are Large Air Filled Spaces That Result From Damage To Normal
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Alveolar Tissue. Rupture Can Lead To Pneumothorax, Tension
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Pneumothorax and/or CV Collapse. i,- i,- i,- i,-

,- To DEC. Risk Of Rupture, Patient Should Be Allowed To Spontaneously
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Ventilate UNTIL Chest Is Opened. Positive Pressure Ventilation INC.
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Tension Which Can Result In Rupture.i,- i,- i,- i,- i,- i,-




- To Minimize Intra-Alveolar Pressure (< 20 mmHg), Small TV + High RR Is
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Recommended. i,-




Why The Other Answer Choices Are Wrong:
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- High Frequency Jet Ventilation Is Acceptable Alternative To PPV.
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- N2O Will EXPAND Bullae + Lead To Rupture.
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- A Double Lumen ETT Is PREFERRED Method Of Airway Management -
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Can Separate Each Lung (Vital)
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Question:

Which Size LMA Is MOST Appropriate For A Patient That Weighs 12 - Kg??
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Answer:
LMA 2 i,-




Explanation: Correct LMA Sizes By Weight i,- i,- i,- i,- i,-




- Size 1: < 5 Kg
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- Size 1.5: 5 - 10 Kg
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- Size 2: 10 - 20 Kg
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- Size 2.5: 20 - 30 Kg
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- Size 3: 30 - 50 Kg
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,- Size 4: 50 - 70 Kg
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- Size 5: 70 - 100 Kg
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Question:

All Of The Following Physiologic Effects Are Expected To Increase In A
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Patient Suffering From Inadequate Pain Management After An Open
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Abdominal Procedure EXCEPT: i,- i,- i,-




A. Vital Capacity
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B. Urinary Sphincter Tone
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C. Platelet Aggregation
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D. Systemic Vascular Resistance?
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Answer:

A. Vital Capacity.
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Explanation: i,-




- In Patients Undergoing Abdominal Or Thoracic Procedures, Inadequate
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Pain Management Greatly Impairs Respiratory Function. In An Effort To
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Minimize Pain, Patients Are Hesitant To Deep Breath & Cough. The
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Respiratory Muscles Are Further Hindered By Muscle Spasms At Incision
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Site. i,-




- The Following Respiratory Changes Occur: DEC. TV, VC, TLC, FRC, & DEC.
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Ability To Clear Secretions. i,- i,- i,- i,-

, - These Patients Are At An INC. Risk For V/Q Mismatch, Atelectasis,
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Pneumonia, Hypoxia & Hypoventilation. i,- i,- i,- i,-




Why The Other Answer Choices Are Wrong:
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- Acute Pain Stimulates SNS & INC. SVR, HR, BP, Contractility & Workload
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Of The Heart
i,- i,-




- Platelet Aggregation + Venous Stasis From Prolonged Immobilization
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From Pain May Result In DVT Or Thrombosis.
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- An INC. Urinary Sphincter Tone Leads To DEC. UO + Urinary Retention.
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Question:

Click On The Region Where Le Fort II Fractures Occur:?
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Answer:
Explanation: i,-




- Lefort 2 & 3 Fractures Are Associated With Basilar Skull Fractures -
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Important To AVOID Nasal Intubations Or Nasal Airway Instrumentation In
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Patients Who Have CSF Leak From Ears Or Nose Or Those Who Have
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Raccoon Eyes. i,-




Question:

If The Blood Pressure Is 200/120 mmHg, What Is The Mean Arterial
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Pressure? i,-