Anesthesia Exam 2 | Study Guide
ANESTHESIA
EXAM 2
240 QUESTIONS WITH COMPLETE SOLUTIONS
Verified Answers | Detailed Rationales | 100% Accurate
COVERS:
Preoperative Assessment & ASA Classification
Airway Management
IV Induction Agents
Inhalational Anesthetics
Neuromuscular Blocking Agents & Reversal
Local Anesthetics
Regional Anesthesia & Neuraxial Techniques
Opioids & Pain Management
Monitoring & Equipment
Complications & Anesthetic Emergencies
Pediatric & Obstetric Anesthesia
Fluids, Electrolytes & Post-Anesthesia Care
Latest Version • Graded A+
Page 1 of 51
, Anesthesia Exam 2 | Study Guide
Table of Contents
1. Preoperative Assessment & ASA Classification..............................................................................Q1–Q20
2. Airway Management...........................................................................................................................Q21–Q40
3. IV Induction Agents............................................................................................................................Q41–Q60
4. Inhalational Anesthetics.....................................................................................................................Q61–Q80
5. Neuromuscular Blocking Agents & Reversal...............................................................................Q81–Q100
6. Local Anesthetics............................................................................................................................Q101–Q120
7. Regional Anesthesia & Neuraxial Techniques...........................................................................Q121–Q140
8. Opioids & Pain Management........................................................................................................Q141–Q160
9. Monitoring & Equipment...............................................................................................................Q161–Q180
10. Complications & Anesthetic Emergencies................................................................................Q181–Q200
11. Pediatric & Obstetric Anesthesia................................................................................................Q201–Q220
12. Fluids, Electrolytes & Post-Anesthesia Care............................................................................Q221–Q240
Page 2 of 51
, Anesthesia Exam 2 | Study Guide
SECTION 1: PREOPERATIVE ASSESSMENT & ASA CLASSIFICATION
Q1. A patient with well-controlled hypertension and no other disease is scheduled for an elective
cholecystectomy. What ASA physical status classification applies?
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
✔ Answer: B
Rationale: ASA II describes a patient with mild systemic disease without functional limitation, such as controlled
hypertension.
Q2. Which ASA class describes a patient with severe systemic disease that is a constant threat to life?
A. ASA II
B. ASA III
C. ASA IV
D. ASA V
✔ Answer: C
Rationale: ASA IV is a patient with severe systemic disease that is a constant threat to life (e.g., unstable angina,
symptomatic CHF).
Q3. The Mallampati classification is primarily used to assess which of the following?
A. Cardiac risk
B. Difficulty of intubation
C. Renal clearance
D. Pulmonary reserve
✔ Answer: B
Rationale: Mallampati score correlates oropharyngeal visibility with anticipated difficulty of laryngoscopy and
intubation.
Q4. A Mallampati Class IV airway indicates which finding on mouth opening with tongue protrusion?
A. Full view of soft palate, uvula, fauces, pillars
B. Soft palate and uvula visible
C. Only soft palate visible
D. Soft palate not visible at all
✔ Answer: D
Rationale: Class IV means only the hard palate is visible; the soft palate cannot be seen, predicting a difficult airway.
Q5. Which preoperative test is most important before administering succinylcholine in a patient with a
family history of malignant hyperthermia?
A. Chest X-ray
B. Serum creatine kinase and detailed family history
C. Coagulation panel
D. Pulmonary function test
✔ Answer: B
Rationale: A detailed family/personal history and CK level help screen for malignant hyperthermia susceptibility before
triggering agents are used.
Page 3 of 51
, Anesthesia Exam 2 | Study Guide
Q6. According to ASA fasting guidelines, how many hours should an adult patient fast after eating a light
meal before elective surgery?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
✔ Answer: C
Rationale: A light meal requires a minimum 6-hour fast; clear liquids require only 2 hours.
Q7. How many hours of fasting are recommended after ingestion of clear liquids prior to elective
anesthesia?
A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours
✔ Answer: B
Rationale: Clear liquids (water, black coffee, pulp-free juice) are permitted up to 2 hours before elective procedures
under ASA guidelines.
Q8. Which medication class should typically be continued on the morning of surgery to prevent rebound
hypertension?
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. ARBs
✔ Answer: B
Rationale: Beta-blockers are generally continued perioperatively to avoid rebound tachycardia and hypertension;
ACE-I/ARBs are often held due to hypotension risk with anesthesia.
Q9. A patient reports a prior episode of masseter muscle rigidity after succinylcholine. This finding raises
concern for which condition?
A. Pseudocholinesterase deficiency
B. Malignant hyperthermia susceptibility
C. Myasthenia gravis
D. Guillain-Barre syndrome
✔ Answer: B
Rationale: Masseter spasm after succinylcholine is a recognized early sign associated with malignant hyperthermia
susceptibility.
Q10. Which airway assessment measures the distance from the thyroid notch to the mentum with the neck
extended?
A. Interincisor gap
B. Thyromental distance
C. Sternomental distance
D. Mallampati score
✔ Answer: B
Rationale: Thyromental distance under 6 cm suggests a potentially difficult laryngoscopy.
Page 4 of 51
ANESTHESIA
EXAM 2
240 QUESTIONS WITH COMPLETE SOLUTIONS
Verified Answers | Detailed Rationales | 100% Accurate
COVERS:
Preoperative Assessment & ASA Classification
Airway Management
IV Induction Agents
Inhalational Anesthetics
Neuromuscular Blocking Agents & Reversal
Local Anesthetics
Regional Anesthesia & Neuraxial Techniques
Opioids & Pain Management
Monitoring & Equipment
Complications & Anesthetic Emergencies
Pediatric & Obstetric Anesthesia
Fluids, Electrolytes & Post-Anesthesia Care
Latest Version • Graded A+
Page 1 of 51
, Anesthesia Exam 2 | Study Guide
Table of Contents
1. Preoperative Assessment & ASA Classification..............................................................................Q1–Q20
2. Airway Management...........................................................................................................................Q21–Q40
3. IV Induction Agents............................................................................................................................Q41–Q60
4. Inhalational Anesthetics.....................................................................................................................Q61–Q80
5. Neuromuscular Blocking Agents & Reversal...............................................................................Q81–Q100
6. Local Anesthetics............................................................................................................................Q101–Q120
7. Regional Anesthesia & Neuraxial Techniques...........................................................................Q121–Q140
8. Opioids & Pain Management........................................................................................................Q141–Q160
9. Monitoring & Equipment...............................................................................................................Q161–Q180
10. Complications & Anesthetic Emergencies................................................................................Q181–Q200
11. Pediatric & Obstetric Anesthesia................................................................................................Q201–Q220
12. Fluids, Electrolytes & Post-Anesthesia Care............................................................................Q221–Q240
Page 2 of 51
, Anesthesia Exam 2 | Study Guide
SECTION 1: PREOPERATIVE ASSESSMENT & ASA CLASSIFICATION
Q1. A patient with well-controlled hypertension and no other disease is scheduled for an elective
cholecystectomy. What ASA physical status classification applies?
A. ASA I
B. ASA II
C. ASA III
D. ASA IV
✔ Answer: B
Rationale: ASA II describes a patient with mild systemic disease without functional limitation, such as controlled
hypertension.
Q2. Which ASA class describes a patient with severe systemic disease that is a constant threat to life?
A. ASA II
B. ASA III
C. ASA IV
D. ASA V
✔ Answer: C
Rationale: ASA IV is a patient with severe systemic disease that is a constant threat to life (e.g., unstable angina,
symptomatic CHF).
Q3. The Mallampati classification is primarily used to assess which of the following?
A. Cardiac risk
B. Difficulty of intubation
C. Renal clearance
D. Pulmonary reserve
✔ Answer: B
Rationale: Mallampati score correlates oropharyngeal visibility with anticipated difficulty of laryngoscopy and
intubation.
Q4. A Mallampati Class IV airway indicates which finding on mouth opening with tongue protrusion?
A. Full view of soft palate, uvula, fauces, pillars
B. Soft palate and uvula visible
C. Only soft palate visible
D. Soft palate not visible at all
✔ Answer: D
Rationale: Class IV means only the hard palate is visible; the soft palate cannot be seen, predicting a difficult airway.
Q5. Which preoperative test is most important before administering succinylcholine in a patient with a
family history of malignant hyperthermia?
A. Chest X-ray
B. Serum creatine kinase and detailed family history
C. Coagulation panel
D. Pulmonary function test
✔ Answer: B
Rationale: A detailed family/personal history and CK level help screen for malignant hyperthermia susceptibility before
triggering agents are used.
Page 3 of 51
, Anesthesia Exam 2 | Study Guide
Q6. According to ASA fasting guidelines, how many hours should an adult patient fast after eating a light
meal before elective surgery?
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours
✔ Answer: C
Rationale: A light meal requires a minimum 6-hour fast; clear liquids require only 2 hours.
Q7. How many hours of fasting are recommended after ingestion of clear liquids prior to elective
anesthesia?
A. 1 hour
B. 2 hours
C. 4 hours
D. 6 hours
✔ Answer: B
Rationale: Clear liquids (water, black coffee, pulp-free juice) are permitted up to 2 hours before elective procedures
under ASA guidelines.
Q8. Which medication class should typically be continued on the morning of surgery to prevent rebound
hypertension?
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. ARBs
✔ Answer: B
Rationale: Beta-blockers are generally continued perioperatively to avoid rebound tachycardia and hypertension;
ACE-I/ARBs are often held due to hypotension risk with anesthesia.
Q9. A patient reports a prior episode of masseter muscle rigidity after succinylcholine. This finding raises
concern for which condition?
A. Pseudocholinesterase deficiency
B. Malignant hyperthermia susceptibility
C. Myasthenia gravis
D. Guillain-Barre syndrome
✔ Answer: B
Rationale: Masseter spasm after succinylcholine is a recognized early sign associated with malignant hyperthermia
susceptibility.
Q10. Which airway assessment measures the distance from the thyroid notch to the mentum with the neck
extended?
A. Interincisor gap
B. Thyromental distance
C. Sternomental distance
D. Mallampati score
✔ Answer: B
Rationale: Thyromental distance under 6 cm suggests a potentially difficult laryngoscopy.
Page 4 of 51
