NCCAA Certification Exam Practice EXAM LATEST 150
QUESTIONS AND 100% Verified ANSWERS JUST
RELEASED
A patient with a history of acute intermittent porphyria is scheduled for general anesthesia. What
induction agent is contraindicated?
A. Ketamine
B. Etomidate
C. Sodium Thiopental
D. Succinylcholine - answer>>C. Sodium Thiopental
Which agent can produce extrapyramidal reaction?
A. Reglan
B. H2 blockers
C. Naloxone
D. Etomidate - answer>>A. Reglan
If you were to create the optimal opioid agent that provided primarily spinal analgesia without
dysphoria and sedation. Which opioid receptor would be utilized?
A. Mu-1
B. Mu-2
C. Kappa
D. Delta - answer>>B. Mu-2
Which opioid receptor mediates euphoria and pruritus?
A. Kappa
B. Delta
C. Mu-2
,D. Mu-1 - answer>>D. Mu-1
Which opioid agonist is metabolized by plasma cholinesterases?
A. Sufentanil
B. Alfentanil
C. Remifentanil
D. Fentanyl - answer>>C. Remifentanil
Alfentanil is
A. More potent than Fentanyl with a shorter duration
B. Less potent than Fentanyl with a shorter duration
C. 100x more potent than morphine
D. Same potency as Sufentanil with a longer duration - answer>>B. Less potent than Fentanyl with a
shorter duration
Which is the true opioid agonists agent lacks action at delta and kappa receptors?
A. Nubian
B. Remifentanil
C. Sufentanil
D. Fentanyl - answer>>B. Remifentanil
Which ranking of least to most favorable interactions with beta blocked patients is most correct?
A. Opioids > Ketamine > Isoflurane
B. Halothane > Opioids > Ketamine
C. Ketamine > Halothane > Enflurane
D. Ketamine > Enflurane > Opioids - answer>>D. Ketamine > Enflurane > Opioids
Bleeding risk is increased with chronic therapy of which herbal medications?
, A. Ginger
B. Gingko
C. Garlic
D. All of the above - answer>>D. All of the above
What is the reversal drug for benzodiazepines? - answer>>Flumazenil (Romazicon)
How do you reverse benzodiazepines with Flumazenil? - answer>>0.2mg doses until desired level of
consciousness is achieved up to a max dose of 1mg
A 12 year old male presents for an emergent exploratory laparotomy s/p MVA straight from the ER.
The patient is unable to move his lower extremities, but other systems seem stable. What induction
method is best?
A. RSI using succinylcholine
B. Standard induction with Rocuronium
C. High dose opioid induction without any muscle relaxants
D. Inhalation induction; supplemented with Rocuronium - answer>>A. RSI using succinylcholine
A 3 yr old patient presents with wheezing, and a further exam reveals an inspiratory and expiratory
strider. Respiratory decides to administer helium at 70% in O2 instead of 100% O2. The nursing
student in the ICU asks you to explain why helium has more of an advantage than O2? -
answer>>Heliox decreases the density of gas which reduces the turbulence of flow
A 65 yr old patient is having craniotomy for left parietal tumor. You have placed a 20g arterial line in
the right radial artery. The transducer is zeroed at the phlebostatic axis of the patient's right side.
During prep time, the surgeon requests for a modified beach chair position resulting in the patient's
left ventricular to be 20cm above the transducer. Once positioning and padding is complete, the
monitor reads the invasive blood pressure as 120/80. What is the patient's true BP?
A. 105/65
B. 135/95
C. 70/32
QUESTIONS AND 100% Verified ANSWERS JUST
RELEASED
A patient with a history of acute intermittent porphyria is scheduled for general anesthesia. What
induction agent is contraindicated?
A. Ketamine
B. Etomidate
C. Sodium Thiopental
D. Succinylcholine - answer>>C. Sodium Thiopental
Which agent can produce extrapyramidal reaction?
A. Reglan
B. H2 blockers
C. Naloxone
D. Etomidate - answer>>A. Reglan
If you were to create the optimal opioid agent that provided primarily spinal analgesia without
dysphoria and sedation. Which opioid receptor would be utilized?
A. Mu-1
B. Mu-2
C. Kappa
D. Delta - answer>>B. Mu-2
Which opioid receptor mediates euphoria and pruritus?
A. Kappa
B. Delta
C. Mu-2
,D. Mu-1 - answer>>D. Mu-1
Which opioid agonist is metabolized by plasma cholinesterases?
A. Sufentanil
B. Alfentanil
C. Remifentanil
D. Fentanyl - answer>>C. Remifentanil
Alfentanil is
A. More potent than Fentanyl with a shorter duration
B. Less potent than Fentanyl with a shorter duration
C. 100x more potent than morphine
D. Same potency as Sufentanil with a longer duration - answer>>B. Less potent than Fentanyl with a
shorter duration
Which is the true opioid agonists agent lacks action at delta and kappa receptors?
A. Nubian
B. Remifentanil
C. Sufentanil
D. Fentanyl - answer>>B. Remifentanil
Which ranking of least to most favorable interactions with beta blocked patients is most correct?
A. Opioids > Ketamine > Isoflurane
B. Halothane > Opioids > Ketamine
C. Ketamine > Halothane > Enflurane
D. Ketamine > Enflurane > Opioids - answer>>D. Ketamine > Enflurane > Opioids
Bleeding risk is increased with chronic therapy of which herbal medications?
, A. Ginger
B. Gingko
C. Garlic
D. All of the above - answer>>D. All of the above
What is the reversal drug for benzodiazepines? - answer>>Flumazenil (Romazicon)
How do you reverse benzodiazepines with Flumazenil? - answer>>0.2mg doses until desired level of
consciousness is achieved up to a max dose of 1mg
A 12 year old male presents for an emergent exploratory laparotomy s/p MVA straight from the ER.
The patient is unable to move his lower extremities, but other systems seem stable. What induction
method is best?
A. RSI using succinylcholine
B. Standard induction with Rocuronium
C. High dose opioid induction without any muscle relaxants
D. Inhalation induction; supplemented with Rocuronium - answer>>A. RSI using succinylcholine
A 3 yr old patient presents with wheezing, and a further exam reveals an inspiratory and expiratory
strider. Respiratory decides to administer helium at 70% in O2 instead of 100% O2. The nursing
student in the ICU asks you to explain why helium has more of an advantage than O2? -
answer>>Heliox decreases the density of gas which reduces the turbulence of flow
A 65 yr old patient is having craniotomy for left parietal tumor. You have placed a 20g arterial line in
the right radial artery. The transducer is zeroed at the phlebostatic axis of the patient's right side.
During prep time, the surgeon requests for a modified beach chair position resulting in the patient's
left ventricular to be 20cm above the transducer. Once positioning and padding is complete, the
monitor reads the invasive blood pressure as 120/80. What is the patient's true BP?
A. 105/65
B. 135/95
C. 70/32
