Page 1 of 60
Moderate Sedation Certification Questions, Anesthesia and
Surgical History Considerations — lecture summary and 100%
Verified Correct Answers
Introduction
This document covers moderate sedation certification material,
including pre-sedation assessment, airway evaluation, sedation
levels, monitoring, oxygen delivery, medications, emergency
management, complications, and discharge criteria. It includes 59
pages of question-and-answer study material covering
benzodiazepines, opioids, reversal agents, anesthetic medications,
pediatric and geriatric considerations, and safe sedation practices.
Exam Questions and Answers
Anesthesia and Surgical History Considerations --- correct precise
answer ----Any complications with past anesthesia
-Any patient with h/o airway difficulties should be referred to
Anesthesia for their recommendations
Airway Assessment --- correct precise answer ---Results will
indicate the potential ease or difficulty of positive pressure
ventilation. If assessed as having a difficult airway, it is critical
that the patient maintain protective airway reflexes
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Airway Assessment: Patient History --- correct precise answer ---1.
Problems with anesthesia
2. Stridor, snoring, sleep apnea?
3. Advanced rheumatoid mouth and jaw
Mallampati Airway Assessment --- correct precise answer ----
Accurate predictor of subtle anatomic causes of
difficult intubation
- Classification is made per visualization of the soft palate, uvula,
anterior and posterior tonsillar pillars
Mallampati Class I --- correct precise answer ---Visualize the soft
palate, uvula, anterior and posterior tonsillar pillars
Mallampati Class II --- correct precise answer ---Visualize soft
palate, fauces, uvula
Mallampati Class III --- correct precise answer ----Visualize soft
palate and base of uvula
-Need anesthesia consultation
Mallampati Class IV --- correct precise answer ----The soft palate is
not visible at all; only hard palate visible
-Need anesthesia consultation
Airway Assessment Considerations --- correct precise answer ----
Cervical Range of Motion
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-Any restrictions with hyperextension of the head and neck
Instructions for patients well controlled on oral hypoglycemic
receiving sedation for short-term period (<1 hour) --- correct
precise answer ---1. Do not take normally scheduled AM dose of
medication secondary to long-term effects of possible greater than
36h
2. Finger stick glucose prior to procedure and after the procedure
Instructions for well-controlled insulin dependent DM and for those
procedures that may last longer than 1 hour --- correct precise
answer ---1. Consult anesthesia for medication recommendations
2. Usually take normal dose of NPH evening prior and half
prescribed AM dose the morning of
3. Finger stick glucose every 30min. during the procedure and
every hour during recovery
Pre-op Assessment Neurologic System --- correct precise answer ----
H/O TIA, CVA, seizure disorder, head trauma, convulsive disorder
or epilepsy
-Assess general affect and behavior; speech pattern alterations;
LOC; orientation; gait
-If local anesthesia is to be used, assess pre-existing numbness or
weakness
Considerations for hyperthyroidism or hypothyroidism --- correct
precise answer ----Pharmacologic effects of sedative and analgesics
may be altered in these conditions
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-Airway management may be more difficult in either situation and
the thyroid gland may be enlarged in hyperthyroidism and the
tongue may be enlarged in hypothyroidism
Required Equipment for Sedation --- correct precise answer ----
Oxygen Source
-Suction
-Bag valve mask
-Airway adjuncts
-IV access
-Emergency medications
-NIBP
-Pulse Oximeter
-Capnography
-Electrocardiograph
-Crash Cart
Minimal Oxygen Saturation --- correct precise answer ---95% on RA
or supplemental O2
Considerations during Induction Phase --- correct precise answer ---
-Continuous cardiac monitoring and VS
-Pre and post sedation rhythm strip
*LOC most important*
Supplemental O2 via NC --- correct precise answer ----Volume of 1-
6L/minute = 24-44% concentration of O2
Moderate Sedation Certification Questions, Anesthesia and
Surgical History Considerations — lecture summary and 100%
Verified Correct Answers
Introduction
This document covers moderate sedation certification material,
including pre-sedation assessment, airway evaluation, sedation
levels, monitoring, oxygen delivery, medications, emergency
management, complications, and discharge criteria. It includes 59
pages of question-and-answer study material covering
benzodiazepines, opioids, reversal agents, anesthetic medications,
pediatric and geriatric considerations, and safe sedation practices.
Exam Questions and Answers
Anesthesia and Surgical History Considerations --- correct precise
answer ----Any complications with past anesthesia
-Any patient with h/o airway difficulties should be referred to
Anesthesia for their recommendations
Airway Assessment --- correct precise answer ---Results will
indicate the potential ease or difficulty of positive pressure
ventilation. If assessed as having a difficult airway, it is critical
that the patient maintain protective airway reflexes
,Page 2 of 60
Airway Assessment: Patient History --- correct precise answer ---1.
Problems with anesthesia
2. Stridor, snoring, sleep apnea?
3. Advanced rheumatoid mouth and jaw
Mallampati Airway Assessment --- correct precise answer ----
Accurate predictor of subtle anatomic causes of
difficult intubation
- Classification is made per visualization of the soft palate, uvula,
anterior and posterior tonsillar pillars
Mallampati Class I --- correct precise answer ---Visualize the soft
palate, uvula, anterior and posterior tonsillar pillars
Mallampati Class II --- correct precise answer ---Visualize soft
palate, fauces, uvula
Mallampati Class III --- correct precise answer ----Visualize soft
palate and base of uvula
-Need anesthesia consultation
Mallampati Class IV --- correct precise answer ----The soft palate is
not visible at all; only hard palate visible
-Need anesthesia consultation
Airway Assessment Considerations --- correct precise answer ----
Cervical Range of Motion
,Page 3 of 60
-Any restrictions with hyperextension of the head and neck
Instructions for patients well controlled on oral hypoglycemic
receiving sedation for short-term period (<1 hour) --- correct
precise answer ---1. Do not take normally scheduled AM dose of
medication secondary to long-term effects of possible greater than
36h
2. Finger stick glucose prior to procedure and after the procedure
Instructions for well-controlled insulin dependent DM and for those
procedures that may last longer than 1 hour --- correct precise
answer ---1. Consult anesthesia for medication recommendations
2. Usually take normal dose of NPH evening prior and half
prescribed AM dose the morning of
3. Finger stick glucose every 30min. during the procedure and
every hour during recovery
Pre-op Assessment Neurologic System --- correct precise answer ----
H/O TIA, CVA, seizure disorder, head trauma, convulsive disorder
or epilepsy
-Assess general affect and behavior; speech pattern alterations;
LOC; orientation; gait
-If local anesthesia is to be used, assess pre-existing numbness or
weakness
Considerations for hyperthyroidism or hypothyroidism --- correct
precise answer ----Pharmacologic effects of sedative and analgesics
may be altered in these conditions
, Page 4 of 60
-Airway management may be more difficult in either situation and
the thyroid gland may be enlarged in hyperthyroidism and the
tongue may be enlarged in hypothyroidism
Required Equipment for Sedation --- correct precise answer ----
Oxygen Source
-Suction
-Bag valve mask
-Airway adjuncts
-IV access
-Emergency medications
-NIBP
-Pulse Oximeter
-Capnography
-Electrocardiograph
-Crash Cart
Minimal Oxygen Saturation --- correct precise answer ---95% on RA
or supplemental O2
Considerations during Induction Phase --- correct precise answer ---
-Continuous cardiac monitoring and VS
-Pre and post sedation rhythm strip
*LOC most important*
Supplemental O2 via NC --- correct precise answer ----Volume of 1-
6L/minute = 24-44% concentration of O2
