CAPA/CPAN UPDATED Exam Questions
and CORRECT Answers
crackles - CORRECT ANSWER - during inspiration, fluid and exudate in terminal
bronchioles or alveoli (fine or coarse)
wheeze - CORRECT ANSWER - partial airway obstruction or narrowing of airways
rhonchi - CORRECT ANSWER - snoring, rattling, rumbling- expiration
pleural friction rub - CORRECT ANSWER - inflammation in pleural lining, rough,
creaking, grating
pseudocholinesterase - CORRECT ANSWER - serine hydrolase (enzyme family) capable
of hydrolyzing esters (breaking down with H20) including succinycholine, mivacurium,
acetylcholine, and ester type local anesthesia
succinylcholine - CORRECT ANSWER - the only depolarizing muscle relaxant, mimics
the acetylcholine, Anectine, broken down by pseudocholinesterase, can cause bradycardia, rapid
and short acting, onset 30-60 sec, offset 3-5min, hepatorenal independent, causes histamine
release, trigger for malignant hyperthermia, bradycardia, hyperkalemia, increase in intraocular
and IP
mivacurium - CORRECT ANSWER - nondepolarizing muscle relaxant that competes with
acetycholine
atracurium - CORRECT ANSWER - nonpolarizing muscle relaxant, metabolized by
Hoffman elimination and by nonspecific plasma esterases, intermediate acting, onset 305 min,
duration 20-35 min
rocuronium - CORRECT ANSWER - nondepolarizing muscle relaxant eliminated via the
liver, rapid onset 1-1.5min, duration 12-30min
, meperidine - CORRECT ANSWER - drug of choice to treat renal and biliary colic, causes
least amount of smooth muscle spasm, can not use on pt with MAOI's-can cause hypertensive
crisis, hyperthermia, seizures, and rigidity
ketorolac - CORRECT ANSWER - NSAID, can cause: reversible inhibition of platelet
aggregation, bronchospasm (asthma+asa sensitivity), dose reduced for patients under 50kg,
elderly, renal insufficiency
Nubain - CORRECT ANSWER - nalbuphine, strong analgesic with mixed
agonist/antagonist effect at pain receptors, it antagonizes (reverses) respiratory depression
created by narcotics, can reverse analgesia from narcotics and begin withdrawal symptoms in an
addicted person
magnesium - CORRECT ANSWER - increases potency of muscle relaxants
physostigmine - CORRECT ANSWER - increase acetylcholine at the neuromuscular
junction, can counter emergence delirium, can cause bradycardia, bronchospasm, nausea,
salivation, and incoordination
flumazenil - CORRECT ANSWER - reverses drowsiness, sedation, respiratory depression
from benzo's, adverse reactions: resedation with reoccurance of respiratory depression, rapid
onset, peaks in 5 min
-onium or -urium - CORRECT ANSWER - non-depolarizing muscle relaxant
metoclopramide - CORRECT ANSWER - reglan, increases gastric motility, blocks
dopamine receptors to decrease emesis
reassess epidural morphine - CORRECT ANSWER - 6-8 hours after bolus dose, can
persist up to 12 hours
and CORRECT Answers
crackles - CORRECT ANSWER - during inspiration, fluid and exudate in terminal
bronchioles or alveoli (fine or coarse)
wheeze - CORRECT ANSWER - partial airway obstruction or narrowing of airways
rhonchi - CORRECT ANSWER - snoring, rattling, rumbling- expiration
pleural friction rub - CORRECT ANSWER - inflammation in pleural lining, rough,
creaking, grating
pseudocholinesterase - CORRECT ANSWER - serine hydrolase (enzyme family) capable
of hydrolyzing esters (breaking down with H20) including succinycholine, mivacurium,
acetylcholine, and ester type local anesthesia
succinylcholine - CORRECT ANSWER - the only depolarizing muscle relaxant, mimics
the acetylcholine, Anectine, broken down by pseudocholinesterase, can cause bradycardia, rapid
and short acting, onset 30-60 sec, offset 3-5min, hepatorenal independent, causes histamine
release, trigger for malignant hyperthermia, bradycardia, hyperkalemia, increase in intraocular
and IP
mivacurium - CORRECT ANSWER - nondepolarizing muscle relaxant that competes with
acetycholine
atracurium - CORRECT ANSWER - nonpolarizing muscle relaxant, metabolized by
Hoffman elimination and by nonspecific plasma esterases, intermediate acting, onset 305 min,
duration 20-35 min
rocuronium - CORRECT ANSWER - nondepolarizing muscle relaxant eliminated via the
liver, rapid onset 1-1.5min, duration 12-30min
, meperidine - CORRECT ANSWER - drug of choice to treat renal and biliary colic, causes
least amount of smooth muscle spasm, can not use on pt with MAOI's-can cause hypertensive
crisis, hyperthermia, seizures, and rigidity
ketorolac - CORRECT ANSWER - NSAID, can cause: reversible inhibition of platelet
aggregation, bronchospasm (asthma+asa sensitivity), dose reduced for patients under 50kg,
elderly, renal insufficiency
Nubain - CORRECT ANSWER - nalbuphine, strong analgesic with mixed
agonist/antagonist effect at pain receptors, it antagonizes (reverses) respiratory depression
created by narcotics, can reverse analgesia from narcotics and begin withdrawal symptoms in an
addicted person
magnesium - CORRECT ANSWER - increases potency of muscle relaxants
physostigmine - CORRECT ANSWER - increase acetylcholine at the neuromuscular
junction, can counter emergence delirium, can cause bradycardia, bronchospasm, nausea,
salivation, and incoordination
flumazenil - CORRECT ANSWER - reverses drowsiness, sedation, respiratory depression
from benzo's, adverse reactions: resedation with reoccurance of respiratory depression, rapid
onset, peaks in 5 min
-onium or -urium - CORRECT ANSWER - non-depolarizing muscle relaxant
metoclopramide - CORRECT ANSWER - reglan, increases gastric motility, blocks
dopamine receptors to decrease emesis
reassess epidural morphine - CORRECT ANSWER - 6-8 hours after bolus dose, can
persist up to 12 hours
