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Exam (elaborations)

Anesthesia Exam UPDATED ACTUAL Questions and CORRECT Answers

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Anesthesia Exam UPDATED ACTUAL Questions and CORRECT Answers

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Anesthesia Exam UPDATED ACTUAL Questions and CORRECT Answers



1. General Goals of Anesthesia (5) 1. Hypnosis
2. Amnesia
3. Analgesia
4. Akinesia
5. Autonomic and sensory block

(HAAAA)

2. What is the purpose of autonomic So pt does not respond to voice or noxious stimuli (in
and sensory block in anesthesia? HR and BP)
3. Prep for anesthesia: before pt ar-
rives 1. Anesthesia machine check
2. prep for airway management
3. Prep of routinely administered drugs

4. Prep for anesthesia: after pt arrives 1. Connect standard ASA monitors
2. Establish IV access

5. Prep for anesthesia: immediately 1. Optimize pt positioning
before induction 2. Preoxygenate with 100% O2

6. What should you be doing between Mask ventilation
when induction drugs are given and
the patient is intubated?

7. Typical anesthetic induction con- 1. Sedative hypnotic
sists of what 3 things? 2. Adjuvant
3. Neuromuscular blockade

8. Does propofol have analgesic prop- No
erties?

,9. What is propofol's MOA?






, increases activity at inhibitory GABA synapses

(increases GABA-A receptor's aflnity to GABA)




10. Propofol causes a dose dependent 1. Arterial BP
decrease in what 4 things? 2. Cardiac output
3. RR
4. Tidal volume

11. Propofol causes a diminished venti- hypercarbia
latory response to

12. Induction dose of propofol 2-2.5 mg/kg IV

13. Sedation dose of propofol 25-75 mcg/kg/min infusion

14. Maintenance dose of propofol 110-150 mcg/kg/min
15. What three populations does the 1. Hypovolemic patients
dose of propofol need to be re- 2. Sick
duced for?
3. Elderly
16. An adverse effect of propo-
fol is which may pain during IV administration
be reduced/prevented by doing
administering opioids or adding lidocaine
(2)

17. Etomidate MOA augments inhibitory ettects of GABA in CNS
(similar to propofol)

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