OMSA recertification Exam Solved
Correctly To Score A+
Passage of air into lungs follows the course: CORRECT ANSWERS Nose/mouth,
nasopharynx, oropharynx, larynx, trachea
palpebral CORRECT ANSWERS The eyelash reflex is a form of the ____ reflex
It is ok to use the patients family to watch the patient in recovery while we do the next
procedure T or F CORRECT ANSWERS False
Elderly patients require _____medications than younger adults CORRECT ANSWERS
Less
The trachea is _____ to the esophagus. When pt is supine the trachea will be ____ to
the esophagus CORRECT ANSWERS Anterior, Supine
3 questions to ask in recovery in this order CORRECT ANSWERS 1. Does pt. need
help maintaining airway?
2. What is their O2 sat. on room air?
3. Is the pt. awake?
The stage of anesthesia where surgery can be performed is: CORRECT ANSWERS 3
The most ideal airway management is CORRECT ANSWERS Endotracheal intubation
Pediatric pt. Mom calls saying Johnny came down with cold you should tell her
CORRECT ANSWERS Wait until pedo pt. gets better, then call us and we can schedule
in 2 weeks
Children have _____ heart rates and _____ blood pressure when compared to adults
CORRECT ANSWERS Higher, lower
Side effect of succinylcholine to be careful of is: CORRECT ANSWERS A muscle
relaxant, side effects of Anectine include muscle relaxation resulting in respiratory
depression to the point of apnea
Bronchospasm tx is CORRECT ANSWERS Beta 2 agonist such as albuterol &
epinephrine
Bronchospasm occurs when CORRECT ANSWERS Constriction of smooth muscle
walls of the bronchioles
, Your sedated pt. vomits mid-way thru procedure, what do you do CORRECT
ANSWERS Roll the pt to his right side and suction airway
Treatment of respiratory depression is: CORRECT ANSWERS Narcan 0.4mg/ml IV
ASA guidelines for pre-op fasting CORRECT ANSWERS -clear liquids: 2 hrs
-breast milk: 4 hrs
-infant formula, non-human milk, light meal (*carbs only*): 6 hours
-before adult elective anesthesia: *NPO after midnight*
Most surgeons prefer 8hr npo
bronchospasm can de diagnosed by CORRECT ANSWERS Expiratory wheeze and
difficulty in positive pressure ventilation
Narcan danger is CORRECT ANSWERS Narcan May wear off before respiratory
depressive effects of narcotics wear off
laryngospasm CORRECT ANSWERS Protective reflex closure of the vocal cords to
prevent foreign materials from entering the lungs
The most common cause if airway obstruction is CORRECT ANSWERS Base of tongue
falling back and occluding airway
heart sounds MTAP CORRECT ANSWERS The locations of best auscultation for each
heart valve are labeled with "M", "T", "A", and "P".
First heart sound: caused by atrioventricular valves - Mitral (M) and Tricuspid (T).
Second heart sound caused by semilunar valves - Aortic (A) and Pulmonary/Pulmonic
(P).
Angina treatment CORRECT ANSWERS Nitroglycerin (Nitro-bid, Nitrostat)
-sublingual, oral, inhalant or transdermal patch.
Used to prevent ischemia in stable angina, some variant used in acute attacks in all
forms of angina.
Side effects: headache, dizziness, orthostatic hypotension, nausea
Precautions: Be aware of extreme side affects with acute, sublingual administration.
Make certain patient has sublingual nitroglycerin.
Difference between Angina and MI CORRECT ANSWERS Angina is chest pain due to
inadequate oxygenation relieved by Nitroglycerin while MI is not relieved by
Nitroglycerin and Infaction means death of the heart muscle
Correctly To Score A+
Passage of air into lungs follows the course: CORRECT ANSWERS Nose/mouth,
nasopharynx, oropharynx, larynx, trachea
palpebral CORRECT ANSWERS The eyelash reflex is a form of the ____ reflex
It is ok to use the patients family to watch the patient in recovery while we do the next
procedure T or F CORRECT ANSWERS False
Elderly patients require _____medications than younger adults CORRECT ANSWERS
Less
The trachea is _____ to the esophagus. When pt is supine the trachea will be ____ to
the esophagus CORRECT ANSWERS Anterior, Supine
3 questions to ask in recovery in this order CORRECT ANSWERS 1. Does pt. need
help maintaining airway?
2. What is their O2 sat. on room air?
3. Is the pt. awake?
The stage of anesthesia where surgery can be performed is: CORRECT ANSWERS 3
The most ideal airway management is CORRECT ANSWERS Endotracheal intubation
Pediatric pt. Mom calls saying Johnny came down with cold you should tell her
CORRECT ANSWERS Wait until pedo pt. gets better, then call us and we can schedule
in 2 weeks
Children have _____ heart rates and _____ blood pressure when compared to adults
CORRECT ANSWERS Higher, lower
Side effect of succinylcholine to be careful of is: CORRECT ANSWERS A muscle
relaxant, side effects of Anectine include muscle relaxation resulting in respiratory
depression to the point of apnea
Bronchospasm tx is CORRECT ANSWERS Beta 2 agonist such as albuterol &
epinephrine
Bronchospasm occurs when CORRECT ANSWERS Constriction of smooth muscle
walls of the bronchioles
, Your sedated pt. vomits mid-way thru procedure, what do you do CORRECT
ANSWERS Roll the pt to his right side and suction airway
Treatment of respiratory depression is: CORRECT ANSWERS Narcan 0.4mg/ml IV
ASA guidelines for pre-op fasting CORRECT ANSWERS -clear liquids: 2 hrs
-breast milk: 4 hrs
-infant formula, non-human milk, light meal (*carbs only*): 6 hours
-before adult elective anesthesia: *NPO after midnight*
Most surgeons prefer 8hr npo
bronchospasm can de diagnosed by CORRECT ANSWERS Expiratory wheeze and
difficulty in positive pressure ventilation
Narcan danger is CORRECT ANSWERS Narcan May wear off before respiratory
depressive effects of narcotics wear off
laryngospasm CORRECT ANSWERS Protective reflex closure of the vocal cords to
prevent foreign materials from entering the lungs
The most common cause if airway obstruction is CORRECT ANSWERS Base of tongue
falling back and occluding airway
heart sounds MTAP CORRECT ANSWERS The locations of best auscultation for each
heart valve are labeled with "M", "T", "A", and "P".
First heart sound: caused by atrioventricular valves - Mitral (M) and Tricuspid (T).
Second heart sound caused by semilunar valves - Aortic (A) and Pulmonary/Pulmonic
(P).
Angina treatment CORRECT ANSWERS Nitroglycerin (Nitro-bid, Nitrostat)
-sublingual, oral, inhalant or transdermal patch.
Used to prevent ischemia in stable angina, some variant used in acute attacks in all
forms of angina.
Side effects: headache, dizziness, orthostatic hypotension, nausea
Precautions: Be aware of extreme side affects with acute, sublingual administration.
Make certain patient has sublingual nitroglycerin.
Difference between Angina and MI CORRECT ANSWERS Angina is chest pain due to
inadequate oxygenation relieved by Nitroglycerin while MI is not relieved by
Nitroglycerin and Infaction means death of the heart muscle
