ANESTHESIA- EXAM 1 QUESTIONS
AND ANSWERS
Anesthesia can be administered by what 3 providers? - Correct Answers --
Anesthesiologist (Anesthesiology resident)
-Certified Anesthesiologist Assistant
-Certified Registered Nurse Anesthetist
*Anesthesiologist supervises resident, CAA and CRNA
In 1842 what was first used by Crawford Long/William Clark to produce surgical
anesthesia? - Correct Answers -Diethyl Ether
In 1853 John Snow administered ___________ to Queen Victoria for the delivery of her
son Prince Leopold - Correct Answers -Chloroform
In 1885 William Halsted used ___________ for nerve blocks - Correct Answers -
Cocaine
_____________ anesthesia is drug-induced loss of consciousness during which
patients are not arousable, even by painful stimulus - Correct Answers -General
What are the 2 types of regional anesthesia? - Correct Answers -Peripheral nerve
blocks and neuraxial blockade
___________ _________ ______ is sedation with anesthesia provider present - Correct
Answers -Monitored anesthesia care
Example= colonoscopy
___________ anesthesia is "putting the patient to sleep" and requires airway
management/mechanical ventilation.
*What are the 2 possible routes of administration? - Correct Answers -General--
Induction is putting patient to sleep
*Can be IV or inhaled induction.
*Usually start with IV and keep asleep with inhaled gas
, _____________ block is injection of local anesthetic into the CSF - Correct Answers -
Subarachnoid block (Spinal)
*Quicker onset, easier to perform vs. epidural
__________ is injection of local anesthetic into space outside spinal canal.
*What are the 2 benefits of this type of regional anesthesia? - Correct Answers -
Epidural
*There is greater control over block and longer period of pain control (via catheter that
remains in place)
What are the complications of spinal/epidural blocks? (5) - Correct Answers --Local
anesthetic toxicity (LAST)
-Epidural Hematoma
-Hypotension (Most common)
-Post-Dural puncture headache
-Cessation of breathing (if higher up in spine)
____________ _______ _________ is injection of local anesthetic in the area of a
target nerve to inhibit nerve transmission - Correct Answers -Peripheral nerve blocks
Peripheral nerve blocks are commonly performed using ____________ guidance -
Correct Answers -Ultrasound
If you want to do a peripheral nerve block on an upper extremity, which nerves do you
target? - Correct Answers -Brachial plexus
*Interscalene, supra- or infra-clavicular, axillary
If you want to do a peripheral nerve block on a lower extremity, which nerves do you
target? (2) - Correct Answers -Lumbar & sacral plexus
*Femoral, saphenous, sciatic, ankle
What are two examples of fascial plane blocks (space between fascia and fascia or
fascia and subcutaneous tissue)? - Correct Answers --Transverse abdominal plane
(TAP)
-PECS block
Is the patient conscious or unconscious in monitored anesthesia care? - Correct
Answers -Conscious
*Spontaneously breathing
Which medications must not be taken the morning of surgery? (2) - Correct Answers --
ACE Inhibitors
-ARBs
AND ANSWERS
Anesthesia can be administered by what 3 providers? - Correct Answers --
Anesthesiologist (Anesthesiology resident)
-Certified Anesthesiologist Assistant
-Certified Registered Nurse Anesthetist
*Anesthesiologist supervises resident, CAA and CRNA
In 1842 what was first used by Crawford Long/William Clark to produce surgical
anesthesia? - Correct Answers -Diethyl Ether
In 1853 John Snow administered ___________ to Queen Victoria for the delivery of her
son Prince Leopold - Correct Answers -Chloroform
In 1885 William Halsted used ___________ for nerve blocks - Correct Answers -
Cocaine
_____________ anesthesia is drug-induced loss of consciousness during which
patients are not arousable, even by painful stimulus - Correct Answers -General
What are the 2 types of regional anesthesia? - Correct Answers -Peripheral nerve
blocks and neuraxial blockade
___________ _________ ______ is sedation with anesthesia provider present - Correct
Answers -Monitored anesthesia care
Example= colonoscopy
___________ anesthesia is "putting the patient to sleep" and requires airway
management/mechanical ventilation.
*What are the 2 possible routes of administration? - Correct Answers -General--
Induction is putting patient to sleep
*Can be IV or inhaled induction.
*Usually start with IV and keep asleep with inhaled gas
, _____________ block is injection of local anesthetic into the CSF - Correct Answers -
Subarachnoid block (Spinal)
*Quicker onset, easier to perform vs. epidural
__________ is injection of local anesthetic into space outside spinal canal.
*What are the 2 benefits of this type of regional anesthesia? - Correct Answers -
Epidural
*There is greater control over block and longer period of pain control (via catheter that
remains in place)
What are the complications of spinal/epidural blocks? (5) - Correct Answers --Local
anesthetic toxicity (LAST)
-Epidural Hematoma
-Hypotension (Most common)
-Post-Dural puncture headache
-Cessation of breathing (if higher up in spine)
____________ _______ _________ is injection of local anesthetic in the area of a
target nerve to inhibit nerve transmission - Correct Answers -Peripheral nerve blocks
Peripheral nerve blocks are commonly performed using ____________ guidance -
Correct Answers -Ultrasound
If you want to do a peripheral nerve block on an upper extremity, which nerves do you
target? - Correct Answers -Brachial plexus
*Interscalene, supra- or infra-clavicular, axillary
If you want to do a peripheral nerve block on a lower extremity, which nerves do you
target? (2) - Correct Answers -Lumbar & sacral plexus
*Femoral, saphenous, sciatic, ankle
What are two examples of fascial plane blocks (space between fascia and fascia or
fascia and subcutaneous tissue)? - Correct Answers --Transverse abdominal plane
(TAP)
-PECS block
Is the patient conscious or unconscious in monitored anesthesia care? - Correct
Answers -Conscious
*Spontaneously breathing
Which medications must not be taken the morning of surgery? (2) - Correct Answers --
ACE Inhibitors
-ARBs
