GKA CPC Exam Review (updated)
questions with complete solutions
D - Awake Fiberoptic Bronchoscopy - correct answer ✔✔ A morbidly obese male with an
unstable cervical fracture and a history of a difficult intubation (Mallampati class IV and mouth
opening <15mm) is scheduled for a C3-4 cervical fusion. Which intubation technique with in-line
stabilization is MOST appropriate?
a. Asleep Direct Laryngoscopy
b. Awake video laryngoscopy
c. Asleep fiberoptic bronchoscopy
d. Awake fiberoptic bronchoscopy
D - Symptomatic hiatal hernia - correct answer ✔✔ Airway management with a supraglottic
airway is CONTRAINDICATED in a patient with:
a. hypothyroidism
b. coronary artery disease
c. asthma
d. symptomatic hiatal hernia
A - 660 - correct answer ✔✔ An E-cylinder of oxygen with a service pressure of 1,900 PST
contains how many liters of oxygen?
a. 660
b. 190
c.330
d. 1,590
,D - Posttetanic count stimulation - correct answer ✔✔ Which neuromuscular monitoring
technique is appropriate for the evaluation of time to recovery from a deep blockage with
rocuronium (Zemuron)?
a. Double-burst stimulation
b. Train-of-Four stimulation
c. Tetanic stimulation
d. Posttetanic count stimulation
D. Anesthesia circuit disconnection - correct answer ✔✔ What is responsible for an abrupt
decrease in end-tidal carbon dioxide (ETCO2) to near zero with the absence of an ETCO2
waveform?
a. Exhausted carbon dioxide absorbent material
b. Malfunction of unidirectional inspiratory valve
c. Loss of suction on the scavenge system
d. Anesthesia circuit disconnection
B. Cisatracurium (Nimbex) - correct answer ✔✔ Which muscle relaxant is MOST appropriate in
patients with advanced liver disease?
a. Vecuronium (Norcuron)
b. Cisatracurium (Nimbex)
c. Pancuronium (Pavulon)
d. Rocuronium (Zemuron)
B. Administration of 100% oxygen - correct answer ✔✔ During administration of anesthesia to a
patient with sickle cell disease, which action minimizes sickling?
a. Continued hypoventilation
b. Administration of 100% oxygen
c. Restriction of fluids
,d. Avoidance of hyperthermia
A. Unidirectional - correct answer ✔✔ Which valve on the anesthesia gas machine allows
respiratory gas to flow to and from a patient?
a. Unidirectional
b. Adjustable pressure-limiting
c. Shutoff
d. Needle
A. Fully open the oxygen E-Cylinder - correct answer ✔✔ Which is an appropriate intervention
with complete loss of oxygen pipeline pressure?
a. Fully open the E-Cylinder
b. Consider mechanical ventilation
c. Push the oxygen flush valve
d. Use a high fresh gas flow of oxygen
b. Ensuring a tight circuit mask fit on the patient - correct answer ✔✔ The MOST important
action to enhance the denitrogentaion of the lungs prior to induction of anesthesia is:
a. having the patient breathe deeply 3x on room air
b. ensuring a tight circuit mask fit on the patient
c. asking the patient to take a deep breath and cough
d. placing the patient on nasal cannula oxygen at 2L/min preoperatively
C. Age 70 years or older - correct answer ✔✔ Which factor correlates with increased risk for
postoperative pulmonary complications?
a. Lower abdominal surgery
b. Monitored anesthesia care
, c. Age 70 years or older
d. Controlled asthma
A. Unstable angina - correct answer ✔✔ Which risk factor is a major predictor for perioperative
cardiovascular risk?
a. Unstable angina
b. Diabetes mellitus
c. Compensated congestive heart failure
d. Age older than 80 years
A. Thyroid - correct answer ✔✔ Which cartilage in the larynx is unpaired?
a. Thyroid
b. Corniculate
c. Cuneiform
d. Arytenoid
C. Tetracaine - correct answer ✔✔ Which drug is metabolized by plasma cholinesterase?
a. Ropivacaine (Naropin)
b. Lidocaine (xylocaine)
c. Tetracaine
d. Bupivacaine (Marcaine)
B. Meperidine (Demerol) - correct answer ✔✔ A significant drug interaction may occur between
the monoamine oxidase inhibitors (MAOIs) and:
a. Fentanyl (Sublimaze)
b. Meperidine (Demerol)
c. Midazolam (versed)
questions with complete solutions
D - Awake Fiberoptic Bronchoscopy - correct answer ✔✔ A morbidly obese male with an
unstable cervical fracture and a history of a difficult intubation (Mallampati class IV and mouth
opening <15mm) is scheduled for a C3-4 cervical fusion. Which intubation technique with in-line
stabilization is MOST appropriate?
a. Asleep Direct Laryngoscopy
b. Awake video laryngoscopy
c. Asleep fiberoptic bronchoscopy
d. Awake fiberoptic bronchoscopy
D - Symptomatic hiatal hernia - correct answer ✔✔ Airway management with a supraglottic
airway is CONTRAINDICATED in a patient with:
a. hypothyroidism
b. coronary artery disease
c. asthma
d. symptomatic hiatal hernia
A - 660 - correct answer ✔✔ An E-cylinder of oxygen with a service pressure of 1,900 PST
contains how many liters of oxygen?
a. 660
b. 190
c.330
d. 1,590
,D - Posttetanic count stimulation - correct answer ✔✔ Which neuromuscular monitoring
technique is appropriate for the evaluation of time to recovery from a deep blockage with
rocuronium (Zemuron)?
a. Double-burst stimulation
b. Train-of-Four stimulation
c. Tetanic stimulation
d. Posttetanic count stimulation
D. Anesthesia circuit disconnection - correct answer ✔✔ What is responsible for an abrupt
decrease in end-tidal carbon dioxide (ETCO2) to near zero with the absence of an ETCO2
waveform?
a. Exhausted carbon dioxide absorbent material
b. Malfunction of unidirectional inspiratory valve
c. Loss of suction on the scavenge system
d. Anesthesia circuit disconnection
B. Cisatracurium (Nimbex) - correct answer ✔✔ Which muscle relaxant is MOST appropriate in
patients with advanced liver disease?
a. Vecuronium (Norcuron)
b. Cisatracurium (Nimbex)
c. Pancuronium (Pavulon)
d. Rocuronium (Zemuron)
B. Administration of 100% oxygen - correct answer ✔✔ During administration of anesthesia to a
patient with sickle cell disease, which action minimizes sickling?
a. Continued hypoventilation
b. Administration of 100% oxygen
c. Restriction of fluids
,d. Avoidance of hyperthermia
A. Unidirectional - correct answer ✔✔ Which valve on the anesthesia gas machine allows
respiratory gas to flow to and from a patient?
a. Unidirectional
b. Adjustable pressure-limiting
c. Shutoff
d. Needle
A. Fully open the oxygen E-Cylinder - correct answer ✔✔ Which is an appropriate intervention
with complete loss of oxygen pipeline pressure?
a. Fully open the E-Cylinder
b. Consider mechanical ventilation
c. Push the oxygen flush valve
d. Use a high fresh gas flow of oxygen
b. Ensuring a tight circuit mask fit on the patient - correct answer ✔✔ The MOST important
action to enhance the denitrogentaion of the lungs prior to induction of anesthesia is:
a. having the patient breathe deeply 3x on room air
b. ensuring a tight circuit mask fit on the patient
c. asking the patient to take a deep breath and cough
d. placing the patient on nasal cannula oxygen at 2L/min preoperatively
C. Age 70 years or older - correct answer ✔✔ Which factor correlates with increased risk for
postoperative pulmonary complications?
a. Lower abdominal surgery
b. Monitored anesthesia care
, c. Age 70 years or older
d. Controlled asthma
A. Unstable angina - correct answer ✔✔ Which risk factor is a major predictor for perioperative
cardiovascular risk?
a. Unstable angina
b. Diabetes mellitus
c. Compensated congestive heart failure
d. Age older than 80 years
A. Thyroid - correct answer ✔✔ Which cartilage in the larynx is unpaired?
a. Thyroid
b. Corniculate
c. Cuneiform
d. Arytenoid
C. Tetracaine - correct answer ✔✔ Which drug is metabolized by plasma cholinesterase?
a. Ropivacaine (Naropin)
b. Lidocaine (xylocaine)
c. Tetracaine
d. Bupivacaine (Marcaine)
B. Meperidine (Demerol) - correct answer ✔✔ A significant drug interaction may occur between
the monoamine oxidase inhibitors (MAOIs) and:
a. Fentanyl (Sublimaze)
b. Meperidine (Demerol)
c. Midazolam (versed)
