SEE EXAM Anesthesia QOD UPDATED ACTUAL Questions and CORRECT Answers
1. An action potential characterized by a cardiac muscle cells
spike followed by a plateau phase is
seen in: In contrast to the action potentials of nerve
a. peripheral sensory nerve cells
and skeletal muscle cells, the action potential
of the cardiac myocyte is characterized by a
b. peripheral motor nerve cells sharp spike followed by a plateau phase (2),
c. striated skeletal muscle cells which results from the opening of slower cal-
d. cardiac muscle cells cium channels.
pg. 345
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
Autonomic hyperreflexia:
Medical Publishing Division, 2013.
2.
a. is common with cord lesions below Autonomic hyperreflexia:
T8
b. can precipitate pulmonary edema can precipitate pulmonary edema
Autonomic hyperreflexia should be suspected
c. is not effectively prevented by region- in patients with lesions above T5-8. Regional
al anesthesia
anesthesia and deep general anesthesia are
d. can be prevented with adequate in- ettective in preventing autonomic hyperreflexia.
traoperative sedation Surgical stimulation in these patients without
adequate anesthesia can result in pulmonary
edema, myocardial ischemia and cerebral he-
morrhage.
pg. 927
Nagelhout, JJ, and Plaus, KL. Nurse Anesthesia.
3. St. Louis: Elsevier, 2014.
, During mediastinoscopy the risk of air during spontaneous ventilation
embolization is greatest:
Air embolization is seen with mediastinoscopy
A. when the patient is supine as a result of the 30o elevation of the head. This
B. during spontaneous ventilation risk is increased if the patient is spontaneously
C. immediately after closure of the inci- ventilating, secondary to the negative intratho-
sion racic pressures generated during inhalation.
D. in the postoperative period pp. 988-989
Longnecker, DE, Brown, DL, Newman MF and
Zapol, WM. Anesthesiology. New York: McGraw
Hill, 2012.
4. The formation of metanephrine is the
result of: catechol-O-methyltransferase metabolism of
epinephrine
Catechol-O-methyltransferase (COMT) metab-
olizes epinephrine to metanephrine and
norepinephrine to normetanephrine. Subse-
quently, monamine oxidase (MAO) further me-
tabolizes metanephrine and normetanephrine
to vanillymandelic acid (VMA).
pg. 868
5. During the delivery of an anesthetic in
the radiology department, full E-cylin- Nagelhout, JJ, and Plaus, KL. Nurse Anesthesia.
ders of nitrous oxide and oxygen are St. Louis: Elsevier, 2014.
being used. If a 3:2 mixture of nitrous
745 - 750 PSIg
Nitrous oxide has a critical temperature of
37oC. This allow nitrous oxide to exist as a liquid
oxide:oxygen is being delivered and the at room temperature. Full E-cylinders of nitrous
oxide contain approximately 1590 L at a pres-
case has been proceeding for 60 min-
, utes, the expected pressure in the ni- sure of 745 psig. A sixty minute delivery of 3
trous oxide E-cylinder is: L/min would result in a 180 L consumption, and
this would be inadequate to consume all the
liquid nitrous oxide in the tank. As a result, there
would be no change in tank pressure.
pg. 622
Longnecker, DE, Brown, DL, Newman MF and
Zapol, WM. Anesthesiology. New York: McGraw
6. A decrease in pseudocholinesterase ac- Hill, 2012.
tivity has been associated with the use
of: (Select 3)
A decrease in pseudocholinesterase activity has
pancuronium been associated with the use of:
esmolol
droperidol pancuronium, esmolol, metoclopramide
vecuronium
metoclopramide
magnesium sulfate The following drugs have been associated
dantrolene with a decrease in pseudocholinesterase ac-
rocuronium tivity: echothiophate, pyridostigmine, neostig-
mine, phenelzine, cyclophosphamide, meto-
clopramide, esmolol, pancuronium and oral
contraceptives. Although both dantrolene and
magnesium may alter the ettects of neuro-
muscular blockers, neither causes inhibition of
pseudocholinesterase.
7.
pg. 207
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
Medical Publishing Division, 2013.
, A decrease in pseudocholinesterase ac- A decrease in pseudocholinesterase activity has
tivity has been associated with the use been associated with the use of:
of: (Select 3)
pancuronium, esmolol, metoclopramide
A. pancuronium
B. esmolol The following drugs have been associated
C. droperidol with a decrease in pseudocholinesterase ac-
D. vecuronium tivity: echothiophate, pyridostigmine, neostig-
E. metoclopramide mine, phenelzine, cyclophosphamide, meto-
F. magnesium sulfate clopramide, esmolol, pancuronium and oral
G. dantrolene contraceptives. Although both dantrolene and
H. rocuronium
response is incorrect. magnesium may alter the ettects of neuro-
muscular blockers, neither causes inhibition of
pseudocholinesterase.
pg. 207
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
8. During the delivery of an anesthetic in
the radiology department, full E-cylin- Medical Publishing Division, 2013.
ders of nitrous oxide and oxygen are
being used. If a 3:2 mixture of nitrous 745 - 750 psig
Nitrous oxide has a critical temperature of 37C.
This allow nitrous oxide to exist as a liquid at
oxide:oxygen is being delivered and the room temperature. Full E-cylinders of nitrous
case has been proceeding for 60 min- oxide contain approximately 1590 L at a pres-
utes, the expected pressure in the ni- sure of 745 psig. A sixty minute delivery of 3
trous oxide E-cylinder is: L/min would result in a 180 L consumption, and
this would be inadequate to consume all the
liquid nitrous oxide in the tank. As a result, there
would be no change in tank pressure.
1. An action potential characterized by a cardiac muscle cells
spike followed by a plateau phase is
seen in: In contrast to the action potentials of nerve
a. peripheral sensory nerve cells
and skeletal muscle cells, the action potential
of the cardiac myocyte is characterized by a
b. peripheral motor nerve cells sharp spike followed by a plateau phase (2),
c. striated skeletal muscle cells which results from the opening of slower cal-
d. cardiac muscle cells cium channels.
pg. 345
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
Autonomic hyperreflexia:
Medical Publishing Division, 2013.
2.
a. is common with cord lesions below Autonomic hyperreflexia:
T8
b. can precipitate pulmonary edema can precipitate pulmonary edema
Autonomic hyperreflexia should be suspected
c. is not effectively prevented by region- in patients with lesions above T5-8. Regional
al anesthesia
anesthesia and deep general anesthesia are
d. can be prevented with adequate in- ettective in preventing autonomic hyperreflexia.
traoperative sedation Surgical stimulation in these patients without
adequate anesthesia can result in pulmonary
edema, myocardial ischemia and cerebral he-
morrhage.
pg. 927
Nagelhout, JJ, and Plaus, KL. Nurse Anesthesia.
3. St. Louis: Elsevier, 2014.
, During mediastinoscopy the risk of air during spontaneous ventilation
embolization is greatest:
Air embolization is seen with mediastinoscopy
A. when the patient is supine as a result of the 30o elevation of the head. This
B. during spontaneous ventilation risk is increased if the patient is spontaneously
C. immediately after closure of the inci- ventilating, secondary to the negative intratho-
sion racic pressures generated during inhalation.
D. in the postoperative period pp. 988-989
Longnecker, DE, Brown, DL, Newman MF and
Zapol, WM. Anesthesiology. New York: McGraw
Hill, 2012.
4. The formation of metanephrine is the
result of: catechol-O-methyltransferase metabolism of
epinephrine
Catechol-O-methyltransferase (COMT) metab-
olizes epinephrine to metanephrine and
norepinephrine to normetanephrine. Subse-
quently, monamine oxidase (MAO) further me-
tabolizes metanephrine and normetanephrine
to vanillymandelic acid (VMA).
pg. 868
5. During the delivery of an anesthetic in
the radiology department, full E-cylin- Nagelhout, JJ, and Plaus, KL. Nurse Anesthesia.
ders of nitrous oxide and oxygen are St. Louis: Elsevier, 2014.
being used. If a 3:2 mixture of nitrous
745 - 750 PSIg
Nitrous oxide has a critical temperature of
37oC. This allow nitrous oxide to exist as a liquid
oxide:oxygen is being delivered and the at room temperature. Full E-cylinders of nitrous
oxide contain approximately 1590 L at a pres-
case has been proceeding for 60 min-
, utes, the expected pressure in the ni- sure of 745 psig. A sixty minute delivery of 3
trous oxide E-cylinder is: L/min would result in a 180 L consumption, and
this would be inadequate to consume all the
liquid nitrous oxide in the tank. As a result, there
would be no change in tank pressure.
pg. 622
Longnecker, DE, Brown, DL, Newman MF and
Zapol, WM. Anesthesiology. New York: McGraw
6. A decrease in pseudocholinesterase ac- Hill, 2012.
tivity has been associated with the use
of: (Select 3)
A decrease in pseudocholinesterase activity has
pancuronium been associated with the use of:
esmolol
droperidol pancuronium, esmolol, metoclopramide
vecuronium
metoclopramide
magnesium sulfate The following drugs have been associated
dantrolene with a decrease in pseudocholinesterase ac-
rocuronium tivity: echothiophate, pyridostigmine, neostig-
mine, phenelzine, cyclophosphamide, meto-
clopramide, esmolol, pancuronium and oral
contraceptives. Although both dantrolene and
magnesium may alter the ettects of neuro-
muscular blockers, neither causes inhibition of
pseudocholinesterase.
7.
pg. 207
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
Medical Publishing Division, 2013.
, A decrease in pseudocholinesterase ac- A decrease in pseudocholinesterase activity has
tivity has been associated with the use been associated with the use of:
of: (Select 3)
pancuronium, esmolol, metoclopramide
A. pancuronium
B. esmolol The following drugs have been associated
C. droperidol with a decrease in pseudocholinesterase ac-
D. vecuronium tivity: echothiophate, pyridostigmine, neostig-
E. metoclopramide mine, phenelzine, cyclophosphamide, meto-
F. magnesium sulfate clopramide, esmolol, pancuronium and oral
G. dantrolene contraceptives. Although both dantrolene and
H. rocuronium
response is incorrect. magnesium may alter the ettects of neuro-
muscular blockers, neither causes inhibition of
pseudocholinesterase.
pg. 207
Butterworth, JF, Mackey, DC, and Wasnick, JD.
Morgan & Mikhail's Clinical Anesthesiology.
New York: Lange Medical Books/McGraw-Hill
8. During the delivery of an anesthetic in
the radiology department, full E-cylin- Medical Publishing Division, 2013.
ders of nitrous oxide and oxygen are
being used. If a 3:2 mixture of nitrous 745 - 750 psig
Nitrous oxide has a critical temperature of 37C.
This allow nitrous oxide to exist as a liquid at
oxide:oxygen is being delivered and the room temperature. Full E-cylinders of nitrous
case has been proceeding for 60 min- oxide contain approximately 1590 L at a pres-
utes, the expected pressure in the ni- sure of 745 psig. A sixty minute delivery of 3
trous oxide E-cylinder is: L/min would result in a 180 L consumption, and
this would be inadequate to consume all the
liquid nitrous oxide in the tank. As a result, there
would be no change in tank pressure.
