1|Page
Moderate Sedation Exam Questions
Marking Scheme New Update
(Verified Answers)
The administration of any medication with sedative/hypnotic properties capable of altering the state of
consciousness and/or compromising protective reflexes - ✔✔Moderate Sedation
What is the monitoring guidelines for sedation? - ✔✔- Level of consciousness
- Pulmonary ventilation
- Oxygenation
- Hemodynamics (5 min intervals)
Anesthetic induction agents used for sedation/analgesia - ✔✔- Propofol, methohexital, and ketamine
- Propofol and ketamine are supported by literature that they can be administered by non-
anesthesiologists
- Make sure to titrate to desired effect (incremental dosing)
Moderate sedation?
Deep sedation? - ✔✔- Purposeful response to command or tactile stimulation
- Not easily aroused, may have purposeful response to strong stimulation, risk of ventilation and CV
compromise
Goals of moderate sedation? - ✔✔- Patient responds to tactile stimulation
Katelyn Whitman© 2025, All Rights Reserved.
, 2|Page
- Maintains a patient airway
- Maintains protective reflexes
- Maintains CV homeostasis
Risk classification for moderate sedation? - ✔✔- The ASA Classification is used and important that this is
documented on eval in all sedation cases
Airway exam for mod sedation? - ✔✔- Mallampati
Thyromental distance
- Atlanto-occipital joint distance
Airway red flags? - ✔✔- Obesity/sleep apnea
- Limited opening/range of motion of neck
- Receding mandible/overbite
- Pathology/altered anatomy
Respiratory red flags? - ✔✔- Wheezing/chronic pulmonary disease
- Pneumonia
- Dyspnea on exertion/limited physical activity
- Orthopnea/paroxysmal nocturnal
Cardiovascular red flags? - ✔✔- CAD/CHF
- Baseline hypertension/hypotension
- Arrhythmia
Katelyn Whitman© 2025, All Rights Reserved.
Moderate Sedation Exam Questions
Marking Scheme New Update
(Verified Answers)
The administration of any medication with sedative/hypnotic properties capable of altering the state of
consciousness and/or compromising protective reflexes - ✔✔Moderate Sedation
What is the monitoring guidelines for sedation? - ✔✔- Level of consciousness
- Pulmonary ventilation
- Oxygenation
- Hemodynamics (5 min intervals)
Anesthetic induction agents used for sedation/analgesia - ✔✔- Propofol, methohexital, and ketamine
- Propofol and ketamine are supported by literature that they can be administered by non-
anesthesiologists
- Make sure to titrate to desired effect (incremental dosing)
Moderate sedation?
Deep sedation? - ✔✔- Purposeful response to command or tactile stimulation
- Not easily aroused, may have purposeful response to strong stimulation, risk of ventilation and CV
compromise
Goals of moderate sedation? - ✔✔- Patient responds to tactile stimulation
Katelyn Whitman© 2025, All Rights Reserved.
, 2|Page
- Maintains a patient airway
- Maintains protective reflexes
- Maintains CV homeostasis
Risk classification for moderate sedation? - ✔✔- The ASA Classification is used and important that this is
documented on eval in all sedation cases
Airway exam for mod sedation? - ✔✔- Mallampati
Thyromental distance
- Atlanto-occipital joint distance
Airway red flags? - ✔✔- Obesity/sleep apnea
- Limited opening/range of motion of neck
- Receding mandible/overbite
- Pathology/altered anatomy
Respiratory red flags? - ✔✔- Wheezing/chronic pulmonary disease
- Pneumonia
- Dyspnea on exertion/limited physical activity
- Orthopnea/paroxysmal nocturnal
Cardiovascular red flags? - ✔✔- CAD/CHF
- Baseline hypertension/hypotension
- Arrhythmia
Katelyn Whitman© 2025, All Rights Reserved.
