Just studying for anesthesia quiz – Flashcards
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TRUE/FALSE 1. Collaboration and communication between the surgeon and the anesthesia care pro-vider are not essential to quality patient care.
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FALSE
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TRUE/FALSE 2. The American Society of Anesthesiologists (ASA) has developed a risk assessment system that classifies patients according to their individual potential for anesthesia-related problems.
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TRUE
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TRUE/FALSE 3. The presence of cardiopulmonary disease increases the patient's anesthesia risks.
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TRUE
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TRUE/FALSE 4. Most anesthetic and adjunct drugs are not toxic to the kidneys or liver, because they are not metabolized or excreted by these organs.
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FALSE
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TRUE/FALSE 5. A patient with a difficult airway presents a respiratory risk during deep sedation or general anesthesia.
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TRUE
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TRUE/FALSE 6. Patients with histories of substance abuse do not have high tolerances for sedatives.
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FALSE
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TRUE/FALSE 7. Patients often fear anesthesia more than the surgery itself.
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TRUE
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TRUE/FALSE 8. Fasting is required before surgery, because under sedation the patient loses her or his normal protective gag and cough reflexes that prevent aspiration—food and liquids from entering the respiratory tract.
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TRUE
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TRUE/FALSE 9. Biophysical monitoring is a critical aspect of general anesthesia only during trauma or emergency procedures.
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FALSE
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TRUE/FALSE 10. Vascular access is a requirement for all surgical patients.
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TRUE
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11. The exact location of each ________ lead depends upon the type of surgery being performed, whether the patient has an internal pacemaker, and where the dispersive electrode is located for the electrosurgical unit. a.electrocardiography b.temperature monitoring c.neuromuscular monitoring d.A and C
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a.electrocardiography
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12. ________ is a small light source implanted in an adhesive strip or a finger clip and is placed in a vascular area such as the fingertip, earlobe, or toe. a.Capnography b.Vascular monitoring c.Pulse oximetry d.Temperature monitoring
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c.Pulse oximetry
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13. The diaphragm is paralyzed during profound general anesthesia, requiring ________ by an anesthesia professional. a.controlled ventilation b.positive pressure ventilation c.full oxygen saturation d.reversal drugs
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a.controlled ventilation
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14. Modern anesthesia techniques include the use of many different drugs in combination to achieve the desired results; this is referred to as ________. a.monitored anesthesia care b.anxiolysis c.homeostasis
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a.monitored anesthesia care
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15. The pre-induction use of oxygen via a face mask provides a margin of safety in patients with ________. a.difficult airways b.histories of malignant hyperthermia c.histories of malignant hyperthermia d.nausea and vomiting
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a.difficult airways
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16. ________ occurs when the patient is able to breathe independently of the ventilator, and the endotracheal tube is removed. a.Intubation b.Induction c.Extubation d.Amnesia
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c.Extubation
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17. The patient retains the ability to ________ during early induction, even though body movements cease. a.feel pain b.see movement c.shiver d.hear noises
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d.hear noises
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18. The most important priority during a massive hemorrhage is ________. a.visibility b.control of bleeding vessel c.suction, extra sponges d.all of the above
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d.all of the above
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19. A ________ is one that affects a single nerve, a deep plexus or a network of nerves, or a confined superficial area. a. topical anesthetic b. peripheral nerve block c. regional block
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c. regional block
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20. During ________, an anesthetic agent is injected into the subarachnoid space through a spinal needle inserted through a lower lumbar intervertebral space. a.spinal anesthesia b.epidural anesthesia c.continuous anesthesia d.nerve block anesthesia
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a.spinal anesthesia
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21. During a cardiac arrest, the primary responsibility of the scrubbed surgical technologist is to ________. a.assist in an immediate thoracotomy b.perform closed-chest CPR c.protect the sterile field d.administer resuscitative drugs
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c.protect the sterile field
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22. Induction drugs are selected based on the patient's ________. a.age and medical history b.procedure c.surgeon preference
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b.procedure
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23. ________ is/are administered more often during a surgical procedure due to the patient's immediate need to increase oxygen-carrying capacity. a.Lactated Ringer's solution b.Plasma c.Whole bloodd.Packe d cells
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d cells
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24. All inhalation anesthetics, with the exception of nitrous oxide, are associated with ________. a.massive hemorrhage b.cardiopulmonary arrest c.malignant hyperthermia d.A and B
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b.cardiopulmonary arrest
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25. ________ is the only depolarizing muscle relaxant used in surgery. The rest are nondepolarizing agents. a.Pancuronium bromide b.Succinylcholine c.Rocuronium d.Metocurine iodide
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c.Rocuronium
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26. To minimize the effects of gastric secretions on the lungs in the event of ________, preoperative administration of drugs that suppress gastric acid production, reduce nausea, or raise the pH of the gastric contents may be prescribed. a.apnea b.bronchospasms c.aspiration d.MH crisis
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a.apnea
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27. In ophthalmic surgery, ________ are used to produce mydriasis and cycloplegia. a.anticholinergics b.analgesics c.narcotics d.barbiturates
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b.analgesics
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28. ________ is used in induction and sedation for short operative procedures; its three main disadvantages are pain on injection, respiratory and cardiac depression, and hy-potension. a.Ketamine b.Propofol c.Desflurane d.Flumazenil
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c.Desflurane
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29. Benzodiazepines produce ________ for up to six hours from the onset of the drug's action. a.pain relief b.anterograde amnesia c.relief from nausea
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a.pain relief
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30. ________ is accomplished by the administration of a combination of sedatives, hypnotics, and analgesics. a.Conscious sedation b.General anesthesia c.Monitored-care anesthesia d.Local anesthesia
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a.Conscious sedation
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31. The ________ must know at all times how much drug has been delivered to the field and in what concentration. A. surgical technologist B. circulator
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A. surgical technologist
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32. In the event of an uncontrolled hemorrhage, it is critical for the surgical technologist in the scrub role to verify and keep track of the amount of irrigation that is used by the surgeon and to communicate this to the ________, so that he or she can keep an accurate account of the patient's blood loss. A. circulator B. anesthesia care provider
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B. anesthesia care provider
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33. During an MH crisis, ________ is the antidote, and it is given in high doses. A. dantrolene sodium B. sodium bicarbonate
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A. dantrolene sodium
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34. A reduction in anxiety is known as ________. A. anxiolysis B. delirium
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A. anxiolysis
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35. The capture and safe removal of anesthetic gas that escapes from the anesthesia machine or the patient's face mask is accomplished with a ________. A. circular system B. gas scavenging system
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B. gas scavenging system
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36. Two drugs, when combined, produce an effect that is greater than the sum of the effect produced by each drug acting separately, thus they are ________. A. synergistic B. depolarizing
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A. synergistic
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37. The use of an LMA requires ________. A. cricoid pressure B. the use of no muscle relaxants
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B. the use of no muscle relaxants
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38. The ________ is used when the patient is interviewed and examined to determine her or his specific needs and risk factors for anesthesia. A. pre-anesthesia evaluation B. anesthesia consent
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A. pre-anesthesia evaluation
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39. In the event of cardiopulmonary arrest, it is the ________ who directs the resuscita-tion efforts. A. surgeon B. anesthesia care provider
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B. anesthesia care provider
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40. ________ is a state of balance between the body's environmental and physiologi-cal stimuli and its responses. A. Homeostasis B. Hemostasis
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A. Homeostasis
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41. A drug that produces lack of sensation a.analgesia b.anesthesia c.anesthetic
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c.anesthetic
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42. The absence of pain caused by specific drugs a.analgesia b.anesthesia c.anesthetic
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a.analgesia
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43. Nitrous oxide a.analgesia b.anesthesia c.anesthetic
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c.anesthetic
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44. Without sensation a.analgesia b.anesthesia c.anesthetic
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b.anesthesia
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45. Ketamine a.analgesia b.anesthesia c.anesthetic
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a.analgesia
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46. Etomidate combines with narcotics and used intravenously produces this a.analgesia b.anesthesia c.anesthetic
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b.anesthesia
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47. Produced by narcotics a.analgesia b.anesthesia c.anesthetic
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a.analgesia
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48. May produce loss of consciousness a.analgesia b.anesthesia c.anesthetic
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b.anesthesia
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49. Can be deepened with the use of opioids a.analgesia b.anesthesia c.anesthetic
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b.anesthesia
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50. Dosage is calculated by patient's weight a.analgesia b.anesthesia c.anesthetic
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c.anesthetic