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Vet 201 Anesthiesiology Chapter Eight Study Guide

Beschreibung

Veterinary Medicine Quiz am Vet 201 Anesthiesiology Chapter Eight Study Guide, erstellt von Kelly Kinsinger am 30/10/2018.
Kelly Kinsinger
Quiz von Kelly Kinsinger, aktualisiert more than 1 year ago
Kelly Kinsinger
Erstellt von Kelly Kinsinger vor mehr als 5 Jahre
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Zusammenfassung der Ressource

Frage 1

Frage
The term “fourth vital sign” refers to:
Antworten
  • temperature
  • pulse
  • respiration
  • pain

Frage 2

Frage
Aversive sensory and emotional experience that elicits protective motor actions, results in learned avoidance, and may modify species-specific behavior traits, including social behavior, is best known as:
Antworten
  • modulation
  • distress
  • pain
  • nociception

Frage 3

Frage
Known as “ouch” pain, which of the following protective sensations of pain occurs when there is a possibility of or actual tissue injury?
Antworten
  • nociception
  • physiologic pain
  • adaptive pain
  • pathologic pain

Frage 4

Frage
Chemical mediators, such as prostaglandin and histamine, are responsible for:
Antworten
  • inflammatory pain
  • neuropathic pain
  • idiopathic pain
  • pathologic pain

Frage 5

Frage
Pain originating from the musculoskeletal system is best described as:
Antworten
  • visceral pain
  • somatic pain
  • pathologic pain
  • chronic pain

Frage 6

Frage
A common class of drugs utilized to treat and target specific receptors in the pain pathway includes:
Antworten
  • antibiotics.
  • antihistamines.
  • nonsteroidal antiinflammatory drugs.
  • anthelmintics.

Frage 7

Frage
The concept of utilization of pain management therapies to target two or more receptors is:
Antworten
  • primary hyperalgesia.
  • mediators.
  • secondary hyperalgesia
  • multimodal therapy.

Frage 8

Frage
Of the following, which is not typically associated with neuroendocrine changes that occur in response to pain?
Antworten
  • Release of ACTH
  • Increased norepinephrine
  • Increased insulin
  • Adrenocorticotropic hormone release

Frage 9

Frage
The use of preemptive analgesia is likely to:
Antworten
  • cause anthropomorphization.
  • prevent “windup.”
  • include the “five freedoms.”
  • lead to increased morbidity and/or mortality.

Frage 10

Frage
The differentiating factor(s) between emergence delirium and pain is(are):
Antworten
  • duration and response to sedation.
  • response to analgesic administration.
  • response to analgesic administration and pain.
  • response to analgesic administration and duration.

Frage 11

Frage
Patients that are suffering from pain are likely to experience noticeable alterations in their:
Antworten
  • facial expressions, appearance, and attitude.
  • facial expressions, appearance, and sleep patterns.
  • bodily movements, appearance, and attitude.
  • bodily movements, sleep patterns, and attitude.

Frage 12

Frage
Patients that have undergone major surgery should have their pain assessed how frequently?:
Antworten
  • Every 60 seconds
  • Every 2 minutes
  • Every 60 minutes
  • At shift changes

Frage 13

Frage
Perioperative analgesia is the concurrent use of:
Antworten
  • preemptive analgesia and pain assessment.
  • pain assessment and multimodal therapy.
  • pharmacologic analgesia therapy and pain assessment.
  • preemptive analgesia and multimodal therapy.

Frage 14

Frage
Of the following, which is not an anticipated benefit of multimodal analgesic therapy?
Antworten
  • Increased individual drug dose
  • Decreased overall anesthetic drug requirements
  • Increased healing time
  • Decreased risk of adverse effects

Frage 15

Frage
Opioid agonist drugs act in which of the following ways?
Antworten
  • Peripherally: in the spinal cord and joints
  • Centrally: to inhibit perception in the brain and sensitization in the spinal cord
  • Centrally: to increase perception in the brain and spinal cord
  • Peripherally: in the brain and spinal cord on the opioid receptors

Frage 16

Frage
A patient requires the selection of an opioid with the most potent analgesic effects. Which of the following would most accurately fit this criteria?
Antworten
  • Partial mu agonists
  • Agonist–antagonists
  • Antihistamines
  • Mu receptor agonists

Frage 17

Frage
Caution should be taken with rapid intravenous injection of morphine in canine patients due to the potential for:
Antworten
  • histamine release.
  • locomotor activity.
  • dysphoria.
  • restlessness.

Frage 18

Frage
The most common adverse side effect secondary to morphine administration is likely to be:
Antworten
  • histamine release.
  • gastrointestinal upset.
  • respiratory depression.
  • excitement.

Frage 19

Frage
This paradoxical response in canine patients after the administration of oxymorphone can make which of the following procedures difficult?
Antworten
  • Blood pressure analysis
  • Intravenous catheter placement
  • Thoracic radiography
  • Application of a CRI

Frage 20

Frage
The drug that is most similar to oxymorphone in duration and effect is:
Antworten
  • morphine.
  • buprenorphine.
  • butorphanol.
  • hydromorphone.

Frage 21

Frage
Of the synthetic opioids, which is known to also act as an antagonist at the NMDA receptor?
Antworten
  • Methadone
  • Hydromorphone
  • Oxymorphone
  • Fentanyl

Frage 22

Frage
In contrast to other pure opioid agonists, the duration of action achieved with intravenous fentanyl administration is:
Antworten
  • 20 to 30 seconds
  • 2 to 3 minutes.
  • 20 to 30 minutes.
  • 2 to 3 hours.

Frage 23

Frage
The synthetic opioid pethidine is also more commonly known as:
Antworten
  • buprenorphine.
  • meperidine.
  • ketoprofen.
  • acepromazine.

Frage 24

Frage
Due to the pH of the feline mucosa, which injectable narcotic can be administered orally for analgesia?
Antworten
  • Morphine
  • Oxymorphone
  • Hydromorphone
  • Buprenorphine

Frage 25

Frage
General duration of action for buprenorphine following intramuscular injection is thought to be:
Antworten
  • 6 to 12 hours.
  • 60 to 120 minutes.
  • 60 to 120 seconds.
  • 18 to 24 hours.

Frage 26

Frage
The first use of butorphanol in veterinary medicine was to act as a(n):
Antworten
  • antihistamine.
  • cough suppressant.
  • anesthetic.
  • analgesic.

Frage 27

Frage
Use of butorphanol in which of the following routes can potentially lead to a toxicity?
Antworten
  • IV
  • IM
  • SQ
  • Epidural

Frage 28

Frage
Butorphanol can be used as an antagonist to partially reverse respiratory depression/sedation secondary to the use of:
Antworten
  • kappa antagonist opioids.
  • mu antagonist opioids.
  • kappa agonist opioids.
  • mu agonist opioids.

Frage 29

Frage
In the United States, which of the following is the only injectable opioid that is not classified as a controlled drug?
Antworten
  • Acepromazine
  • Buprenorphine
  • Nalbuphine
  • Meperidine

Frage 30

Frage
Patients considered “high risk” for use with opioids include all of the following except:
Antworten
  • hypotension.
  • hepatic disease.
  • neurologic disorders.
  • normovolemic.

Frage 31

Frage
The use of morphine administered through an epidural route is most likely to illicit which adverse effect?
Antworten
  • Urine retention
  • Sedation
  • Excitement
  • Respiratory depression

Frage 32

Frage
When considering transdermal use of fentanyl in feline patients, application should take place at least how many hours prior to the start of the procedure?
Antworten
  • 1 hour
  • 4 hours
  • 6 hours
  • 12 hours

Frage 33

Frage
Which opioid should not be administered concurrently with the use of transdermal fentanyl due to risk of partial blockage of opioid receptors and reduced analgesic effect?
Antworten
  • Morphine
  • Buprenorphine
  • Hydromorphone
  • Oxymorphone

Frage 34

Frage
The NSAID that acts as a potent analgesic for both somatic and visceral pain is:
Antworten
  • carprofen.
  • acetylsalicylic acid.
  • butorphanol.
  • tramadol.

Frage 35

Frage
Clinical effects of NSAIDs are due to their inhibition of what chemical synthesis within the body?
Antworten
  • ACTH
  • Insulin
  • Prostaglandin
  • Acetaminophen

Frage 36

Frage
Which of the following systems is not responsible for the elimination and metabolism of NSAIDs?
Antworten
  • Hepatic
  • Renal
  • Biliary
  • Lymph

Frage 37

Frage
Most NSAIDs prevent pain and inflammation by inactivating which enzyme?
Antworten
  • EPO
  • ACE
  • COX
  • T4

Frage 38

Frage
All of the following aspects about the COX-2 isoenzyme are true except:
Antworten
  • it is inducible.
  • it is found in the CNS, kidney, and eyes.
  • it is linked to analgesic effects.
  • it is present in most tissues.

Frage 39

Frage
The use of NSAIDs that results in renal toxicity is most likely due to the blockage of:
Antworten
  • PGE-2
  • COX-1
  • COX-2
  • misoprostol

Frage 40

Frage
The use of NSAIDs is considered “high risk” in all of the following conditions except:
Antworten
  • hypotension.
  • hyperthyroidism.
  • congestive heart failure.
  • hemostatic disorders.

Frage 41

Frage
Opioids are effective in the nociceptive pathway in all areas except:
Antworten
  • perception.
  • modulation.
  • transmission.
  • transduction.

Frage 42

Frage
Local anesthetics are effective in the nociceptive pathway in all areas except:
Antworten
  • perception
  • modulation
  • transmission
  • transduction

Frage 43

Frage
Corticosteroids are ineffective in the nociceptive pathway in all areas except:
Antworten
  • transduction
  • transmission
  • modulation
  • perception

Frage 44

Frage
In order to properly administer tramadol it must be given:
Antworten
  • SQ
  • PO
  • IV
  • IM

Frage 45

Frage
Absence of pain sensation is best known as:
Antworten
  • allodynia.
  • distress.
  • analgesia.
  • stress

Frage 46

Frage
During nociception all of the following occurs except:
Antworten
  • transduction
  • transmission
  • modulation
  • conjugation

Frage 47

Frage
The concurrent use of NSAIDs and corticosteroids is contraindicated due to which adverse side effect?
Antworten
  • Gastric ulceration
  • Coagulopathy
  • Renal insufficiency
  • Hepatic insufficiency

Frage 48

Frage
Nonpharmacologic analgesic therapies that can be used to manage both acute and chronic pain include:
Antworten
  • massage therapy.
  • topical anesthetics.
  • NSAIDs.
  • NMDA agonists.

Frage 49

Frage
Perception of pain takes place in the:
Antworten
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.

Frage 50

Frage
Transmission of pain takes place in the:
Antworten
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.

Frage 51

Frage
Modulation of pain takes place in the:
Antworten
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.
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