IHS Intro to Anesthesia Meds

Descrição

Quiz sobre IHS Intro to Anesthesia Meds, criado por Rachel Nall em 07-06-2016.
Rachel Nall
Quiz por Rachel Nall, atualizado more than 1 year ago
Rachel Nall
Criado por Rachel Nall quase 8 anos atrás
74
4

Resumo de Recurso

Questão 1

Questão
What is the most commonly administered pre-operative sedative category?
Responda
  • Benzodiazepines
  • Opioids
  • Anticholinergics
  • Antisialogue

Questão 2

Questão
[blank_start]Midazolam[blank_end] is the most commonly administered benzo. Its therapeutic dose is [blank_start]1[blank_end] to [blank_start]2[blank_end] milligrams IV.
Responda
  • Midazolam
  • 1
  • 2

Questão 3

Questão
Which of the following is NOT one of the actions of a benzodiazepine?
Responda
  • Anxiety
  • Sedation
  • Amnesia
  • Analgesia

Questão 4

Questão
What category of medications produces analgesia during anesthesia?
Responda
  • Benzodiazepines
  • Opioids
  • Antislalogues
  • Anticholinergics

Questão 5

Questão
Which of the following is the typical analgesic of choice?
Responda
  • Fentanyl
  • Morphine
  • Dilaudid
  • Demerol

Questão 6

Questão
What is the pre-operative dose for Fentanyl?
Responda
  • 25-100 mcg
  • 25 to 50 mcg
  • 5 to 15 mg
  • 20 to 80 mcg

Questão 7

Questão
Which of the following is NOT an advantage of opioid administration?
Responda
  • Absence of direct myocardial depression
  • Less narcotic requirement postoperatively
  • Reduction of pain before placing lines pre-operatively
  • Depression of the medullary ventilatory center

Questão 8

Questão
Select all that you would be concerned about when administering an opioid for analgesia:
Responda
  • Decreased responsiveness to CO2
  • Relaxation of the peripheral vascular smooth muscle
  • Nausea and vomiting
  • Risk of gastric aspiration
  • Direct myocardial depression
  • Greater post-op requirements for pain medications

Questão 9

Questão
What is the recommended dose for morphine?
Responda
  • 5 to 15 mg
  • 2 to 10 mg
  • 10 to 20 mg
  • 5 to 15 mcg

Questão 10

Questão
[blank_start]Robinol[blank_end] is the typical anticholinergic given.
Responda
  • Robinol

Questão 11

Questão
Select all of the known side effects of Robinol.
Responda
  • Antislalogue
  • Sedative and amnesic
  • Central nervous system toxicity
  • Relaxation of LES
  • Mydriasis and cycloplegia

Questão 12

Questão
Select all of the side effects of scopolamine.
Responda
  • Antislalogue
  • Sedative and amnesic effects
  • Central nervous system toxicity
  • Relaxation of LES
  • Mydriasis and cycloplegia

Questão 13

Questão
[blank_start]Mydriasis[blank_end] is dilation of the pupil. [blank_start]Scopolamine[blank_end] can cause this.
Responda
  • Mydriasis
  • Scopolamine

Questão 14

Questão
Medications that have an antisialogogue effect are particularly effective for what procedure types?
Responda
  • Intraoral procedures
  • Bronchoscopy
  • Fiberoptic intubations
  • Supine cases
  • Lateral cases

Questão 15

Questão
What are the effects of atropine?
Responda
  • Antisialagogue
  • Sedative and amnesic
  • Central nervous system toxicity
  • Relaxation of the LES
  • Mydriasis and cycloplegia

Questão 16

Questão
[blank_start]Anticholinergics[blank_end] are most commonly administered in pediatric patients due to their strong vagal reactions.
Responda
  • Anticholinergics

Questão 17

Questão
Which anticholinergic is most commonly associated with producing CNS toxicity?
Responda
  • Atropine
  • Scopolamine
  • Robinol

Questão 18

Questão
What is the dose for atropine?
Responda
  • 0.3 to 0.6 mg
  • 1 to 6 mg
  • 0.3 to 0.6 mcg
  • 1 to 6 mcg

Questão 19

Questão
The therapeutic dose for Robinol is [blank_start]0.1[blank_end] mg IV.
Responda
  • 0.1

Questão 20

Questão
Anticholinergics don't have selective action to receptors. They can cause a blockade of [blank_start]muscarinic[blank_end] receptors in the CNS. As a result, you need to administer an anticholinergic along with a medication like [blank_start]neostigmine[blank_end].
Responda
  • muscarinic
  • neostigmine

Questão 21

Questão
What conditions should NOT give you pause in administering an anticholinergic?
Responda
  • CAD
  • Mitral/Aortic stenosis
  • Atrial fibrillation
  • Bradycardia

Questão 22

Questão
[blank_start]Proton pump inhibitors[blank_end] suppress acid secretion in response to all primary stimulants: histamine, gastrin, and acetylcholine.
Responda
  • Proton pump inhibitors

Questão 23

Questão
The three medications in the triple-threat aspiration prophylaxis are: [blank_start]Bicitra[blank_end], [blank_start]Pepcid[blank_end], and [blank_start]Raglan[blank_end].
Responda
  • Bicitra
  • Pepcid
  • Raglan

Questão 24

Questão
What is the dose for Bicitra?
Responda
  • 15 to 30 ml
  • 10 to 20 ml
  • 1 to 3 ml
  • 5 to 15 ml

Questão 25

Questão
What is the dose for Tagamet?
Responda
  • 200 to 300 mg
  • 100 to 150 mg
  • 25 to 100 mg
  • 250 to 350 mg

Questão 26

Questão
What is the dose for Zantac IV?
Responda
  • 25 mg
  • 50 mg
  • 75 mg
  • 100 mg

Questão 27

Questão
What is the dose for Pepcid?
Responda
  • 200 to 300 mg
  • 150 mg
  • 20 to 40 mg

Questão 28

Questão
An [blank_start]H2 antagonist[blank_end] counters the ability of histamine to induce secretion of gastric fluid with a high concentration of H* ions.
Responda
  • H2 antagonist

Questão 29

Questão
Which of the following is not a proton pump inhibitor?
Responda
  • Prilosec
  • Protonix
  • Nexium
  • Prevacid
  • Pepcid

Questão 30

Questão
[blank_start]Pepcid[blank_end] is the most common H2 antagonist. The typical dose is [blank_start]20[blank_end] to [blank_start]40[blank_end] mg PO.
Responda
  • Pepcid
  • 20
  • 40

Questão 31

Questão
[blank_start]Prokinetics[blank_end] are responsible for a decrease in gastric fluid volume.
Responda
  • Prokinetics

Questão 32

Questão
What is the dose for Raglan?
Responda
  • 5 mg IV
  • 10 mg IV
  • 15 mg IV
  • 20 mg IV

Questão 33

Questão
[blank_start]Anticholinergics[blank_end] and [blank_start]Raglan[blank_end] can work against each other as one can relax the LES and the other can increase LES.
Responda
  • Anticholinergics
  • Raglan

Questão 34

Questão
Prokinetics like Reglan alter gastric pH.
Responda
  • True
  • False

Questão 35

Questão
What is an example of an alpha 2 agonist?
Responda
  • Clonidine
  • Atropine
  • Decadron
  • Haldol

Questão 36

Questão
What is the dose for Clonidine?
Responda
  • 0.1 to 0.3 mg
  • 1 to 2 mg
  • 20 to 40 mg
  • 0.1 to 1 mg

Questão 37

Questão
Which of the following isn't an effect of clonidine?
Responda
  • Central-acting anti-hypertensive
  • Sedation
  • Reduces incidence of MI during surgery
  • Tachycardia

Questão 38

Questão
[blank_start]Antihistamines[blank_end] are recommended for pre-medication in patients undergoing high-risk procedures, like radiography dye studies.
Responda
  • Antihistamines

Questão 39

Questão
What is NOT an example of a case when you would administer a GI prophylaxis for N/V?
Responda
  • Patients with a history of PONV
  • Laparoscopic procedures
  • Women undergoing gynecologic procedures
  • Radiographic dye studies

Questão 40

Questão
Which of the following is not an induction agent?
Responda
  • Succinylcholine
  • Propofol
  • Etomidate
  • Brevital

Questão 41

Questão
The [blank_start]reticular activating system[blank_end] is a polysynaptic pathway that travels from the brainstem to the cerebral cortex that is intimately concerned with the electrical activity of the cerebral cortex.
Responda
  • reticular activating system

Questão 42

Questão
It's likely most of the anesthetic agents exert depressant effects on the RAS.
Responda
  • True
  • False

Questão 43

Questão
What is the induction dose of thiopental?
Responda
  • 1 to 5 mg/kg
  • 3 to 6 mg/kg
  • 5 to 10 mg/kg
  • 10 to 15 mg/kg

Questão 44

Questão
What should you reconstitute thiopental with?
Responda
  • Isotonic sodium chloride
  • Lactated ringer's
  • Acidic solution
  • Vecuronium

Questão 45

Questão
Accidental intra-arterial injection is a serious concern for [blank_start]thiopental[blank_end].
Responda
  • thiopental

Questão 46

Questão
[blank_start]Propofol[blank_end] works through the facilitation of inhibitory neurotransmission mediated by GABA receptor.
Responda
  • Propofol

Questão 47

Questão
The induction dose for Propofol is:
Responda
  • 1.5 to 2.5 mg/kg
  • 100 to 200 mcg/kg/min
  • 25 to 75 mcg/kg/min

Questão 48

Questão
The maintenance infusion for general anesthesia for Propofol is:
Responda
  • 1.5 to 2.5 mg/kg
  • 100 to 200 mcg/kg/min
  • 25 to 75 mcg/kg/min

Questão 49

Questão
The maintenance infusion for sedation for Propofol is:
Responda
  • 1.5 to 2.5 mg/kg
  • 100 to 200 mcg/kg/min
  • 25 to 75 mcg/kg/min

Questão 50

Questão
A person with an egg allergy can't receive Propofol.
Responda
  • True
  • False

Questão 51

Questão
[blank_start]Etomidate[blank_end] works by binding to a subunit of the GABA type A receptor. This increases its affinity for GABA, which causes depression of the RAS.
Responda
  • Etomidate

Questão 52

Questão
What is the induction dosage for Etomidate?
Responda
  • 0.2 to 0.3 mg/kg
  • 1 to 3 mg/kg
  • 20 to 40 mg/kg
  • 0.1 to 0.5 mg/kg

Questão 53

Questão
Etomidate has minimal effects on the CV system.
Responda
  • True
  • False

Questão 54

Questão
Both [blank_start]Etomidate[blank_end] and [blank_start]Propofol[blank_end] cause pain on injection. You can mix them with lidocaine.
Responda
  • Etomidate
  • Propofol

Questão 55

Questão
[blank_start]Etomidate[blank_end] can cause myoclonus.
Responda
  • Etomidate

Questão 56

Questão
The induction dose for Brevital is:
Responda
  • 1 - 3 mg/kg
  • 2 - 4 mg/kg
  • 5 to 10 mg/kg
  • 10 to 15 mg/kg

Questão 57

Questão
Brevital is cleared by the liver at a [blank_start]faster[blank_end] rate than thiopental.
Responda
  • faster

Questão 58

Questão
Sux increases the following: 1. [blank_start]Intraocular[blank_end] pressure 2. [blank_start]Intragastric[blank_end] pressure 3. [blank_start]Intracranial[blank_end] pressure 4. [blank_start]Serum potassium levels[blank_end]
Responda
  • Intraocular
  • Intragastric
  • Intracranial
  • Serum potassium levels

Questão 59

Questão
The dosage for succinylcholine is:
Responda
  • 0.5 - 2 mg/kg
  • 1 - 1.5 mg/kg
  • 2 - 2.5 mg/kg
  • 3 - 5 mg/kg

Questão 60

Questão
Succinylcholine is a [blank_start]depolarizing[blank_end] agent.
Responda
  • depolarizing

Questão 61

Questão
Name the four M's of succinylcholine: 1. [blank_start]Malignant hyperthermia[blank_end] 2. [blank_start]Myalgias[blank_end] 3. [blank_start]Myocardium[blank_end] 4. [blank_start]Myopathies[blank_end]
Responda
  • Malignant hyperthermia
  • Myalgias
  • Myocardium
  • Myopathies

Questão 62

Questão
Medications like vecuronium, rocuronium, pancuronium, and cistracurium are [blank_start]nondepolarizing[blank_end] blocking drugs.
Responda
  • nondepolarizing

Questão 63

Questão
What is the incubation dose for vecuronium?
Responda
  • 0.08 to 0.1 mg/kg
  • 1 to 8 mg/kg
  • 5 to 15 mg/kg

Questão 64

Questão
How long does an intubating dose of vecuronium last?
Responda
  • 5 minutes
  • 10 minutes
  • 20 minutes
  • one hour

Questão 65

Questão
What type of patient wouldn't be a good candidate for vecuronium?
Responda
  • Cardiac dysfunction
  • Liver/Kidney dysfunction
  • Diabetes
  • Lung disease

Questão 66

Questão
What is the intubation dose for Rocuronium?
Responda
  • 0.1 mg/kg
  • 1 mg/kg
  • 2 mg/kg
  • 5 mg/kg

Questão 67

Questão
Rocuronium has a longer duration of intubating dose than vecuronium.
Responda
  • True
  • False

Questão 68

Questão
Intubating dose for Atracurium is [blank_start]0.4[blank_end] to [blank_start]0.5[blank_end] mg/kg.
Responda
  • 0.4
  • 0.5

Questão 69

Questão
The intubation dose for Cisatracurium (Nimbex) is:
Responda
  • 0.2 mg/kg
  • 1 mg/kg
  • 5 mg/kg
  • 10 mg/kg

Questão 70

Questão
Cisatracurium is less potent than atracurium.
Responda
  • True
  • False

Questão 71

Questão
Which two neuromuscular agents are those that are eliminated via Hoffman elimination:
Responda
  • Atracurium and Cisatracurium
  • Vecuronium and Rocuronium
  • Atracurium and Rocuronium
  • Cisatracurium and Rocuronium

Questão 72

Questão
Which of the following is NOT an action of inhaled anesthetics?
Responda
  • Immobility
  • Amnesia
  • CNS Depression
  • Analgesia
  • Muscle relaxation

Questão 73

Questão
MAC stands for [blank_start]minimum alveolar concentration[blank_end].
Responda
  • minimum alveolar concentration

Questão 74

Questão
The MAC of nitrous oxide is [blank_start]105[blank_end] percent.
Responda
  • 105

Questão 75

Questão
Nitrous oxide shouldn't be avoided in patients with the following:
Responda
  • At-risk for nausea and vomiting
  • In pregnancy
  • With suspected bowel blockage
  • At-risk for diffusion into air-containing cavities

Questão 76

Questão
Nitrous oxide is more soluble than nitrogen in the blood.
Responda
  • True
  • False

Questão 77

Questão
The MAC of isoflurane (Forane) is [blank_start]1.2[blank_end] percent.
Responda
  • 1.2

Questão 78

Questão
Non depolarizing NMBAs are potentiated by [blank_start]isoflurane[blank_end].
Responda
  • isoflurane

Questão 79

Questão
The MAC of desflurane is [blank_start]6[blank_end] percent.
Responda
  • 6

Questão 80

Questão
The only difference between isoflurane and desflurane is the substitution of a [blank_start]fluorine[blank_end] atom for isoflurane's [blank_start]chlorine[blank_end] atom.
Responda
  • fluorine
  • chlorine

Questão 81

Questão
Which anesthetic gas requires a special, electrically heated vaporizer?
Responda
  • Desflurane
  • Isoflurane
  • Sevoflurane
  • Nitrous oxide

Questão 82

Questão
Wakeup times for [blank_start]desflurane[blank_end] are 50 percent less than those observed following isoflurane.
Responda
  • desflurane

Questão 83

Questão
The MAC of sevoflurane is [blank_start]2[blank_end] percent.
Responda
  • 2

Questão 84

Questão
[blank_start]Sevoflurane[blank_end] is an excellent induction agent for pediatric patients because it is non-pungent.
Responda
  • Sevoflurane

Questão 85

Questão
Which of the following is not a disadvantage of sevoflurane?
Responda
  • Production of compound A
  • Shouldn't be used in longer cases
  • Higher fresh gas flows of at least 2 liters
  • Is degraded by desiccated CO2 absorbent into potentially clinically significant levels of carbon monoxide

Questão 86

Questão
[blank_start]Non depolarizing[blank_end] muscle relaxants act by competing with ACh for nicotinic cholinergic receptors for binding sites, which results in a blockade of neuromuscular transmission.
Responda
  • Non depolarizing
  • Depolarizing

Questão 87

Questão
Neostigmine is an [blank_start]anticholinesterase[blank_end]. It works by inhibiting the amount of acetylcholine available to compete with nondepolarizing agents.
Responda
  • anticholinesterase

Questão 88

Questão
The dosage for neostigmine is [blank_start]0.4[blank_end] to [blank_start]0.8[blank_end] mg/kg.
Responda
  • 0.8
  • 0.4

Questão 89

Questão
Neostigmine's duration is [blank_start]one hour[blank_end], give or take.
Responda
  • one hour

Questão 90

Questão
Sugammadex (Bridion) is FDA-approved to reverse [blank_start]rocuronium[blank_end] and [blank_start]vecuronium[blank_end].
Responda
  • rocuronium
  • vecuronium

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