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Premedication and Sedation

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Quiz on Premedication and Sedation, created by lniehaus on 26/02/2014.
lniehaus
Quiz by lniehaus, updated more than 1 year ago
lniehaus
Created by lniehaus about 10 years ago
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Resource summary

Question 1

Question
Which requires the largest dose (mg/kg) of premedication?
Answer
  • A friendly, 50 kg Great Dane
  • An aggressive, 40 kg German Shepard
  • A friendly, 7 kg westie
  • An aggressive, 1 kg chihuahua

Question 2

Question
Premedication is unneeded when an IV catheter is in place.
Answer
  • True
  • False

Question 3

Question
Which of the following is NOT a reason why premedication is used.
Answer
  • calm, sedate, or tranquilize
  • smooth induction/recover period
  • provide analgesia
  • increase muscle relaxation
  • increase airway secretions
  • induce vomiting

Question 4

Question
Which of the following is an anticholinergic?
Answer
  • Benzodiazepine
  • Glycopyrrolate
  • Phenothiazine
  • guaifenesin

Question 5

Question
Anticholinergics has a reversible mechanism of action.
Answer
  • True
  • False

Question 6

Question
Which of the following is NOT a use for anticholinergics?
Answer
  • decrease salivation
  • decrease respiratory secretions
  • prevent bradycardia
  • antihistamine
  • all of the above are uses for anticholinergics

Question 7

Question
Which of the following is an effect of atropine?
Answer
  • brachycardia
  • bronchoconstriction
  • midriasis
  • increases GI motility

Question 8

Question
The duration of atropine is 60-90 minutes.
Answer
  • True
  • False

Question 9

Question
Atrophine is metabolized in the liver.
Answer
  • True
  • False

Question 10

Question
Glycopyrrolate crosses the blood brain barrier but not the placenta.
Answer
  • True
  • False

Question 11

Question
Glycopyrrolate has similar effects to atropine but has a longer onset and duration.
Answer
  • True
  • False

Question 12

Question
Anticholingergics should not be used in patients with preexisting tachycardia.
Answer
  • True
  • False

Question 13

Question
Which of the following is NOT a use of acepromazine?
Answer
  • Sedation
  • antiemetic
  • antiarrhythmic
  • antihistamine
  • All are uses of acepromazine

Question 14

Question
Acepromazine blocks all of the follow EXCEPT:
Answer
  • The action of serotonin
  • Apla-1 receptors
  • Beta-2 receptors
  • Dopamine receptors in CNS

Question 15

Question
Which of the following is NOT true about acepromazine?
Answer
  • Acepromazine is a vasodialator
  • Decreases myocardial sensitization
  • Decreases PCV, total protein and platelet aggregation
  • Decreases tachycardia

Question 16

Question
Acepromazine has minimal respiratory effects.
Answer
  • True
  • False

Question 17

Question
Acepromazine causes CNS depression and sedation.
Answer
  • True
  • False

Question 18

Question
Acepromazine provides excellent analgesia.
Answer
  • True
  • False

Question 19

Question
Acepromazine is contradicted with opioids.
Answer
  • True
  • False

Question 20

Question
Acepromazine has a long half-life and long duration.
Answer
  • True
  • False

Question 21

Question
Acepromazine is an antiemetic and should be given 30 minutes before.
Answer
  • True
  • False

Question 22

Question
Which of the following is NOT a contradiction of acepromazine.
Answer
  • severe liver disease
  • Hypervolemia
  • Anemia
  • Shock

Question 23

Question
Which of the following is NOT a DISADVANTAGE of acepromazine?
Answer
  • Irreversible
  • Long lasting
  • Expensive
  • It doesn't cause analgesia

Question 24

Question
Which of the following is NOT a use of benzodiazepines?
Answer
  • Anticonvulsant
  • Anxiolysis
  • Deep sedation
  • Muscle relaxation

Question 25

Question
What is the mechanism of action for benzodiazepine?
Answer
  • Competitive antagonist of ACh at the muscarinic cholinergic receptors
  • Block serotonin
  • Block Alpha-1 receptors
  • Block Alpha-2 receptors
  • Block dopamine
  • Binds to GABA A receptors to increase affinity of GABA

Question 26

Question
Diazepam has minimal cardiovascular and respiratory effects.
Answer
  • True
  • False

Question 27

Question
Which drug may cause paradoxical excitement?
Answer
  • Atropine
  • Acepromazine
  • Diazepam
  • Flumazenil

Question 28

Question
Which benzodiazepines are lipid soluble? (check all that apply)
Answer
  • diazepam
  • midazolam
  • zolazepam

Question 29

Question
Zolazepam is only used in a 12:1 mixture with Tiletamine
Answer
  • True
  • False

Question 30

Question
Midazolam has a longer duration of action than diazepam.
Answer
  • True
  • False

Question 31

Question
Metabolism in cats is slower for zolazepam.
Answer
  • True
  • False

Question 32

Question
Which of the following is FALSE regarding flumazenil?
Answer
  • It is a benzodiazepine antagonist.
  • It is short acting.
  • It is inexpensive.
  • No acute anxiety of evidence of abrupt reversal.

Question 33

Question
Which are antiarrhythmic?
Answer
  • Phenothiazines
  • Benzodiazepines

Question 34

Question
Which are nonreversible?
Answer
  • Phenothiazines
  • Benzodiazepines

Question 35

Question
Which decrease anesthetic requirements?
Answer
  • phenothiazines
  • benzodiazepines

Question 36

Question
Which cause muscle relaxation?
Answer
  • phenothiazines
  • benzodiazepines

Question 37

Question
Which have minimal cardiopulmonary effects?
Answer
  • phenothiazines
  • benzodiazepines

Question 38

Question
Which cause Hypotension and Vasodilation?
Answer
  • Phenothiazines
  • Benzodiazepines

Question 39

Question
Alpha-2 receptor agnoists bind to ____________ receptors to _____________ release of norepinephrine.
Answer
  • presynaptic, increase
  • presynaptic, decrease
  • postsynaptic, increase
  • postsynaptic, decrease

Question 40

Question
Which of the following is FALSE regarding Alpha-2 agonists?
Answer
  • provide sedation
  • provide analgesia
  • provide muscle relaxation
  • cause anxiety

Question 41

Question
Which of the following is TRUE regarding Alpha-2 receptor agonist cardiovascular effects?
Answer
  • Can cause AV blocks
  • Causes tachycardia
  • causes vasodilation
  • increases cardiac output

Question 42

Question
Which of the following is FALSE regarding Alpha-2 agonist respiratory effects?
Answer
  • causes peripheral venous desaturation
  • increases respiratory rate
  • may decrease tidal volume
  • has signiscant effects when combined with other sedatives

Question 43

Question
Which of the following are FALSE regarding Alpha-2 receptor agnoist CNS effects?
Answer
  • can cause personality changes
  • causes muscle relaxation
  • dose-independent sedation
  • provides analgesia

Question 44

Question
Alpha-2 receptor agonists can cause hyperglycemia.
Answer
  • True
  • False

Question 45

Question
Alpha-2 agonists increase GI motility.
Answer
  • True
  • False

Question 46

Question
Alpha-2 receptor agonists are antiemetics.
Answer
  • True
  • False

Question 47

Question
Alpha-2 receptor agonists decrease urine production.
Answer
  • True
  • False

Question 48

Question
Alpha-2 agonists cause nasal congestion.
Answer
  • True
  • False

Question 49

Question
Alpha-2 agonists decrease thermoregulation.
Answer
  • True
  • False

Question 50

Question
Alpha-2 agonists increase uterine tone.
Answer
  • True
  • False
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