CNIM INTRAOPERATIVE MONITORING EXAM
2026 COMPLETE QUESTIONS AND CORRECT
ANSWERS
● Cerebral Perfusion Pressure. Answer: Net perfusion of the brain.
Mean arterial pressure (MAP) minus intracranial pressure.
● Factors discussed between anesthesia and the surgeon before surgery.
Answer: Positioning, anticipated blood loss, special procedures, and
anticipated procedure risks.
● Physician Anesthesiologist. Answer: Individuals with a medical degree
(MD or DO) that have completed a focused residency in anesthesiology.
● CRNA. Answer: Certified Registered Nurse Anesthetist
Advanced practice nurse with a master's degree who has undergone
specific training in anesthesia after nursing practice.
May work with physician anesthesiologist or as a solo practitioner
,● Anesthesiology Assistant. Answer: Master's level education with
specific anesthesia training in classroom and practical course work.
Must always work under the direction of a physician.
● Local MAC. Answer: MAC in this context stands for "monitored
anesthesia care"
Describes the use of intravenous medications in patients where local
anesthesia is used to anesthetize a limited region of the body.
● Regional Anesthesia. Answer: Describes the delivery of anesthesia
where only part of the body is made insensitive to the surgical
stimulation.
Local anesthesia can be used to anesthetize specific nerves or plexus.
Similar to local MAC, sedation may be such that the patient becomes
responsive to stimuli in a continuum from awake to unresponsive.
Intravenous medications are used to block stimuli and cause amnesia.
IOM is usually not possible with regional block.
, ● General Anesthesia (GA). Answer: Typically used during most
procedures where IOM is used.
Several medications are used.
● Goals of GA. Answer: Produce a state of unconsciousness where the
patient does not respond to stimuli.
Make sure patient has no awareness or recall (amnesia) during the
procedure.
Used for analgesia and to bock noxious stimuli from activating the
nervous system.
Used to block movement (muscle relaxation) of the patient in response
to stimuli.
● Muscle Relaxation. Answer: Can be accomplished by blocking
transmission at the neuromuscular junction, but the most common
medications used block the reflex transmission of sensory stimuli
through the spinal cord producing peripheral motor activity.
2026 COMPLETE QUESTIONS AND CORRECT
ANSWERS
● Cerebral Perfusion Pressure. Answer: Net perfusion of the brain.
Mean arterial pressure (MAP) minus intracranial pressure.
● Factors discussed between anesthesia and the surgeon before surgery.
Answer: Positioning, anticipated blood loss, special procedures, and
anticipated procedure risks.
● Physician Anesthesiologist. Answer: Individuals with a medical degree
(MD or DO) that have completed a focused residency in anesthesiology.
● CRNA. Answer: Certified Registered Nurse Anesthetist
Advanced practice nurse with a master's degree who has undergone
specific training in anesthesia after nursing practice.
May work with physician anesthesiologist or as a solo practitioner
,● Anesthesiology Assistant. Answer: Master's level education with
specific anesthesia training in classroom and practical course work.
Must always work under the direction of a physician.
● Local MAC. Answer: MAC in this context stands for "monitored
anesthesia care"
Describes the use of intravenous medications in patients where local
anesthesia is used to anesthetize a limited region of the body.
● Regional Anesthesia. Answer: Describes the delivery of anesthesia
where only part of the body is made insensitive to the surgical
stimulation.
Local anesthesia can be used to anesthetize specific nerves or plexus.
Similar to local MAC, sedation may be such that the patient becomes
responsive to stimuli in a continuum from awake to unresponsive.
Intravenous medications are used to block stimuli and cause amnesia.
IOM is usually not possible with regional block.
, ● General Anesthesia (GA). Answer: Typically used during most
procedures where IOM is used.
Several medications are used.
● Goals of GA. Answer: Produce a state of unconsciousness where the
patient does not respond to stimuli.
Make sure patient has no awareness or recall (amnesia) during the
procedure.
Used for analgesia and to bock noxious stimuli from activating the
nervous system.
Used to block movement (muscle relaxation) of the patient in response
to stimuli.
● Muscle Relaxation. Answer: Can be accomplished by blocking
transmission at the neuromuscular junction, but the most common
medications used block the reflex transmission of sensory stimuli
through the spinal cord producing peripheral motor activity.
