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All of the following professionals are qualified to provide anesthesia to a pt except:
A. Anesthesiologist
B. CRNA
C. AA
D. Surgeon - ✔✔Surgeon
Of the following, which is not used to secure and manage a patient's airway?
A. ET tube
B. LMA (laryngeal Mask Airways)
C. Nasal Cannula
D. Oral airway - ✔✔Nasal Cannula
The Periop team should know the location of equipment stored in the OR and in the department.
Equipment that the anesthesia provider may request includes:
A. Video laryngoscopy devices
B. Fiberoptic bronchoscopes
C. Suction tips and devices
D. All - ✔✔All
Which of the following tyupes of anesthesia require an anesthesia professional?
,A. General
B. Local
C. Moderate
D. Monitored Anesthesia Care (MAC) - ✔✔General and MAC
The phases of general anesthesia, in order, are:
A. Induction, maintenance, emergence
B. Emergence, maintenance, induction
C. Maintenance, emergence, induction
D. Induction, emergence, maintenance - ✔✔Induction, Maintenance, Emergence
Induction - agents administered to put pt asleep
Maintenance - provider continue to administer agents to keep pt anesthetized
Emergence - at end of procedure, agents are discontinued or reversed
Which of the following type of airway maintenance usually requires muscle relaxants?
A. Spontaneous Respiration
B. Mask Ventilation
C. Laryngeal Mask Airway
D. Endotracheal Intubation - ✔✔ET Intubation
Mask ventilation - used during induction and emergence, mask attached to endo purple tubing placed to
provide oxygen
,Laryngeal Mask Airway/Supraglottic airway device - sits around larynx, does not require relaxants and
has lower incidents of coughing
Fentanyl can be reversed with which of the following agents?
A. Neostigmine
B. Sugammadex
C. Naloxone
D. Flumazenil - ✔✔Naloxone
Neostigmine - reversal agent for many relaxants (Note. there is no reversal agent for succinylcholine)
Sugammadex - reversal agent for rocuronium, vecuronium and pancuronium
Flumazenil - reversal agent for benzos like midazolam
When should cricoid pressure be released?
A. If the patient coughs
B. When the patient loses consciousness
C. If the anesthesia provider cannot see the vocal cords
D. After the cuff on the ET tube is inflated and the position is confirmed - ✔✔D.
Which type of anesthesia involves an injection in tot he space between the Ligamentum Flavum and the
Dura?
A. Epidural Anesthesia
B. General Anesthesia
C. Spinal Anesthesia
, D. Bier Block - ✔✔Epidural Block
Locals: Lidocaine, bupivicaine and ropivacaine (epi increases density and duration of block, bicarb
reduces acidity of block and increases speed of onset of the block
Spinal: positioned sitting or lateral, can cause hypotension, respiratory compromise (if at high level in
spine), and HA
Bier Block/Regional Anesthesia:
IV placed and double tourniquet placed, proximal inflated, if pain occurs, proximal is deflated and distal
is inflated
Sedation can be used with any of the following types of anesthesia except:
A. Regional
B. Monitored Anesthesia Care (MAC)
C. General
D. Local - ✔✔Local
The most specific sign of a malignant hyperthermia crisis is:
A. Increase in End Tidal CO2
B. Skin mottling
C. Tachycardia
D. Hypertension - ✔✔Increase in End Tidal CO2
Susceptib ility to MH is genetic