DAANCE MODULE 5 EXAM/ Practice QUIZ LATEST 2024
GRADED A+ 100% REAL (Office anesthesia
emergencies) 150 QUESTIONS FULLY SOLVED
What is hypoxia? - ANSWER: lack of oxygen
what is the cause of complete or partial airway obstruction during anesthesia? -
ANSWER: posterior positioning of the tongue
what are signs of airway obstruction? - ANSWER: choking, gagging, suprasternal
notch retraction, labored breathing and rapid pulse followed by decreased pulse,
respiratory arrest and cardiac arrest
what is early treatment of airway obstruction? - ANSWER: 100% oxygen via nasal
mask; place patient in Trendelenburg position and pack off surgical site; Digital
traction of the tongue; Suction
how do you do a cricothyrotomy? - ANSWER: cleanse the overlying skin; locate the
cricothyroid membrane by palpation; utilize the emergency cricothyrotomy
needle/cannula kit or a large gauge to enter the trachea beneath the vocal cords
through the cricothyroid membrane; Attach the tube of the cricothyrotomy device to
an oxygen source and ventilate with 100% oxygen
what object can cause airway obstruction that is not the tongue? - ANSWER: foreign
bodies
what is the treatment for foreign body obstruction? - ANSWER: removal of foreign
body only if well visualized; chest compressions if no airflow during ventilation with
patient in supine position; remove foreign body with forceps or suction using a
laryngoscope for visualization; cricothyrotomy only if foreign body cannot be
removed and severe obstruction persists
laryngospasm - ANSWER: spasm of the laryngeal muscles, causing a constriction
Laryngospasm Treatment - ANSWER: • 100% Oxygen
• Suction all blood and foreign material with yankauer suction
• Pack surgical site to prevent further bleeding into the hypopharynx
• Depress patient's chest and listen for a rush of air to indicate patency
• If obstruction persists, break spasm with positive pressure via 100% O2 and full-
face mask with good seal (appropriately sized for child vs. adult
patient.)
bronchospasm - ANSWER: involuntary contraction of the bronchus
Bronchospasm treatment - ANSWER: Albuterol 2 puffs (90 mcg/puff) prn
O2 6-10L/min
, If unresponsive to albuterol:
Epinephrine SC (1:1000) 0.1-0.3 mL (0.1-0.3 mg) OR
Epinephrine IV (1:10,000) 1-3 mL (0.1-0.3 mg) (especially if hypotensive)
Up to 1 mg epinephrine maximum
Hyperventilation - ANSWER: ventilation of the lungs beyond normal body needs
Angina treatment - ANSWER: Sublingual nitroglycerin, treatment of underlying
condition
myocardial infarction treatment - ANSWER: Aspirin, CPR is unconscious,
defibrillation, anticoagulant medication, immediate emergency protocol
MONA acronym - ANSWER: M-morphine
O-oxygen
N-nitrates
A-aspirin
what is the actual order for MONA? - ANSWER: O- oxygen
N- nitroglycerin
A- aspirin
M- morphine
supraventricular dysrhythmias treatment- symptomatic bradycardia - ANSWER:
terminate procedure
100% O2
establish iv
atropine (.5mg, repeat until 3mg
transport to ER
supraventricular dysrhythmias treatment- supraventricular tachycardia - ANSWER:
patient in supine position
adenosine -6mg rapid iv push over 1 to 3 seconds
follow with 20cc saline flush
adenosine- 12mg after 1 to 2 minutes
repeat flush
3rd dose of adenosine in 1 to 2 minutes if needed
PVC treatment - ANSWER: None if infrequent, lidocaine/amiodarone if frequent
V tach treatment - ANSWER: •100% oxygen
•Amiodarone- 150mg IV over 10mins. max dose 2.2gms in 24 hrs
•prepare for synchronous cardioversion
V-fib treatment - ANSWER: •check lead placement, confirm, call 911
•first sequence
GRADED A+ 100% REAL (Office anesthesia
emergencies) 150 QUESTIONS FULLY SOLVED
What is hypoxia? - ANSWER: lack of oxygen
what is the cause of complete or partial airway obstruction during anesthesia? -
ANSWER: posterior positioning of the tongue
what are signs of airway obstruction? - ANSWER: choking, gagging, suprasternal
notch retraction, labored breathing and rapid pulse followed by decreased pulse,
respiratory arrest and cardiac arrest
what is early treatment of airway obstruction? - ANSWER: 100% oxygen via nasal
mask; place patient in Trendelenburg position and pack off surgical site; Digital
traction of the tongue; Suction
how do you do a cricothyrotomy? - ANSWER: cleanse the overlying skin; locate the
cricothyroid membrane by palpation; utilize the emergency cricothyrotomy
needle/cannula kit or a large gauge to enter the trachea beneath the vocal cords
through the cricothyroid membrane; Attach the tube of the cricothyrotomy device to
an oxygen source and ventilate with 100% oxygen
what object can cause airway obstruction that is not the tongue? - ANSWER: foreign
bodies
what is the treatment for foreign body obstruction? - ANSWER: removal of foreign
body only if well visualized; chest compressions if no airflow during ventilation with
patient in supine position; remove foreign body with forceps or suction using a
laryngoscope for visualization; cricothyrotomy only if foreign body cannot be
removed and severe obstruction persists
laryngospasm - ANSWER: spasm of the laryngeal muscles, causing a constriction
Laryngospasm Treatment - ANSWER: • 100% Oxygen
• Suction all blood and foreign material with yankauer suction
• Pack surgical site to prevent further bleeding into the hypopharynx
• Depress patient's chest and listen for a rush of air to indicate patency
• If obstruction persists, break spasm with positive pressure via 100% O2 and full-
face mask with good seal (appropriately sized for child vs. adult
patient.)
bronchospasm - ANSWER: involuntary contraction of the bronchus
Bronchospasm treatment - ANSWER: Albuterol 2 puffs (90 mcg/puff) prn
O2 6-10L/min
, If unresponsive to albuterol:
Epinephrine SC (1:1000) 0.1-0.3 mL (0.1-0.3 mg) OR
Epinephrine IV (1:10,000) 1-3 mL (0.1-0.3 mg) (especially if hypotensive)
Up to 1 mg epinephrine maximum
Hyperventilation - ANSWER: ventilation of the lungs beyond normal body needs
Angina treatment - ANSWER: Sublingual nitroglycerin, treatment of underlying
condition
myocardial infarction treatment - ANSWER: Aspirin, CPR is unconscious,
defibrillation, anticoagulant medication, immediate emergency protocol
MONA acronym - ANSWER: M-morphine
O-oxygen
N-nitrates
A-aspirin
what is the actual order for MONA? - ANSWER: O- oxygen
N- nitroglycerin
A- aspirin
M- morphine
supraventricular dysrhythmias treatment- symptomatic bradycardia - ANSWER:
terminate procedure
100% O2
establish iv
atropine (.5mg, repeat until 3mg
transport to ER
supraventricular dysrhythmias treatment- supraventricular tachycardia - ANSWER:
patient in supine position
adenosine -6mg rapid iv push over 1 to 3 seconds
follow with 20cc saline flush
adenosine- 12mg after 1 to 2 minutes
repeat flush
3rd dose of adenosine in 1 to 2 minutes if needed
PVC treatment - ANSWER: None if infrequent, lidocaine/amiodarone if frequent
V tach treatment - ANSWER: •100% oxygen
•Amiodarone- 150mg IV over 10mins. max dose 2.2gms in 24 hrs
•prepare for synchronous cardioversion
V-fib treatment - ANSWER: •check lead placement, confirm, call 911
•first sequence
