Deck 13: Preoperative Medications

Question 1

Preoperative assessment of the surgical patient includes a questionnaire to be completed by the patient,as well as an interview conducted by the anesthesia provider.

Answer 1

True

Question 2

The American Society of Anesthesiologists (ASA)has established the criteria for classifying the patient's

A)physical status.
B)degree of wound contamination.
C)stage of disease.
D)preoperative respiratory status.

Answer 2

physical status.

Question 3

Duramorph is a trade name for which one of the following generic drugs?

A)Morphine
B)Meperidine
C)Fentanyl
D)Valium

Answer 3

Morphine

Question 4

Preoperative assessment of the surgical patient is conducted by any one of the following individuals except

A)anesthesiologist.
B)certified registered nurse anesthetist (CRNA).
C)anesthesiologist assistant (AA).
D)surgeon.

Question 5

Which one of the following drugs provides relief of pain without loss of consciousness?

A)Analgesic
B)Narcotic
C)Sedative
D)Anticholinergic

Question 6

Astramorph is a trade name for which one of the following generic drugs?

A)Morphine
B)Meperidine
C)Fentanyl
D)Phenergan

Question 7

Which one of the following groups of preoperative sedatives is most often used?

A)Benzodiazepines
B)Phenothiazines
C)Diphenhydramine
D)Droperidol

Question 8

What is the trade name for lorazepam?

A)Ativan
B)Versed
C)Valium
D)Phenergan

Question 9

Diazepam is the generic name of

A)Ativan.
B)Versed.
C)Valium.
D)Phenergan.

Question 10

Which one of the following groups of medications is given to relieve a patient's preoperative anxiety?

A)Sedatives
B)Anticholinergics
C)Antimuscarinics
D)Narcotics

Question 11

The ratio of the amount of medication in milligrams per kilogram of patient's weight is demonstrated in which of the following abbreviations?

A)mg/kg
B). $\mu$ g/kg

Question 12

Preoperative assessment of the surgical patient is conducted by the anesthesia provider to gather information for all of the following purposes except to

A)confirm the patient's surgical disease.
B)assess other medical conditions.
C)determine the patient's physical status.
D)determine whether the procedure is necessary.

Question 13

Medications used to inhibit mucous secretions of the respiratory system and digestive tract are termed

A)antacids.
B)antiemetics.
C)anticholinergics.
D)tranquilizers.

Question 14

Demerol is a trade name for which one of the following generic drugs?

A)Morphine
B)Meperidine
C)Fentanyl
D)Phenergan

Question 15

What is the trade name for midazolam?

A)Ativan
B)Versed
C)Valium
D)Phenergan

Question 16

Which one of the following drugs is not in the benzodiazepine family?

A)Diazepam
B)Lorazepam
C)Midazolam
D)Promethazine

Question 17

Which one of the following drugs blocks parasympathetic nervous impulses?

A)Analgesic
B)Narcotic
C)Sedative
D)Anticholinergic

Question 18

Medications used to reduce nausea and the possibility of vomiting are called

A)antacids.
B)antiemetics.
C)anticholinergics.
D)antimuscarinics.

Question 19

Which one of the following groups of medications is given to relieve pain and reduce the amount of anesthesia needed during surgery?

A)Sedatives
B)Antiemetics
C)Antimuscarinics
D)Analgesics

Question 20

Opiates are a subgroup of which one of the following?

A)Analgesics
B)Sedatives
C)Tranquilizers
D)Amnesiacs

Question 21

Which of the following is the most common benzodiazepine administered preoperatively?

A)Versed
B)Valium
C)Ativan
D)Demerol

Question 22

The purpose of a preoperative H₂ blocker is to

A)inhibit the production of gastric acid.
B)neutralize gastric acid.
C)produce chyme.
D)answers A and B are both correct.

Question 23

A preoperative antacid administered orally is which one of the following?

A)Cimetidine (Tagamet)
B)H₂ blocker
C)Sodium citrate
D)Zantac

Question 24

Which one of the following drug names is both generic and trade?

A)Robinul
B)Inapsine
C)Morphine
D)Atropine

Question 25

What is the trade name for glycopyrrolate?

A)Robinul
B)Inapsine
C)Morphine
D)Atropine

Question 26

How long is the onset of atropine (in minutes)?

A)Immediate
B)1 to 2
C)1 to 5
D)3 to 5

Question 27

Sublimaze is a trade name for which one of the following generic drugs?

A)Morphine
B)Meperidine
C)Fentanyl
D)Phenergan

Question 28

Atropine is an anticholinergic that

A)blocks the production of gastric acid.
B)decreases mucous secretions.
C)increases gastrointestinal motility.
D)neutralizes gastric acid.

Question 29

How long is the duration of Robinul (in hours)?

A)1 to 1.5
B)2 to 3
C)4 to 6
D)8 to 24

Question 30

Gastroesophageal reflux may occur when the lower esophageal sphincter and thorax muscles

A)flex.
B)tighten.
C)reflux.
D)relax.

Question 31

Which physical status classification would be assigned to a surgical patient with cancer of the uterus who is undergoing a hysterectomy?

A)P1
B)P2
C)P3
D)P4

Question 32

To minimize the damage caused by aspiration of gastric contents during surgery,which one of the following drugs may be given preoperatively?

A)Zofran
B)Reglan
C)Bicitra
D)Inapsine

Question 33

What is the normal pH of gastric acid?

A)2
B)4
C)6
D)8

Question 34

Famotidine is marketed under what trade name?

A)Zantac
B)Pepcid
C)Tagamet
D)Zofran

Question 35

The action of metoclopramide (Reglan)is to

A)block production of gastric acid.
B)decrease mucous secretions.
C)increase gastrointestinal motility.
D)neutralize gastric acid.

Question 36

A preoperative assessment places special emphasis on all of the following conditions except

A)atherosclerosis.
B)chronic obstructive pulmonary disease.
C)diabetes.
D)melanoma.

Question 37

Which one of the following neutralizes gastric acid?

A)Cimetidine (Tagamet)
B)Ranitidine (Zantac)
C)Sodium bicarbonate
D)Sodium citrate

Question 38

Which one of the following is an H₂ blocker?

A)Droperidol
B)Ondansetron
C)Sodium citrate
D)Ranitidine

Question 39

A trauma patient having an indwelling urinary catheter inserted prior to surgery may need to receive a(n)

A)anticholinergic.
B)sedative.
C)analgesic.
D)antiemetic.

Question 40

Stimuli,such as stretching the peritoneum or retracting the eye muscles,produce which one of the following?

A)Decrease in heart rate
B)Increase in heart rate
C)Blockage of the production of gastric acids
D)Increase in the production of gastric acids

Question 41

All of the following are classifications for scopolamine,except

A)antiemetic.
B)analgesic.
C)sedative.
D)antisialagogue.

Question 42

The commonly used antiemetic used preoperatively is

A)Versed.
B)Pepcid.
C)Zofran.
D)Reglan.

Question 43

If a surgical patient is exhibiting significant pain after surgery and will be admitted as an inpatient,which medication may be given for pain?

A)Morphine
B)Meperidine
C)Midazolam
D)Lorazepam

Question 44

Which antiemetic medication has an FDA Black Box warning?

A)Inapsine
B)Reglan
C)Zofran
D)Kytril

Question 45

Match the following medications with the correct categories. Categories may be used more than once.
Metoclopramide (Reglan)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 46

Match the following medications with the correct categories. Categories may be used more than once.
Diazepam (Valium)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 47

Why is gum chewing not allowed preoperatively for the patient who has been NPO?

A)Because it may be swallowed
B)Because it is not a clear fluid
C)Because it is a solid food
D)Because it increases gastric fluid

Question 48

Match the following medications with the correct categories. Categories may be used more than once.
Ondansetron (Zofran)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 49

Which category of preoperative medication has an effect on the vagus nerve?

A)Sedatives
B)Anticholinergics
C)Analgesics
D)Antiemetics

Question 50

Match the following medications with the correct categories. Categories may be used more than once.
Glycopyrrolate (Robinul)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 51

Match the following medications with the correct categories. Categories may be used more than once.
Ranitidine (Zantac)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 52

Match the following medications with the correct categories. Categories may be used more than once.
Fentanyl (Sublimaze)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 53

Match the following medications with the correct categories. Categories may be used more than once.
Midazolam (Versed)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 54

Match the following medications with the correct categories. Categories may be used more than once.
Scopolamine (Transderm Scop)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 55

Match the following medications with the correct categories. Categories may be used more than once.
Sodium citrate (Bicitra)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 56

Match the following medications with the correct categories. Categories may be used more than once.
Meperidine (Demerol)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 57

Which of the following medications is a proton-pump inhibitor?

A)Pepcid
B)Bicitra
C)Reglan
D)Nexium

Question 58

Match the following medications with the correct categories. Categories may be used more than once.
Morphine (Astramorph)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative

Question 59

Match the following medications with the correct categories. Categories may be used more than once.
Atropine (Atropine)

A)Antacid
B)Anticholinergic
C)Antiemetic
D)Opioid analgesic
E)Sedative