Deck 15: General Anesthesia

Question 1

Where does the recovery phase take place?

A)Surgical unit
B)PACU
C)Patient's room
D)Patient's home

Answer 1

PACU

Question 2

Ultra-short-acting intravenous anesthesia agents administered during the induction phase are _______________________.

A)analgesics
B)barbiturates
C)desflurane
D)neuromuscular blocking agents

Answer 2

barbiturates

Question 3

Which phase of general anesthesia includes the administration of muscle relaxants?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Answer 3

Induction

Question 4

Anesthetic agents are reversed or discontinued,or both,during which phase of general anesthesia?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Question 5

The surgical procedure is performed during which phase of general anesthesia?

A)Emergence
B)Preinduction
C)Recovery
D)Maintenance

Question 6

The patient is most prone to agitation and excitement in which phase of anesthesia?

A)Preinduction
B)Induction
C)Maintenance
D)Recovery

Question 7

Patient intubation is performed during which phase of general anesthesia?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Question 8

Which one of the following statements is not true about cricoid pressure?

A)It is used in rapid sequence induction.
B)It reduces the risk of laryngeal spasm.
C)It compresses the esophagus.
D)It reduces the risk of aspiration.

Question 9

Which one of the following is not a primary objective of general anesthesia?

A)Patient remains unresponsive during surgery.
B)Patient retains no memory of the surgery.
C)Patient's cardiovascular function remains stable.
D)Patient retains muscle tone during surgery.

Question 10

General anesthesia may be accomplished by administering inhalation or intravenous drugs,or both.

Question 11

Preoperative patient assessment and evaluation are performed during which phase of general anesthesia?

A)Emergence
B)Preinduction
C)Recovery
D)Induction
E)Maintenance

Question 12

Which phase of general anesthesia includes administration of anesthetic agents?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Question 13

What are the five phases of general anesthesia in the correct sequence?

A)Emergence, preinduction, induction, maintenance, recovery
B)Induction, postinduction, emergence, maintenance, recovery
C)Induction, postinduction, maintenance, emergence, recovery
D)Preinduction, induction, maintenance, emergence, recovery

Question 14

Which phase of general anesthesia includes preoxygenation of the patient?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Question 15

Which is the postoperative phase of general anesthesia?

A)Emergence
B)Preinduction
C)Recovery
D)Induction

Question 16

The term anesthesia means without ______________.

A)consciousness
B)memory
C)sensation
D)pain

Question 17

Which one of the following statements is not true of laryngeal masked airway (LMA)?

A)Administering muscle relaxants is required.
B)It is a reusable airway.
C)It is contraindicated for patients with history of gastroesophageal reflux disease (GERD).
D)It may be used for certain ambulatory procedures.

Question 18

Which statement does not apply to endotracheal intubation?

A)The patient's vocal cords are visualized using a laryngoscope.
B)The circulator assists the anesthesia provider by applying pressure on the cricoid cartilage.
C)An ET tube is placed in the trachea.
D)The ET tube is connected to a pulse oximeter.

Question 19

The preoperative phase of general anesthesia is which one of the following?

A)Emergence
B)Recovery
C)Preinduction
D)Maintenance

Question 20

The anesthesia technique that uses both inhalation and intravenous agents is called

A)monitored anesthesia care (MAC).
B)LMA.
C)combination anesthesia.
D)balanced anesthesia.

Question 21

Which one of the following drugs is a not a benzodiazepine?

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

Question 22

Which one of the following drugs is a barbiturate?

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

Question 23

Of the following early inhalation agents,which one is still in use?

A)Ether
B)Chloroform
C)Cyclopropane
D)Nitrous oxide

Question 24

Which one of the following statements is not true of propofol?

A)It is a hypnotic agent.
B)It has a milky color and must be handled using aseptic technique because it has no antimicrobial preservatives.
C)It is available under the trade name Diprivan.
D)Patients may experience hallucinations through the emergence phase of anesthesia.

Question 25

Isoflurane is marketed under what trade name?

A)Fluothane
B)Forane
C)Suprane
D)Sevoflurane

Question 26

Inhalation agents enter the bloodstream from the inhaled air through the alveoli in the lungs.

Question 27

Which one of the following statements is not true of Pentothal?

A)It is the most commonly used barbiturate.
B)It is rapidly processed by the brain.
C)It is an effective analgesic.
D)The generic form is thiopental.

Question 28

Analgesics are used in surgery to reduce the necessary amount of anesthesia drugs.

Question 29

Which one of the following class of drugs is used for its analgesic effect?

A)Opioids
B)Barbiturates
C)Neuromuscular blocking agents
D)Induction agents

Question 30

Which one of the following statements does not apply to inhalation agents?

A)They are difficult to control.
B)They are eliminated easily from the body.
C)They have the potential for cardiovascular depression.
D)They are easy to administer.

Question 31

Which one of the following statements is not true of ketamine?

A)It is chemically related to phencyclidine (PCP).
B)It is an effective analgesic and amnesiac agent.
C)It is available under the trade name Ketalar.
D)It is best used for procedures of long duration.

Question 32

Which one of the following statements is not true of fentanyl?

A)It is 100 times more potent than morphine.
B)It can only be used in combination with other anesthetic agents.
C)It is 5 to 10 times less potent than Sufenta.
D)It has a rapid onset of approximately 30 seconds.

Question 33

Fentanyl is available under what trade name?

A)Alfenta
B)Sufenta
C)Fluothane
D)Sublimaze

Question 34

Which one of the following opioids has an onset time greater than 30 seconds?

A)Alfenta
B)Sufenta
C)Ultiva
D)Sublimaze

Question 35

Sevoflurane is marketed under what trade name?

A)Fluothane
B)Forane
C)Suprane
D)Ultane

Question 36

Which one of the following statements is not true of benzodiazepines?

A)The most commonly used benzodiazepine in surgery is midazolam.
B)They are exclusively used in surgery.
C)They have both sedative and amnesiac effects.
D)They provide no analgesic effect.

Question 37

Which one of the following drugs is best used for superficial procedures of short duration such as skin grafts?

A)Versed
B)Brevital
C)Ativan
D)Ketalar

Question 38

Which one of the following drugs is not an opioid?

A)Fentanyl
B)Morphine
C)Propofol
D)Sublimaze

Question 39

Which one of the following drugs is used for patients with hypovolemic trauma or short procedures on patients with compromised cardiac function,or both?

A)Diprivan
B)Amidate
C)Ativan
D)Ketalar

Question 40

Analgesics are administered during which phase of general anesthesia?

A)Emergence
B)Recovery
C)Maintenance
D)Induction

Question 41

What is the trade name for succinylcholine?

A)Pavulon
B)Norcuron
C)Tracrium
D)Anectine

Question 42

Desflurane is marketed under what trade name?

A)Sevoflurane
B)Forane
C)Suprane
D)Ethrane

Question 43

Which group of drugs is given to facilitate intubation,as well as provide better surgical exposure during abdominal procedures?

A)Opioids
B)Muscle relaxants
C)Tranquilizers
D)Analgesics

Question 44

Each one of the following inhalation agents,either alone or in combination with succinylcholine,is considered a triggering agent for malignant hyperthermia except

A)sevoflurane.
B)isoflurane.
C)nitrous oxide.
D)desflurane.

Question 45

What was the first muscle relaxant used in surgery?

A)Cocaine
B)Opium
C)Purple foxglove
D)Curare

Question 46

What is the neurotransmitter that is released at neuromuscular synapses to stimulate the release of calcium ions?

A)Acetylcholine (ACh) antagonists
B)Acetylcholinesterase
C)Acetylcholine
D)Succinylcholine

Question 47

Which one of the following muscle relaxants produces fasciculations,followed by flaccidity?

A)Pancuronium
B)Atracurium
C)Mivacurium
D)Succinylcholine

Question 48

The effect of nondepolarizing muscle relaxants can be reversed by using which one of the following?

A)Anectine
B)Prostigmin
C)Mivacron
D)Tracrium

Question 49

What is the trade name for pancuronium bromide?

A)Pavulon
B)Norcuron
C)Prostigmin
D)Anectine

Question 50

What is the trade name for naloxone?

A)Mazicon
B)Norcuron
C)Narcan
D)Mivacron

Question 51

Which one of the following is not an adverse effect associated with nondepolarizing muscle relaxants?

A)Tachycardia or bradycardia
B)Cardiac arrhythmias
C)Elevated serum potassium in burn patients
D)Hypertension or hypotension

Question 52

Which one of the following inhalation agents is a gas,not a vapor?

A)Enflurane
B)Isoflurane
C)Desflurane
D)Nitrous oxide

Question 53

Depolarization means which one of the following?

A)Muscle contraction
B)Muscle relaxation
C)Fasciculation
D)Prevention of muscle contraction

Question 54

Which one of the following muscle relaxants has no reversal agent and must be allowed to wear off?

A)Anectine
B)Pavulon
C)Norcuron
D)Tracrium

Question 55

The following are patient factors that influence the selection of general anesthesia,except

A)patient age.
B)patient preference.
C)cognitive ability.
D)cardiovascular function.

Question 56

Which is not an adverse effect associated with succinylcholine?

A)Increased intragastric pressure
B)Increased potential for regurgitation and aspiration
C)Decreased intracranial pressure
D)Postoperative muscle pain

Question 57

Benzodiazepines are reversed using which one of the following?

A)Mazicon
B)Norcuron
C)Narcan
D)Prostigmin

Question 58

Opioids are reversed using which one of the following?

A)Mazicon
B)Norcuron
C)Narcan
D)Prostigmin

Question 59

Which one of the following is the only depolarizing muscle relaxant presently in use?

A)Pancuronium
B)Atracurium
C)Mivacurium
D)Succinylcholine

Question 60

Small,involuntary muscle twitches just under the skin are known as

A)minimum alveolar concentrations.
B)fasciculations.
C)depolarization.
D)nondepolarization.

Question 61

Match the following medications with the correct categories.
Flumazenil (Mazicon)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 62

Match the following medications with the correct categories.
Ketamine (Ketalar)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 63

Nasal intubation may be useful for which type of surgical procedure?

A)Abdominal
B)Oral
C)Orthopedic
D)Thoracic

Question 64

Match the following medications with the correct categories.
Isoflurane (Forane)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 65

Which type of surgical patient is at risk for being aware under anesthesia?

A)Patients with acute pain
B)Trauma patients
C)Mentally challenged patients
D)Patients with allergies

Question 66

In the preanesthesia era,surgery was based on

A)speed.
B)luck.
C)skill.
D)shock.

Question 67

Which is an example of a video laryngoscope?

A)Macintosh
B)Miller
C)McGrath
D)McGill

Question 68

A supraglottic airway is also known as a(n)

A)ET tube.
B)LMA.
C)McGill Forcep.
D)mask.

Question 69

Match the following medications with the correct categories.
Etomidate (Amidate)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 70

Which structure is encountered when placing an ET tube?

A)Trachea
B)Esophagus
C)Stomach
D)Lung

Question 71

Match the following medications with the correct categories.
Fentanyl (Sublimaze)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 72

Match the following medications with the correct categories.
Atracurium besylate (Tracrium)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 73

Match the following medications with the correct categories.
Methohexital (Brevital)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 74

Which age group is never a candidate for regional or local anesthesia?

A)Geriatric
B)Pediatric
C)Adult
D)Adolescent

Question 75

A surgical patient,who is morbidly obese and has a history of GERD,may be intubated by using

A)fiberoptic endotracheal intubation.
B)nasal intubation.
C)laryngeal masked airway.
D)endotracheal tube.

Question 76

Match the following medications with the correct categories.
Desflurane (Suprane)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 77

Match the following medications with the correct categories.
Edrophonium (Tensilon)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 78

Match the following medications with the correct categories.
Alfentanil (Alfenta)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative

Question 79

Which of the following equipment is a part of the anesthesia workstation?

A)Back table
B)OR table
C)Vaporizer
D)Kick bucket

Question 80

Match the following medications with the correct categories.
Diazepam (Valium)

A)Barbiturate
B)Depolarizing muscle relaxant
C)Hypnotic agent
D)Inhalation anesthetic
E)Nondepolarizing muscle relaxant
F)Opioid analgesic
G)Reversal agent
H)Sedative