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edf65a4f-ac3e-5795-a3fe-d1f0f9230c3f
Which of the following fentanyl analogue is used in heart surgery?
Alfentanyl
Sufentanil
Remifentanil
Carfentanil
4
B
1
null
null
null
null
null
c9873431-dcc9-57aa-abde-1c7ba8abaff1
Which of the following is the shortest acting fentanyl analogue?
Alfentanyl
Sufentanil
Remifentanil
Carfentanil
4
C
1
null
null
null
null
null
737a23f7-bd4c-521c-9386-aa0e863467c3
Which of the following fentanyl analogue is being used in veterinary practice?
Alfentanyl
Sufentanil
Remifentanil
Carfentanil
4
D
1
null
null
null
null
null
f45f3c35-3076-58aa-a08f-e6df017e45cd
What is the function of local anesthetics?
Suppress the activity of the brain
Render a specific portion insensitive to pain
Suppress the function of a whole organ
Make the patient’s full body insensitive to pain
4
B
1
null
null
null
null
null
216044d9-4979-5f6d-add4-4b1fd61ba6d9
Which of the following is the parenteral application of local anesthetics?
When applied to the mucous membrane
When applied to the skin
When injected to CNS through spinal injection techniques
Using ophthalmic drops
4
C
1
null
null
null
null
null
f952996f-b526-5744-96cf-0b84a4f861ae
Which of the following are natural local anesthetics?
Cocaine
Benzocaine
Benzyl alcohol
Clove oil
4
A
1
null
null
null
null
null
343b20c8-bc20-5d2a-a8fd-faa9beeb2720
Which of the following is synthetic nitrogenous local anesthetic?
Cocaine
Benzocaine
Benzyl alcohol
Clove oil
4
B
1
null
null
null
null
null
1703d589-6d4d-59f5-9caa-cfe102eaf6e7
Which of the following is synthetic non-nitrogenous anesthetic?
Cocaine
Benzocaine
Benzyl alcohol
Clove oil
4
C
1
null
null
null
null
null
cd6eb515-3261-51ea-b9e4-08716801b43e
Apart from natural, synthetic, synthetic non-nitrogenous, which of the following is also a local anesthetic?
Cocaine
Benzocaine
Benzyl alcohol
Clove oil
4
D
1
null
null
null
null
null
4f1c198a-86dc-56c0-be92-c27965957627
Which of the following is the pharmacological action of local anesthetics?
Reversible block of conduction in nerve
Class II antidysrhythmic like action
Contraction of smooth muscle
Excitation of neuro-muscular transmission in skeletal muscle
4
A
1
null
null
null
null
null
dcac3575-0df1-5f1d-a8dc-a37a0de03ea8
What does membrane expansion theory states?
The mechanism is not similar to the general anesthetics
Does not rely upon the lipophilic moiety of drugs
The molecules of the agent get incorporated into the lipid membrane
Causes nerve polarization
4
C
1
null
null
null
null
null
5ef4af04-e046-56ba-8d69-e7b95bfc9f32
What does the specific receptor theory state?
Local anesthetics bind to various receptors
Produces chemical changes to the receptors
Tries to open all the closed sodium gates
Binding produces conformational changes
4
D
1
null
null
null
null
null
27592b3a-22c6-5dd7-9d68-e5252c13c0c4
Which of the following factor do not affect the absorption of local anesthetics?
Vasodilating ability of drug
Volume and concentration
Vascularity of the tissue
Presence of vasodilator
4
D
1
null
null
null
null
null
9c5e6db6-ff53-522a-b6b8-6b468fc3117a
Which is the first local anesthetic?
Cocaine
Benzocaine
Benzyl alcohol
Clove oil
4
A
1
null
null
null
null
null
5d06e321-15ac-5954-aa98-703ca92005b7
Which of the following is being used in dentistry when patients have an allergy from procaine?
Cocaine
Benzocaine
Benzyl alcohol
Procaine
4
D
2
null
null
null
null
null
a0f33277-47c0-5bd5-877c-4d2051654535
Which of the following is amide type drug?
Lignocaine
Cocaine
Procaine
Benzocaine
4
A
1
null
null
null
null
null
3fa6e2fe-317b-57c1-b7c0-7e065410bada
Which of the following is topical with high concentration?
Lignocaine
Cocaine
Procaine
Benzocaine
4
D
1
null
null
null
null
null
7dcd0dce-3a84-5232-a23b-342e5dc30136
Cocaine, when used for local anesthetics, has a half-life of 30 minutes.
True
False
null
null
2
A
1
null
null
null
null
null
93ca7391-a135-5348-add2-838ba1835416
Which of the following will work as an anesthetic?
Pantoprazole
Amlodipine
Cocaine
Mannitol
4
C
1
null
null
null
null
null
1c29cc91-d980-5a9c-854c-a1e9b5557240
In which of the stage of general anesthesia the movement of the diaphragm is the highest?
Plane 1 of stage III
Plane 2 of stage III
Plane 3 of stage III
Plane 4 of stage III
4
A
1
null
null
null
null
null
994607fa-e66a-5c2a-82b0-f9d2a6ff83ca
In which stage of general anesthesia the patient starts vomiting?
Stage I ending
Stage II ending
Stage III ending
Stage IV ending
4
B
1
null
null
null
null
null
e9323b2b-46c8-5010-9dc8-038f010e5e80
What is the function of general anesthetics?
Render a specific portion of the body insensitive to pain
Render a full body of the patient insensitive to pain
Render a specific organ of the body insensitive to pain
Render a specific CNS of the body insensitive to pain
4
B
1
null
null
null
null
null
c721a35e-0e93-5582-8d10-9ccfc0323016
Which of the following is not an inhaled anesthetics?
Haloethane
Enflurane
Isoflurane
Diflurane
4
D
1
null
null
null
null
null
a0c92f1a-6dbf-5337-b445-c23c55039930
Which of the following order of inducing cardiac arrhythmias of inhaled anesthetics is correct?
F < Br < I < Cl
F < Cl < Br < I
F > Cl > Br > I
Br < I < F < Cl
4
B
1
null
null
null
null
null
5c1fe3bc-17d8-5b6d-a7ed-ee7d602e3183
Which of the following is incorrect if we are talking about the essential components of general anesthesia?
Analgesia
Hypnosis
Depression of spinal motor reflexes
Muscle contraction
4
D
1
null
null
null
null
null
8fe9687e-c9df-55e1-b716-04bc99602cc4
What does the lipid theory tell?
Lower the solubility of the anesthetic in water higher potency it has
Higher the solubility of the anesthetic in water higher potency it has
Higher the solubility of the anesthetic in oil higher potency it has
Lower the solubility of the anesthetic in oil higher potency it has
4
C
1
null
null
null
null
null
47190b99-b96d-5c2b-b11a-3fa4306a1413
What does the protein (receptor) theory tells us?
Anesthetic potency is related to the ability of anesthetic to inhibit enzyme activity
Higher the solubility of the anesthetic in water higher potency it has
Higher the solubility of the anesthetic in oil higher potency it has
Lower the solubility of the anesthetic in oil higher potency it has
4
A
1
null
null
null
null
null
843391b9-0b1e-548e-bd85-feb912145bd1
Administration of general anesthetics decreases the presynaptic Ca2+ entry.
True
False
null
null
2
A
1
null
null
null
null
null
757abf0c-02fb-5c34-8200-82e52a67eda4
Local anesthetics increase the axonal Na+ entry.
True
False
null
null
2
B
1
null
null
null
null
null
a658460c-5b0f-5087-b44f-a6d4075740b9
The lower the blood: gas ratio, the more anesthetics will arrive at the brain.
True
False
null
null
2
A
1
null
null
null
null
null
ee133db3-c6e2-53b1-b601-846c1680ba63
Which option will be correct for the marked place in the diagram shown below?
Alveoli
Arterial blood
Venous blood
Brain
4
B
1
null
null
null
null
null
e53dc56e-55a6-577e-9657-efe14b79e24a
Which hormone is a major contributor to the symptoms of inflammation?
Histamine
Serotonin
Bradykinin
Leukotrienes
4
C
1
null
null
null
null
null
eb7e20f8-2242-543b-bd2c-19033bb37ab8
Which of the following promotes edema?
Histamine
Serotonin
Bradykinin
Prostaglandins
4
D
1
null
null
null
null
null
7d52c27f-0eca-55bd-a422-aba1ff0ef367
Which hormone is a major contributor for pain during inflammation reaction?
Histamine
Serotonin
Bradykinin
Leukotrienes
4
C
1
null
null
null
null
null
f9e96e02-eaa9-5102-8144-6a35951b24c6
Which hormone is a major contributor to chemotaxis while inflammation reaction?
Histamine
Serotonin
Prostaglandins
Leukotrienes
4
C
1
null
null
null
null
null
1083988b-5178-579b-a3a1-9bb8014abc84
Which hormone is a major contributor for increasing vascular permeability during inflammation?
Histamine
Serotonin
Bradykinin
Leukotrienes
4
A
1
null
null
null
null
null
6c55e33b-a526-56a3-b3ac-ba41005464fd
Which hormone is a major contributor to vasodilation during inflammation reaction?
Histamine
Serotonin
Bradykinin
Leukotrienes
4
C
1
null
null
null
null
null
9ff5a8ad-857d-5e67-b097-8975d5e91c32
Why the redness can be seen during inflammation?
Local blood vessel dilation
Influx of plasma proteins, phagocytic cells into the tissue spaces
Release of enzymes
Increased of tissue pressure
4
A
1
null
null
null
null
null
0cb46e52-74a7-5916-8462-642aa4cc545d
Why the Heat can be seen during inflammation?
Local blood vessel dilation
Influx of plasma proteins, phagocytic cells into the tissue spaces
Release of enzymes
Increased of tissue pressure
4
A
1
null
null
null
null
null
caba7840-5bd5-51f7-9950-560d5ef89975
Why the swelling can be seen during inflammation?
Local blood vessel dilation
Influx of plasma proteins, phagocytic cells into the tissue spaces
Release of enzymes
Increased of tissue pressure
4
B
1
null
null
null
null
null
74b4dddf-a665-50eb-841d-9f42ed390bac
Why the pain can be felt during inflammation?
Local blood vessel dilation
Influx of plasma proteins
Release of enzymes and increased of tissue pressure
Influx of phagocytic cells
4
C
1
null
null
null
null
null
ec1fe441-3e32-5f0c-b7bc-f78c0600f5a8
Which of the following drug is an indole derivative?
ASA
Ibuprofen
Phenylbutazone
Indomethacin
4
D
1
null
null
null
null
null
aab212cf-43d0-5af0-853d-6a54e05ad5a7
Which of the following drug is a Phenylpropionic acid derivative?
ASA
Ibuprofen
Phenylbutazone
Indomethacin
4
B
1
null
null
null
null
null
65e14b67-5527-59e7-8fbf-3fe9ef27e4b2
Which of the following is an example of salicylates?
ASA
Ibuprofen
Phenylbutazone
Indomethacin
4
A
1
null
null
null
null
null
221fdfd6-db9c-5517-9ce8-87e4fba0dea4
Inflammatory response is an abnormal defense mechanism.
True
False
null
null
2
B
1
null
null
null
null
null
77910d39-7b05-5374-bd8d-3128048b14b1
Inflammatory switch does not have an off switch.
True
False
null
null
2
B
1
null
null
null
null
null
42186061-541c-5a7d-837c-6bec6e6965f6
Which is the predominant form of cyclooxygenase enzyme?
COX 1
COX 2
COX 3
COX 4
4
A
1
null
null
null
null
null
a5601215-3657-58c8-83df-121e76890dc5
How does NSAIDs work?
Inhibit arachidonic acid
Inhibit Endoperoxide intermediate
Inhibit Prostaglandin and thromboxane synthesis
Inhibit cyclooxygenase
4
D
1
null
null
null
null
null
0da92388-08e5-5511-904a-1bb4629e3b91
Which of the following has a half-life of 45 Hrs?
Piroxicam
Phenylbutazone
Ibuprofen
Indomethacin
4
A
1
null
null
null
null
null
8eeac021-dd3d-5693-9f1f-03873b2a870a
Which of the following has the same potency as ASA and better tolerated by patients?
Piroxicam
Phenylbutazone
Ibuprofen
Indomethacin
4
C
1
null
null
null
null
null
fcea5cb1-a323-59a5-8496-d9abefe0e1d5
Which of the following cannot be tolerated, rheumatoid arthritis patient?
Piroxicam
Phenylbutazone
Ibuprofen
Indomethacin
4
D
1
null
null
null
null
null
f5812299-3140-5a9d-883c-9b657f619c79
Which of the following pyrazolone derivative’s has toxic side effects?
Piroxicam
Phenylbutazone
Ibuprofen
Indomethacin
4
B
1
null
null
null
null
null
3bae23a2-0c48-5779-ad0e-b9728e81ce5b
Which of the following is a pro-drug and related to indomethacin?
Piroxicam
Phenylbutazone
Sulindac
Indomethacin
4
C
1
null
null
null
null
null
257706f0-1659-5282-8742-ab93d615365a
Which of the following is also known as “housekeeping enzyme”?
COX 1
COX 2
COX 3
COX 4
4
A
1
null
null
null
null
null
ea2bee76-f95e-54ae-be3c-5069a0704a5d
Which of the following responsible for inflammatory response mainly?
COX 1
COX 2
COX 3
COX 4
4
B
1
null
null
null
null
null
3fdb5100-6d96-5ebe-a700-296aa22bd6cd
Why there are side effects of NSAIDs?
Inhibition of COX 1
Inhibition of COX 2
Inhibition of COX 3
Inhibition of COX 4
4
A
1
null
null
null
null
null
5c6e6039-4df1-5400-8db6-6ed55fea71b3
Which of the following has the least GI effect and derived from parent NSAIDs?
Piroxicam
Phenylbutazone
NO-NSAIDs
Indomethacin
4
C
1
null
null
null
null
null
d7d42a0d-f12d-5153-8d3f-197028565d56
How does Eicosapentaenoic acid functions to decrease the inflammation rate?
Decrease Prostaglandin production
Don’t form prostaglandin
Induce the formation of prostaglandins at certain times
The prostaglandins, thromboxane produced from EPA are less active
4
D
1
null
null
null
null
null
c8fd4703-0571-5529-b7c4-81562eed528a
Macrophages with a high content of EPA produce less TNF and IL-l.
True
False
null
null
2
A
1
null
null
null
null
null
0f517e47-ab7c-5278-b154-28b6d4c35436
Which of the following comprises the low-pressure system?
Flowmeter tubes
Vaporizers
Check valves
Common gas outlet
5
E
1
All of the above
null
null
null
null
8b589961-aa9c-57f1-b3b5-97d1e854ff0e
What is the last safeguard before the gases reach the patient?
ETT
Thorpe tube
Oxygen analyzer
Capnograph
4
B
1
null
null
null
null
null
26bbd9cb-6ab3-54af-bcf9-1579d99a405e
When is an O2 analyzer reading erroneous?
When an LMA is used
A deflated ETT cuff
When used with nasal cannula
When it is used higher than sea level
4
C
2
null
null
null
null
null
cb5a056d-78b1-5f2c-9a75-7d66ca60f4f0
There are ____ sprockets on an oxygen flowmeter.
10
2
14
23
5
B
1
I don't know I was never good at math
null
null
null
null
eb9baa68-5450-5d6c-9015-2473e04d0a19
What is the minimum o2: N2O ration?
1:1
1:2
1:3
1:4
4
C
1
null
null
null
null
null
1246d9a5-ca82-536d-8330-e8b4f173fb09
The purpose of the safety devices in the low flow system is:
Increase the saturated vapor pressure
Minimize the density of the gas
Minimize turbulence throughout the system
Decrease the risk of a hypoxic mixture
4
D
1
null
null
null
null
null
f6315bc8-063c-5d24-b625-114121ccbdba
Name the gas that we use as a carrier gas for agents.
Air
N2O
Oxygen
CO
5
C
1
CO2
null
null
null
null
6cac436b-2357-5403-a2bf-c7ba9caca6c0
Modern vaporizers are within the breathing circuit. True or false?
True
False
null
null
2
B
1
null
null
null
null
null
c6bc635d-57cc-5885-a387-19af08784ea0
What is a vaporizer interlock mechanism?
Prevents the vaporizer from falling to floor and releasing its contents
Prevents the wrong agent from being placed into the vaporizer
Allows specific flowover to the breathing circuit
Prevents more than 1 vaporizer to be turned on at one time
4
D
1
null
null
null
null
null
fb472fdb-82e4-5145-b511-5208f9266143
The main purpose of the circle system is:
To allow rapid transition to ambu bag
To prevent rebreathing of CO2
To help the scavenger system
All of the above
4
B
1
null
null
null
null
null
e6917021-7157-5047-8cff-f1f971a195cb
If the APL valve is open and the ventilation bag squeezed where will all of it contents go
Scavenger system
The patient
The circle system
To the hospital gas supply
4
A
1
null
null
null
null
null
ddfe62ba-9dc3-5be7-95c2-48eb9ed94ed4
The approximate water content of Soda Lime is
10-12%
12-14%
14-19%
23-37%
4
C
1
null
null
null
null
null
6f38b5d9-1af7-5c73-b672-904cd4760b30
Which of the following are ventilator components?
Safety release valve
Driving gas supply
Injector
Bellows assembly
5
E
1
All of the above
null
null
null
null
4d36dea3-6084-5da7-a913-9db72cc08416
The standard size in the U.S. for a scavenger system hose is ________.
19mm
20mm
30mm
33mm
4
A
1
null
null
null
null
null
f33dc343-acd0-5736-9119-cdadb2e75818
Define regulations
Accepted methods of practice
Legal mandate
Micro-adjustments to the vaporizer
Who cares I am just a SRNA
4
B
1
null
null
null
null
null
64f5eaf8-9759-58d6-beae-9cdc2c5d8cbf
What are standards?
Accepted methods of practice
Legal mandates
Based upon the MAC of a volatile agent
FIU let Chris into the CRNA program, they obviously have no standards, then why should I!
4
A
1
null
null
null
null
null
cf7ea8e9-eccb-5a61-a55c-2c190b01fa92
Which of the following regulate gas cylinders?
FDA
NIOSH
OSHA
DOT
5
D
1
MLBPA
null
null
null
null
5ebad4f8-2bd9-5505-840a-220122e7e752
Which agency enforces a safe working environment?
FDA
NIOSH
OSHA
DOT
5
C
1
MLBPA
null
null
null
null
62f8aaf3-2296-5585-9144-e866fdd78aa3
Name the agency that writes criteria for OSHA to enforce.
FDA
MLBPA
NIOSH
DOT
5
C
1
NFPA
null
null
null
null
d0c81236-d669-5243-b4f1-d0ed406dfcb5
Who handles most standards affecting anesthesia?
FDA
NIOSH
ASTM
CGA
5
C
1
NFPA
null
null
null
null
cfe568bb-8ed5-50bd-8535-554d0304a5fe
Which of these are thw parts of the medical gas cylinder?
Cylinder
Valve
Pressure Relief Device
Conical Depression
5
E
1
All of the above
null
null
null
null
5e5765e7-87ec-5d4e-b9c8-c8e3b350e13c
What is the danger with Adiabatic compression?
Icing of cylinder
Rapid vaporization
Fire hazard with recompression
Fire hazard with decompression
4
C
1
null
null
null
null
null
9f6c71b6-c2c1-532c-ae43-692a5b34e00f
What is the danger with Adiabatic expansion?
Rapid vaporization
Icing of cylinder
Fire hazard with recompression
An increase in volatile anesthetic delivery
4
C
2
null
null
null
null
null
1c486560-2bed-533d-be4e-7508b3b124ad
What is PISS?
Diameter index safety system
Premature induction sevoflurane system
Pin index safety system
How most Irishmen feel at the end of a week of CRNA school without drinking beer
4
C
1
null
null
null
null
null
621c5635-b26d-506b-9e97-b911cced0efd
What is the PISS of N2O?
1,5
2,5
3,5
4,5
4
C
1
null
null
null
null
null
0ba07e26-6552-54fb-8819-5b455bc0547c
What is DISS?
Diameter index safety system
Pin index safety system
Desflurane induction safety standards
What a Super senior will do to you at the hospital after asking them a stupid question
4
A
1
null
null
null
null
null
9252232a-b940-5982-a63b-77ba86a615f3
Which of the following is NOT a component of the anesthesia machine?
Vaporizer
Ventilator
Defibrillator
Scavenging system
4
C
1
null
null
null
null
null
83e7377a-e24a-5e15-beff-633311149ea3
How many liter of O2 are in a G cylinder?
660
1500
1200
5300
4
D
1
null
null
null
null
null
68853dff-594a-551d-9972-692e9929b563
Define Vapor.
The amount of pressure in a cylinder
Conversion of a liquid to a gas
Gas phase of a substance that is liquid at room temperature and atmospheric pressure
All of the above
4
C
1
null
null
null
null
null
cb3c7d93-0193-5cc8-8ffe-3337933e7dfc
What is vaporization?
The amount of pressure in a cylinder
Conversion of a liquid to a gas
Gas phase of a substance that is liquid at room temperature and atmospheric pressure
All of the above
4
B
1
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10a71806-b51d-5ac2-a08e-03e4ed40fb56
Vaporization depends on what?
Vapor pressure of the agent
Temperature of the environment
Amount of carrier gas used
All of the above
4
D
1
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9034f925-c2a9-57af-9087-0f65bb85aab5
Define volatile anesthetic agent.
Molecules of a liquid that break away and enter the space at the top of the vaporizer
Pressure created when the molecules bombard the walls of the containe
Molecules entering the liquid phase
Liquid that has a tendency to change to a vapor at standard temperature and pressure
4
D
1
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0c4c58a0-aba4-5f64-8cac-54fd1589530b
What is the SVP of Sevo?
175
238
160
243
4
C
1
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9d0a0aee-515d-558c-91d6-8f8e424539f1
What is the SVP of Isoflurane?
238
175
160
243
5
A
1
660
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cccb0a33-be29-5118-8be7-c9b1c7acf7a9
What is the SVP of Enflurane
23
175
243
248
5
B
1
660
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63a70074-7e27-5f40-a5c5-49d57242dd0d
What increases SVP?
Cooling
Heating
Passing gas over the liquid
All of the above
4
B
1
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0c8a41f1-76ea-5a6d-8253-70ea46bc3c64
What does a wick do in a vaporizer?
Changes FGF
A safeguard for system pressure failure
Increases surface area
Play backup QB for the Philadelphia Eagles
4
C
1
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679216bd-bfcf-5201-9c16-72a80ffe6ab4
With what method is all of the gas vaporized into the gas flow?
Bubble through
Flow over
Injection
All of the above
4
C
1
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2e6d2444-cb42-5137-bba3-3555c8cf5367
Which anesthetic agent requires supplied heat.
Sevo
Iso
Des
Halothane
4
C
1
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b00a05c3-10e1-592f-a388-b81c2159247b
What is vapor pressure?
The temperature at which Vapor pressure is equal to barometric pressure
Pressure exerted on the walls of a container by molecules that have broken away from the liquid surface
The number of calories needed to convert one gram of liquid into vapor
The pressure prior to solidifying of the liquid
4
B
1
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83e740f3-f07d-5ffb-96a5-52e1e186a49d
What is boling point?
The temperature at which Vapor pressure is equal to barometric pressure
Pressure exerted on the walls of a container by molecules that have broken away from the liquid surface
The number of calories needed to convert one gram of liquid into vapor
The pressure prior to solidifying of the liquid
4
A
1
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