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75393ca0-82ae-50ce-bf2f-b2187e6cc404
What does Gay-Lusaac's law state?
At a constant volume, the pressure of a gas is directly proportional to the temperature.
The amount of gas dissolved in a liquid is directly proportional to the partial pressure of the gas over the liquid and indirectly proportional to temperature.
At a constant temperature, the volume of a gas varies inversely with the pressure.
The total pressure of a mixture of gases in a closed container at a given temperature is equal to the sum of the pressure that each gas exerts.
4
A
1
null
null
null
null
null
01d660c0-0573-5056-bd44-adb1e499ed30
Which statement is NOT TRUE about water?
It is considered to be the universal solvent
Heat increases density
Cooling increases density
null
3
C
1
null
null
null
null
null
991a5d64-62f3-5fcd-a152-ef48dfdf984f
Which of the following involves movement of a SOLVENT ONLY across a semi permeable membrane?
Osmosis
Diffusion
Oncotic Pressure
Hypnosis
4
A
1
null
null
null
null
null
f7f5b5de-09ff-5611-8732-b113ef9c62bf
At room temp (20 C ) and at sea level the pressure reading on your O2 tank is 750 psi. There is a drastic change in temperature and now your tank reads 1275 psi. What temperature is it?
30 C
34 C
12 C
40 C
4
B
2
null
null
null
null
null
e2f6a333-a471-5838-aff0-59482d40ef79
What agent revolutionized anesthesia in 1846?
Cocaine
Cannabis
Diethyl Ether
Propane
4
C
1
null
null
null
null
null
63da2bde-caaf-54f9-a033-9c410b615bc9
The three basic phases of anesthesia.
Pre medication, intubation, O2
Induction,Emergence, Awakening
IV, Intubation,Emergence
Induction, Maintenace, Emergence
4
D
1
null
null
null
null
null
b24c1278-e3e9-5fea-a1f3-d94ba446ff8f
Name a neuromuscular blocking agent.
Rocuranium
Fentanyl
Neostigmine
Ketamine
4
A
1
null
null
null
null
null
111b8f51-28d0-59fc-901a-608a5e274f8b
Muscle strength returns in reverse, smaller ones( eyelid muscles) regain strength last.
True
False
null
null
2
A
1
null
null
null
null
null
63db2f1d-c965-5316-83c7-207165a773f4
Name two pharmaceutical methods that were somewhat effective for pain management before 1846.
Alcohol & Tea
Canabis & Coffee
Alcohol & Cocaine
Opium and Plums
4
C
1
null
null
null
null
null
af42e013-658a-5fb5-b3cc-3ee6eabc4a97
The Triad of Anesthesia include following, Except
Analgesia
Sleep / Hypnosis
Muscle Relaxation
Memory Loss
5
D
1
Non of Above
null
null
null
null
54f49e75-add5-5944-96d6-3041a7dc4bca
For Obese Patients, When used in overweight or obese patients (defined as patients with a body weight of 30% or more above ideal body weight) doses should be reduced taking into account ideal body weight.
True
False
null
null
2
A
1
null
null
null
null
null
b5d12a4a-91d6-5502-8c88-3b4e43218117
Acetylcholine is one of the most important Neurotransmitters, made up of Acetyl Co-A and Choline Molecules. Which of the following is it's the site of release, at Neuromuscular junction?
Presynaptic Neuromuscular Vasicles
Post-synaptic Nicotinic receptor sites
Inter-synaptic Membrane
I dont know
5
A
1
All of Above
null
null
null
null
595456eb-57f9-535c-8bea-1d5718b4f50a
For Maintenance dose of Rocuronium, The recommended maintenance dose is 0.15 mg.kg-1 rocuronium bromide; in the case of long-term inhalational anesthesia, this should be reduced to 0.075-0.1 mg.kg-1 rocuronium bromide. The maintenance doses should best be given when twitch height has recovered to 25% of control twitch...
True
False
null
null
2
A
1
null
null
null
null
null
eef02949-1bf1-5d9f-b3c8-502117911010
Following are the routes of Anesthesia, Except
Intravenous Anesthesia
Inhalation Anesthesia
Oral Anesthesia
Total Intravenous Anesthesia
5
C
1
Non of Above
null
null
null
null
13fdbe57-5b6d-5031-9563-d9bcb52b6b59
Total clinical Duration...
Time (min) from end of injection till recovery of neuromuscular transmission (twitch height) to a level of 90% of control
Time between start of injection and the first moment at which endotracheal intubation can be performed
Time between end of injection and first mooment at which endotracheal intubation can be preformed
Time (min) from start of injection till recovery of neuromuscular transmission (twitch height) to a level of 90% of control
6
A
1
I dont Know
Non of above
null
null
null
98e307f3-11fe-5155-b918-d343086e5cd3
Succinylcholine belongs to which of the following groups of Neuromuscular Blocking Agent.
Aminosteroid NMBA
Benzyllisoquinolines NMBA
Depolarizing NMBA
Non-Depolarizing NMBA
4
C
1
null
null
null
null
null
e097e217-f999-5dc4-9d62-b1ae09baeb24
For Continuous Infusion of Rocuronium, If rocuronium bromide is administered by continuous infusion, it is recommended to give a loading dose of 0.6 mg.kg-1 rocuronium bromide and, when neuromuscular block starts to recover, to start administration by infusion. The infusion rate should be adjusted to maintain twitch...
True
False
null
null
2
A
1
null
null
null
null
null
64907339-480b-508b-b1e6-556b93013d86
According to American Society of Anesthesiologists, ASA-3 assign for the physical status who are;
Patients with Mild Systemic Disease
Normal Healthy Person with no significant illness or disability
Patients with Severe uncontrolled medical problems that are life threatening
Patients with severe systemic disease that effect their daily life but not life threatening
5
D
1
A brain dead person being taken for Organ donation surgery
null
null
null
null
2bab52a9-6d4f-5d56-9131-133fd5eabf6a
Select the Single best for Rocuronium:
Rocuronium launched in 1977
The experience with rocuronium bromide in rapid sequence induction in pediatric patients is limited. Rocuronium bromide is therefore not recommended for facilitating tracheal intubation conditions during rapid sequence induction in pediatric patients
In pediatric population, Rocuronium is the only option for Anesthetist
null
3
B
1
null
null
null
null
null
70ce7af5-8c2b-5875-ac07-06403c20e1b6
Which of the following are the Strengths of Cis-atracurium, Except
Organ-independent elimination (less prolonged recovery in elderly and renal/hepatic impaired)
No significant histamine release
Slow onset
Suitable for CV-unstable and atopic patients
6
C
1
Ready to Use
Non of Above
null
null
null
556edc7d-5ad7-5058-9559-a8a5b28e1909
Types of Anesthesia.
General Anesthesia
Local Anesthesia
Regional Anestehsia
Spinal or Epidural Anesthesia
5
E
1
All of Above
null
null
null
null
54601bdd-d081-5a3e-9012-0844b893dd39
The best explanation for Anesthesia is...
Irreversible Loss of Feeling or Sensation in all parts of body
Reversible Loss of Feeling or Sensation in part of body
Reversible Loss of Feeling or Sensation in All or Part of Body
All or Above
4
C
1
null
null
null
null
null
29b6625f-1d04-54a5-8943-ee1705c21fee
Following are true for Rocuronium Bromide, Except.
Indicated as adjunct to general anesthesia to facilitate routine Endotracheal Intubation to provide skeletal muscle relaxation during surgery or mechanical ventilation
Indicated as adjunct to general anesthesia to facilitate Rapid Sequence Intubation to provide skeletal muscle relaxation during surgery or mechanical ventilation
Rocuronium bromide is a nondepolarizing neuromuscular blocking agent with rapid to intermediate onset and an intermediate duration of action, depending on dose used
Rocuronium has its effect on Conciousness, pain threshold, thinking ability and memory.
5
D
1
Route of administration is Intravenous.
null
null
null
null
7822395a-4aea-5bef-a2c1-834fb4c72ed9
Unconsciousness occurs before MAC is reached.
True
False
null
null
2
A
1
null
null
null
null
null
9fef8640-fa8d-539a-8190-862b5a0c9e11
When does MAC not change?
Between 20-60 years of age
Between 5-20 years of age
Between 20-65 years of age
Between 10-20 years of age
4
A
1
null
null
null
null
null
23340af4-8623-52c7-8cb9-aae08360076c
MAC BAR is...
1.5 MAC and opioids will increase MAC BAR
0.3-0.4 MAC and opioids will decrease MAC BAR
0.3-0.4 MAC and opioids will increase MAC BAR
1.5 MAC and opioids will decrease MAC BAR
4
D
2
null
null
null
null
null
3b413562-0015-5e5b-9fc4-e07ee263bf19
Which of these is MAC a measure of?
Homeostasis
Movement
Analgesia
Amnesia
4
B
1
null
null
null
null
null
c5b5d180-b7e6-5f75-9cfe-4624e8281b1c
Which of these does CAN change MAC?
PaO2 >38 mmHg
Sex
Sodium levels
Duration of anesthesia
8
C
1
K/Mg levels
PaCO2 15-95 mmHg
Anesthetic metabolism
Thyroid function
null
51a843a4-5929-53d0-9d83-7047a22a46c1
Where do we have to block to get the movement, reflex, or withdrawal to pain reflexes to stop?
Peripheral sensory nerves
Spinal cord
Cerebral cortex
Brain stem
4
B
1
null
null
null
null
null
308c82e8-cb99-51fd-abc0-1a59562b1da0
Choose the correct statement.
Inhaled anesthetics do NOT block SSEPs (stimulus in periphery still reaches cortex).
All of these statements are correct.
Inhaled aneshetics will not stop hyperalgesia, will not work for pre-emptive analgesia.
Peripheral sensory receptors are NOT affected by inhalation agents.
4
B
1
null
null
null
null
null
fb08dcb2-d7e3-5f1a-9e33-21cf89bb0067
Duration of anesthesia can change MAC.
True
False
null
null
2
B
1
null
null
null
null
null
a35cf18d-8e92-56df-9b38-73f73b7be4fb
Which of these is NOT a characteristic of MAC?
"Free drug" is measured in plasma concentrations rather than partial pressure or %
Monitored breath by breath, minute by minute
Reproducible
Value does not correlate with other anesthetic drugs
4
A
1
null
null
null
null
null
94df844e-bc4e-5cb2-8a6e-a818f8525539
MAC is the level at which 50% of patients do not move on...
Intubation
Incision
Extubation
Excision
4
B
1
null
null
null
null
null
0695e63f-2aaf-56f1-bb06-16b466da487e
If your patient is 90 years old, how much would you decrease/increase your MAC by?
Decrease by 18%
Decrease by 6%
Increase by 24%
Decrease by 30%
9
D
2
Decrease by 36%
Decrease by 24%
Increase by 18%
Increase by 30%
Increase by 50%
9c86b50e-b76c-5631-b117-260fff890b6d
The spinal cord is the site of action for ______, only with potent gases.
Homeostasis
Loss of recall
Amnesia
Analgesia
5
E
1
Immobility
null
null
null
null
851ac931-252e-5a16-a68a-f20d508e5bed
Anesthesia is the drug-induced reversible depression of the CNS resulting in the loss of response to external stimuli.
True
False
null
null
2
A
1
null
null
null
null
null
e4a49de8-7a50-5fe2-8b6f-be4c691cb2c0
With MAC, a patient will have all of the following, EXCEPT...
No response to ETT placement
No movement on incision
All of these are correct.
No response to verbal commands
5
C
1
No recall
null
null
null
null
624c1d65-b12b-5d9f-995e-e2416ccbc8a8
MAC awake is the alveolar concentration of anesthetic at which patients...
Opens eyes to commands
Starts breathing on their one
Won't move on incision
Responds spiritually to commands
4
A
1
null
null
null
null
null
09a30a3a-2a6d-5094-b52e-f6319c3947b3
MAC BAR is the alveolar concentration of anesthetic at which the patient will
Not move on surgical incision
Open eyes to command
Blunt adrenergic responses to noxious stimuli (incision)
Start breathing on their own
4
C
1
null
null
null
null
null
fe271dc6-34f4-501f-990e-643791957d7b
Peripheral sensory receptors are affected by inhalation anesthesia.
True
False
null
null
2
B
1
null
null
null
null
null
db2cbb9a-836e-57e1-bfe5-38f1eca3aecc
Studies have shown that inhaled anesthetics have some teratogenic/carcinogenic effects.
True
False
null
null
2
B
1
null
null
null
null
null
968b3eab-4830-5a72-afd0-18507ee46785
Which of the following is a potent gas?
Nitrogen
Room air
Zabaflurane
Nitrous oxide
6
F
1
Oxygen
None of these are correct.
null
null
null
498d6fb9-748c-5090-b2cc-4750274461cb
Inhalation agents inhibit the _____- receptor at the myoneural junction. This is important because there are times where you want muscle relaxation, but can't give any muscle relaxants. High levels of anesthetic can cause muscle relaxation.
Mu
Voltage-gated
ACh
GABA
5
C
1
Beta
null
null
null
null
ee703227-4fdf-5cd8-ac8d-83eb0b2a7b53
Loss of self-awareness/recall occurs at...
0.3-0.4 MAC
0.1-0.2 MAC
1.0-1.5 MAC
0.5-0.6 MAC
4
A
1
null
null
null
null
null
ea924538-88fc-566a-98cf-062262cb7435
Minimum anesthesia concentration of an anesthetic at one ATM that prevents movement in response to surgical incision.
True
False
null
null
2
B
1
null
null
null
null
null
f4767518-3a72-5a69-918a-74a3a0f84ddc
MAC of isoflurane
1.51
2.5
1.15
2
6
C
1
6
105
null
null
null
cd93d77e-9c52-5254-9f1c-475db2efd58f
Large carbon chains are better at attenuating movement in the spinal cord than small carbon chains.
True
False
null
null
2
A
1
null
null
null
null
null
dfc9f5d5-ce26-5c8f-b26b-058a1e94f856
Supraspinal action of inhaled anesthetics will sensitize the spinal cord to pain at lower doses.
True
False
null
null
2
A
1
null
null
null
null
null
2ecd870d-590f-592c-8ce3-4fddb7b9775f
MAC changes how much per decade?
16%
8%
3%
6%
4
D
1
null
null
null
null
null
8b4b8076-662c-5510-b04f-69f01dc1f52d
Of the following which is the MOST important prior to performing dental treatment including giving local anesthesia?
Vital signs to determine the baseline in the event of an emergency
Visual inspection to determine the overall physical state of the patient
Dialogue history, to ensure the patient has answered truthfully
Medical history questionnaire, thoroughly reviewed and updated
5
D
2
Treatment plan and patient consent forms completed
null
null
null
null
6a971000-a694-56dc-9f27-74fc01bd7fd3
Why do we implement "ideal patient positioning"?
To reduce the risk of syncope
To speed the onset of anesthesia
To keep the syringe out of a patient's sight
To ensure clinician caan obtain a firm hand rest
5
A
1
To slow the absorption of anesthetic into bloodstream
null
null
null
null
57cd943e-4287-5915-bc31-3d11026dca06
Which of the following is the best patient positioning while delivering local anesthetic?
Knees above sea level
Heart and hands parallel to the floor
Head and heart parallel to the floor
Toes above the nose
5
E
1
Hear and heart parallel, toes slightly elevated
null
null
null
null
e8f0f2f2-f176-5591-9dfa-13fde31ebe4e
The main reason to inject slowly is to accomplish which of the following?
Make the injection as comfortable as possible
Not disturb the homeostasis of the tissues
Lessen the chance of anesthetic overdose
Ensure you are not in a blood vessel
5
C
1
Lessen the chance of a hematoma developing
null
null
null
null
de4c4897-3f2c-5ae7-9b65-bd8eaaad17c8
The nerve that can be inadvertently anesthetized during an IA injection is what?
Facial nerve
Trigeminal nerve
Zygomatic nerve
Middle meningeal nerve
5
A
1
Buccal nerve
null
null
null
null
aec4c9f1-82d4-513c-bda8-803744977046
Which of the following injection types will provide the longest duration?
Nerve block
Field block
Supraperiosteal
Infiltration
5
A
1
Intrasseptal
null
null
null
null
567c5a85-7dd6-51cf-bef6-d41be2bb9851
The maxillary division of the Trigeminal nerve travels anteriorly and downward to exit the cranium through which foramen?
Ovale
Spinosum
Magnum
Rotundum
5
D
1
Superior orbital
null
null
null
null
e8d3e9d9-00c5-5865-88b3-297d06f99e63
Following the administration of a right PSA nerve block, the patient complains that tooth #3 is still sensitive.  What is most likely the cause of this?
Deposition was too low
Deposition was too anterior
The mesiobuccal root of the 1st molar was not anesthetized with the PSA
Local anesthetic solution has probably expired
5
C
2
Insufficient amount of anesthetic deposited
null
null
null
null
2cc6d58a-d15c-5c73-81c4-aaa308f3a84e
In order to have a proper duration of a PSA, how much total anesthetic will you give?
0.6-0.9 ml
0.9-1.8 ml
1.5-1.8 ml
0.9-1.2 ml
5
B
1
.45-.9 ml
null
null
null
null
bfbe4a75-c27a-564c-aadf-d4001169a4cf
The Vazirani-Akinosi mandibular technique is recommended for what type of patients?
Children
Large boned
Reduced opening
Enlarged tongue
5
C
1
Autistic
null
null
null
null
09c0565d-b726-53f0-98a2-7d68f84e4d35
Pressure syringes are primarily designed to deliver what type of injection?
Palatal
Intraosseous
Intraseptal
Periodontal ligament
5
D
1
Incisive/mental
null
null
null
null
8190785d-27f4-5b09-84e5-67edd587edf9
If a right-handed clinician contacts bone too soon (one half penetration depth or less) on the left IA nerve block, what should be done?
Withdraw and select a penetration site more posterior
Immediately redirect needle/syringe more laterally
Withdraw slightly, redirect needle/syringe more medially
Withdraw and select a penetration site more medially
5
C
2
Withdraw slightly, redirect needle/syringe more laterally
null
null
null
null
ad383791-2ecf-50f0-b7cb-02558ef212d3
What is the recommended amount of anesthetic deposited for the Gow-Gates injection technique?
1.5 ml
1.8 ml
1.2 ml
1.3 ml
5
B
1
1.0 ml
null
null
null
null
3cc8304a-e96b-5b29-b025-b032c859ed5e
What type of injection is contraindicated in primary teeth?
Intraosseous
Infraorbital
Periodontal ligament
Posterior superior alveolar
5
C
1
Inferior alveolar
null
null
null
null
cb367961-578d-5ae7-bd04-4548ef4d1fc4
Applying topical for longer than indicated can result in sloughing of the tissues - this is officially called what?
Epithelial desquamation
Sterile abscess
Cheek rot
White lacy striations
6
A
1
Epithelial dysplasia
Epithelial dysplasia
null
null
null
f8c7925a-7c6f-5f25-9445-1ab60c56d3a6
Persistent paresthesia following a local anesthetic injection.
Is always preventable
Is often caused by a needle penetrating the cheek
Is always reversible
Is desirable
5
E
1
Is the most common on the tip/side of the tongue
null
null
null
null
2c0d0406-087b-543b-8a67-b4ff4684150c
Trismus is best defined as what?
A low grade infection
A holiday in December
Anesthesia that doesn't "wear off"
Trauma to muscles and/or blood vessels
5
D
1
A flooding or pooling of blood
null
null
null
null
ef056820-cb57-5d5c-b781-aaeec877b44c
An epinephrine overdose reaction.
Usually requires formal management
Requires placing the patient in a supine position
May manifest as anxiety or restlessness
Minimally affects blood pressure and heart rate
5
C
1
Indicates an epinephrine allergy
null
null
null
null
911eca9b-bca9-54a7-8b42-e50ad038a6ec
A patient suffering from local anesthetic overdose induced seizures should be given what?
Oxygen only
Glucose
Oxygen and diazepam
Oxygen and epinephrine
5
C
1
Oxygen and diphenhydramine
null
null
null
null
821b46b6-7fb9-5889-96aa-692ef6f50dfc
After administering topical Benzocaine 20% and 3% Mepivacaine with epinephrine 1:100,000, the patient complains of intense itching of the face and is feeling a tightening in the throat.  What is most likely the cause of this reaction?
The patient is experiencing psychogenic anxiety
The anesthetic was injected too rapidly
The patient is having a reaction to the epinephrine
The patient is allergic to the Benzocaine
5
D
2
The patient is having an idiosyncratic reaction
null
null
null
null
1e2ae0e1-5275-5a2b-8de6-c797d89c9f33
All of the following are acceptable alternatives for an anesthetic-allergic patient except one, which is the exception?
Hypnosis
Electronic dental anesthesia
Use limited amounts of esters
Use general anesthesia
5
C
2
Use limited amounts of sterile Benadryl
null
null
null
null
b1ef77ff-f8b5-56b9-863d-6f1a2b477cf6
All of the following patients represent a potential for a local anesthetic overdose except one, which is the exception?
Pregnant women
Patients with hepatitis
A marathon runner
Highly anxious patients
5
C
2
A sweet little child
null
null
null
null
4cfba8d7-97c7-5fc3-b3c6-49be956f61a8
If a patient has an allergy to esters, which of the following topical anesthetics should not be used?
Lidocaine
Denti-patch
Benzocaine
Pressure
5
C
1
Betadine
null
null
null
null
e9544558-0ac6-540f-9e33-ccca0b400e71
You administer 2% lidocaine with epinephrine 1:50,000 into the palate of your patient.  Three days later, they call complaining of a large sore on the roof of their mouth.  What is the sore MOST likely to be?
Herpes simplex virus
Aphthous ulcer
Epithelial desquamation
Sterile abscess
5
D
2
Necrotizing sialiometaplasia
null
null
null
null
67e70879-09b6-50b3-a91d-9a6a9781a034
Your patient is a 190 lb man.  He was scheduled with the dentist prior to seeing you today.  The dentist used 3 cartridges of 4% Articaine with epinephrine 1:100,000.  He is becoming sensitive during root planing and scaling.  How many additional cartridges of 2% lidocaine with epinephrine 1:100,000 can he have?
2.3
4.5
7.3
3.8
5
A
2
1.9
null
null
null
null
f6a2d993-e74a-54e8-97e9-66122eeeb4a9
Which of these is the most potent?
Remifentanil
Meperidine
Sufentanil
Morphine
4
C
1
null
null
null
null
null
451fe29d-4efc-5b17-b3da-72b2c612a4e7
What is the best agent to relieve post-op itching caused by Morphine?
Naloxone 40-80 mcg IV
Butorphanol
Meperidine
Flumazenil, titrate by doses of 0.2 mg
5
E
1
Nalbuphine
null
null
null
null
697a2f5e-96cd-5e64-b0b1-73ae2ef1cb9d
The wooden chest is a result of
A central delta effect
A central mu effect
A central kappa effect
A central muscle contraction effect
4
B
1
null
null
null
null
null
10a03488-49ce-5c51-ad78-7ba6b5854036
You are caring for Mrs. So & So who has a past history of A-fib, DM, pancreatitis, and asthma. Which drug would you choose to relieve her pain?
Ketorolac
Ethanol
Fentanyl
Morphine
4
C
3
null
null
null
null
null
1a782497-75ba-5ec0-a4db-5bd1a68d4028
Which class of drugs would you NOT give to a patient undergoing a cholangiogram?
Opioids
Barbituates
NSAIDs
Benzo's
4
A
1
null
null
null
null
null
e550a43e-dd75-5c3d-9da9-f407b6eef351
Enkephalin is responsible for stimulating which opioid receptors?
Mu and delta
Mu and kappa
Delta and kappa
null
3
A
1
null
null
null
null
null
8b335410-4703-59aa-9ca1-e8e31e851f64
If your patient is currently receiving erythromycin to treat an infection, which of these is NOT ok to give for analgesia?
Hydromorphone
Alfentanil
Remifentanil
Morphine
5
B
2
Sufentanil
null
null
null
null
f63d3b78-7bd5-5756-b40a-a17181930788
Which drug when combined with benzodiazepine's causes the greatest drop in MAP?
Alfentanil
Fentanyl
Sufentanil
null
3
A
1
null
null
null
null
null
125ae5d6-a7c5-5a84-81ca-124cf47b2c8e
Which of these is the greatest histamine releaser?
Codeine
Meperidine
Fentanyl
Morphine
4
D
1
null
null
null
null
null
0f3add6c-64a2-5f45-8567-16a8ddbb9f16
Which of these is a highly protein-bound drug?
Sufentanil
Fentanyl
Remifentanil
Morphine
4
A
1
null
null
null
null
null
9fec687b-0efd-511e-9c2d-4997f0ff0492
Which of the following statements are true?
The less soluble an agent is, the slower it will reach equilibration.
The less soluble an agent is, the faster it will reach equilibration.
The more soluble an agent is, the faster it will reach equilibration.
null
3
B
1
null
null
null
null
null
98296461-8522-5680-8016-96be14aaae42
Which medication would you give to reverse post-op ventilatory depression from Fentanyl, while maintaining analgesia?
Nalbuphine
Flumazenil
Switch to meperidine
Naloxone, carefully titrated
4
A
2
null
null
null
null
null
322ce98e-9647-5bb8-b675-3a69704c558a
Which of these is not a site of synthesis for Pro-opiomelanocortin?
Pituitary
Pancreas
Placenta
Adrenal medulla
4
D
1
null
null
null
null
null
870e178a-f7c7-5422-928a-0a0d592f0198
Dynorphin is responsible for stimulating which opioid receptor?
Kappa
Mu
Delta
null
3
A
1
null
null
null
null
null
3d9c8750-44c5-560b-9026-9fb9ba30e9e2
At what age does a baby upregulate CYP450?
0-6 months
19-25 months
6-12 months
13-18 months
4
C
1
null
null
null
null
null
c3d9b5ca-e47b-58a8-ac23-c5947f438a84
Which of these is not an endogenous opioid peptide?
Dynorphin
Epinorphin
Enkephalin
Endorphin
4
B
1
null
null
null
null
null
fcf0d933-9ff0-5bbb-ba2b-0b0425b7efdc
You are caring for Mr. So & So who is currently having a left BKA. You notice his HR increasing and his pupils are of normal size. His train of four is 0/4. What does this tell you?
He needs a little more midazolam to calm him down.
Maybe he could use some more opioids to relieve pain.
Maybe he could use more paralytic.
He is too light, increase the sevoflurane.
4
B
2
null
null
null
null
null
6d5c540a-c163-52d1-bc0b-73c71d0a4c9b
MAC represents that half of patients will not
Breathe on incision
Breathe spontaneously until emergence
Move on incision
Move on emergence
4
C
1
null
null
null
null
null
c566cabe-96c0-5891-aedd-563be1e15810
Which of these will not cause miosis?
Sufentanil
Morphine
Meperidine
Fentanyl
4
C
1
null
null
null
null
null
8e244b91-a4d9-528e-bf79-8a84e57e4b3e
Morphine causes itching by releasing large amounts of histamine.
True
False
null
null
2
B
1
null
null
null
null
null
6a64bf30-c642-5713-9092-054e2f9c73c4
Which of these is not a characteristic of vaporizers?
Temperature compensated
Inside of circuit
Flow-Over
Variable bypass
5
B
1
Agent-specific
null
null
null
null
aa823a79-47a7-5c52-ba94-5eee53eb87f4
Which opioid receptor causes diuresis?
Mu2
Kappa
Mu1
Delta
4
B
1
null
null
null
null
null
446c511f-e0a2-520e-b5c3-0b452b04da24
Remifentanil needs pseudocholinesterase for metabolism.
True
False
null
null
2
B
1
null
null
null
null
null
4fee9263-48ab-5389-a961-39aa62c169e5
The term Regional Anesthesia refers to:
Loss of sensation in a limited area of the body produced by administration of a local anesthetic or other agent proximal to sensory nerves
Loss of sensation in a small area of the body produced by administration of a local anesthetic agent in proximity to the area of interest
Loss of sensation of a localized area produced by administration of a local anesthetic directly to a body surface or to a surgical or traumatic wound
A drug-induced sleeplike state that impairs the ability of the patient to respond appropriately to stimuli
4
A
1
null
null
null
null
null
5039ca6f-66df-5ce7-9238-e236c0085e49
The term Balanced Anesthesia refers to:
The administration of two or more agents in equal volume
Administration of multiple drugs concurrently in smaller quantities than would be required if each were given alone
General anesthesia in which the patient's physiological status remains stable
The administration of a local and general anesthetic concurrently
4
B
1
null
null
null
null
null
80694282-060e-5af9-8bbd-caba117b96d1
In gathering a patient history, which of the following would be the best way to frame a question about a patient's exercise level?
"Your dog does not exercise much, does he, Mrs. Jones?"
"Does your dog exercise, Mrs. Jones?"
"How many times a week does your pet go for a walk or exercise, Mrs. Jones?"
"You don't give your dog as much exercise as you should, do you Mrs. Jones?"
4
C
2
null
null
null
null
null