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699d5f2f-3fd6-5937-a14e-37731a1a0e7b | You are the SRNA for 16-month-old Arturo, who is about to be extubated. As he is waking up from anesthesia you deliver 100% FiO2, but then Arturo begins to cough. He becomes cyanotic as you suction your tube to rule out any kind of obstruction. Your FiO2 is100% and the pt is ventilating but still blue. What do you do? | Just wait, it will go away in a moment once he stops coughing | Administer sux to break laryngospasm | Give albuterol 4 puffs via ETT | Call code and begin PALS protocol | 4 | A | 3 | null | null | null | null | null |
8275cb85-79bb-530e-a462-66c88aff5036 | Which of the following would be the best choice for the induction of a pediatric patient coming in for emergent surgery following an MVA? The child is currently wheezing and according to his father, the child has a history of severe asthma. | Propofol | Ketamine | Inhalational induction with Sevoflurane | Fentanyl & Versed | 4 | B | 3 | null | null | null | null | null |
d5f8d158-200a-5654-8c2b-7e806c1b185c | Approximately what percentage of children with down syndrome will have associated cardiac anomalies? | 5-15% | 65-75% | 40-60% | 80-95% | 4 | C | 1 | null | null | null | null | null |
f6ccae3a-b08d-5b1e-807a-57b09af24b18 | Why are patients with muscular dystrophy more prone to cardiac arrhythmias? | Due to conduction node abnormalities which are common genetic issues associated with MD | Due to chest wall rigidity and propensity toward effusions, predisposing pts to tamponade | Due to hyperkalemia and upregulation of pts, making pts more prone to electrolyte abnormalities | Due to lack of dystrophin which is essential for proper cardiac function | 4 | D | 1 | null | null | null | null | null |
0e3a7024-0287-5e66-afff-45efb77e1b23 | Which of the following is not a sign of latex allergy? | Bradycardia and arrhythmias | Laryngeal Edema | Pruritis | Bronchospasm | 4 | A | 1 | null | null | null | null | null |
4e433536-bd3b-5892-ad36-00a9fd484431 | Which of the following reasons explains why opioids appear to be more potent in neonates? | Easier entry across blood brain barrier | Decreased metabolic capabilities | Increased sensitivity of respiratory centers | All the above | 4 | D | 1 | null | null | null | null | null |
25f6989c-c802-590f-9308-0f479037870c | You are the SRNA for Ms. Cartaya today who has a past medical history of seizures, which are controlled through dilantin. How will this effect your muscle relaxants? | I should not give any muscle relaxants. | Will not affect my medication at all | Will prolong the effect of the medication. So will need less. | Will shorten the effect of the medication. So will need more. | 4 | D | 2 | null | null | null | null | null |
3dc1116c-3df9-5bd3-b3a7-f627f868e2d5 | Which drugs are potentiated by dantrolene? | Neuromuscular blockers like vecuronium | NSAIDS like ketoralac | Steroids like prednisone | Beta blockers like esmolol | 4 | A | 1 | null | null | null | null | null |
2c63f866-81be-54b9-9234-287c9693ba7d | The mixing of Lidocaine w/ Propofol may result in coalescence of oil droplets which may pose risk of pulmonary embolism. | True | False | null | null | 2 | A | 1 | null | null | null | null | null |
b214f93b-7ea7-5051-a7a1-e0c368f20321 | What is an appropriate intubating dose of Atracurium? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 5 | E | 1 | 0.4-0.5 mg/kg | null | null | null | null |
f187643d-83cf-5954-bf07-0e140405b5a8 | You are the SRNA for Mr. Joe, a 20 yr old male having repair of a torn ACL tendon. You paralyzed the patient using succinylcholine to intubate, and currently have your Sevo going at 2%. Right as the makes his incision into the patients knee you notice your HR has jumped and the patient is tachycardic. His BP has also jumped up considerably. What does this mean? | He may be too light on anesthesia, give some fentanyl and go up on your sevo. | This may be the beginning stages of Malignant hyperthermia. Call for Help. | He is not paralyzed enough, give some vec. | Do nothing, the tachycardia will go away once the incision portion is over. | 4 | A | 2 | null | null | null | null | null |
fd602557-4f4f-5df2-afba-21abbd83bd3d | What is the MOA of Etomidate? | GABAa agonist | Non-competitive binding to the phencyclidine recognition site on the NMDA receptor & acts on opioid receptors | Through binding to and activating alpha subunit receptors to cause sustained depolarization. | Inhibition on GABAa receptors | 4 | A | 1 | null | null | null | null | null |
8486ff59-def2-5196-ae64-ffc9d80cdb75 | This non-barb has a chemical structure of carboxylated imidazole-containing compound that (like versed) is water solule at acidic pH and lipid soluble at physiologic pH. | Etomidate | Ketamine | Propofol | null | 3 | A | 1 | null | null | null | null | null |
1167a25e-8e48-5a35-8754-761c85087766 | What is the mechanism of action of non-depolarizing muscle relaxants? | Works at spinal nerve roots to cause paralysis and NMJ | Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine. | By potentiating the inhibitory effects of GABA | Through binding to and activating alpha subunit receptors to cause sustained depolarization. | 4 | B | 1 | null | null | null | null | null |
e242e8af-8aa8-5f7b-b355-0ec70775e33c | You are the SRNA for a 58 yr old female having open heart surgery. She is 5’4” and 70 kg. What would be an appropriate intubating dose of pancuronium? | 7 mg | 105 mg | 84 mg | 14 mg | 5 | A | 2 | 35 mg | null | null | null | null |
2b8b728c-0af8-5c6e-a593-8394d2adac17 | Which of the non-barbituate agents is unique due to the fact it has no stereoisomers? | Etomidate | Propofol | Ketamine | Thiopental | 4 | B | 1 | null | null | null | null | null |
e064c046-6cb2-5053-be7f-8983e6e67494 | You are caring for Mr. Wren today who has a past medical history of DM, HTN and renal failure. You are asked to choose an appropriate muscle relaxing agents for him. Which do you choose as the BEST agent for Mr. Wren? | Vecuronium | Succinylcholine | Rocuronium | Pancuronium | 4 | C | 2 | null | null | null | null | null |
27b4c6a7-6b3e-51e8-bab3-341880191daf | Which of the following is a depolarizing muscle relaxant? | Rocuronium | Mivacurium | Succinylcholine | Vecuronium | 4 | C | 1 | null | null | null | null | null |
9407a874-5056-5c79-bb72-896503b6d67c | Propofol can lead to significant bradycardia that is resistant to atropine. Which of the following drugs would you give? | Dopamine | Esmolol | Isoproterenol | null | 3 | C | 2 | null | null | null | null | null |
7e2de840-8305-5c32-b27d-62645aa9b517 | Succinylcholine is rapidly metabolized to succinylmonocholine which is known to cause: | Hyperkalemia | Increase ICP | Bradycardia | Malignant hyperthermia | 4 | C | 1 | null | null | null | null | null |
fd426de7-a17d-577a-9075-f400f61f55f7 | At what percentage of blockade by non-depolarizing muscle relaxants would you achieve surgical relaxation? | 99% | 75% | 90% | 60% | 4 | C | 1 | null | null | null | null | null |
d4d4e758-681f-5487-9489-f42601c03388 | What is recommended dose of Edrophonium? | 0.1-0.4 mg/kg | 0.08 mg/Kg | 0.5-1.0 mg/Kg | 0.01-0.03 mg/Kg | 4 | C | 1 | null | null | null | null | null |
557070cf-2df0-5642-a8c5-5b5f3d73e18f | What would be a proper dose of ketamine to give to a patient who is having pain and weighs 50 kg? | 100 mg | 25 mg | 150 mg | 50 mg | 4 | B | 2 | null | null | null | null | null |
2ee8ea55-7728-56c7-86b8-fdcd6f30d186 | What would be the most appropriate reversal agent for a child weighing 20 kg? | Neo 1.6 mg, atropine 0.2 mg | Pyridostigmine 2 mg, no cholinergic agent | Do not use agents which require reversal on pediatric patients. | Edrophonium 20 mg, Atropine 0.28 mg | 4 | D | 2 | null | null | null | null | null |
cab10576-155e-5cf2-9f6d-367827601c6d | You are caring for a 82 yr old woman who is about to be induced for surgery. You plan to use propofol for your induction and would plan that…. | You would reduce your dose by 25-50% | With no prior medical history you could use the standard dosage of propofol | You would increase your dose by 25-50% | null | 3 | A | 2 | null | null | null | null | null |
0cdc7fd1-f121-5dc0-af4a-5357520f4968 | Which of the following has the shortest duration of action? | Vecuronium | Rocuronium | Pancuronium | Succinylcholine | 4 | D | 1 | null | null | null | null | null |
9b97b9ab-368f-5377-890c-e4a22e160334 | Dantrolene should be continued for ____ Hours post MH episode. | 24 | 12 | 48 | 6 | 4 | A | 1 | null | null | null | null | null |
21625f41-0117-55af-b5ac-e7666cb82bd7 | This non-barb will increase salivation, inclusion of a antisialagogue is recommended. | Etomidate | Ketamine | Propofol | null | 3 | B | 1 | null | null | null | null | null |
d825214d-6c24-5dba-9cb9-289ca2dbb0b1 | Which of the following drugs is metabolized by pseudocholinesterase? | Atracurium | Mivacurium | Rocuronium | Vecuronium | 4 | B | 1 | null | null | null | null | null |
d35a9a5b-8d52-57c3-a3d0-d74843a7a795 | Which of the following patients could you use succinylcholine on? | A burn patient admitted 3 hours ago. | A spinal cord injury patient in the ICU admitted 1 week ago | Dialysis patient who is mildly hyperkalemic | Patient with past history of Muscular Dystrophy | 5 | E | 2 | None of the above | null | null | null | null |
08398c99-cc2b-53ad-ab3e-0ffc1a951d40 | You are the SRNA for a patient currently undergoing biopsy and removal and liver mass. You paralyzed the patient with vecuronium and are using Sevoflurance for sedation. You notice your patient suddenly becomes tachycardic and the ETCO2 goes way up. You attempt to increase your RR to decrease ETCO2 but it does not work. At the same time you notice the patients muscles are becoming rigid. What is the FIRST thing you should do now? | Give a beta blocker to decrease HR and increase O2 to 100% | Start mixing dantrolene and apply a hypothermic blanket | Call for Help, tell surgeon to stop procedure. | Turn off your sevoflurane and draw an ABG. | 4 | C | 2 | null | null | null | null | null |
2222a296-d25f-5662-975e-95c1b049809b | What drug could you give to decrease the incidence of emergence delirum in patients receiving ketamine? | Propofol | Thiopental | Versed | All of the above | 4 | C | 1 | null | null | null | null | null |
33f6f51b-d715-5c65-945d-34f6aa4362c0 | Https://www.youtube.com/watch?v=c1JzCDqt3BM | Love it | Now I have that song stuck in my head.... | All of the above. | null | 3 | C | 2 | null | null | null | null | null |
60118c45-afa2-5936-9a03-e5a942940de9 | Hyperthermia is an early sign of MH. | True | False | null | null | 2 | B | 1 | null | null | null | null | null |
beecc252-0478-5d0a-b4f6-093a1b08639b | Which non-barb can supress adrenal cortical function? | Etomidate | Ketamine | Propofol | null | 3 | A | 1 | null | null | null | null | null |
ca2eee53-8525-5907-8b55-95a3b6d206c3 | What is an appropriate intubating dose of Succinylcholine? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 5 | A | 1 | 0.4-0.5 mg/kg | null | null | null | null |
8d4dc32a-bfaf-566c-84b7-8106070d2d73 | You are the SRNA for a 75 yr old female going in for a bowel resection. She is 5’2” and 50 kg. What would be an appropriate intubating dose of Rocuronium? | 75 mg | 5 mg | 30 mg | 10 mg | 5 | C | 2 | 90 mg | null | null | null | null |
7334d064-3412-525d-9130-b1ef053d93a4 | What is an appropriate intubating dose of Pancuronium? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 5 | B | 1 | 0.4-0.5 mg/kg | null | null | null | null |
6a526385-2ff0-5d01-8505-3c629dafd5d8 | What would be an appropriate intubating dose of Atracurium for a 5’1” 48 yr old female weight 60 kg? | 90 mg | 6 mg | 70 mg | 12 mg | 5 | E | 2 | 30 mg | null | null | null | null |
cc033297-664b-5cde-b17f-b321353011ca | What is the most important clinical s/s that would lead you to suspect MH? | Increased temperature | Increased ETCO2 | Hypoxia | Muscle rigidity | 5 | B | 1 | Increased HR | null | null | null | null |
96fbc4fb-f0f3-5afa-a0e7-5bf044dfdee8 | This non-barb is know to inhibit PLT aggregation. | Etomidate | Ketamine | Propofol | null | 3 | B | 1 | null | null | null | null | null |
880dda42-8430-5b5c-9600-26518239048b | Which non-barb induction agent has analgesic and bronchodilator effects? | Ketamine | Propofol | Etomidate | null | 3 | A | 1 | null | null | null | null | null |
b15a4e4e-e04f-5987-bb6d-98bab8fdebad | Which of the following non-barbituate agents would be the BEST choice for a trauma patient? | Thiopental | Etomidate | Propofol | Ketamine | 4 | D | 2 | null | null | null | null | null |
20e66ebe-9fb1-5d3e-b3b6-4f334c014be1 | Which of the following muscle relaxing agents would be BEST to give to a patient in multi-system organ failure? | Succinylcholine | Mivacurium | Vecuronium | Rocuronium | 4 | B | 2 | null | null | null | null | null |
67ac7333-909e-5d4f-9630-5f54bd8be2a7 | The non-barbituate agents have short duration of action mainly due to… | Redistribution | Metabolism | Low lipid solubility | Low potency | 4 | A | 1 | null | null | null | null | null |
a1a0ed65-7e73-5f49-bf79-4a5c01ea8adb | This non-barb has a high incidence of emergence delirium, 12%. | Etomidate | Propofol | Ketamine | null | 3 | C | 1 | null | null | null | null | null |
1265d949-64c4-5327-9776-1b98a6457edc | What is an appropriate intubating dose of Vecuronium? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 5 | B | 1 | 0.4-0.5 mg/kg | null | null | null | null |
1328d11c-ae0a-5d46-885a-3a605a92af9c | Which of the following lab values would not help to confirm diagnosis of Malignant hyperthermia? | Serum K 6.5 | Ph 7.10 | Base excess –10 | PCO2 50 | 4 | D | 1 | null | null | null | null | null |
e22a41f1-534c-5225-bfbc-5705347291ae | What would be a proper IV induction dose for ketamine on a patient who is 5’9” and 80 kg? | 120 mg | 40 mg | 240 mg | 200 mg | 4 | A | 2 | null | null | null | null | null |
4ff18a04-37a4-5c3a-a7d6-8ffacce0331f | Which of the following non-barbituate agents do we use as a racemic mixture? | Etomidate | Propofol | Ketamine | Thiopental | 4 | C | 1 | null | null | null | null | null |
6ec72ee7-858d-57e4-8b86-84549e7efda3 | You are the SRNA for a patient with a known pseudocholinesterase deficiency who needs a rapid sequence induction due to past medical history of GERD which is poorly controlled. The patient weighs 80 kg. What medication would you choose for this induction? | Rocuronium 90 mg | Succinylcholine 120 mg | Mivacurium 20 mg | Rapid sequence can not be done on this patient without prolonged effect of muscle relaxant. | 4 | A | 2 | null | null | null | null | null |
58d0c52c-0ae3-5a36-a4ce-57445ee0aa58 | What class of medications is contraindicated in MH? | Calcium Channel blockers | Beta Blockers | Calcium gluconate | NSAIDS | 4 | A | 1 | null | null | null | null | null |
e5e2494f-54c5-552b-9308-8e8587221850 | This non-barb hypnotic is good for patients with a history of PONV. | Etomidate | Propofol | Ketamine | null | 3 | B | 1 | null | null | null | null | null |
a4ca2d81-a0a6-5937-a270-4f9928ad494e | Which of the following could you give to counteract delirium cause by benzodiazepines and CNS effects of anticholinergic drugs? | Neostigmine | Edrophonium | Pyridostigmine | Physostigmine | 4 | D | 1 | null | null | null | null | null |
53edb623-5dc6-5b18-8e38-0c1c4b499b6a | What is the recommended dose of propofol for maintenance of anesthesia? | 1.5-2.5 mg/kg | 3-5 mg/kg | 25-100 mcg/kg/min | 100-300 mcg/kg/min | 4 | D | 1 | null | null | null | null | null |
e65d20da-3696-517e-87df-4613e1bb37c6 | All muscle relaxants are quaternary ammonium compounds that mimic the effects of… | Pseudocholinesterase | Acetylcholine | Monocholine | Muscarinic receptors | 4 | B | 1 | null | null | null | null | null |
f5df7b60-3185-59db-a66d-972a53f7111e | What are the common side effects of Dantrolene? | Muscle weakness including difficulty swallowing or choking | Pulmonary edema | Anaphylaxis | Rhabdomyolysis | 5 | E | 1 | All of the above | null | null | null | null |
d7935564-beb0-5a20-b649-1c2232053abc | What is the recommended dose of neostigmine? | 0.08 mg/kg | 1 mg/kg | 0.014 mg/kg | 0.2 mg/kg | 4 | A | 1 | null | null | null | null | null |
bd9f857a-e64d-53d5-b032-6d6a536dc5f6 | Which of the following will have the most rapid onset? | Neostigmine | Edrophonium | Pyrdiostigmine | All have same onset time. | 4 | B | 1 | null | null | null | null | null |
429a6652-26e4-50b2-ad53-a8fc7bfc4a2a | How much glycopyrolate should you give to a patient receiving 3 mg of neostigmine? | 0.6 mg | 0.32 mg | 0.021 mg | 3 mg | 4 | A | 1 | null | null | null | null | null |
7b3513c2-a3e5-59f6-8f8f-82c689aee9f5 | Which isomer of ketamine is known to cause delirium and combatance on emergence? | Both isomers can cause this. | Neither isomer can cause this | S isomer | R isomer | 4 | D | 1 | null | null | null | null | null |
fe21043e-ab08-53f8-9987-f5825dd0d362 | What is an appropriate intubating dose of Nimbex for a 50 yr old 5’11” male weighing 110 kg? | 165 mg | 11 mg | 100 mg | 22 mg | 5 | D | 2 | 55 mg | null | null | null | null |
0b343376-4806-590d-9885-599ccc6a8d8c | You were a very good SRNA this morning and drew up all your drugs, including the propofol, at 6:15 am. At the last minute your first case of the day was cancelled and you did not get another case until 1:30 pm. Can you still use your propofol on this patient? | No, too much time has passed | Yes, but only if you remembered to refrigerate the propofol. | Yes, propofol is good for 12 hours after opening. | null | 3 | A | 1 | null | null | null | null | null |
08145547-ea98-55e8-8ca1-4a07f9ed242b | The chemical structure of this drug is 2,6-diisopropylphenol. | Etomidate | Ketamine | Propofol | null | 3 | C | 1 | null | null | null | null | null |
8f742321-5945-5b93-98b5-b7995005280f | How much can your temperature increase every 5 minutes in MH? (pick best answer) | 1 degree C | 1-2 degrees C | 0.5-1 degree C | 0.1 degree C | 4 | B | 1 | null | null | null | null | null |
9fcd3c74-5169-50e2-9cf6-296e1f5ea7ed | Which of the following agents has the highest degree of protein binding? | Etomidate | Propofol | Ketamine | All have similar protein binding | 4 | B | 1 | null | null | null | null | null |
75233c16-31e2-52d0-962f-6ad3afa26725 | In a patient with MH, what would you expect their serum myoglobin to be? | > 100 mg | > 170 mcg | > 180 mg | >2200 mcg | 4 | B | 1 | null | null | null | null | null |
28ce95d7-c79a-5c47-b52a-7662e528d958 | What would be an appropriate induction dose of etomidate for a 58 yr old female who is 5’6” and weighs 90 kg? | 18 mg | 180 mg | 45 mg | 90 mg | 4 | A | 2 | null | null | null | null | null |
2a91536f-22c6-53eb-a025-adb1d790061b | You are the SRNA for a 12 yr old male who is 5’0” and weighs 45 kg. What would be an appropriate intubating dose of vecuronium? | 45 mg | 4.5 mg | 54 mg | 9 mg | 5 | B | 2 | 22.5 mg | null | null | null | null |
977e04c7-5574-5abb-9e0b-a7d328d7f849 | What is the maximum dose of Dantrolene which can be given to a 10 yr old child weighing 30 kg? | 75 mg | 300 mg | 600 mg | 30 mg | 4 | B | 2 | null | null | null | null | null |
500be121-2d11-5c86-be9b-9131b726f3a3 | The MH gene is passed via: | Autosomal dominant gene | Autosomal recessive gene | null | null | 2 | A | 1 | null | null | null | null | null |
99146466-851c-5a4c-9e4e-d866a7e3ea75 | If you give your pt an intubating dose of succynocholine and they have a MH reaction, what type of muscle rigidity can you see prior to actually intubating the patient? | Masseter | Chest wall | Diaphragm | Bicep | 4 | A | 1 | null | null | null | null | null |
ea36af35-61a0-5d61-9b7b-56b57f7c6750 | Which of the following is commonly used in the treatment of myasthenia gravis? | Edrophonium | Physostigmine | Pyridostigmine | Glycopyrolate | 4 | C | 1 | null | null | null | null | null |
cf7eb717-5c4f-580d-92d9-24648dce7c7a | You can safely administer glycopyrolate without a cholinesterase inhibitor. | True | False | null | null | 2 | A | 1 | null | null | null | null | null |
1a1bc6a8-bc79-5f90-83c9-f3c3594a522d | Which of the following will increase your ICP? | Propofol | Etomidate | Ketamine | All of the above | 4 | C | 1 | null | null | null | null | null |
37709950-0081-5c70-90f2-f4ca3bd50220 | Which agents is known for its HIGH degree of individual variability? | Rocuronium | Nimbex | Vecuronium | Succinylcholine | 4 | A | 1 | null | null | null | null | null |
4201dfca-e53f-50bb-98cf-84d5c94386d3 | Ketamine is a NMDA agonist or antagonist? | Agonist | Antagonist | Neither, works on GABA receptors | null | 3 | B | 1 | null | null | null | null | null |
c6833874-05f4-59ca-be3c-03739b1167e0 | What is the recommended dose of physostigmine? | 0.1-0.4 mg/kg | 0.08 mg/kg | 0.5-1.0 mg/Kg | 0.01-0.03 mg/Kg | 4 | D | 1 | null | null | null | null | null |
deebb693-5eab-5946-a70e-53f15df00033 | What is an appropriate intubating dose of Nimbex? | 1-1.5 mg/kg | .08-0.1 mg/kg | 0.6-1.2 mg/kg | 0.15-0.2 mg/kg | 5 | D | 1 | 0.4-0.5 mg/kg | null | null | null | null |
336b0834-3b77-51f5-b809-a32dda6b8e27 | What is the half life of Dantrolene? | 1 hour | 6 hours | 30 minutes | 2 hours | 4 | B | 1 | null | null | null | null | null |
3fa3da67-56ba-5801-b50b-d25e0797980a | How is Etomidate metabolized? | By pseudocholinesterase | By the kidneys | By hepatic microsomal enzymes | Via exhalation through the lungs | 4 | C | 1 | null | null | null | null | null |
aff9af8c-dc47-5c1e-827b-e02bcd03c4d5 | A patient with a sulfite allergy should not be given the generic propofol because of the metabisulfite preservative in it, but it is ok to give Diprovan. | True | False | null | null | 2 | A | 2 | null | null | null | null | null |
4e30228f-1dbd-53d2-b50e-6c954b537676 | Which of the following muscle relaxants would you choose to give to a patient having cardiac surgery in order to counteract the bradycardia caused by narcotics? | Succinylcholine | Rocuronium | Mivacurium | Pancuronium | 4 | D | 2 | null | null | null | null | null |
e8e2eaa8-ebec-55a5-a8a8-22e4b63b8c66 | You are the SRNA for Mrs. Nannit who is currently having a fem pop done. You have used vecuronium to paralyze the patient and she is receiving Desflurane for sedation. Her heart rate is currently NSR 60, blood pressure is stable, but your ETCO2 is climbing. What should you do? | Send an ABG immediately to evaluate for malignant hyperthermia, call for help. | Increase the patient respiratory rate, she is hypoventilating. | Give some fentanyl and increase your des. | Wait and watch the patient for further signs of MH. | 4 | B | 2 | null | null | null | null | null |
e6573a44-f359-5d24-a91d-3aa1a3d5ee6c | For a patient who is borderline tachycardic it is recommended to administer neostigmine without glycopyrolate. | True | False | null | null | 2 | B | 2 | null | null | null | null | null |
1f81ac6b-88d9-5818-a545-d676ed536388 | What test could be done on a patient suspected to have MH? | DNA Hyperthermia test | Succinylcholine challenge test | There are no tests available. | Caffeine Halothane Test | 4 | D | 1 | null | null | null | null | null |
55c0f8ae-b7c4-5414-ba5b-d2da563f9fec | Which of the following agents is eliminated via Hoffman Elimination? | Mivacurium | Pancuronium | Atracurium | Rocuronium | 4 | C | 1 | null | null | null | null | null |
7d7ae10d-f72e-563e-9479-9732269b6c01 | It is perfectly safe to use regional anesthetics on malignant hyperthermia susceptible patients. | True | False | null | null | 2 | A | 1 | null | null | null | null | null |
2a45a17f-e342-5712-aac9-6e495c5ceee3 | You suspect your patient has MH, what do you expect to see on their ABG? | CO2 42, BE +3, Ph 7.34 | CO2 62, BE 0, Ph 7.60 | CO2 65, BE -10, Ph 7.43 | CO2 32, BE -9, Ph 7.18 | 5 | E | 2 | CO2 61, BE -11, Ph 7.20 | null | null | null | null |
4e7d2e4f-517b-5a47-835d-fb8258ec03ce | Why is gylcopyrolate the anticholinergic agent of choice for neostigmine? | Onset of action is very similar to neo | Only cholinergic which can be safely mixed with neo | Only cholinergic which will counteract bradycardia caused by neo | Because of it’s ability to cross blood brain barrier. | 4 | A | 1 | null | null | null | null | null |
24e108c2-b627-5ada-bfd6-7f432e6326cc | What is the half life of etomidate? | 2-5 hours | 30-90 minutes | 5-10 hours | 10-20 minutes | 4 | A | 1 | null | null | null | null | null |
6da04a18-b42f-533f-8c56-02c15cf00c8d | The majority of incidences of MH occur in patients under 15. | True | False | null | null | 2 | A | 1 | null | null | null | null | null |
eba296ea-2684-55b3-8c94-0bd224dbfc2e | What is the name of the receptor that is responsible for MH? | Ranitidine | Ryanodine | Cyanide | Muscarinic | 4 | B | 1 | null | null | null | null | null |
2a47f8bb-119b-5a92-b82b-2aeca9abba7d | Which of the non-barbituate agents has analgesic properties? | Ketamine | Etomidate | Propofol | Thiopental | 4 | A | 1 | null | null | null | null | null |
a8c8b20a-af17-5c1e-8c61-794eebd38339 | Pre-treatment with a non-depolarizer may help to lessen all side effects from succinylcholine except: | Arrythmias | Hyperkalemia | Myalgia | Elevated Intraocular Pressure | 4 | B | 1 | null | null | null | null | null |
6500718d-4ffd-5131-8ba5-d9149e2dfb29 | You are the SRNA for a 16 yr old boy coming in for appendectomy. After administering succinylcholine to the pt you can not open the patients mouth the intubate him. What should you do next? | Wait for sux to wear off, and give a different paralytic agent | Plan to mask the case. Place face mask on pt and turn on the sevo. | Immediately notify MD and send an ABG and labs to assess for MH. Cancel case. | Trach the patient immediately. | 4 | C | 3 | null | null | null | null | null |
23b6e45b-86bd-5e26-865a-a848dab94ce7 | What is the recommended dose of Pyridostigmine? | 0.1-0.4 mg/kg | .08 mg/kg | 0.5-1 mg/kg | 0.01-0.03 mg/kg | 4 | A | 1 | null | null | null | null | null |
ac82ebd0-c517-59ee-9e04-688b420eb349 | What is the mechanism of action of succinylcholine? | Works at spinal nerve roots to cause paralysis and NMJ | Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine. | By potentiating the inhibitory effects of GABA | Through binding to and activating alpha subunit receptors to cause sustained depolarization. | 4 | D | 1 | null | null | null | null | null |
a7d3287d-a7e6-51ed-8666-e0cd1c053f29 | What be an appropriate induction dose of propofol for a 75 yr old female who is 5’4” and weighs 75 kg? (Be careful here…) | 150 mg | 225 mg | 75 mg | 15 mg | 4 | C | 2 | null | null | null | null | null |
0a51f137-f5b2-5c4b-93d6-bcf0c8c8a127 | Which of the following has the longest duration of effect? | Nimbex | Vecuronium | Succinylcholine | Pancuronium | 4 | D | 1 | null | null | null | null | null |
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