General Anesthesia Dr. Hong Someth (part2)
51. Which one of the following statement is NOT the disadvantages of IV sedation?
σ� Venipuncture is necessary
σ� Venipuncture complications may occur
σ� No monitoring is required
σ� Recovery not complete – escort needed
52. How much Midazolam is needed for slow IV titration?
σ� 1mg to 2.5mg over 30 seconds
σ� 2mg - 4mg over 1 minute
σ� 3mg - 5mg over 2 minutes
σ� 5mg - 10mg over 5 minutes
53. Which one of the following statements is NOT the actions and effects of Benzodiazepines?
σ� Anxiolytic
σ� Hypnotic
σ� Antiemetic
σ� Anticonvulsant and muscle relaxant
54. What Benodiazepines do when using low-doses?
σ� Calm and relaxed behaviour
σ� Sleepiness
σ� Respiratory depression
σ� Loss of airway reflexes
55. What Benodiazepines do when using high-doses?
σ� Amnesia
σ� Ataxia
σ� Loss of consciousness
σ� All of the above
56. Which one of the following is NOT the contraindications of Benzodiazepines?
σ� Pregnancy
σ� Severe hepatic impairment
σ� Patient with gag reflex
σ� Severe respiratory impairment
57. Which one of the following statement is NOT the disinhibitory effects of Benzodiazepimes?
σ� . Excitement
σ� Sadness
σ� Hyperactivity and agitation
σ� Hostility
58. What are the things to be avoided when using Triazolam?
σ� Pineapple juice and antibiotics
σ� Orange juice and steroids
σ� Melon juice and Tricyclic antidepressant drug
σ� Grape juice, alcohol and Barbiturates
59. Which one of the following is Benzodiapine antagonist or the reversal drug?
σ� Temazepam
σ� Naloxone
σ� Flumazenil
σ� Fluconazole
60. Which one of the following is NOT the vital signs?
σ� Blood sugar or glucose level
σ� Heart rate (pulse) & rhythm
σ� Blood pressure
σ� Respiratory rate
61. Which one of the following statement is NOT the advantages of oral sedation?
σ� Good acceptance by patients
σ� Ease of administration and relatively safe
σ� Low incidence and severity of adverse reactions
σ� Need needles, syringes or monitoring equipment
62. Which one of the following statement is NOT the suitable siutation for IV sedation?
σ� Severe apprehensive patients
σ� No suitable escort and inadequate equipment & facilities
σ� Presence of prominent veins
σ� Pretty long and difficult procedures
63. How much of IV Midazolam do you have to dilute with water for injection if the concentration in the bottle says "5mg/ml"?
σ� 1ml of Midazolam dilute with 4ml saline or water in a 5ml syringe; 2ml of Midazolam dilute with 8ml of water in a 10ml syringe
σ� 5ml of Midazolam dilute with 5ml saline or water in a 10ml syringe
σ� 3ml of Midazolam dilute with 2ml of water in a 5ml syringe
σ� 8ml of Midazolam dilute with 2ml of saline in 10m syringe
64. What is the initial dose of Flumazenil?
σ� 0.02mg
σ� 0..0mg
σ� 0.2mg (2ml over 15 seconds)
σ� 0.5mg
65. What is the maximum dose of Flumaenil?
σ� 1mg
σ� 2mg
σ� 3mg
σ� 5mg
66. What do we use to monitor oxygen saturation and pulse?
σ� ECG
σ� Capnograph device
σ� Pulse oximeter
σ� Blood pressure monitoring device
67. What is the normal oxygen saturation at sea level?
σ� 80%
σ� 85%
σ� 90%
σ� 95%
68. When do we stop monitoring the sedated patients?
σ� When the patients start talking normally
σ� When vital signs are be stable as to compared to baseline pre-procedure readings
σ� When oxygen saturation is over 100%
σ� When the patients breath normally
69. What oxygen saturation levels that may cause severe hypoxia?
σ� Between 96% - 100%
σ� Between 86% - 90%
σ� Less than 81%
σ� Less than 71%
70. What level of oxygen saturation when the patient becomes cyanosis?
σ� SpO2 <80%
σ� SpO2 <85%
σ� SpO2 <90%
σ� SpO2 <94%
71. Which one of the following statement is NOT the criteria for discharge of sedated patients?
σ� The patients are able to understand and follow directions
σ� The patients are appropriately talk
σ� The patients are able to drink water
σ� The patients can understand discharge instructions
72. 58. What is not necessary to record in the IV sedation sheet?
σ� Sedative dose
σ� Pulse
σ� Oxygen saturation level
σ� Temperature
73. What is the incorrect instruction after dental treatment under conscious sedation?
σ� Patients may go home within 20 minutes or less without further monitoring
σ� Patients must be monitored until the discharge criteria are met; discharged with a responsible adult; and must be given written clear instructions
σ� Patients may drive home
σ� Patients are not allowed to take codeine as an analgesic
74. Which one of the following statement is NOT the reason for failure of sedation?
σ� Cooperative patient
σ� Wrong site (unable to find vein, unable to titrate)
σ� Unpredicted drug response
σ� Equipment failure (monitoring failure)
75. What is is the most common side-effect of the administration of benzodiazepine drugs?
σ� Sleepiness
σ� Dry mouth
σ� Confusion
σ� Reduction in normal peripheral oxygen sedation (SpO2 < 95%)
76. How much oxygen saturation the pulse oximeter alarm should be programmed to sound?
σ� Less than 80%
σ� Less than 85%
σ� Less than 90%
σ� Less than 95%
77. Which one of the following statement is NOT the management of oxygen desaturation?
σ� Ask the patient to take a few deep breaths
σ� Pinch the earlobe
σ� Give oxygen by facemask at 6-8L/min
σ� Inject hydrocortisone
78. What is the most common sedation risk?
σ� Paradoxical reaction
σ� Anaphylactic reaction
σ� Respiratory depression
σ� Confusion
79. What type of patients are at risk for sedation?
σ� Obesity
σ� Hypertensive patients
σ� Elderly patients
σ� Obesity and Elderly patients
80. How much low flow oxygen by nasal prongs for non-acute respiratory depression?
σ� 1 - 2 L/min
σ� 2 - 4 L/min
σ� 4 - 6 L/min
σ� 8 - 10 L/min
81. How much oxygen flow used in anaphylaxis?
σ� 2 - 4 L/min
σ� 4 - 6 L/min
σ� 5 - 7 L/min
σ� 8-10 + litres/minute
82. In CPR, how many chest compressions per minute and how many breaths?
σ� 15 compressions per minute, one breath
σ� 20 compressions per minute, 3 breaths
σ� 30 compressions, 2 breaths
σ� 40 compressions, 4 breaths
83. What is the half-life of Flumaenil?
σ� 30 minutes
σ� <1 hour
σ� ˃1 hour
σ� 2 hours
84. What is the maximum dose of Flumaenil?
σ� 2 ml
σ� 4 ml
σ� 6 ml
σ� 10 ml
85. When do need to put the patients on their side in the recovery position?
σ� When they are breathing but unconscious
σ� When they are not breathing and unconscious
σ� When their pulse and blood pressure are dropped
σ� When they have normal breathing and conscious
86. When should you consider the use of bag mask ventilation or oropharyngeal airways?
σ� When there's a gag reflex
σ� When the patient has got airway obstruction
σ� When there's a respiratory depression
σ� When the patient is unconscious
87. Which one of the following is NOT the abnormal sounds in airway obstruction?
σ� Snoring
σ� Hiccup
σ� Gurgling
σ� Wheezing
88. When a patient has got snoring, what happens to him/her?
σ� He/she is sleepy
σ� His/her throat is obstructed by a foreign body
σ� He/she has got laryngospasm
σ� He/she has got hypopharyngeal obstruction by the tongue
89. How to manage a patient with snoring?
σ� Repeat head-tilt, chin lift
σ� Use bronchodilator medication
σ� Clear airway with a suction tip
σ� Wake the patient up with Flumazenil injection
90. When a patient has got wheezing, what happens to him/her?
σ� He/she has got asthmatic attack
σ� His/her throat is obstructed by a foreign body
σ� He/she has got bronchospasm
σ� He/she has got hypopharyngeal obstruction by the tongue
91. How to manage a patient with wheezing?
σ� Inject 1:1000 adrenalin
σ� Use bronchodilator medication
σ� Clear airway with a suction tip
σ� Repeat head-tilt, chin lift
92. What may happen when a patient is over-sedated?
σ� Reduction in normal peripheral oxygen sedation (SpO2 < 95%) and respiratory depression is usually mild and transient
σ� Increased heart rate
σ� Raised blood pressure (hypertension)
σ� Nausea and vomiting
93. How do you manage the patient when oxygen saturation drops below 90%?
σ� Ask the patient to take a few deep breaths, pinching the earlobe
σ� If the SpO2 is still low give the Oxygen by facemask at 6-8L/min
σ� Give IV reversal drug, Flumazenil if not better
σ� All of the above
94. Who are the patients at risk with sedation?
σ� Chronic respiratory diseases
σ� History of sleep apnea syndrome
σ� Extreme age and obesity
σ� All of the above
95. What type of patient that has got restricted airway?
σ� Obese patients
σ� Down's Syndrome
σ� Heavy smokers
σ� Obese patients and Heavy smokers
96. 82. How do you manage paradoxical reactions?
σ� Inject adrenalin
σ� Inject Flumazenil
σ� Use Naloxone
σ� Use hydrocortine
97. Which one of the following is NOT the predisposing factors for paradoxical reactions?
σ� Young and advanced age
σ� Alcoholism and drug abuse
σ� Patients who are allergic to local anesthetic
σ� Psychiatric disorders
98. How to manage haematoma formation at the IV injection site?
σ� Remove the IV cuff to decrease the venous blood pressure
σ� Remove the needle and apply firm pressure for 5 minutes
σ� If the site is painful apply ice in the first few hours
σ� All of the above
99. Which one of the following is NOT the management of air embolism during IV sedation?
σ� Withdraw air from the vein by using large needle and syringe
σ� Remove air bubbles from the IV tubing before connecting the IV
σ� Remove air bubbles from the syringe before injecting
σ� Periodically check the infusion bag to prevent it employing
100. How much small bubbles of air in the vein can a patient tolerate after IV sedation?
σ� 0.2ml of air / kg weight
σ� 0.5ml of air / kg weight
σ� Up to 1ml of air /kg weight
σ� Over 2ml of air / kg weight
{"name":"General Anesthesia Dr. Hong Someth (part2)", "url":"https://www.supersurvey.com/QPREVIEW","txt":"51. Which one of the following statement is NOT the disadvantages of IV sedation?, 52. How much Midazolam is needed for slow IV titration?, 53. Which one of the following statements is NOT the actions and effects of Benzodiazepines?","img":"https://www.supersurvey.com/3012/images/ogquiz.png"}
More Surveys
GOLD TEAM- MOST LIKELY TO
20100
Avon HS Swimmers - YOUR Favorites!
211037
The Whitefly in South Florida
5230
Electives chosen
6330
Mental health
201057
Who's that baby?
271428
CHEERLEADING AUDITION
520
The COVID-19 pandemic was unexpected. How did we (personal and or national) handle the crisis? Is there anything that could have been done better? What lesson can be learned from the pandemic? Should another one occur, do you think we would be ready? Were you personally affected by the pandemic? What were the global effects of the pandemic? What impact did it on the environment? Did we come out of the pandemic better? The hospitals were overwhelmed with cases with both vaccinated and unvaccinated persons. How was this handled? Did the vaccine help to reduce the severe symptoms of the virus? Many people had their faith strengthened during the pandemic. The pandemic showed that life is fragile and physical possessions could be lost in the blink of an eye
26130