General Anesthesia Dr. Hong Someth (part3)

101. Which one of the following is NOT the symptoms of accidental intra-arterial injection?

σ� A bright-red flash of blood in the cannula

σ� A dark red blood clots under the skin

σ� Pulsatile movement of blood in the IV line

σ� Intense pain or burning at the site of injection

102. How to prevent intra-arterial cannulation during IV sedation?

σ� Always palpate a vessel before applying the IV cuff

σ� Check the colour of blood in the cannula and look for a pulse of blood in the IV tubing

σ� Ask the patient if there is pain or coldness going down the arm when you first inject a saline test

σ� All of the above

103. How to prevent extravascular drug administration during IV sedation?

σ� Always test the IV by injecting first some saline or water for injection

σ� Inject a few drops of Diazepam into the vein first

σ� If a saline drip is being used, hold the IV bag below the patients' heart

σ� Always test the IV by injecting first some saline or water for injection and . If a saline drip is being used, hold the IV bag below the patients' heart

104. Which one of the following is NOT the required equipment for IV sedation?

σ� Pulse Oximeter

σ� Thermometer

σ� Blood pressure monitor

σ� Bag-valve-mask and oxygen cylinder

105. What are the required drugs for IV sedation?

σ� Midazolam and Flumazenil

σ� Adrenalin 1:1000

σ� Other essential emergency drugs

σ� All of the above

106. Which one of the following is NOT the prerequisites for sedation?

σ� Blood tests

σ� Knowledge of the agents to be used

σ� Consent

σ� Adequate equipment & materials

107. What are the guiding principles for sedation of children?

σ� Supervision by medical personnel

σ� Cooperative children

σ� Trained & skilled in both airway management and cardiopulmonary resuscitation

σ� Supervision by medical personnel and Trained & skilled in both airway management and cardiopulmonary resuscitation

108. What advanced knowledge for primary practitioner in conscious sedation?

σ� Capable of providing bag mask ventilation and, ultimately, endotracheal intubation

σ� Understand pharmacology of sedating medications

σ� Maintain advanced pediatric airway skills

σ� All of the above

109. Which one of the following is NOT the basic knowledge for supported personnel?

σ� Be trained in, and capable of providing basic life support

σ� Know how to do tracheotomy

σ� Assist in any supportive or resuscitation measures

σ� Know how to use resuscitation equipment & supplies in the event of an emergency

110. What happens when insulin is injected to a hypoglycaemic patient?

σ� The patient will recover from hypoglycaemia

σ� Blood glucose level will rise up

σ� The patient might die

σ� The patient's blood pressure will go down

111. What does S O A P M E stand for?

σ� Supply, Order, Accident, Pain, Management, Emergency

σ� Suction, Oxygen, Airway, Pharmacy, Monitors, Equipment

σ� Safe, Old, Analgesics, Prescription, Malignancy, Effectiveness

σ� Sedationists of Oral Association for Pediatric Malformation and Epilepsy

112. What is Naxolone used for?

σ� For reversing Benzodiazepines

σ� For pain control

σ� For reversing opioids, eg. Morphine

σ� For anti-inflammatory

113. You have been asked to administer conscious sedation to a healthy, 25 year old female patient in the dental school clinic. She has dental phobia and requires a simple dental extraction. The most appropriate statements in this context include:?

σ� The patient must be able to understand and respond purposefully to verbal commands, throughout the period of sedation

σ� The end point is maintenance of a purposeful response after repeated or painful stimulation

σ� Sedation with IV Midazolam is unlikely to be associated with over-sedation if titrated slowly

σ� Sedative drugs are administered as a single bolus

114. A 75 years old man of ASA (American Society of Anesthesiologists) III status is scheduled for surgical removal of retained roots in the maxilla under IV sedation. The most appropriate statements regarding this procedure include:?

σ� After an initial dose of midazolam, an additional dose is recommended if analgesia is inadequate

σ� Administration of a specific analgesic agent is likely to be needed for pain

σ� If midazolam and fentanyl are administered, then fentanyl should be given after the peak effect of midazolam is observed

σ� Midazolam dose for elderly patient with ASA III should be reduced

115. Which one of the following statement is NOT TRUE in relation to the use oral sedation?

σ� Patient commonly complain of post operative headache

σ� An acceptable level of anxiolytic action is obtained when the drug is given one hour preoperatively

σ� There is a profound amnesic action and no side affects

σ� Oral Midazolam is considered as minimal sedation

116. Which one of the following statement is TRUE about Midazolam?

σ� It has interaction with orange juice

σ� Midazolam injectable solution can be mixed with sweet drinks or Paracetamol syrup

σ� Normally, we titrate Midazolam in 5mg (5ml) increments every 5 minute while we talk to the patient

σ� The half-life of Midazolam is 10 to 20 hours

117. Which one of the following statement is NOT TRUE about monitoring during sedation?

σ� Pulse oximeter measures oxygen saturation in arterial blood using infrared light

σ� Oxygen saturation (SpO2) is the amount of oxygen carried by hemoglobin, compared with the total oxygen-carrying capacity of hemoglobin; expressed as percentage

σ� Pulse oximeter with the alarm set is better than the finger-clip without the alarm

σ� Record pulse and oxygen saturation every 35 minutes

118. Dental extraction may be most appropriately performed under conscious sedation in the following patients:?

σ� A patient with known allergy to local anaesthetic

σ� A cooperative patient for extraction of four impacted wisdom teeth

σ� A severely mentally handicapped adult

σ� A 3-yr-old child for extraction of a single tooth

119. During a minor procedure under sedation and analgesia, the patient is breathing slowly with some snoring, is not easily aroused, and does not respond to verbal commands. At which level of sedation is this patient?

σ� Twilight sedation

σ� Moderate sedation

σ� Deep sedation

σ� Irreversible sedation

120. Which of the following defines moderate sedation?

σ� A medically controlled state of depressed consciousness from which the patient does not respond to verbal or tactile stimuli

σ� CNS depression produced by sedatives that allow patients to tolerate unpleasant procedures while maintaining the ability to respond to verbal or tactile stimuli

σ� The administration of morphine to treat post-operative pain

σ� The administration of a sedative/hypnotic agent to facilitate sleep

121. Patients being evaluated for procedure-related sedation need: ?

σ� A history and physical

σ� An ASA physical status assignment

σ� A consent

σ� all of the above

122. All of the following are monitoring requirements for the sedated patient EXCEPT?

σ� Blood pressure

σ� Capillary refill

σ� Pulse oximetry

σ� respiratory rate

123. What parameter must be monitored continuously during sedation?

σ� State of consciousness (breathing)

σ� Pulse oximetry

σ� Blood pressure

σ� Cardiac output

124. The first and most important action when a patient starts to vomit during a procedure is to?

σ� Apply restraints

σ� Give supplemental O2

σ� Give a reversal agent

σ� Reposition to lateral decubitus

125. The first response for an obstructed airway is to: ?

σ� Suction the patient

σ� Tntubate the patient

σ� Insert an oral airway

σ� Perform a chin lift/neck extension

126. Guidelines for patients at discharge after sedation should include: ?

σ� Written release of the hospital from responsibility

σ� Discussion of all potential adverse effects of moderate sedation

σ� Discussion of the effects of sedation and a warning about operating a motor vehicle

σ� A mandatory follow-up visit with the physician who performed the procedure

127. Which of the following statements about the use of benzodiazepines for moderate sedation is true?

σ� Adjustment in dosing is needed when giving an opioid

σ� Should always be reversed by flumazenil

σ� Should always be reversed by naloxone

σ� Should always be given by the oral route

128. Infants and small children are particularly susceptible to complications during sedation. The unique anatomy of which body system contributes to this susceptibility:?

σ� Neurological

σ� Gastrointestinal

σ� Respiratory

σ� Renal

129. A Post-Anesthesia Recovery Score is: ?

σ� An objective measure used to determine a patient's suitability for discharge

σ� The same as an ASA Physical Status Classification

σ� A neurological assessment of LOC

σ� A physician test of how well a patient will tolerate narcotics

130. When can the patients be discharged to home after procedure-related sedation?

σ� After they can walk

σ� After they can drink water

σ� After all the vital signs have returned to normal

σ� All of the above

General Anesthesia Dr. Hong Someth (part3)

More Surveys