May 2013 Anesthetics SLOs Page 1 of 5

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1 May 2013 Anesthetics SLOs Page 1 of 5 1. A client is having a scalp laceration sutured and is to be given Lidocaine that contains Epinephrine. The nurse knows that this combination is desgined to: A. Cause vasodilation at the site of the laceration B. Decrease blood pressure in the patient and have a calming effect C. Improve the absorption of the Lidocaine D. Increase the duration of the anesthetic action in the area of the injection E. Prevent infection in the wound 2. Analgesia is the loss of? A. All sensation B. Consciousness C. Long-term memory D. Pain sensation E. Short-term memory 3. Anesthesia is the loss of?, but anesthetic agents are NOT all analgesic! A. (All) sensation with or without loss of consciousness B. Consciousness C. Long-term memory D. Pain sensations only E. Short-term memory 4. Dentists with high exposure to nitrous oxide have higher risk of developing? and neuropathy similar to Vitamin B12 deficiency. A. Glucose resistance B. Insulin resistance C. Kidney failure D. Megaloblastic anemia E. Metabolic syndrome 5. Etomidate is associated with?. B. Laryngospasm and hiccups C. Apnea D. Muscle movement 6. Fentanyl causes?, so would be a poor option for obese patients. B. Chest wall rigidity C. Flacid paralysis D. Induction E. Panting 7. Fentanyl is associated with?. A. Apnea and constipation B. Enhanced reflexes C. Hiccups D. No vomiting E. Skeletal Muscle relaxation

2 May 2013 Anesthetics SLOs Page 2 of 5 8. Isoflurane is a lung irritant and will cause laryngospasm and bronchospasm. It is contraindicated in? A. Asthmatics B. Dentists C. DMT2 patients D. Minor surgical procedures E. The elderly 9. Isoflurane is associated with?. B. Laryngospasm and apnea C. Changes in mood D. Shivering 10. Midazolam is associated with?. A. Muscle movement B. Severe respiratory depression C. Short-term memory loss D. Sedation 11. Obese patients present particular problems for anesthesia: sedative premedications should be avoided to reduce the risk of a collapsed airway; their increased body mass and high percentage of adipose requires more oxygen predisposing them to hypoxia; The extra body mass over the chest decreases chest wall compliance making breathing difficult; obese patients tend to have multi organ system problems including HT, DMT2; alterations in volumes of distribution (reduction in total body water), and the binding and elimination of drugs is unpredictable. Lipid soluble drugs, including the?, fentanyl and propofol, are very likely to have a prolonged duration of effect. A. Volatile agents B. Water soluble barbiturates C. Water soluble benzodiazepines D. All of the above E. B & C only 12. Patients with a genetic predisposition to developing? are at particular risk when given the halogenated volatile liquid general anesthetics and inorganic gas general anesthetics. A. Malignant hyperthermia B. Megaloblastic anemia C. Neuroleptic malignant syndrome D. Serotonin syndrome E. Steven Johnson s syndrome 13. Patients with a? should not use Ester local anesthetics like benzocaine. A. Cold B. G6PD deficiency C. History of heart disease D. PABA allergy E. Risk factor for malignant hyperthermia

3 May 2013 Anesthetics SLOs Page 3 of Propofol is associated with?. A. Apnea B. Hypotension C. Bradycardia D. Chest wall rigidity E. A, B and C, not D 15. Sufentanil is a potent opioid analgesic indicated for use as part of balanced general anesthesia. Which of the following products contains an opioid similar to sufentanil? B. Ketaset C. Sublimaze 16. The halogenated volatile liquid anesthetics are associated with?. B. Hyperkalemia C. Malignant hyperthermia D. Seizure-like EEG 17. The inorganic gas anesthetic nitrous oxide is administered?. A. Hyperbarically B. IM C. IV D. PO E. SC 18. The nurse administering succinylcholine prior to intubating a patient for mechanical ventilation, knows that this drug causes: A. Muscle paralysis without analgesia or unconsciousness B. Loss of consciousness along with muscle paralysis and anesthesia C. Deep muscle relaxation and pain relief D. Increased alertness, but amnesia E. Muscle paralysis and deep analgesia 19. What is the amount of an inhaled anesthetic that is needed to anesthetize ½ of patients called? B. MAC C. MAC sedation D. Malignant Hyperthermia E. SJS 20. Which of the following is a C-II opioid analgesic indicated for IV or epidural analgesia, sedation, induction and short-duration anesthesia for minor procedures? Also used TD as an analgesic.

4 May 2013 Anesthetics SLOs Page 4 of Which of the following is a C-III barbiturate (GABA A agonist) parenteral general anesthetic? 22. Which of the following is a C-III non-barbiturate parenteral general anesthetic (it is an NMDA antagonist)? It is an excellent analgesic and is indicated as the sole anesthetic agent or as an adjunct especially with nitrous oxide, also as an induction agent. 23. Which of the following is a C-IV BZD (GABA A agonist) used as a sedative, hypnotic, amnesiac, anxiolytic, AED? Indicated for pre-op sedation/anxiolysis/amnesia; induction of anesthesia; sedation of ventilated patients. 24. Which of the following is a Halogenated volatile liquid general anesthetic indicated for in and outpatient induction and maintenance of general anesthesia? B. Nitrous oxide C. Pentothal D. Sublimaze E. Ultane 25. Which of the following is a Halogenated volatile liquid general anesthetic indicated for induction and maintenance of general anesthesia? D. Nitrous oxide 26. Which of the following is a Non-barbiturate parenteral general anesthetic indicated as an IV sedative/hypnotic for fast induction and maintenance of anesthesia and for sedation? Also used to induce coma. May be used as a rescue antiemetic.

5 May 2013 Anesthetics SLOs Page 5 of Which of the following is a Non-barbiturate parenteral general anesthetic used as a hypnotic for induction of general anesthesia. It has no analgesic properties? Rapid injection leads to severe hypotension. B. Dantrium 28. Which of the following is an Anti spasmodic indicated for chronic spasticity associated with spinal cord injury, cerebral palsy and multiple sclerosis; malignant hyperthermia? 29. Which of the following is an Ester local anesthetic for the temporary relief of pain and itch associated with minor burns, sunburn, minor skin/gum/mouth/ear irritations and insect bites? 30. Which of the following is an Inorganic gas general anesthetic? A. Isoflurane B. Nitrous oxide (N 2 O) C. Oxygen D. Propofol E. Sevoflurane 31. Which of these is an Amide local anesthetic and anti arrhythmic for the relief from the itch, burn or pain of skin inflammation, insect bites, as an anesthetic for dental and minor surgery; tinnitus; jellyfish stings; and is an anti arrhythmic for ventricular tachyarrhythmia control? 32.? is usually lighter sedation so patient is relaxed, but can still follow instructions often used in dental surgery (e.g., wisdom tooth extraction). B. MAC C. MAC sedation D. Malignant Hyperthermia E. SJS