ANSTH - PROP

Question 1

The ff are true regarding the preop visit EXCEPT

a. detailed medical history, current drug therapy, complete PE, and lab results should be done/reviewed
b. History of atopy should be reviewed.
c. targeted PE at CNS, CV, lungs and upper airway must be done
d. previous exposure. experience with anesthesia, and family history of problems with anesthesia
e. NOTA
f. AOTA

Answer 1

E

Question 2

3 components of the pre-op visit

Answer 2

• assessment of medical status of the patient
• plan of anesthetic care
• plan with patient/legal guardian

Question 3

ASA classification of normal and healthy patient

Answer 3

ASA 1

Question 4

ASA classification of dead patient

Answer 4

ASA 6

Question 5

ASA classification of patient with severe systemic diseasee

Answer 5

ASA 3

Question 6

ASA classification of patient with mild systemic ds

Answer 6

ASA 2

Question 7

ASA classification patient with severe systemic disease that is a constant threat to life

Answer 7

ASA 4

Question 8

ASA classification of a moribund patient who is not expected to survive without operation

Answer 8

ASA 5

Question 9

ASA classification of normal patient in emergency

Answer 9

ASA 1E

Question 10

Mallampati scoring system:

soft palate, fauces, portion of uvula

Answer 10

II

Question 11

Mallampati scoring system:

hard palate only

Answer 11

IV

Question 12

Mallampati scoring system:

soft palate, fauces, uvula, pillars

Answer 12

I

Question 13

Mallampati scoring system:

soft palate, base of uvula

Answer 13

III

Question 14

The ff are predictors of difficult intuation EXCEPT

a. Obesity
b. Immobility of the neck
c. Interincisor distance of <4cm
d. large overbite
e. Thyromental distance <7cm

Answer 14

E. <6.5 cm

Question 15

% mortality of ASA Class 1

Answer 15

0.1%

Question 16

% mortality of ASA Class 2

Answer 16

0.2%

Question 17

% mortality of ASA Class 3

Answer 17

1.8%

Question 18

% mortality of ASA Class 4

Answer 18

7.8%

Question 19

% mortality of ASA Class 5

Answer 19

9.4%

Question 20

% mortality of ASA Class 6

Answer 20

100% - already dead

Question 21

The ff predict difficult intubation EXCEPT

a. Mallampati Class 3
b. Low BMI
c. Immobility of the neck
d. Can fit less than 4 finger breadths vertically inside open mouth
e. Large overbite

Answer 21

B. Obesity predicts difficult intubation

Question 22

Risk of perioperative death due to MI in px without IHD

Answer 22

1%

Question 23

Risk of perioperative death due to MI in px with IHD

Answer 23

3%

Question 24

% of mortality due to cardiac causes in Pxs undergoing surgery for peripheral vascular disease

Answer 24

29%

Question 25

Risk factors for CAD (4)

Answer 25

``` CLSD Hypercholesterolemia Hyperlipidemia Smoking Diabetes mellitus ```

Question 26

The ff are cardiovascular risk factors EXCEPT a. DM b. Hyperhomocysteinemia c. Advanced age d. male sex e. sedentary lifestyle

Answer 26

NOTA; all are true

Question 27

True about renal disease and anesthesia EXCEPT a. acute renal failure may result from hypovolemia b. Glomerulonephritis is most likely cause of ARF in the perioperative period c. all anesthetic drugs are associated with decrease in renal blood flow d. NOTA

Answer 27

B - acute tubular necrosis

Question 28

True about Anesthesia in patients with hepatobiliary disease EXCEPT a. regional anesthesia is useful in patients with advanced liver disease b. Halothane is associated with halothane hepatitis c. Desflurane is the most hepatotoxic d. NOTA AOTA

Answer 28

C. Desflurane is least hepatotoxic

Question 29

What are the 3 most prevalent metabolic and endocrine disease in patients undergoing surgery

Answer 29

DM Hypothyroidism Obesity

Question 30

True about Anesthesia in patients with CNS disease EXCEPT a. CT/MRI may show midline shift and this may indicate expanding brain lesion b. Prevention of sudden increases in BP is important in patients with increased intracranial pressure c. Propofol does not alter autoregulation of CBF d. opioids increase CBF, decrease ICP in head trauma px

Answer 30

D. Dec CBF, Inc ICP

Question 31

Reversal of neuromuscular blockade is achieved by giving these reversal agents

Answer 31

PEN pyridostigmine Edrophonium Neostigmine

Question 32

What is the fifth vital sign?

Answer 32

Pain

Question 33

A hereditary life-threatening hypermetabolic acute disorder developing during or after receiving GA. Triggered by succinylcholine and all volatile anesthetics (sevoflurane, desflurane)

Answer 33

Malignant Hyperthermia

Question 34

MGT for malignant hyperthermia

Answer 34

``` Call for help STop volatile anesthetics give 100% O2 Hyperventilate Giver bicarbonate Dantrolene Treate HyperK avoid CCB ```