c3. BASIC PRInciples C (151-224)

Question 0

152. Which of the following is true regarding ventilation and perfusion in the lateral position in the anesthetized, closed-chest patient?
     a. the non depenednt lung is better perfused
     b. the dependent lung is better ventilated
     c. the non dependent lung is better ventilated
     d. the dependent lung has less deadspace

Answer 0

-c. the non dependent lung is better ventilated
In the lateral position, the up lung is better ventilated owing to decreased compression of the chest wall as compared to the down lung

Question 1

151. A patient develops bronchospasm under anesthesia that is not relieved by deepening levels. The next intervention may be:
     a. administer a beta blocker
     b. give calcium channel blocker
     c. give a beta 2 agonist
     d. administer iv steroids

Answer 1

-c. give a beta 2 agonist

administering a bronchodilating beta 2 agonist by means of inhalation or IV is the most effective tx of bronchospasm

Question 2

153. During muscle contraction, calcium combines with:
     a. troponin
     b. tropomyosin
     c. actin
     d. myofibril C

Answer 2

-c. actin

calcium allows actin fibers to react with myosin fibers, thus shortening the muscle fibers

Question 3

154. A heat producing mechanism is thought to exist in what tissue known to play an important role in hibernating animals:
     a. connective
     b. brown adipose
     c. mitochondrial
     d. all of the above

Answer 3

-b. brown adipose
to maintain body temp, neonates create heat by metabolizing brown fat, crying and moving vigorously, but unlike adults they rarely shiver (brown fat thermogenesis)

Question 4

155. Which of the following is usually not seen in patients with pyloric stenosis?
     a. alkalosis
     b. hypervolemia
     c. hypochloremia
     d. dehydration

Answer 4

-b. hypervolemia
persistent vomiting that occurs with this syndrome results in inadequate hydration and hypovolemia (with electrolyte disturbances)

Question 5

156. Theraputic magnesium levels for the treatment of preeclampsia are:
     a. 1-2 meq/L
     b. 4-6 meq/L
     c. 8-10 meq/L
     d. 20-25 meq/L

Answer 5

b. -4-6 meq/L
Theraputic magnesium levels are maintained to treat hyperreflexia and provent convulsions until delivery of the fetus and the placenta is possible

Question 6

157. A significant incidence of cardiotoxicity is seen following the use of:
     a. 3% chloroprocaine
     b. 4% cocaine
     c. 0.5% mepivacaine
     d. 0.75% bupivacaine

Answer 6

-d. 0.75% bupivacaine
Use of high concentrations of bupivacaine results in initial cardiac arrest after systemic absorption rather than the expected neurotoxicity

Question 7

158. The last structure the needle pass through in epidural anesthesia is the:
     a. ligamentum flavum
     b. dura mater
     c. supraspinous ligament
     d. arachnoid mater

Answer 7

-a. ligamentum flavum
with the midline approach, the needle passes through the supraspinous, interspinous, and ligamentum flavum to reach the epidural space

Question 8

159. a postpartum patient who develops an inverted uterus with hemorrhage should be treated with what first?
     a. blood
     b. 100% oxygen
     c. halothane by mask
     d. rapid sequence induction with ketamine

Answer 8

-b. oxygen

ensuring proper oxygenation is essential therapy in any hemorrhagic emergency

Question 9

160. Which of the following intravenous solutions whould be avoided in the neurosurgical patient?
     a. balanced salt solution
     b. dextrose and water
     c. lactated ringer’s solution
     d. normal saline

Answer 9

-b. dextrose and water
Dextrose and water solutions should not be used in neurosurgical patients because of the tendency for them to produce cerebral edema and alter glucose metabolism in the brain

Question 10

161. Myocardial oxygen demand is decreased by:
     a. tachycardia
     b. decreased preload
     c. increased afterload
     d. increaed contractility

Answer 10

b. decreased preload
decreasing preload with vasodilators reduces venous return and the amount of work the heart must do to eject returning blood flow

Question 11

162. myocardial oxygen consumption is most closely associated with:
     a. heart rate
     b. blood viscosity
     c. cardiac output
     d. stroke volume

Answer 11

-a. heart rate
increases in heart rate produce the greatest increase in cardiac work and must be avoided in patients with ischemic heart disease and congestive heart failure to prevent cardiac decompensation

Question 12

163. cardiovascular changes that occur with advancing age are most typically associated with:
     a. decreased blood pressure
     b. decreased cardiac reserve
     c. decreased heart rate
     d. increased cardiac output

Answer 12

-b. decreased cardiac reserve
diminished cardiac reserve in many elderly patients may be seen as exaggerated drops in blood pressure during induction of anesthesia

Question 13

164. Which of the following is a determinant of myocardial oxygen supply?
     a. blood oxygen content
     b. preload
     c. afterload
     d. heart rate

Answer 13

-a. blood oxygen content
perfusion and oxygenation are supply parameters (preload, afterload and heart rate are determinants of myocardial demand)

Question 14

165. signs and symptoms of diabetes insipidus include all of the following except:
     a. polyuria
     b. increased urine osmolarity
     c. hypernatremia
     d. serum hyperosmolarity

Answer 14

-b. increased urine osmolarity
the vast amounts of urine produced by patients with diabetes insipidus have relatively no solute and thus very minimal osmolarity

Question 15

166. The preservative in halothant that provides stability is:
     a. absolute alcohol
     b. methylene blue
     c. thymol
     d. methylparaben

Answer 15

-c. thymol

Thymol o.01% is added to halothane liquid as a stabilizer to prevent breakdown during storage

Question 16

167. All of the following are contraindications to using nitrous oxide except:
     a. bowel obstruction
     b. hiatal hernia
     c. air embolism
     d. pneumothorax

Answer 16

-b. hiatal hernia
hiatal hernia does not involve a closed gas space in the body; therefore, it would not be expanded by the administration of nitrous oxide.

Question 17

168. Inhalation anesthetic agents are metobilized by the:
     a. monoamine oxidase system
     b. cholinesterase
     c. microsomal enzymes
     d. hydrolysis

Answer 17

-c. microsomal enzymes

some volatile anesthetics are metabolized by the liver by drug metabolizing enzymes known as microsomal enzymes

Question 18

169. Where is nitrous oxide metabolized?
     a. brain
     b. liver
     c. kidney
     d. intestine

Answer 18

-d. intestine

trace amounts of nitrous oxide are metabolized in the intestines by intestinal bacteria

Question 19

170. what percentage of isoflurane is metabolized?
     a. 0.2%
     b. 2%
     c. 3%
     d. 2.4%

Answer 19

-a. 0.2%
isoflurane is resistant to metabolizm and thus is converted in less than 1% of the administration dose to nontoxic byproducts.

Question 20

171. Hepatic dysfunction occurs most often after repeated administration of halothane to what group of patients?
     a. young adults
     b. pediatric patients
     c. obese middle aged females
     d. middle aged males

Answer 20

-c. middle aged females

the national halothane study indicated that obese middle aged women are the most susceptible to halothane toxicity.

Question 21

172. What is the diagnostic test for malignant hyperthermia?
     a. elevated lactate dehydrogenase
     b. elevated creatnine phsophokinase
     c. halothane-caffiene contracture test
     d. genetic test of the ryanodine receptor

Answer 21

-c. halothane-caffiene contracture test

Question 22

173. Your patient is in the sitting position. Where should you place the transducer to measure mean arterial blood pressure to monitor perfusion pressure at the brain?
     a. it doesnt matter where the transducer is placed
     b. place the transducer at the right sternal border between the 3rd and 6th intercostal space
     c. place the transducer at the level of arterial catheter insertion site
     d. place the transducer at the level of the external ear canal, which is at the level of the circle of willis.

Answer 22

-d. place the transducer at the level of the external ear canal, which is at the level of the Circle of Willis

Question 23

174. Which five nreves may be injured in lithotomy position?
     a. common peroneal, sciatic, femoral, saphenous and obturator nerves
     b. deep peroneal, sural, posterior tibial, saphenous and femoral nerves
     c. common peroneal, superficial peroneal, posterior tibial, sciatic and obturator nerves
     d. sciatic, femoral, pudendal, posterior tibial, and common peroneal nerves

Answer 23

-a. common peroneal, sciatic, femoral, saphenous and obturator nerves
Nerves that supply the lower extremities are often damaged because of compression or stretching with improper positioning or padding

Question 24

175. Why is the axillary roll placed undeer the patient in the lateral decubitus position? a. to prevent compression of the brachial plexus and subclavian vessels near the first rib and thus prevent thoracic outlet syndrome b. to allow the thorax to hang free, thus minimizing loss of functional residual capacity and obstruction to venous return c. to lift the thorax and relieve pressure on the axillary neurovascular bundle and to prevent reduced blood flow to the hand d. to prevent the patient from sliding more laterally, causing ventral circumduction of the dependent shoulder and the potential for suprascapular nerve injury.

Answer 24

-c. to lift the thorax and relieve pressure on the axillary neurovascular bundle and to prevent reduced blood flow to the hand A small support shold be placed just caudal to the downside axilla to prevent decreased blood flow to the hand

Question 25

176. What is the most frequently damaged nerve in the lower extremity? a. sciatic nerve b. common peroneal nerve c. femoral nerve d. anterior tibial nerve

Answer 25

-b. common peroneal nerve The common peroneal nerve may be injured when the head of the fibula (lateral aspect of the knee) is compressed against the leg support or insufficiently padded

Question 26

177. What nerve is damaged if the inside of the knee is compressed? a. saphenous nerve b. obturator nerve c. anterior tibial nerve d. common peroneal nerve

Answer 26

-a. saphenous nerve | The saphenous nerve may be injured when the medial tibial condyle is compressed by the leg supports.

Question 27

178. The rate of induction with an inhalation anesthetic varies inversely with which property of the agent? a. oil/gas solubility b. blood/gas solubility c. vapor pressure of the agent d. none of the above

Answer 27

-b. blood/gas solubility The speed of induction and emergence of an anesthetic gas is determined by its blood/gas solubility. The lower number, the faster the anesthetic.

Question 28

179. all of the following are ultra short acting barbiturates except: a. methohexital b. thiamylal c. thiopental d. pentobarbital

Answer 28

-d. pentobarbital (nembutal) is a short acting drug whose duration is in the range of 4 to 8 hours.

Question 29

180. The termination of action of thiopental is via: a. distribution to the skeletal muscles b. oxidation c. redistribution d. reductive enzymes

Answer 29

-c. redistribution Patients emerge from thiopental effects due to redistribution from the brain to non-neural sites. This is true of all induction drugs.

Question 30

181. What drug should not be administered with a monoamine oxidase inhibitor? a. fentanyl b. morphine c. meperidine d. sufentanil

Answer 30

-c. meperidine | meperidine metabolism is affected by MAO inhibitors, possibly resulting in seizures and death

Question 31

182. Use of barbiturates is contraindicated in what disease? a. muscular dystrophy b. graves disease c. porphyria d. scleroderma

Answer 31

-c. porphyria barbiturates may induce the enzyme aminolevulinic acid synthetase resulting in a precipitation of an attack in genetically susceptible patients with prophyria

Question 32

183. Use of droperidol is contraindicated in what disease? a. diabetes mellitus b. parkinson's c. alzheimers d. muscular dystrophy

Answer 32

-b. parkinson's disease droperidol blocks dopamine in the brain; therefore it is contraindicated in patients with Parkinson's disease because of it's extrapyramidal side effects.

Question 33

184. Which antimuscarenic exhibits the least central nervous system toxicity? a. atropine b. glycopyrollate c. scopolamine d. benztropine

Answer 33

-b. gluycopyrollate | Glycopyrollate is a quartenary ammonia compound and does not pass the blood brain barrier

Question 34

185. Central nervous system toxicity due to anticholinergic drugs can be treated with: a. neostigmine b. pyridostigmine c. ecothiopate d. physostigmine

Answer 34

-d. physostigmine physostigmine unlike other anticholinesterases, passes the blood brain barrier and will relieve central nervous system symptoms.

Question 35

186. What percent of neuromuscular blockade is achieved if 2 of 4 twitches from train of four stimulation of the ulnar nerve can be elicited? a. 50 % b. 75 % c. 80 % d. 90 %

Answer 35

``` -c. 80 % Two responses out of four indicates a degree of paralysis of approximately 80%. 1 of 4=90%; 2 of 4=80% 3 of 4=70%; 4 of 4= less than 70% ```

Question 36

187. The final metabolic product of nitroprusside is: a. cyanide b. thiocyanate c. choline d. nitrate

Answer 36

-b. thiocyanate nitroprusside is made of 5 cyanide molecules per molecule of the drug. They are released during metabolism of this agent.

Question 37

188. A drug that follows first order kinetics will be eliminated from the body at: a. a constant amount per time b. a half life at a time, & depends on the amount of the drug c. the same number of milligrams per hour d. the elimination time varies 188b. What is zero order kinetics?

Answer 37

-b. A half life at a time & depends on the amount of drug In first order kinetics it follows that a drug will be eliminated in a constant % per half life, for example, 10% per hour or 50% of the drug every 3 hours (it is based on the amount of the drug present) 184b. ETOH follows zero order and is eliminated at a constant rate per hour no matter how much is present. Etoh drops 0.1 percent every 5 hours. So it will take a 0.4 blood alcohol will take 20 hours.

Question 38

189. what is the classification of a 140 kg patient who must undergo emergency surgery for a bowel obstruction? a. ASA 1E b. ASA 3E c. ASA 4E d. ASA 2E

Answer 38

-d. asa 2E | A patient this large and thus ASA 2. A bowel obstruction is an emergency, thus the E designation.

Question 39

190. List three diseases an ASA3 patient may have: a. angina pectoris, chronic obstructive pulmonary disease and prior myocardial infarct b. essential HTN, diabetes mellitus and morbid obesity c. anemia, chf and persistent angina pectoris d. extremes of age, chronic bronchitis and hepatic dysfunction

Answer 39

a. angina, copd, prior MI ASA 3 signifies having chronic and serious disorders present. The first 3 are the most significant of all the listed disorders

Question 40

191. Allof the following are the pharmacologic effects of dropiridol except: a. hypotension b. extrapyramidal signs c. antiemetic properties d. vasoconstriction

Answer 40

-d. vasoconstriction | dropiridol blocks alpha receptors, resulting in vasodilation in the periphery

Question 41

192. What nerve is injured if the arm is malpositioned with the elbow at the side of the table? a. sciatic nerve b. median nerve c. radial nerve d. ulnar nerve

Answer 41

-d. ulnar nerve the ulnar nerve is the most frequently injured nerve under anesthesia. This results from improper positioning and panic when adjusting the arms.

Question 42

193. Elevation of the kidney rest compresses which structure and leads to what response? a. The aorta is compressed, which causes lower extreminty ischemia and hypertension b. the inferior vena cava is compressed, which causes a marked reduction in venous return and hypotension c. the abdominal viscera are compressed which causes ventilation/perfusion mismatch d. the common peroneal nerve is compressed, which results in loss of sensation over the dorsum of the foot

Answer 42

-b. the inferior vena cava is comrpessed, which causes marked reduction in venous return and hypotension A kidney rest compresses the flank area, resulting in pressure on the vena cava and hypotension

Question 43

194. Anticholinergic blocks which muscarenic receptor subtype? a. M-1 b. M-2 c. M-3 4. M-1, M-2, M-3

Answer 43

-d. M-1, M-2, M-3 M-1 receptors are neuronal, M-2 are in the heart and M-3 are in smooth muscle and glands. All three types are blocked by the common antimuscarenic medications.

Question 44

195. Pseudocholinesterase metabolizes: a. lidocaine b. bupivacaine c. procaine d. ropivacaine

Answer 44

-c. procaine | Ester-type local anesthetics are metabolized by hydrolysis with the enzyme cholinesterase

Question 45

196. During the onset of neuromuscular blockade, in the fourth twitch is eliminated in the train of four, the percent of blockade is: a. 50% b. 67% c. 75% d. 90%

Answer 45

-c. 75% | Loss of one twitch in the train of four indicates a percentage of blockade in the high 70s

Question 46

197. The maximum amount of air that can be inhaled from the resting end expiratory level is: a. tidal volume b. vital capacity c. inspiratory capacity d. inspiratory reserve volume

Answer 46

-C. inspiratory capacity | The inspiratory capacity is made up of the inspiratory reserve volume plus the tidal volume

Question 47

198. muscle relaxants distribute to what body compartment? a. skeletal muscle b. intracellular fluid c. extracellular fluid d. vessel poor organs

Answer 47

-c. extracellular fluid muscle relaxants are 100% water soluble in the body at all times and thus distribute to the body's extracellular water only

Question 48

199. the onset of action of what antimuscarenic parallels the onset of edrophonium? a. atropine b. glycopyrollate c. scopolamine d. all of the antimuscarenics parallel the rapid onset of edrophonium

Answer 48

-a. atropine | Atropine has the fastest onset among the listed drugs, which correlates with the fast onset of edrophonium

Question 49

200. Administration of an anticholinergic drug before the anticoholinesterases will minimize which effect? a. nicotinic receptor antagonism b. muscarenic receptor antagonism c. nicotinic receptor stimulation d. muscarenic receptor stimulation

Answer 49

-d. muscarenic receptor stimulation Excess acetylcholinergic generated by the anticholinesterase drug will stimulate muscarenic receptors unless they are blocked within the anticholinergic drug.

Question 50

201. The "concentration effect" or "overpressure" during induction of anesthesia refers to: a. the blood gas coeffecient of an anesthetic varies with concentration b. the higher the concentration administed, the faster the increase in alveolar concentration c. the second gas effect d. anesthetic overdose

Answer 50

-b. the higher the concentration administered, the faster the increase in alveolar concentration giving higher than necessary concentrations during initial administration of an anesthetic to speed onset is referred to as the concentration effect

Question 51

202. Naltrexalone (Re Via), Naloxone (narcan) and nalmefene (revex) are: a. pure agonist b. partial agonists c. partian agonist/antagonists d. pure antagonists

Answer 51

-d. pure antagonists | These three drugs are pure opiate receptor agonists that work on all receptor subtypes

Question 52

203. The "truncal rigidity" that may occur with fentanyl can be relieved by: a. atropine b. aminophylline c. nitroprusside d. succinylcholine

Answer 52

-d. succinylcholine | a muscle relaxant will relieve the tight chest produced by rapid administration of high potency opiates

Question 53

204. Which fibers are not cholinergic? a. preganglionic sympathetic b. postganglionic parasympathetic c. postganglionic sympathetic d. preganglionic parasympathetic

Answer 53

-c. postganglionic sympathetic | Postganglionic sympathetic fibers are adrenergic as they release norepinephrine

Question 54

205. Which of the following would be expected to produce the most reliable anesthesia/amnesia? a. thiopental b. propofol c. etomidate d. midazolam

Answer 54

-d. midazolam although all of the listed agents may produce some amnesia, the benzodiazepines are the most reliable and predictable amnestic drugs.

Question 55

206. Nystagmus is a characteristic of which "stage" of anesthesia? a. stage 1 b. stage 2 c. stage 3 d. stage 4

Answer 55

-b. stage 2 | Nystagmus is characteristic of the excitement stage during anesthetic administration which is noted as stage 2

Question 56

207. The enzyme primarily involved in the biotransformation of exogenous catecholamines is: a. monoamine oxidase b. cytochrome p450 c. catechol-o-methyl transferase d. amidase

Answer 56

-a. monoamine oxidase (MAO) | biogenic amines are metabolized in the body primarily by the mitochondrial enzyme monoamine oxidase

Question 57

208. The theraputic index by definition is: a. 25% lethal dose/ 25% effective dose b. 50% lethal dose/ 50% effective dose c. 75% lethal dose/ 75% effective dose d. 90% lethal dose/ 90% effective dose

Answer 57

-b. 50% lethal dose/ 50% effective dose | Theraputic index, a measure of drug safety, is defined as LD50/ED50

Question 58

209. Anesthetic partial pressure in the brain depends on: a. solubility of the agent b. anesthetic partial pressure in the alveoli c. minimal alveolar concentration of the agent d. second gas effect

Answer 58

-b. anesthetic partial pressure in the alveoli There is always a direct correlation between the brain and lung concentrations because anesthetics are freely diffusible through biologic membranes.

Question 59

210. Dissociative anesthesia is a term applied to anesthesia produced by the administration of: a. propofol b. scopolamine c. ketamine d. hypnosis

Answer 59

-c. ketamine | Ketamine blocks association pathways in the brain and thus is referred to as producing dissociative anesthesia

Question 60

211. Dual block can be caused by: a. a nondepolarizing relaxant b. small amounts of depolarizing relaxants c. very large doses of depolarizing relaxants d. administration of both nondepolarizing and depolarizing

Answer 60

-c. very large doses of depolarizing relaxants Administration of large amounts (usually greater than 500 mg) of sux may produce a desensitization block sometimes refrerred to as a dual block

Question 61

212. The most sensitive muscles to the paralyzing effects of neuromuscular blocking drugs are: a. abdominal muscles b. limb muscles c. jaw muscles d. eye muscles

Answer 61

-d. eye muscles | even the small doses of muscle relaxants may produce eyelid muscle paralysis and weakness resulting in blurred vision

Question 62

213. The most serious systemic toxicity with local anesthetics is: a. cardiac arrhythmias b. liver damage c. respiratory depression d. convulsions

Answer 62

-d. convulsions The most serious toxicity resulting from an overdose of local anesthetic is central nervous system stimulation, resulting in convulsions

Question 63

214. A drug's plasma half life is: a. Its 50% maximal response b. the time required for plasma drug concentration to be decreased by 50% c. its duration of action d. its onset of action

Answer 63

-b. the time required for plasma drug concentration to be decreased by 50% The beta half-life of a drug indicates elimination. It usually takes four to five half lives to eliminate a drug

Question 64

215. The minimal alveolar concentration value of an agent is defined as: a. potency of an agent b. speed of induction and emergence c. alveolar concentration where 50% of patients DO NOT RESPOND to surgical stimuli d. directly proportional to the blood/gas solubility coefficient

Answer 64

-c. alveolar concentration where 50% of patients do not respond to surgical stimuli The minimal alveolar concentration (MAC) is an indication of anesthesia depth and is designated as the 50% point.

Question 65

216. The activity of acetylcholine released from cholinergic nreve endings is terminated by: a. hydrolysis catalyzed by acetylcholinesterase b. presynaptic neuronal uptake through an active pump c. presynaptic neuronal uptake by endocytosis d. monamine oxidase

Answer 65

-a. hydrolisis catalyzed by acetylcholinesterase | acetylcholinesterase is the isoenzyme present in the neuromuscular junction that metabolizes acetylcholine

Question 66

217. Drugs crossing biomembranes generally do so by which of the following processes? a. diffusion through aqueous ion channels b. diffusion through membrane lipid c. permeation by active pump mechanisms d. pinocytosis

Answer 66

-b. diffusion through lipid membrane Drugs have molecules too large to move through channels; therefore, they must have lipid solubility or be actively transported to move through biologic membranes.

Question 67

218. The ED50 of a drug is defined as: a. the response elicited when one half of the theraputic dose is administered b. the dose that elicits a theraputic response in 50% of patients c. one-half of the ED100 d. the threshold dose

Answer 67

-b. the dose that elicits a theraputic response in 50% of patients ED50 represents the effective dose to reach half -efficacy on a dose response scals

Question 68

219. A drug having a high LD50 and a low ED50: a. is unsafe for human use b. has a high theraputic index and is therefore very dangerous c. has a high theraputic index and is therefore very safe d. has a low theraputic index and should therefore be used with care

Answer 68

-c. has a high theraputic index and is therefore very safe | A high theraputic index indicates a very safe drug because the lethal dose is much higher than the effective dose.

Question 69

220. What do the letters I.T. or Z79 indicate on an endotracheal tube? a. the endotracheal tube has passed inspection b. endotracheal tube material free of toxic properties c. indicates internal diameter of the tube d. indicates length of the tube

Answer 69

-b. endotracheal tube material free of toxic properties I.T. on an endotracheal tube means "Implant Tested" to ensure non-toxicity, and Z79 stands for the Z79 committee on anesthesia equipment of the American National Standards Institute and signifies that the material is nontoxic to tissues as well.

Question 70

221. Pulse oximetry functioning is an example of: a. Beer's law b. Dalton's law c. Charle's law d. Reynold's law

Answer 70

-Beer's law Beer's law states that at a constant light intensity and hemoglobin concentration, the intensity of light transmitted through the sample is a log function of the oxygen saturation of hemoglobin

Question 71

222. Of the following, which interferes with pulse oximetry? a. oxyhemoglobin b. hemoglobin F c. hemoglobin d. methemoglobin

Answer 71

-d. methemoglobin Methemoglobin absorbs both red and infrared light. At a high methemoglobin level, the saturation will be 85% regardless of the actual PO2.

Question 72

223. Clinical accuracy of pulse oximetry is within: a. 2-3% b. 1% c. 5-8% d. 100%

Answer 72

-a. 2-3% | Clinical accuracy is typically reported to be +/- 2% to 3% for a range of saturation between 70-100%.

Question 73

224. All of the following will affect SPO2 (oxygen saturation) accuracy except: a. hypotension b. hyperthermia c. altered SVR d. use of vasoactive drugs

Answer 73

-b. hyperthermia Anything that alters blood flow through the sampling site may affect accuracy. All of those listed affect circulation negatively except hyperthermia.