Quiz: 3-Preoperative management

1- all of the following statements about the effect of smoking in a chronic smoker scheduled for elective surgery are true, except

A a)Increased nicotine level may increase sympathЕТic tone B b) Increased carboxyhaemoglobin levels may shift oxyhaenoglobin curve to right C c) Rediced pulmonary capacity may result from poor ciliary function and reduced surfactant D d) Increased risk of infection

2- American Society of Anesthesiologists' classification of physical status of patient is done for?

A aPre operative risk assessment B b) Post operative risk assessment C c) Airway assessment D d) Assessment of organ donor

3- Preoperative anesthЕТic evaluation is likely to bring down the incidence of all the following, except

A a) Case cancellations B b) Patient morbidity C c) Preoperative anxiety D Direct procedural costs.

4- For elective procedures, an anesthesia provider must obtain informed and preferably written consent

A a) Just prior to transferring the patient to the operating room for surgery B b) During preoperative C c) c) At the same time that a surgeon obtains consent for the surgical procedure D d) d) Just prior to induction of anesthesia in the operating room

5- ASA classification for risk stratification is validated for predicting preoperative morbidity associated with the following, except

A a) General or regional anesthesia B b) Conscious sedation C c) Monitored anesthesia care D D) Surgical procedure

6- Sedatives, as premedication, must be avoided in which of the following patients?

A a) Uncontrolled hypertensive B b) Toddler for C c)Brain tumor patients D d) Patients with alcohol abuse

7- The most significant risk factor for developing pulmonary complications is

A a)Site of surgery ( abdominal/ thoracic) B b) Presence of respiratory infection C c) Presence of obstructive sleep apnea D d) Smoking

8- Smoking cessation for 24 hours before a scheduled surgery will lead to

A a) Improvement of ciliary function B b) Decrease C c) Decrease in airway irritability D Decrease in level of carboxyhemoglobin

9. Smoking is an independent risk factor for which of the following events occurring with management of the airway?

A a) Oxygen desaturation B b) Lower preoperative oxygen saturation C c) Bronchospasm D Dental injury

10- According to the American Society of Anesthesiologists Difficult Airway Algorithm, which actions should be considered after initial intubation attempts are unsuccessful?

A a)Calling for help B b) Returning to spontaneous ventilation. C c) Awakening the patient D d) All of the above

11- Which of the following premedication is associated with extrapyramidal side effects:

A a)Metoclopramide B b) Cimetidine. C c) Scopolamine. D d) Diazepam

12- In the usual preparation for general surgery, the patient may be...

A a) Given ice chips. B b)Given specially ordered oral medications with small amounts of water. C c) Scopolamine. D d) Allowed regular diet.

13- A preoperative assessment should include all of the following except:

A a) Current medication and drugs B b) Psychological aspects C c)Patient knowledge of rehabilitation D d) Age, Weight, height

14- Which of the following medications is commonly used as an antiemetic during anesthesia?

A a)Ondansetron B b) Metoclopramide C c) Prochlorperazine D d) Aprepitant

15. Which of the following medications is commonly used for preoperative anxiety and sedation?

A AJ Diazepam B B) Lorazepam C c)Midazolam D D) Alprazolam

16- Drugs commonly used in preanesthЕТic medication include all the following except:

A a) Diazepam B b) Scopolamine C c) Morphine D d)Succinylcholine

17- PreanesthЕТic medication is used for all except:

A a) Decrease of anesthЕТic dose B b) Decrease BP C c) Prevent aspiration D d) Produce amnesia for perioperative events

18- ASA classification is done for:

A a) Status of patient B b)Risk C c) Pain D d) Lung disease

19. Which of the following stages is described as state of surgical anesthesia.

A a) 1 B b) 2 C c)3 D d) 4

20- The goals of preoperative evaluation include:

A a) Assessing the risk of co- existing disease B b) Addressing patient's concerns C c) Discussing options for anesthesia care D d) All of the above

21- During rapid sequence induction of anesthesia:

A a) Sellick's maneuver is not required B b) Preoxygenation is mandatory C c) Suxamethonium is contraindicated D d) Patient is mechanically ventilated before endotracheal intubation

22- Minimal starvation time required in general anesthesia

A a) 4 hours B b)8 hours C c) 24 hours D d) 36 hours

23- ASA classification is based on:

A a)Physical status. B b) Drug interaction C c) Antibiotic selection. D d) Difficult intubation class

24- Which of the following groups constitute high- risk patients?

A a) Elderly. B b) Significant co- morbidities. C c) Complex major surgery. D d)All of the above.

25- ASA classification consists of...... categories

A a)6 B b) 8 C c) 7 D d) 9

26- Which is normally the first step in preoperative care?

A a) Assessing the patient's airway B b) Ensuring the patient has good analgesia C c) Identifying the patient and taking a history D d) Securing intravenous access

27- What is focus of clinical examination at the preoperative visit?

A a)Respiratory, cardiovascular, and airway B b) Respiratory, cardiovascular and general examination C c) Cardiovascular and respiratory systems D d) Airway examination and fasting status

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