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GKA CPC Exam Review Questions & Answers Rated 100% Correct!!
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GKA CPC Exam Review Questions & Answers Rated 100% Correct!!
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Name: Score:257 Multiple choice questions
Term 1 of 257
A 20-year-old woman is scheduled for a tonsillectomy. The plan of anesthesia is an inhalation
induction, because of her inability to tolerate the insertion of an IV catheter. She has no past
medical or surgical history, and no familial history of anesthetic complications. The inhalation
induction proceeds with the use of sevoflurane (Ultane) and oxygen. An IV catheter is
successfully inserted and succinylcholine (Anectine) is administered. Masseter muscle rigidity is
immediately noted and end-tidal carbon dioxide rises to 65 mm Hg. Which disease process
describes the above scenario?
Acute porphyria
Carcinoid syndrome
Malignant hyperthermia
Atypical pseudocholinesterase
Term 2 of 257
A significant drug interaction may occur between the monoamine oxidase inhibitors (MAOIs) and:
Fentanyl (Sublimaze)
Meperidine (Demerol)
Midazolam (versed)
Codeine
,Term 3 of 257
Which drug is BEST avoided in a burn patient more than 24 hours post-injury?
Etomidate
Propofol
Rocuronium
Succinylcholine
Term 4 of 257
Characteristics of all single-use laryngeal mask airways include: select 2
a. incompatibility with oral surgical cases involving a laser
b. ability to pass a gastric tube for stomach decompression
c. contraindication with a latex allergy
d. intracuff pressure that increases with nitrous oxide anesthesia
A. placing a mask on the patient for transport
D. a private room with negative air pressure
A. Incompatibility with oral surgical cases involving a laser
D. Intracuff pressure that increases with nitrous oxide anesthesia
b. Prehydration with IV fluids
A. adequate preload
D. high mean arterial pressure
E. lower heart rate
Term 5 of 257
Which agent should be used with caution in patients with chronic renal insufficiency?
Propofol (Diprivan)
Ketamine (Ketalar)
Midazolam (Versed)
Etomidate (Amidate)
,Term 6 of 257
A 22-year old man who is 5 ft 10 in tall and weighs 80 kg presents to the emergency room 6 hours
after tonsillectomy secondary to chronic tonsillitis. Following otolaryngology evaluation,
emergent control of post-tonsillectomy bleeding is deemed necessary. The patient comes to the
operating room sitting up, swallowing frequently, and spitting bright red blood intermittently into
a large basin. Other past medical history is unremarkable. The patient has an 18-gauge IV line in
his left arm. Blood pressure is 90/50 mm Hg, pulse is 115/min, respiratory rate is 24/min, and SpO2
is 95%. The initial attempt at laryngoscopy with a Macintosh 4 blade reveals a large amount of
blood in the posterior pharynx and a grade 4 view. Oxygen saturations are now in the 70s (%) and
decreasing. Immediately prior to direct laryngoscopy the patient vomits a large amount of bright
red blood, of which aspiration is suspected. The next immedia
A. rapid suctioning of the airway
C. early application of PEEP
E. tracheal intubation
D. Discontinue gas insufflation
A. Dexamethasone (Decadron)
D. Scopolamine (Scopace)
C. Depleted carbon dioxide absorbent
Term 7 of 257
Which human factors decrease intraoperative vigilance? select 2
a. Periodic breaks
b. Sleep deprivation
c. Aging
d. Decreased noise levels
B. Sleep deprivation
C. Aging
a. High pressure leak test
d. Suction
C. Functional Residual
c. Hypotension
d. Hypoxemia
, Term 8 of 257
A patient presents for an emergency incision and drainage of suspected necrotizing faciitis.
Persistent hypotension and tachycardia continue throughout the operative course. What
treatment offers the BEST renal protection?
Aminoglycoside antibiotic therapy
High dose methyl prednisolone
Phenylephrine infusion
Perioperative fluid restriction
Term 9 of 257
Anesthetic management of a patient with severe aortic stenosis includes:
afterload reduction
modest bradycardia
adequate preload
decreased contractility
Term 10 of 257
During the daily anesthesia machine checkout, the oxygen analyzer should be verified to read
what percentage of oxygen?
18
80
24
21
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