A morbidly obese male with an unstable cervical fracture and a history of a difficult
intubation (Mallampati class IV and mouth opening <15mm) is scheduled for a C3-4
cervical fusion. Which intubation technique with in-line stabilization is MOST
appropriate?
a. Asleep Direct Laryngoscopy
...
A morbidly obese male with an unstable cervical fracture and a history of a difficult
intubation (Mallampati class IV and mouth opening <15mm) is scheduled for a C3-4
cervical fusion. Which intubation technique with in-line stabilization is MOST
appropriate?
a. Asleep Direct Laryngoscopy
b. Awake video laryngoscopy
c. Asleep fiberoptic bronchoscopy
d. Awake fiberoptic bronchoscopy
ANSWER: D - Awake Fiberoptic Bronchoscopy
Airway management with a supraglottic airway is CONTRAINDICATED in a patient with:
a. hypothyroidism
b. coronary artery disease
c. asthma
d. symptomatic hiatal hernia
ANSWER: D - Symptomatic hiatal hernia
, Deeagles - Stuvia US
An E-cylinder of oxygen with a service pressure of 1,900 PST contains how many liters
of oxygen?
a. 660
b. 190
c.330
d. 1,590
ANSWER: A - 660
Which neuromuscular monitoring technique is appropriate for the evaluation of time to
recovery from a deep blockage with rocuronium (Zemuron)?
a. Double-burst stimulation
b. Train-of-Four stimulation
c. Tetanic stimulation
d. Posttetanic count stimulation
ANSWER: D - Posttetanic count stimulation
What is responsible for an abrupt decrease in end-tidal carbon dioxide (ETCO2) to near
zero with the absence of an ETCO2 waveform?
a. Exhausted carbon dioxide absorbent material
b. Malfunction of unidirectional inspiratory valve
c. Loss of suction on the scavenge system
d. Anesthesia circuit disconnection
ANSWER: D. Anesthesia circuit disconnection
, Deeagles - Stuvia US
Which muscle relaxant is MOST appropriate in patients with advanced liver disease?
a. Vecuronium (Norcuron)
b. Cisatracurium (Nimbex)
c. Pancuronium (Pavulon)
d. Rocuronium (Zemuron)
ANSWER: B. Cisatracurium (Nimbex)
During administration of anesthesia to a patient with sickle cell disease, which action
minimizes sickling?
a. Continued hypoventilation
b. Administration of 100% oxygen
c. Restriction of fluids
d. Avoidance of hyperthermia
ANSWER: B. Administration of 100% oxygen
Which valve on the anesthesia gas machine allows respiratory gas to flow to and from a
patient?
a. Unidirectional
b. Adjustable pressure-limiting
c. Shutoff
d. Needle
ANSWER: A. Unidirectional
, Deeagles - Stuvia US
Which is an appropriate intervention with complete loss of oxygen pipeline pressure?
a. Fully open the E-Cylinder
b. Consider mechanical ventilation
c. Push the oxygen flush valve
d. Use a high fresh gas flow of oxygen
ANSWER: A. Fully open the oxygen E-Cylinder
The MOST important action to enhance the denitrogentaion of the lungs prior to
induction of anesthesia is:
a. having the patient breathe deeply 3x on room air
b. ensuring a tight circuit mask fit on the patient
c. asking the patient to take a deep breath and cough
d. placing the patient on nasal cannula oxygen at 2L/min preoperatively
ANSWER: b. Ensuring a tight circuit mask fit on the patient
Which factor correlates with increased risk for postoperative pulmonary complications?
a. Lower abdominal surgery
b. Monitored anesthesia care
c. Age 70 years or older
d. Controlled asthma
ANSWER: C. Age 70 years or older
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