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ANH2400 Cumulative Exam Review Flashcards | StudBud
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ANH2400 Cumulative Exam Review
ANH2400 Cumulative Exam Review
80 terms
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A review of each exam from class as we progress in class. I will add to it weekly.
Flashcards
80 cards
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Practice quiz
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Questions
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Answers
1
In choosing the right catheter for a procedure the
length
of the catheter should be based on the:
age and condition of the patient
vessel to be used for placement
ideal gauge
reason for placement
2
Which of the following is a drug-induced sleep from which it can be very difficult to rouse the patient?
tranquilization
hypnosis
sedation
narcosis
3
Drugs that have the ability to produce unconsciousness when given alone are characterized as:
reversible anesthetics
induction anesthetics
disruptive anesthetics
injectable anesthetics
4
Which type of catheter is often placed in a peripheral vein for short term use?
jugular catheter
through-the-needle
butterfly
over-the-needle
5
The maximum safe pressure manometer reading for a 15-kg dog would be:
40cm H2O
2cm H2O
10cm H2O
20cm H2O
6
The most common heart rhythm in healthy dogs and cats is sinus arrhythmia.
True
False
7
Greyhounds are more sensitive to which class of drugs bc of their slow metabolism and lack of body fat?
barbiturates
anticholinergics
NSAIDs
opioids
8
Which drug is the reversal agent for dexmedetomidine?
atipamazole
ketamine
anticholinergics
acepromazine
9
Which sx instruments is most appropriate to hand the surgeon when she wants to grasp and retract tissue short term?
gelpi retractor
U.S. army retractor
thumb tissue forceps
senn retractor
10
Which group, aka minor tranquilizers, are often used for their sedative, muscle relaxant, and anticonvulsant properties?
benzodiazepines
alpha-2 agonists
phenothiazines
opioids
11
For a laceration repair, ______ is the best instrument to hold and cut suture if only one hand is available for the job.
olsen-hagar
mayo-hagar
crile-wood
derf
12
An anesthetic patient is swallowing and has an elevated heart rate. This is indicative of:
the anesthetic level being too deep
that patient being at a surgical stage of anesthesia
the anesthetic level being too light
a normal reaction to anesthesia
13
The term referring to variables that indicate the response of the animal’s homeostatic mechanisms to anesthesia is:
muscle tone
vital signs
anesthetic depth
reflex
14
P w/ hepatitis or renal dysfunction should not receive alpha-2 adrenoceptors due to their metabolic and excretion.
False
True
15
Which type of catheter is used for central venous pressure monitoring?
Butterfly catheter
Over the needle catheter
B and C
Through the needle catheter
16
Any drug that is utilized to induce loss of sensation with or without unconsciousness is known as a(n):
anesthetic agent
adjunct agent
neuromuscular blocker
reversal agent
17
A dog has been induced w/ an anesthetic agent and shows signs of loss of spontaneous muscle movement. This animal is:
between stage 3 and 4
between stage 2 and 3
between stage 1 and 2
18
Which is one of the most common sites for a peripheral catheter in a dog, but not in a cat?
Medial saphenous vein
Lateral saphenous vein
19
How often should the carbon dioxide granules be changed even without color change?
3-4 hours
only when the color changes does it need replaced
6-8 hours
10-12 hours
20
Doxapram is best categorized as an:
opioid antagonist
alpha-2 antagonist
alpha-2 agonist
analeptic agent
21
A dachshund presents for defenestration of an lumbar intervertebral disc. How should this patient be positioned?
Ventral recumbency with forelegs secured to table, hind limbs hanging over
dorsal w/ sandbags on each side, or a trough, to secure the patient
Ventral with sandbags on each side, or a trough, to secure the patient.
In lateral recumbency with forelegs extended cranially as much as possible.
22
Which patient will potentially need the longest intravenous catheter?
A cat weighing 4 pounds with a femoral over-the-needle catheter
A cat weighing 4 pounds with a jugular through-the-needle catheter
A cat weighing 5 pounds with a cephalic butterfly catheter
cat weighing 2 pounds with a cephalic over-the-needle catheter
23
What is the best way to leak check an endotracheal tube prior to placement in a patient?
Submerge the tube in a pan of water and monitor for fogging of the tube
Submerge the tube in pan of water and monitor for bubbles
Run water though the endotracheal tube and observe for leakage
Inflate the cuff and listen for air leakage
24
Human exposure to minute amounts of which agent is known to cause rapid onset of unconsciousness, resp failure, & death?
detomidine
romifidine
dexmedetomidine
immobilon
25
A devastating error such as performing surgery on the wrong limb can be avoided by simply doing which of the following?
Observing the patient and looking at the limb
Reading the medical chart
Having the front office staff ask at drop off
Verbally confirming the affected limb with the owner prior to the surgery
26
Which governmental organization is responsible for the regulation of pet food?
NIH
FDA
USDA
EPA
27
A constant state within the body created and maintained by normal physiologic processes is:
homeostasis
electroneutrality
oncotic pressure
osmolarity
28
Doxapram is best categorized as an:
opioid antagonist
alpha2-antagonist
alpha2-agonist
analeptic agent
29
A devastating error such as performing surgery on the wrong limb can be avoided by simply doing which of the following?
Verbally confirming the affected limb with the owner prior to the surgery
Having the front office staff ask at drop off
Observing the patient and looking at the limb
Reading the medical chart
30
An anesthetist needs to rapidly increase the depth of anesthesia on a patient. Which is the best method of doing so?
bag the animal w/the precision vaporizer set on 1%
use a non-rebreathing circuit
decrease the O2 flow using the rebreathing system
increase the vaporizer setting using the rebreathing system
31
The minimum database consists of the following:
name, gender, physical exam findings
Hx, signalment, name, physical exam, Dx results
Hx, signalment, physical exam, Dx results
Hx, signalment, owner's income, physical exam
32
Which best describes the chemical part of the scrub procedure?
Inactivation or inhibition of microorganisms on skin and in hair follicles
All of the above
Removal of debris, dirt, oil, and transient skin surface organisms
Removal of bacteria from the skin through friction
33
Which of these devices reduces the pressure of the gas from 50 to 15 psi, the optimal pressure for breathing circuit?
line pressure gauge
flowmeter
vaporizer
pressure-reducing valve
34
Ruminants are more sensitive to which of the following drugs, requiring only one-tenth of the dose of horses?
lidocaine
xylazine
ketamine
atropine
35
When were anesthetic techniques refined to the point of the practical and widespread use of agents?
in the early part of the 15th century BC
mid-1800s
early 1900s
between the 1500s and 1700s
36
While getting a patient hx, the tech asks a client “Does your pet drink a normal amt of water?” What type of ? is this?
open-ended
leading question
question that can be answered with a yes or no
simple, direct
37
In order to effectively absorb anesthetic vapors, activated charcoal cartridges should be replaced after:
72 hours of use or weight gain of 100 grams
24 hours of use or weight gain of 50 grams
12 hours of use or weight gain of 50 grams
48 hours of use or weight gain of 50 grams
38
When a 5kg animal is placed on a Bain Coaxial Circuit, some rebreathing of waste gas will occur unless the O2 flow is:
0.5 to 1 times the RVM
4 to 5 times the RVM
6 to 7 times the RVM
2 to 3 times the RVM
39
Which of the following breeds of dog is resistant to acepromazine?
Terrier
Border collie
Rottweiler
Boxer
40
The surgeon is repairing a limb fracture in a horse. Which instrument is needed to hold and drive intramedullary pins?
hand chuck
bone curette
periosteal elevator
bone rongeur
41
Which breed of horse would be more at risk for complications during recovery and are more sensitive to sedatives?
clydedales
quarter horses
arabians
shetlands
42
If a circulating nurse is not available, where should sterile gown/gloves, as well as other sterile equip, be opened?
In the scrub room
In the surgery area
In the patient preparation area
Immediately outside the autoclave
43
Which of the following gloving methods is most appropriate for IVC placement?
closed
open
none
assisted
44
Which of the following is an appropriate use of a peripheral catheter?
extended fluid therapy
long-term use (<3 days)
anesthesia induction
systemic monitoring
45
If an endotracheal tube is longer than the thoracic inlet, there is:
a risk of increased amount of mucus in the tube
a risk of only one lung being infused with oxygen and anesthetic gas
an increased risk of mechanical dead space
a risk of fire due to the higher oxygen content
46
The common effect of depression and/or stimulation, seen in a patient, after the admin of an anesthetic agent is due to:
pharmacokinetics
pharmacometabolics
pharmacoagents
pharmacodynamics
47
An animal is displaying abdominal breathing with a rocking motion. This animal is in which stage of anesthesia?
surgical stage 3
light stage 3
deep stage 3
stage 2
48
A geriatric dental patient showing minor dehydration would be classified as a physical status of:
PS 4
PS 3
PS 1
PS 2
49
An adult cow is intubated and in a sx stage of anesthesia but develops tachypnea w/ shallow resps. What should be done?
Administer IV anesthetic agents to deepen anesthesia
Place the animal on a ventilator
Nothing; this is normal in ruminants
Increase inhalant anesthetic to take to a deeper stage of anesthesia
50
Adding which drugs to a protocol for swine = a more predictable and heavier sedation and shorten Ax in some pigs?
Dissociatives
Sedatives
NSAIDs
Opioids
51
Which of the following species are more sensitive to opioids?
dogs
cattle
sheep
horses
52
Blood pH would be in which vital sign group?
ventilation
CRT
oxygenation
circulation
53
The patient is a 3-kg kitten. What type of system should be used on the anesthetic machine?
Closed rebreathing system
Partial rebreathing system
Rebreathing system
Non-rebreathing system
54
There is a risk of cardiac arrhythmias or arrest due to epinephrine release making which stage potentially hazardous?
stage 3
stage 2
stage 4
stage 1
55
An H-tank of oxygen has a psi of 1000. How long can this tank continue to be used at an oxygen flow rate of 1 L/min?
30 hrs
25 hrs
110 hrs
50 hrs
56
Which of the following statements is true?
Vital signs can be grouped into 2 categories
Instruments can/should be used instead of an anesthetist due to reliability
Instruments can collect a full range of info required for monitoring
Instruments cannot replace skilled and conscientious anesthetists
57
The term REL refers to:
redistributed exposure limit
recommended exposure limit
relative exposure limit
reactive exposure limit
58
An anesthetic with eyes in the ventromedial position and no jaw tone is considered to be at which anesthetic level?
Surgical
Too light
Ventromedial eye position happens in all levels of anesthesia
Too light
59
The heart rate may be more difficult to hear in an anesthetized patient because:
there is a decreased strength of contraction
the heart rate decreases to a very slow rate
there is an increase in the strength of the contraction
there are noises from monitors and other equipment in the operatory
60
A patient has flaccid muscle tone and widely dilated, unresponsive pupils. This is at which stage of anesthesia?
4
1
3
2
61
When monopolar electrosurgery is used, a ground plate must:
be placed under the patient
have contact with the patient
have contact with an alcohol soaked sponge
all but C
62
When collecting information from a client regarding a patient’s history, it is best to ask:
simple, direct questions
leading questions
pen-ended questions
questions that can be answered with yes or no
63
When a patient losses consciousness, the patient is in which stage(s) of anesthesia?
between stage 3 and 4
between stage 2 and 3
between stage 1 and 2
64
Cats are more prone to hypoxemia due to an increased mechanical dead space in the anesthesia system.
False
True
65
Which catheter is best to use when vascular access is required for medication that needs to be administered slowly once?
Any type of catheter will do
Over-the-needle
Through-the-needle
Butterfly
66
The principal organ(s) involved in the elimination of halogenated compounds is(are):
brain
kidneys
liver
lungs
67
You have been asked to manage general anesthesia on a horse. What type of system would be most appropriate?
Closed rebreathing system
Rebreathing system
Partial rebreathing system
Semi-closed rebreathing system
68
Which of the following is not a reason to schedule a preanesthetic appointment prior to a surgical event?
Prepare the surgical site on the animal
Acquire the minimum patient database
Give client information about fasting of the animal prior to the procedure
Obtain signed informed consent forms
69
Before auscultation, which is the best way to prevent a dog from panting?
Tie the dog’s mouth shut with a soft towel
Flex the mandible by pressing down on the dog’s jaw w/palm of hand w/watch
Extend the mandible by lifting up on the dog’s jaw using the watch hand
Clamp the mouth shut with an overhand grasp
70
How is monopolar electrosurgery instrumentation used?
hemostat is placed on the tissue/vessel; cautery tip is touched to hemostat
tip of hand piece can directly touch the vessel/tissue for cauterization
A and B
The hand pieces look like thumb tissue forceps to pick up tissue/vessel
71
The opening through which WAGs exit the pop-off valve on a rebreathing system is:
transfer tubing
the gas evacuation system
the waste gas port
the interface
72
Who has published guidelines for Ax monitoring to max the QLTY of care and assist us in sound decision making?
American Animal Hospital Association
Academy of Veterinary Technicians in Anesthesia and Analgesia
American College of Veterinary Anesthesia and Analgesia
American Veterinary Medical Association
73
Which opioid binds to more than one type of opioid receptor, effecting one but blocking effects at another receptor?
Buprenorphine
Naloxone
Hydromorphone
Butorphanol
74
Anesthetic agents and adjuncts can be classified by which of the following?
Route of admin, time given, principal effect, chemistry
Route of admin, time period at which given, and tidal volume they require
Route admin, time given, principal effect, chemistry
Route of admin, time given, chemistry, principal effect, tidal volume
75
The scavenger system of an anesthetic machine removes which gas from the patient?
O2
N
N2O
CO2
76
Post IV acepromazine, a k9 has an increased HR and decreased core temp. To which common side effect is it attributed?
peripheral vasodilation
penile prolapse
antiarrhythmic effect
excitement
77
What is the best way to leak check an endotracheal tube prior to placement in a patient?
Submerge the tube in a pan of water and monitor for fogging of the tube
Submerge the tube in pan of water and monitor for bubbles
Run water though the endotracheal tube and observe for leakage
Inflate the cuff and listen for air leakage
78
Which of the following surgical scissors is most appropriate for cutting a sponge to fit in a sx wound?
may scissors
metzenbaums
operating scissors
hemostats
79
Neonates or pediatric patients require special consideration when deciding what drugs to use because:
the liver metabolic pathways are not fully developed
they have poor renal function
they are more difficult to intubate
they are more difficult to catheterize
80
Which allows for the most accurate measurement of fluids to a tiny patient for whom an infusion pump is not available?
Macrodrip intravenous fluid set
Microdrip intravenous fluid set
Extension set
Buretrol solution administration set