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Chapter 9
| Question | Answer |
|---|---|
| During which phase of general anesthesia would the risk of aspiration be the greatest? | Induction |
| Which anesthetic monitoring device registers the brain wave activity of the patient an enables anesthetic titration for optimal level on consciousness during surgical intervention? | Bispectral index |
| Benzodiazepines are classified by the controlled substance act as which class? | Class 4 |
| Which type of drug is used to treat possible postoperative nausea and vomiting? | Antiemetic |
| Why would a neurosurgeon order mannitol for a patient during a craniotomy for excision of a tumor? | Decrease intercranial pressure |
| How are most drugs absorbed by the body? | Passive transport |
| Which of the following is not a drug administration route? | Biodegradable |
| Where is the pharmacological agent administered specifically to treat malignant hypothermia? | Dantrolene |
| Which drug is administered intravenously to treat life threatening cardiac ventrical arythmias? | Naloxone Hcl |
| What is the name of the device used to support or modify the curvature of an endotracheal tube during intubation? | Stylet |
| Which anatomical structure regulates temperature by monitoring processes of heat production and loss in the human body? | Hypothalamus |
| What would be the surgical technologists role in the general anesthesia induction phase? | Maintains absolute quiet |
| During which type of assessment would Korokoffâs be heard? | Using the stethoscope for manual BP |
| Which type of anesthesia would be considered non-traditional in the United States? | Acupuncture |
| Which of the following pharmacological agents provide muscle relaxer by preventing acetocoline from stimulating muscle contractions? | Non depolarizing |
| What side effects after the use of dissociative agents ketamine hydrochloride makes it contradictive for use on adults? | Morbid hallucinations |
| The practice of applying crichoid pressure during endotracheal intubation was named for a British anesthesiologist named? | Sellick |
| The anesthesia provider will assign which physical status classification grade to a patient with severe systemic disease, massive obesity, poorly controlled hypertension, or status post myocardial infarction? | ASA 3 |
| A bovine derived enzyme used as a chemical method of hemostasis is? | Thrombin |
| Drugs used for opthimaligcal procedures are similar to those for systemic use but must be? | More pure |
| What is the topical agent used by peripheral vascular and neurosurgeons to dilate blood vessels intraoperatively? | Papaverine |
| Which type of opthalamic medication concentrates the pupil? | Miotic |
| Which classification of drugs is used to induce uterine contractions and reduce bleeding after vaginal or cesarean section delivery? | Oxytocin |
| Which drug is an anticoagulant antagonist used to reverse the effects of heparin? | Protamine sulfate |
| Which type of medication container would pose the highest risk of injury to the handler and contamination of medication by glass particles? | Ampule |
| A widely accepted list of safety measures is entitled the 6 _____ of medication administration. | Rights |
| Mittims, drams, and drops are volume measurements in which measurement system? | Apothecary |
| The apothecary system of measurement based weight measurement of grain and grain of? | Wheat |
| Which of the following naming categories are pharmaceutical drugs will not be used in the healthcare setting? | Street |
| Cough syrups containing codeine would be placed in which classification of controlled substances? | Class 5 |
| Which type of drug preparation both is sweetened and contains alcohol? | Elixir |
| Which anatomical organ does biotransformation of drugs most often take place? | Liver |
| Non-steroidal anti-inflammatory drugs are also known as? | Analgesics |
| What is the term for the portion of the endotracheal tube that is inflated to create a closed airway system? | Cuff |
| Which measurement method is used to determine the entire volume of expired carbon dioxide? | Capnography |
| What is the medical term for normal breathing? | Eupnea |
| Which vitamin is required for activation of the bodyâs natural clotting mechanism? | Vitamin K |
| Avotene is the brand name for which type of chemical hemostatic agent? | Microfibrular collagen |
| Ansel, kelsol, and keflex are brand names for which category of antibiotics or anti-infection agents? | Cephalosporins |
| Fenthol citrate is a generic name for which of the following analgesics? | Sublimaze |
| The ratio of a solutions solute to solvent is its? | Concentration |
| By what name is the international system of units more commonly known? | Metric system |
| A patient prescribed sublingual nitroglycerin for anginal would? | Under his tongue |
| Tetrogenic results fall into which category of medicational fix? | Toxic |
| Magnesium, calcium, and zinc come from which drug source? | Mineral |
| Which government regulatory agency has oversight on pharmaceutical companies? | FDA |
| What is the chemical name for a chemical or drug that causes birth defects? | Tetrogen |
| Which category of drug is used to outline hollow or tubular anatomical structures for radiographic visualization? | Contrast media |
| Which type of reaction occurs when drug potentcy or enhancing the effect of another substance? | Agonist |
| Which type of pharmaceutical agent binds to another agents receptical sites preventing the other agent from binding there and causing its desired effect? | Antagonist |
| Which type of irrigation solution is used during placement of synthetic in cardiovascular surgery to prevent clotting? | Hepranized Saline |
| What type of anesthesia nerve block involves injecting local anesthetics with wideas around the optic nerve? | Retrobulbar |
| Lidocaine, bupivocaine, ropivocaine are examples of which type of nerve conduction blocking agent? | Amino amides |
| Extreme caution should be exercised when using which of the following for local anesthesia on fingers, toes, penis, or neonates? | Epinephrine |
| Which of the following topical anesthetic is used as a freezing method to block pain receptors in the skin? | Ethyl chloride |
| What is another term for spinal anesthesia? | Intrathecal |
| What is the term for the spinal anesthetic solution that has the same specific gravity as cerebral spinal fluid? | Isobarrick |
| What is done for an upper extremity with an S marked bandage prior to insufflation of a double cuff tourniquet used in the bird block anesthesia? | Exsanguination |
| When a patient undergo induced hypothermia to a level of 68 degrees Fahrenheit or lower it is termed to be? | Profound |
| Category of drugs used to alter pH of gastric secretions, reduce gastric volume, and promote pyloric emptying | Histamine Antagonist |
| Type of neuromuscular blockade that can cause muscle fisiculation and cannot be pharmacologically reversed | Depolarizing agents |
| IV fluids that is a solution if water serum electrolytes similar to plasma | Ringerâs solution |
| Category class 4 controlled drugs with sedative or tranquilizer effects a jump to general amnesic and muscle relaxation effects | Benzodiazepines |
| Reversal agents for opiates that work by completing the CNS receptionsites preventing opiate binding; Narcan is commonly used | Narcotic antagonist |
| Medications used to permit rapid transition from consciousness to unconsciousness by quickly bypassing the excitement phase of general anesthesia | Induction agents |
| Liquid inhaled via a vaporizer to produce general anesthesia through CNS impression and decrease EEG activity in muscle tone | Volatile agents |
| Anesthetic agents delivered through the anesthesia circuit passing to the blood stream via the respiratory system to maintain unconsciousness | Inhalation agents |
| Fluid component of blood containing blood clotting factors removed from 1 unit of whole blood | Fresh frozen plasma |
| Markings in syringes and containers that allow for precise measurement | Calibration |
| List of common medical conditions that a particular medicine is used for | Indications |
| The effect of a pharmaceutical agent at the target site includes theories of receptors, theories of receptor enzyme, and nonspecific interactions | Drug action |
| Class of medications that are available without physician authorization | Over the counter |
| Metabolic processing of a drug within the body includes absorption, distribution, biotransformation, and excretion | Formal kinetics |
| The study of the interaction of a drugs molecule with the target cells of living tissue | Pharmacodynamics |
| T or F Drugs used for prophylaxis relieve pain and other symptoms of disease processes | False |
| T or F A patient taking a medication for a long period may experience tolerance resulting in the need to increase the dosage to achieve the same benefit as before | True |
| T or F Antibiotics and anticoagulant heparin are frequently diluted with normal saline to achieve a more powerful dosage that the original strength | False |
| T or F To convert weight and pounds to kilograms for a near estimate in emergency divide the pounds in half and then subtract the first digit of the answer from itself to get the conversion total (Ex: 160\2 = 80. 80 - 8 = 72) | True |
| T or F The surgical tech and the circulator verify a drugs name, strength, expiration, and amount together. Then the surgical tech labels any container holding it and states the name and strength outloud to the surgeon as its being passed. | True |