Kelly Kinsinger
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Veterinary Medicine Quiz on Vet 201 Chapter 3 Anesthesiology Study Guide, created by Kelly Kinsinger on 11/10/2018.

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Kelly Kinsinger
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Vet 201 Chapter 3 Anesthesiology Study Guide

Question 1 of 55

1

Anesthetic agents and adjuncts can be classified by which of the following?

Select one of the following:

  • Route of administration, time period at which they are given, and tidal volume they require

  • Route of administration, time period at which they are given, according to the principal effect, chemistry, and tidal volume they require

  • Route of administration, according to the principal effect, chemistry, and tidal volume they require

  • Route of administration, time period at which they are given, according to the principal effect, and chemistry

Explanation

Question 2 of 55

1

Any drug that is utilized to induce loss of sensation with or without unconsciousness is known as a(n):

Select one of the following:

  • neuromuscular blocker.

  • reversal agent.

  • anesthetic agent.

  • adjunct agent.

Explanation

Question 3 of 55

1

The common effect of depression and/or stimulation, seen in a patient, after the administration of an anesthetic agent is due to:

Select one of the following:

  • pharmacokinetics.

  • pharmacodynamics.

  • pharmacoagents.

  • pharmacometabolism.

Explanation

Question 4 of 55

1

When acting upon the central nervous system, those agents that bind to more than one receptor type, and simultaneously stimulate at least one and block at least one, are referred to as:

Select one of the following:

  • agonist–antagonists.

  • partial agonists.

  • antagonists.

  • agonists.

Explanation

Question 5 of 55

1

Yohimbine, tolazoline, and atipamezole are best categorized as:

Select one of the following:

  • opioid agonists.

  • opioid antagonists.

  • alpha2-agonists.

  • alpha2-antagonists.

Explanation

Question 6 of 55

1

Incompatible mixtures of anesthetic agents and adjuncts, when combined in the same syringe, can cause which of the following?

Select one of the following:

  • Change in dissociation

  • Change in water solubility

  • Change in chemistry

  • Change in physical dependency

Explanation

Question 7 of 55

1

In the United States, the Controlled Substances Act (CSA) is enforced by the:

Select one of the following:

  • RCMP.

  • DEA.

  • AAHA.

  • AVMA.

Explanation

Question 8 of 55

1

Parasympatholytics are:

Select one of the following:

  • noncontrolled drugs, such as anticholinergics, that are used to prevent and treat bradycardia and salivary secretions.

  • controlled drugs, such as anticholinergics, that are used to prevent and treat bradycardia and salivary secretions.

  • controlled drugs, such as anticholinergics, that are used to induce bradycardia.

  • noncontrolled drugs, such as anticholinergics, that are used to induce bradycardia.

Explanation

Question 9 of 55

1

Drugs such as atropine and glycopyrrolate function in what way?

Select one of the following:

  • Act on the CNS and reverse and prevent sympathetic effects

  • Act on the PNS and reverse and prevent sympathetic effects

  • Act on the CNS and reverse and prevent parasympathetic effects

  • Act on the PNS and reverse and prevent parasympathetic effects

Explanation

Question 10 of 55

1

Effects including arrhythmias and tachycardia, thickening of secretions, bronchodilation, and mydriasis are most likely to be seen with the use of which drug?

Select one of the following:

  • Acepromazine

  • Atipamezole

  • Atropine

  • Antisedan

Explanation

Question 11 of 55

1

The three classes of tranquilizers and sedatives that are often used in veterinary medicine include:

Select one of the following:

  • phenothiazines, benzodiazepines, and alfaxalone agonists.

  • phenothiazines, benzodiazepines, and alpha2-adrenoceptor agonists.

  • phenothiazines, barbiturates, and alpha2-adrenoceptor agonists.

  • phenothiazines, barbiturates, and alfaxalone agonists.

Explanation

Question 12 of 55

1

Post administration of acepromazine, a patient is noted to have an increased heart rate and decreased core temperature. To which common side effect is this attributed?

Select one of the following:

  • Peripheral vasodilation

  • Antiarrhythmic effect

  • Penile prolapse

  • Excitement

Explanation

Question 13 of 55

1

Which of the following groups of drugs, also referred to as minor tranquilizers, are commonly used for their sedative, muscle relaxant, and anticonvulsant properties?

Select one of the following:

  • Alpha2-agonists

  • Opioids

  • Phenothiazines

  • Benzodiazepines

Explanation

Question 14 of 55

1

Which benzodiazepine is most likely to cause irritation and pain when administered intramuscularly (IM)?

Select one of the following:

  • Telazol®

  • Zolazepam

  • Diazepam

  • Midazolam

Explanation

Question 15 of 55

1

Benzodiazepines exert their primary effects by increasing the activity of the:

Select one of the following:

  • CNS

  • GABA

  • CSA

  • DEA

Explanation

Question 16 of 55

1

The appropriate antagonist to use with benzodiazepines is:

Select one of the following:

  • flumazenil.

  • atipamezole.

  • yohimbine.

  • tolazoline.

Explanation

Question 17 of 55

1

The most appropriate route of administration for alpha2-adrenoceptor agonists is:

Select one of the following:

  • orally (PO) or subcutaneous (SC).

  • subcutaneous (SC) or intramuscular (IM).

  • intramuscular (IM) or intravenous (IV).

  • subcutaneous (SC) or intravenous (IV).

Explanation

Question 18 of 55

1

Due to their primary metabolic and excretion pathways, caution should be used when administering alpha2-adrenoceptor agonists to patients with which of the following conditions?

Select one of the following:

  • Hepatitis and renal dysfunction

  • Renal dysfunction and pruritis

  • Hepatitis and cardiovascular disease

  • Pruritis and cardiovascular disease

Explanation

Question 19 of 55

1

The most common cardiac arrhythmia observed in which of the following IV administration of alpha2-adrenoceptor agonists?

Select one of the following:

  • First- and fifth-degree AV block

  • Second- and fifth-degree AV block

  • First- and second-degree AV block

  • Fifth-degree AV block only

Explanation

Question 20 of 55

1

During administration of dexmedetomidine, bradycardia is noted. When taking treatment options into consideration, the most appropriate is administration of:

Select one of the following:

  • acepromazine.

  • anticholinergics.

  • atipamezole.

  • ketamine.

Explanation

Question 21 of 55

1

The three major types of opioid receptors are:

Select one of the following:

  • mu, kappa, and delta.

  • mu, kappa, and gamma.

  • delta, gamma, and omega.

  • delta, kappa, and omega.

Explanation

Question 22 of 55

1

In regard to opioids, pure antagonists are known to:

Select one of the following:

  • partially stimulate the opioid receptors.

  • not stimulate the mu receptors; they only stimulate the kappa receptors.

  • bind to and stimulate the mu or kappa receptors.

  • bind to but not stimulate mu or kappa receptors.

Explanation

Question 23 of 55

1

Due to their tendency to increase intraocular and intracranial pressure, it is best to avoid the use of opioids in patients with which of the following conditions?

Select one of the following:

  • Mandibular fracture

  • CNS disorders

  • Gingival hyperplasia

  • Otitis externa

Explanation

Question 24 of 55

1

A state of profound sedation and analgesia induced by simultaneous administration of an opioid and tranquilizer is referred to as:

Select one of the following:

  • general anesthesia.

  • vagally induced bradycardia.

  • renarcotization.

  • neuroleptanalgesia.

Explanation

Question 25 of 55

1

In regard to narcotics, naloxone can be used for the reversal of:

Select one of the following:

  • agonists, partial agonists, or agonist–antagonists.

  • agonists and partial agonists only.

  • partial agonists and agonist–antagonists only.

  • agonist–antagonists only.

Explanation

Question 26 of 55

1

Drugs that have the ability to produce unconsciousness when given alone are characterized as:

Select one of the following:

  • disruptive anesthetics.

  • injectable anesthetics.

  • reversible anesthetics.

  • induction anesthetics.

Explanation

Question 27 of 55

1

The tendency of a drug to dissolve in fats, oils, or lipids is referred to as:

Select one of the following:

  • lipid solubility.

  • protein binding.

  • tissue redistribution.

  • lipid agonists.

Explanation

Question 28 of 55

1

After administration of propofol, blood flow is responsible for distribution throughout the body and results in which organ system receiving the highest concentration?

Select one of the following:

  • Fat

  • Muscle

  • Gastrointestinal tract

  • Brain

Explanation

Question 29 of 55

1

High doses and rapid administration of propofol are known to cause:

Select one of the following:

  • diarrhea.

  • Heinz bodies.

  • apnea.

  • anorexia.

Explanation

Question 30 of 55

1

Etomidate is best defined as an:

Select one of the following:

  • ultrashort-acting nonbarbiturate drug with minimal cardiovascular and respiratory effects.

  • ultrashort-acting, controlled, nonbarbiturate drug with significant cardiovascular and respiratory effects.

  • ultrashort-acting barbiturate drug with minimal cardiovascular and respiratory effects.

  • ultrashort-acting, controlled, barbiturate drug with significant cardiovascular and respiratory effects.

Explanation

Question 31 of 55

1

After administration of etomidate, which organ is it possible to see depressed for several hours?

Select one of the following:

  • Cardiovascular

  • Adrenal gland

  • Respiratory

  • CNS

Explanation

Question 32 of 55

1

Proper handling and use of alfaxalone and propofol include:

Select one of the following:

  • refrigeration.

  • subcutaneous injection as a premedication.

  • intramuscular injection as a CRI.

  • antiseptic technique.

Explanation

Question 33 of 55

1

Post administration of alfaxalone, it is important to monitor the patient for:

Select one of the following:

  • excitement during recovery.

  • hypertension.

  • muscle rigidity.

  • excitement during induction.

Explanation

Question 34 of 55

1

Which common class of controlled drugs was developed during the 1930s–1950s and was commonly used as general anesthetics?

Select one of the following:

  • Narcotics

  • Barbiturates

  • Alpha2-antagonists

  • Opiates

Explanation

Question 35 of 55

1

The most common use of pentobarbital is:

Select one of the following:

  • as a sedative in dogs and cats.

  • control of seizures in horses.

  • as a euthanasia agent.

  • control of seizures in dogs and cats.

Explanation

Question 36 of 55

1

The most commonly utilized dissociative anesthetic in veterinary medicine is:

Select one of the following:

  • morphine.

  • sevoflurane.

  • phencyclidine.

  • ketamine.

Explanation

Question 37 of 55

1

Dissociative anesthetics should be used with caution in patients with what underlying metabolic condition due to their redistribution and metabolism properties?

Select one of the following:

  • Hepatic insufficiency

  • Cardiac insufficiency

  • Neurologic insufficiency

  • Respiratory insufficiency

Explanation

Question 38 of 55

1

While ketamine is widely used in veterinary medicine, it is currently licensed for use in which species?

Select one of the following:

  • Equine

  • Feline

  • Canine

  • Exotics

Explanation

Question 39 of 55

1

The most common cardiac changes associated with administration of dissociative anesthetics are:

Select one of the following:

  • decreased heart rate and output.

  • decreased heart rate and mean arterial pressure.

  • increased heart rate and output.

  • increased heart rate and decreased mean arterial pressure.

Explanation

Question 40 of 55

1

Tiletamine is sold only in combination with what other drug?

Select one of the following:

  • Diazepam

  • Midazolam

  • Lorazepam

  • Zolazepam

Explanation

Question 41 of 55

1

Dissociatives exert their effects by acting upon:

Select one of the following:

  • NMDA receptors.

  • β-endorphin receptors.

  • mu receptors.

  • delta receptors.

Explanation

Question 42 of 55

1

Which noncontrolled dissociative, commonly used for large animal medicine, has no anesthetic or analgesic properties when used alone?

Select one of the following:

  • Ketamine

  • Guaifenesin

  • Tiletamine

  • Telazol

Explanation

Question 43 of 55

1

The first clinically used inhalation anesthetic was:

Select one of the following:

  • chloroform.

  • nitrous oxide.

  • diethyl ether.

  • halothane.

Explanation

Question 44 of 55

1

The principal organ(s) involved in the elimination of halogenated compounds is(are):

Select one of the following:

  • brain.

  • liver

  • kidneys

  • lungs

Explanation

Question 45 of 55

1

Halogenated compounds readily enter the brain due to what factor?

Select one of the following:

  • High lipid solubility

  • Alveoli partial pressure

  • Concentration gradient

  • Diffusion

Explanation

Question 46 of 55

1

When halogenated agents are exposed to desiccated carbon dioxide absorbent, the results include:

Select one of the following:

  • carbon dioxide production.

  • carbon monoxide production.

  • oxygen production.

  • water production.

Explanation

Question 47 of 55

1

Decreased renal blood flow can be seen when using inhalation agents, secondary to which side effect?

Select one of the following:

  • Depressed ventilation

  • Hypothermia

  • Depressed cardiovascular function

  • Muscle fasciculations

Explanation

Question 48 of 55

1

Vapor pressure is best defined as:

Select one of the following:

  • the amount of pressure exerted by the gaseous form of a substance when the gas and liquid states are in equilibrium.

  • both agent and temperature dependent.

  • how readily the liquid condenses in the anesthetic machine.

  • the causative agent for use of a precision vaporizer.

Explanation

Question 49 of 55

1

Which of the following is responsible for the speed of induction and recovery of a patient?

Select one of the following:

  • Vapor pressure

  • Blood–gas partition coefficient

  • Sponge effect

  • MAC

Explanation

Question 50 of 55

1

During a surgical process, anesthetic agent Z (MAC = 1.3%) was delivered at a setting of 1.3%. Utilizing the theory of MAC, how many dogs out of ten would respond to painful stimuli?

Select one of the following:

  • Three dogs

  • Five dogs

  • Seven dogs

  • None

Explanation

Question 51 of 55

1

Isoflurane is labeled for use in:

Select one of the following:

  • exotics.

  • zoo animals.

  • cats.

  • horses.

Explanation

Question 52 of 55

1

Sevoflurane is labeled for use in:

Select one of the following:

  • exotics

  • zoo animals

  • cats

  • dogs

Explanation

Question 53 of 55

1

Which of the following inhalant anesthetics are going to produce the fastest induction and recovery based on their blood–gas partition coefficient?

Select one of the following:

  • Desflurane/0.42

  • Sevoflurane/0.68

  • Isoflurane/1.46

  • Methoxyflurane/15.0

Explanation

Question 54 of 55

1

The primary reason for the use of nitrous oxide with other inhalant anesthetics is:

Select one of the following:

  • it is gas at room temperature.

  • it is easily administered with a flowmeter.

  • it reduces MAC by 20% to 30%.

  • it does not require a vaporizer.

Explanation

Question 55 of 55

1

Doxapram is best categorized as an:

Select one of the following:

  • alpha2-antagonist.

  • analeptic agent.

  • alpha2-agonist.

  • opioid antagonist.

Explanation