Vet 201 Chapter 3 Anesthesiology Study Guide

Descripción

Veterinary Medicine Test sobre Vet 201 Chapter 3 Anesthesiology Study Guide, creado por Kelly Kinsinger el 11/10/2018.
Kelly Kinsinger
Test por Kelly Kinsinger, actualizado hace más de 1 año
Kelly Kinsinger
Creado por Kelly Kinsinger hace alrededor de 6 años
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Resumen del Recurso

Pregunta 1

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

Pregunta 2

Pregunta
Any drug that is utilized to induce loss of sensation with or without unconsciousness is known as a(n):
Respuesta
  • neuromuscular blocker.
  • reversal agent.
  • anesthetic agent.
  • adjunct agent.

Pregunta 3

Pregunta
The common effect of depression and/or stimulation, seen in a patient, after the administration of an anesthetic agent is due to:
Respuesta
  • pharmacokinetics.
  • pharmacodynamics.
  • pharmacoagents.
  • pharmacometabolism.

Pregunta 4

Pregunta
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:
Respuesta
  • agonist–antagonists.
  • partial agonists.
  • antagonists.
  • agonists.

Pregunta 5

Pregunta
Yohimbine, tolazoline, and atipamezole are best categorized as:
Respuesta
  • opioid agonists.
  • opioid antagonists.
  • alpha2-agonists.
  • alpha2-antagonists.

Pregunta 6

Pregunta
Incompatible mixtures of anesthetic agents and adjuncts, when combined in the same syringe, can cause which of the following?
Respuesta
  • Change in dissociation
  • Change in water solubility
  • Change in chemistry
  • Change in physical dependency

Pregunta 7

Pregunta
In the United States, the Controlled Substances Act (CSA) is enforced by the:
Respuesta
  • RCMP.
  • DEA.
  • AAHA.
  • AVMA.

Pregunta 8

Pregunta
Parasympatholytics are:
Respuesta
  • 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.

Pregunta 9

Pregunta
Drugs such as atropine and glycopyrrolate function in what way?
Respuesta
  • 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

Pregunta 10

Pregunta
Effects including arrhythmias and tachycardia, thickening of secretions, bronchodilation, and mydriasis are most likely to be seen with the use of which drug?
Respuesta
  • Acepromazine
  • Atipamezole
  • Atropine
  • Antisedan

Pregunta 11

Pregunta
The three classes of tranquilizers and sedatives that are often used in veterinary medicine include:
Respuesta
  • phenothiazines, benzodiazepines, and alfaxalone agonists.
  • phenothiazines, benzodiazepines, and alpha2-adrenoceptor agonists.
  • phenothiazines, barbiturates, and alpha2-adrenoceptor agonists.
  • phenothiazines, barbiturates, and alfaxalone agonists.

Pregunta 12

Pregunta
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?
Respuesta
  • Peripheral vasodilation
  • Antiarrhythmic effect
  • Penile prolapse
  • Excitement

Pregunta 13

Pregunta
Which of the following groups of drugs, also referred to as minor tranquilizers, are commonly used for their sedative, muscle relaxant, and anticonvulsant properties?
Respuesta
  • Alpha2-agonists
  • Opioids
  • Phenothiazines
  • Benzodiazepines

Pregunta 14

Pregunta
Which benzodiazepine is most likely to cause irritation and pain when administered intramuscularly (IM)?
Respuesta
  • Telazol®
  • Zolazepam
  • Diazepam
  • Midazolam

Pregunta 15

Pregunta
Benzodiazepines exert their primary effects by increasing the activity of the:
Respuesta
  • CNS
  • GABA
  • CSA
  • DEA

Pregunta 16

Pregunta
The appropriate antagonist to use with benzodiazepines is:
Respuesta
  • flumazenil.
  • atipamezole.
  • yohimbine.
  • tolazoline.

Pregunta 17

Pregunta
The most appropriate route of administration for alpha2-adrenoceptor agonists is:
Respuesta
  • orally (PO) or subcutaneous (SC).
  • subcutaneous (SC) or intramuscular (IM).
  • intramuscular (IM) or intravenous (IV).
  • subcutaneous (SC) or intravenous (IV).

Pregunta 18

Pregunta
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?
Respuesta
  • Hepatitis and renal dysfunction
  • Renal dysfunction and pruritis
  • Hepatitis and cardiovascular disease
  • Pruritis and cardiovascular disease

Pregunta 19

Pregunta
The most common cardiac arrhythmia observed in which of the following IV administration of alpha2-adrenoceptor agonists?
Respuesta
  • First- and fifth-degree AV block
  • Second- and fifth-degree AV block
  • First- and second-degree AV block
  • Fifth-degree AV block only

Pregunta 20

Pregunta
During administration of dexmedetomidine, bradycardia is noted. When taking treatment options into consideration, the most appropriate is administration of:
Respuesta
  • acepromazine.
  • anticholinergics.
  • atipamezole.
  • ketamine.

Pregunta 21

Pregunta
The three major types of opioid receptors are:
Respuesta
  • mu, kappa, and delta.
  • mu, kappa, and gamma.
  • delta, gamma, and omega.
  • delta, kappa, and omega.

Pregunta 22

Pregunta
In regard to opioids, pure antagonists are known to:
Respuesta
  • 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.

Pregunta 23

Pregunta
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?
Respuesta
  • Mandibular fracture
  • CNS disorders
  • Gingival hyperplasia
  • Otitis externa

Pregunta 24

Pregunta
A state of profound sedation and analgesia induced by simultaneous administration of an opioid and tranquilizer is referred to as:
Respuesta
  • general anesthesia.
  • vagally induced bradycardia.
  • renarcotization.
  • neuroleptanalgesia.

Pregunta 25

Pregunta
In regard to narcotics, naloxone can be used for the reversal of:
Respuesta
  • agonists, partial agonists, or agonist–antagonists.
  • agonists and partial agonists only.
  • partial agonists and agonist–antagonists only.
  • agonist–antagonists only.

Pregunta 26

Pregunta
Drugs that have the ability to produce unconsciousness when given alone are characterized as:
Respuesta
  • disruptive anesthetics.
  • injectable anesthetics.
  • reversible anesthetics.
  • induction anesthetics.

Pregunta 27

Pregunta
The tendency of a drug to dissolve in fats, oils, or lipids is referred to as:
Respuesta
  • lipid solubility.
  • protein binding.
  • tissue redistribution.
  • lipid agonists.

Pregunta 28

Pregunta
After administration of propofol, blood flow is responsible for distribution throughout the body and results in which organ system receiving the highest concentration?
Respuesta
  • Fat
  • Muscle
  • Gastrointestinal tract
  • Brain

Pregunta 29

Pregunta
High doses and rapid administration of propofol are known to cause:
Respuesta
  • diarrhea.
  • Heinz bodies.
  • apnea.
  • anorexia.

Pregunta 30

Pregunta
Etomidate is best defined as an:
Respuesta
  • 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.

Pregunta 31

Pregunta
After administration of etomidate, which organ is it possible to see depressed for several hours?
Respuesta
  • Cardiovascular
  • Adrenal gland
  • Respiratory
  • CNS

Pregunta 32

Pregunta
Proper handling and use of alfaxalone and propofol include:
Respuesta
  • refrigeration.
  • subcutaneous injection as a premedication.
  • intramuscular injection as a CRI.
  • antiseptic technique.

Pregunta 33

Pregunta
Post administration of alfaxalone, it is important to monitor the patient for:
Respuesta
  • excitement during recovery.
  • hypertension.
  • muscle rigidity.
  • excitement during induction.

Pregunta 34

Pregunta
Which common class of controlled drugs was developed during the 1930s–1950s and was commonly used as general anesthetics?
Respuesta
  • Narcotics
  • Barbiturates
  • Alpha2-antagonists
  • Opiates

Pregunta 35

Pregunta
The most common use of pentobarbital is:
Respuesta
  • as a sedative in dogs and cats.
  • control of seizures in horses.
  • as a euthanasia agent.
  • control of seizures in dogs and cats.

Pregunta 36

Pregunta
The most commonly utilized dissociative anesthetic in veterinary medicine is:
Respuesta
  • morphine.
  • sevoflurane.
  • phencyclidine.
  • ketamine.

Pregunta 37

Pregunta
Dissociative anesthetics should be used with caution in patients with what underlying metabolic condition due to their redistribution and metabolism properties?
Respuesta
  • Hepatic insufficiency
  • Cardiac insufficiency
  • Neurologic insufficiency
  • Respiratory insufficiency

Pregunta 38

Pregunta
While ketamine is widely used in veterinary medicine, it is currently licensed for use in which species?
Respuesta
  • Equine
  • Feline
  • Canine
  • Exotics

Pregunta 39

Pregunta
The most common cardiac changes associated with administration of dissociative anesthetics are:
Respuesta
  • 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.

Pregunta 40

Pregunta
Tiletamine is sold only in combination with what other drug?
Respuesta
  • Diazepam
  • Midazolam
  • Lorazepam
  • Zolazepam

Pregunta 41

Pregunta
Dissociatives exert their effects by acting upon:
Respuesta
  • NMDA receptors.
  • β-endorphin receptors.
  • mu receptors.
  • delta receptors.

Pregunta 42

Pregunta
Which noncontrolled dissociative, commonly used for large animal medicine, has no anesthetic or analgesic properties when used alone?
Respuesta
  • Ketamine
  • Guaifenesin
  • Tiletamine
  • Telazol

Pregunta 43

Pregunta
The first clinically used inhalation anesthetic was:
Respuesta
  • chloroform.
  • nitrous oxide.
  • diethyl ether.
  • halothane.

Pregunta 44

Pregunta
The principal organ(s) involved in the elimination of halogenated compounds is(are):
Respuesta
  • brain.
  • liver
  • kidneys
  • lungs

Pregunta 45

Pregunta
Halogenated compounds readily enter the brain due to what factor?
Respuesta
  • High lipid solubility
  • Alveoli partial pressure
  • Concentration gradient
  • Diffusion

Pregunta 46

Pregunta
When halogenated agents are exposed to desiccated carbon dioxide absorbent, the results include:
Respuesta
  • carbon dioxide production.
  • carbon monoxide production.
  • oxygen production.
  • water production.

Pregunta 47

Pregunta
Decreased renal blood flow can be seen when using inhalation agents, secondary to which side effect?
Respuesta
  • Depressed ventilation
  • Hypothermia
  • Depressed cardiovascular function
  • Muscle fasciculations

Pregunta 48

Pregunta
Vapor pressure is best defined as:
Respuesta
  • 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.

Pregunta 49

Pregunta
Which of the following is responsible for the speed of induction and recovery of a patient?
Respuesta
  • Vapor pressure
  • Blood–gas partition coefficient
  • Sponge effect
  • MAC

Pregunta 50

Pregunta
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?
Respuesta
  • Three dogs
  • Five dogs
  • Seven dogs
  • None

Pregunta 51

Pregunta
Isoflurane is labeled for use in:
Respuesta
  • exotics.
  • zoo animals.
  • cats.
  • horses.

Pregunta 52

Pregunta
Sevoflurane is labeled for use in:
Respuesta
  • exotics
  • zoo animals
  • cats
  • dogs

Pregunta 53

Pregunta
Which of the following inhalant anesthetics are going to produce the fastest induction and recovery based on their blood–gas partition coefficient?
Respuesta
  • Desflurane/0.42
  • Sevoflurane/0.68
  • Isoflurane/1.46
  • Methoxyflurane/15.0

Pregunta 54

Pregunta
The primary reason for the use of nitrous oxide with other inhalant anesthetics is:
Respuesta
  • 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.

Pregunta 55

Pregunta
Doxapram is best categorized as an:
Respuesta
  • alpha2-antagonist.
  • analeptic agent.
  • alpha2-agonist.
  • opioid antagonist.
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