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Veterinary Medicine Quiz sobre Vet 201 Anesthiesiology Chapter Eight Study Guide, criado por Kelly Kinsinger em 30-10-2018.

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Vet 201 Anesthiesiology Chapter Eight Study Guide

Questão 1 de 51

1

The term “fourth vital sign” refers to:

Selecione uma das seguintes:

  • temperature

  • pulse

  • respiration

  • pain

Explicação

Questão 2 de 51

1

Aversive sensory and emotional experience that elicits protective motor actions, results in learned avoidance, and may modify species-specific behavior traits, including social behavior, is best known as:

Selecione uma das seguintes:

  • modulation

  • distress

  • pain

  • nociception

Explicação

Questão 3 de 51

1

Known as “ouch” pain, which of the following protective sensations of pain occurs when there is a possibility of or actual tissue injury?

Selecione uma das seguintes:

  • nociception

  • physiologic pain

  • adaptive pain

  • pathologic pain

Explicação

Questão 4 de 51

1

Chemical mediators, such as prostaglandin and histamine, are responsible for:

Selecione uma das seguintes:

  • inflammatory pain

  • neuropathic pain

  • idiopathic pain

  • pathologic pain

Explicação

Questão 5 de 51

1

Pain originating from the musculoskeletal system is best described as:

Selecione uma das seguintes:

  • visceral pain

  • somatic pain

  • pathologic pain

  • chronic pain

Explicação

Questão 6 de 51

1

A common class of drugs utilized to treat and target specific receptors in the pain pathway includes:

Selecione uma das seguintes:

  • antibiotics.

  • antihistamines.

  • nonsteroidal antiinflammatory drugs.

  • anthelmintics.

Explicação

Questão 7 de 51

1

The concept of utilization of pain management therapies to target two or more receptors is:

Selecione uma das seguintes:

  • primary hyperalgesia.

  • mediators.

  • secondary hyperalgesia

  • multimodal therapy.

Explicação

Questão 8 de 51

1

Of the following, which is not typically associated with neuroendocrine changes that occur in response to pain?

Selecione uma das seguintes:

  • Release of ACTH

  • Increased norepinephrine

  • Increased insulin

  • Adrenocorticotropic hormone release

Explicação

Questão 9 de 51

1

The use of preemptive analgesia is likely to:

Selecione uma das seguintes:

  • cause anthropomorphization.

  • prevent “windup.”

  • include the “five freedoms.”

  • lead to increased morbidity and/or mortality.

Explicação

Questão 10 de 51

1

The differentiating factor(s) between emergence delirium and pain is(are):

Selecione uma das seguintes:

  • duration and response to sedation.

  • response to analgesic administration.

  • response to analgesic administration and pain.

  • response to analgesic administration and duration.

Explicação

Questão 11 de 51

1

Patients that are suffering from pain are likely to experience noticeable alterations in their:

Selecione uma das seguintes:

  • facial expressions, appearance, and attitude.

  • facial expressions, appearance, and sleep patterns.

  • bodily movements, appearance, and attitude.

  • bodily movements, sleep patterns, and attitude.

Explicação

Questão 12 de 51

1

Patients that have undergone major surgery should have their pain assessed how frequently?:

Selecione uma das seguintes:

  • Every 60 seconds

  • Every 2 minutes

  • Every 60 minutes

  • At shift changes

Explicação

Questão 13 de 51

1

Perioperative analgesia is the concurrent use of:

Selecione uma das seguintes:

  • preemptive analgesia and pain assessment.

  • pain assessment and multimodal therapy.

  • pharmacologic analgesia therapy and pain assessment.

  • preemptive analgesia and multimodal therapy.

Explicação

Questão 14 de 51

1

Of the following, which is not an anticipated benefit of multimodal analgesic therapy?

Selecione uma das seguintes:

  • Increased individual drug dose

  • Decreased overall anesthetic drug requirements

  • Increased healing time

  • Decreased risk of adverse effects

Explicação

Questão 15 de 51

1

Opioid agonist drugs act in which of the following ways?

Selecione uma das seguintes:

  • Peripherally: in the spinal cord and joints

  • Centrally: to inhibit perception in the brain and sensitization in the spinal cord

  • Centrally: to increase perception in the brain and spinal cord

  • Peripherally: in the brain and spinal cord on the opioid receptors

Explicação

Questão 16 de 51

1

A patient requires the selection of an opioid with the most potent analgesic effects. Which of the following would most accurately fit this criteria?

Selecione uma das seguintes:

  • Partial mu agonists

  • Agonist–antagonists

  • Antihistamines

  • Mu receptor agonists

Explicação

Questão 17 de 51

1

Caution should be taken with rapid intravenous injection of morphine in canine patients due to the potential for:

Selecione uma das seguintes:

  • histamine release.

  • locomotor activity.

  • dysphoria.

  • restlessness.

Explicação

Questão 18 de 51

1

The most common adverse side effect secondary to morphine administration is likely to be:

Selecione uma das seguintes:

  • histamine release.

  • gastrointestinal upset.

  • respiratory depression.

  • excitement.

Explicação

Questão 19 de 51

1

This paradoxical response in canine patients after the administration of oxymorphone can make which of the following procedures difficult?

Selecione uma das seguintes:

  • Blood pressure analysis

  • Intravenous catheter placement

  • Thoracic radiography

  • Application of a CRI

Explicação

Questão 20 de 51

1

The drug that is most similar to oxymorphone in duration and effect is:

Selecione uma das seguintes:

  • morphine.

  • buprenorphine.

  • butorphanol.

  • hydromorphone.

Explicação

Questão 21 de 51

1

Of the synthetic opioids, which is known to also act as an antagonist at the NMDA receptor?

Selecione uma das seguintes:

  • Methadone

  • Hydromorphone

  • Oxymorphone

  • Fentanyl

Explicação

Questão 22 de 51

1

In contrast to other pure opioid agonists, the duration of action achieved with intravenous fentanyl administration is:

Selecione uma das seguintes:

  • 20 to 30 seconds

  • 2 to 3 minutes.

  • 20 to 30 minutes.

  • 2 to 3 hours.

Explicação

Questão 23 de 51

1

The synthetic opioid pethidine is also more commonly known as:

Selecione uma das seguintes:

  • buprenorphine.

  • meperidine.

  • ketoprofen.

  • acepromazine.

Explicação

Questão 24 de 51

1

Due to the pH of the feline mucosa, which injectable narcotic can be administered orally for analgesia?

Selecione uma das seguintes:

  • Morphine

  • Oxymorphone

  • Hydromorphone

  • Buprenorphine

Explicação

Questão 25 de 51

1

General duration of action for buprenorphine following intramuscular injection is thought to be:

Selecione uma das seguintes:

  • 6 to 12 hours.

  • 60 to 120 minutes.

  • 60 to 120 seconds.

  • 18 to 24 hours.

Explicação

Questão 26 de 51

1

The first use of butorphanol in veterinary medicine was to act as a(n):

Selecione uma das seguintes:

  • antihistamine.

  • cough suppressant.

  • anesthetic.

  • analgesic.

Explicação

Questão 27 de 51

1

Use of butorphanol in which of the following routes can potentially lead to a toxicity?

Selecione uma das seguintes:

  • IV

  • IM

  • SQ

  • Epidural

Explicação

Questão 28 de 51

1

Butorphanol can be used as an antagonist to partially reverse respiratory depression/sedation secondary to the use of:

Selecione uma das seguintes:

  • kappa antagonist opioids.

  • mu antagonist opioids.

  • kappa agonist opioids.

  • mu agonist opioids.

Explicação

Questão 29 de 51

1

In the United States, which of the following is the only injectable opioid that is not classified as a controlled drug?

Selecione uma das seguintes:

  • Acepromazine

  • Buprenorphine

  • Nalbuphine

  • Meperidine

Explicação

Questão 30 de 51

1

Patients considered “high risk” for use with opioids include all of the following except:

Selecione uma das seguintes:

  • hypotension.

  • hepatic disease.

  • neurologic disorders.

  • normovolemic.

Explicação

Questão 31 de 51

1

The use of morphine administered through an epidural route is most likely to illicit which adverse effect?

Selecione uma das seguintes:

  • Urine retention

  • Sedation

  • Excitement

  • Respiratory depression

Explicação

Questão 32 de 51

1

When considering transdermal use of fentanyl in feline patients, application should take place at least how many hours prior to the start of the procedure?

Selecione uma das seguintes:

  • 1 hour

  • 4 hours

  • 6 hours

  • 12 hours

Explicação

Questão 33 de 51

1

Which opioid should not be administered concurrently with the use of transdermal fentanyl due to risk of partial blockage of opioid receptors and reduced analgesic effect?

Selecione uma das seguintes:

  • Morphine

  • Buprenorphine

  • Hydromorphone

  • Oxymorphone

Explicação

Questão 34 de 51

1

The NSAID that acts as a potent analgesic for both somatic and visceral pain is:

Selecione uma das seguintes:

  • carprofen.

  • acetylsalicylic acid.

  • butorphanol.

  • tramadol.

Explicação

Questão 35 de 51

1

Clinical effects of NSAIDs are due to their inhibition of what chemical synthesis within the body?

Selecione uma das seguintes:

  • ACTH

  • Insulin

  • Prostaglandin

  • Acetaminophen

Explicação

Questão 36 de 51

1

Which of the following systems is not responsible for the elimination and metabolism of NSAIDs?

Selecione uma das seguintes:

  • Hepatic

  • Renal

  • Biliary

  • Lymph

Explicação

Questão 37 de 51

1

Most NSAIDs prevent pain and inflammation by inactivating which enzyme?

Selecione uma das seguintes:

  • EPO

  • ACE

  • COX

  • T4

Explicação

Questão 38 de 51

1

All of the following aspects about the COX-2 isoenzyme are true except:

Selecione uma das seguintes:

  • it is inducible.

  • it is found in the CNS, kidney, and eyes.

  • it is linked to analgesic effects.

  • it is present in most tissues.

Explicação

Questão 39 de 51

1

The use of NSAIDs that results in renal toxicity is most likely due to the blockage of:

Selecione uma das seguintes:

  • PGE-2

  • COX-1

  • COX-2

  • misoprostol

Explicação

Questão 40 de 51

1

The use of NSAIDs is considered “high risk” in all of the following conditions except:

Selecione uma das seguintes:

  • hypotension.

  • hyperthyroidism.

  • congestive heart failure.

  • hemostatic disorders.

Explicação

Questão 41 de 51

1

Opioids are effective in the nociceptive pathway in all areas except:

Selecione uma das seguintes:

  • perception.

  • modulation.

  • transmission.

  • transduction.

Explicação

Questão 42 de 51

1

Local anesthetics are effective in the nociceptive pathway in all areas except:

Selecione uma das seguintes:

  • perception

  • modulation

  • transmission

  • transduction

Explicação

Questão 43 de 51

1

Corticosteroids are ineffective in the nociceptive pathway in all areas except:

Selecione uma das seguintes:

  • transduction

  • transmission

  • modulation

  • perception

Explicação

Questão 44 de 51

1

In order to properly administer tramadol it must be given:

Selecione uma das seguintes:

  • SQ

  • PO

  • IV

  • IM

Explicação

Questão 45 de 51

1

Absence of pain sensation is best known as:

Selecione uma das seguintes:

  • allodynia.

  • distress.

  • analgesia.

  • stress

Explicação

Questão 46 de 51

1

During nociception all of the following occurs except:

Selecione uma das seguintes:

  • transduction

  • transmission

  • modulation

  • conjugation

Explicação

Questão 47 de 51

1

The concurrent use of NSAIDs and corticosteroids is contraindicated due to which adverse side effect?

Selecione uma das seguintes:

  • Gastric ulceration

  • Coagulopathy

  • Renal insufficiency

  • Hepatic insufficiency

Explicação

Questão 48 de 51

1

Nonpharmacologic analgesic therapies that can be used to manage both acute and chronic pain include:

Selecione uma das seguintes:

  • massage therapy.

  • topical anesthetics.

  • NSAIDs.

  • NMDA agonists.

Explicação

Questão 49 de 51

1

Perception of pain takes place in the:

Selecione uma das seguintes:

  • spinal cord.

  • cerebral cortex.

  • sensory nerves.

  • nociceptors.

Explicação

Questão 50 de 51

1

Transmission of pain takes place in the:

Selecione uma das seguintes:

  • spinal cord.

  • cerebral cortex.

  • sensory nerves.

  • nociceptors.

Explicação

Questão 51 de 51

1

Modulation of pain takes place in the:

Selecione uma das seguintes:

  • spinal cord.

  • cerebral cortex.

  • sensory nerves.

  • nociceptors.

Explicação