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Vet 201 Anesthiesiology Chapter Eight Study Guide

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Veterinary Medicine Quiz on Vet 201 Anesthiesiology Chapter Eight Study Guide, created by Kelly Kinsinger on 30/10/2018.
Kelly Kinsinger
Quiz by Kelly Kinsinger, updated more than 1 year ago
Kelly Kinsinger
Created by Kelly Kinsinger about 6 years ago
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Resource summary

Question 1

Question
The term “fourth vital sign” refers to:
Answer
  • temperature
  • pulse
  • respiration
  • pain

Question 2

Question
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:
Answer
  • modulation
  • distress
  • pain
  • nociception

Question 3

Question
Known as “ouch” pain, which of the following protective sensations of pain occurs when there is a possibility of or actual tissue injury?
Answer
  • nociception
  • physiologic pain
  • adaptive pain
  • pathologic pain

Question 4

Question
Chemical mediators, such as prostaglandin and histamine, are responsible for:
Answer
  • inflammatory pain
  • neuropathic pain
  • idiopathic pain
  • pathologic pain

Question 5

Question
Pain originating from the musculoskeletal system is best described as:
Answer
  • visceral pain
  • somatic pain
  • pathologic pain
  • chronic pain

Question 6

Question
A common class of drugs utilized to treat and target specific receptors in the pain pathway includes:
Answer
  • antibiotics.
  • antihistamines.
  • nonsteroidal antiinflammatory drugs.
  • anthelmintics.

Question 7

Question
The concept of utilization of pain management therapies to target two or more receptors is:
Answer
  • primary hyperalgesia.
  • mediators.
  • secondary hyperalgesia
  • multimodal therapy.

Question 8

Question
Of the following, which is not typically associated with neuroendocrine changes that occur in response to pain?
Answer
  • Release of ACTH
  • Increased norepinephrine
  • Increased insulin
  • Adrenocorticotropic hormone release

Question 9

Question
The use of preemptive analgesia is likely to:
Answer
  • cause anthropomorphization.
  • prevent “windup.”
  • include the “five freedoms.”
  • lead to increased morbidity and/or mortality.

Question 10

Question
The differentiating factor(s) between emergence delirium and pain is(are):
Answer
  • duration and response to sedation.
  • response to analgesic administration.
  • response to analgesic administration and pain.
  • response to analgesic administration and duration.

Question 11

Question
Patients that are suffering from pain are likely to experience noticeable alterations in their:
Answer
  • facial expressions, appearance, and attitude.
  • facial expressions, appearance, and sleep patterns.
  • bodily movements, appearance, and attitude.
  • bodily movements, sleep patterns, and attitude.

Question 12

Question
Patients that have undergone major surgery should have their pain assessed how frequently?:
Answer
  • Every 60 seconds
  • Every 2 minutes
  • Every 60 minutes
  • At shift changes

Question 13

Question
Perioperative analgesia is the concurrent use of:
Answer
  • preemptive analgesia and pain assessment.
  • pain assessment and multimodal therapy.
  • pharmacologic analgesia therapy and pain assessment.
  • preemptive analgesia and multimodal therapy.

Question 14

Question
Of the following, which is not an anticipated benefit of multimodal analgesic therapy?
Answer
  • Increased individual drug dose
  • Decreased overall anesthetic drug requirements
  • Increased healing time
  • Decreased risk of adverse effects

Question 15

Question
Opioid agonist drugs act in which of the following ways?
Answer
  • 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

Question 16

Question
A patient requires the selection of an opioid with the most potent analgesic effects. Which of the following would most accurately fit this criteria?
Answer
  • Partial mu agonists
  • Agonist–antagonists
  • Antihistamines
  • Mu receptor agonists

Question 17

Question
Caution should be taken with rapid intravenous injection of morphine in canine patients due to the potential for:
Answer
  • histamine release.
  • locomotor activity.
  • dysphoria.
  • restlessness.

Question 18

Question
The most common adverse side effect secondary to morphine administration is likely to be:
Answer
  • histamine release.
  • gastrointestinal upset.
  • respiratory depression.
  • excitement.

Question 19

Question
This paradoxical response in canine patients after the administration of oxymorphone can make which of the following procedures difficult?
Answer
  • Blood pressure analysis
  • Intravenous catheter placement
  • Thoracic radiography
  • Application of a CRI

Question 20

Question
The drug that is most similar to oxymorphone in duration and effect is:
Answer
  • morphine.
  • buprenorphine.
  • butorphanol.
  • hydromorphone.

Question 21

Question
Of the synthetic opioids, which is known to also act as an antagonist at the NMDA receptor?
Answer
  • Methadone
  • Hydromorphone
  • Oxymorphone
  • Fentanyl

Question 22

Question
In contrast to other pure opioid agonists, the duration of action achieved with intravenous fentanyl administration is:
Answer
  • 20 to 30 seconds
  • 2 to 3 minutes.
  • 20 to 30 minutes.
  • 2 to 3 hours.

Question 23

Question
The synthetic opioid pethidine is also more commonly known as:
Answer
  • buprenorphine.
  • meperidine.
  • ketoprofen.
  • acepromazine.

Question 24

Question
Due to the pH of the feline mucosa, which injectable narcotic can be administered orally for analgesia?
Answer
  • Morphine
  • Oxymorphone
  • Hydromorphone
  • Buprenorphine

Question 25

Question
General duration of action for buprenorphine following intramuscular injection is thought to be:
Answer
  • 6 to 12 hours.
  • 60 to 120 minutes.
  • 60 to 120 seconds.
  • 18 to 24 hours.

Question 26

Question
The first use of butorphanol in veterinary medicine was to act as a(n):
Answer
  • antihistamine.
  • cough suppressant.
  • anesthetic.
  • analgesic.

Question 27

Question
Use of butorphanol in which of the following routes can potentially lead to a toxicity?
Answer
  • IV
  • IM
  • SQ
  • Epidural

Question 28

Question
Butorphanol can be used as an antagonist to partially reverse respiratory depression/sedation secondary to the use of:
Answer
  • kappa antagonist opioids.
  • mu antagonist opioids.
  • kappa agonist opioids.
  • mu agonist opioids.

Question 29

Question
In the United States, which of the following is the only injectable opioid that is not classified as a controlled drug?
Answer
  • Acepromazine
  • Buprenorphine
  • Nalbuphine
  • Meperidine

Question 30

Question
Patients considered “high risk” for use with opioids include all of the following except:
Answer
  • hypotension.
  • hepatic disease.
  • neurologic disorders.
  • normovolemic.

Question 31

Question
The use of morphine administered through an epidural route is most likely to illicit which adverse effect?
Answer
  • Urine retention
  • Sedation
  • Excitement
  • Respiratory depression

Question 32

Question
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?
Answer
  • 1 hour
  • 4 hours
  • 6 hours
  • 12 hours

Question 33

Question
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?
Answer
  • Morphine
  • Buprenorphine
  • Hydromorphone
  • Oxymorphone

Question 34

Question
The NSAID that acts as a potent analgesic for both somatic and visceral pain is:
Answer
  • carprofen.
  • acetylsalicylic acid.
  • butorphanol.
  • tramadol.

Question 35

Question
Clinical effects of NSAIDs are due to their inhibition of what chemical synthesis within the body?
Answer
  • ACTH
  • Insulin
  • Prostaglandin
  • Acetaminophen

Question 36

Question
Which of the following systems is not responsible for the elimination and metabolism of NSAIDs?
Answer
  • Hepatic
  • Renal
  • Biliary
  • Lymph

Question 37

Question
Most NSAIDs prevent pain and inflammation by inactivating which enzyme?
Answer
  • EPO
  • ACE
  • COX
  • T4

Question 38

Question
All of the following aspects about the COX-2 isoenzyme are true except:
Answer
  • it is inducible.
  • it is found in the CNS, kidney, and eyes.
  • it is linked to analgesic effects.
  • it is present in most tissues.

Question 39

Question
The use of NSAIDs that results in renal toxicity is most likely due to the blockage of:
Answer
  • PGE-2
  • COX-1
  • COX-2
  • misoprostol

Question 40

Question
The use of NSAIDs is considered “high risk” in all of the following conditions except:
Answer
  • hypotension.
  • hyperthyroidism.
  • congestive heart failure.
  • hemostatic disorders.

Question 41

Question
Opioids are effective in the nociceptive pathway in all areas except:
Answer
  • perception.
  • modulation.
  • transmission.
  • transduction.

Question 42

Question
Local anesthetics are effective in the nociceptive pathway in all areas except:
Answer
  • perception
  • modulation
  • transmission
  • transduction

Question 43

Question
Corticosteroids are ineffective in the nociceptive pathway in all areas except:
Answer
  • transduction
  • transmission
  • modulation
  • perception

Question 44

Question
In order to properly administer tramadol it must be given:
Answer
  • SQ
  • PO
  • IV
  • IM

Question 45

Question
Absence of pain sensation is best known as:
Answer
  • allodynia.
  • distress.
  • analgesia.
  • stress

Question 46

Question
During nociception all of the following occurs except:
Answer
  • transduction
  • transmission
  • modulation
  • conjugation

Question 47

Question
The concurrent use of NSAIDs and corticosteroids is contraindicated due to which adverse side effect?
Answer
  • Gastric ulceration
  • Coagulopathy
  • Renal insufficiency
  • Hepatic insufficiency

Question 48

Question
Nonpharmacologic analgesic therapies that can be used to manage both acute and chronic pain include:
Answer
  • massage therapy.
  • topical anesthetics.
  • NSAIDs.
  • NMDA agonists.

Question 49

Question
Perception of pain takes place in the:
Answer
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.

Question 50

Question
Transmission of pain takes place in the:
Answer
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.

Question 51

Question
Modulation of pain takes place in the:
Answer
  • spinal cord.
  • cerebral cortex.
  • sensory nerves.
  • nociceptors.
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