Pharm Final pt. 2 Flashcards


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1

The posterior cavity of the globe is filled with

vitreous humor.

2

An artificial plasma-volume expander is:

dextran

3

The formation or presence of a blood clot within the vascular system is termed

thrombosis

4

Which one of the following agents is a chemical hemostatic?

Silver nitrate

5

Which one of the following is used to correct deficiencies in the natural clotting mechanism and may be administered preoperatively or intraoperatively?

Systemic coagulants

6

Tropicamide (Mydriacyl) is an :

cycloplegic

7

Bone wax is used primarily in which one of the following surgical specialties?

neurosurgery

8

What type of irrigating solution is used during placement of synthetic grafts in cardiovascular surgery to prevent clotting?

heparinized saline

9

Increased intraocular pressure is a characteristic of which one of the following diseases?

Glaucoma

10

Drugs that constrict the pupil by stimulating the iris muscle are called

miotics

11

Normal saline is used for lap sponges and intraperitoneal irrigation because it is:

isotonic

12

Which one of the following is a systemic anticoagulant?

heparin

13

Avitene must be applied with a __________ instrument.

dry

14

Which vitamin serves a vital role in coagulation?

K

15

Heparin effects are reversed by:

protamine sulfate

16

What types of hemostatics are used on areas of capillary bleeding?

topical

17

Which common IV fluid is used in the presence of hypovolemia?

dextrose in saline

18

A surgical patient with blood type AB has a blood type that contains

both A and B antigens

19

The process in which the patient's own blood is collected, processed, and reinfused during surgery using "cell-saver" technology is:

autotransfusion

20

An absorbable gelatin hemostatic agent that is often soaked in thrombin or epinephrine solution is:

gel foam

21

Which one of the following drugs is a mydriatic?

Atropine sulfate

22

Anterior and posterior chambers are separated by the

iris

23

Ophthalmic lubricants are generally used to

prevent corneal abrasions while the patient is under general anesthesia.

24

During ophthalmic surgery, paralysis of the ciliary muscle is achieved by using:

cycloplegics

25

The eye receives stimuli and transmits signals to the brain via which nerve?

optic

26

Constriction of the pupil results in

...

27

Which of the following is not a reason that IV fluids may be ordered?

Maintain acid-base balance

28

Which one of the following is a microfibrillar collagen?

avitene

29

Another name for donor blood is which one of the following?

Homologous

30

The electrolyte that controls the distribution of water in the body and maintains fluid and electrolyte balance is

sodium

31

The effect of osmotic diuretics in the treatment of glaucoma is to

draw fluid out of the eye.

32

The transfusion of donor blood carries the risk of:

transmission of bloodborne pathogens

33

Which one of the following, if administered preoperatively, will necessitate the placement of an indwelling urinary catheter?

osmitrol

34

A vasoconstrictor that, when added to a local anesthetic agent, extends its life is:

epinephrine

35

Which of the following hemostatics agents should be used immediately after it is constituted?

thrombin

36

Which one of the following is a cycloplegic agent?

Mydriacyl

37

Thick, gelatinous substances that are injected into the eye to keep the chamber expanded or to replace vitreous humor are

viscoelastic agents.

38

The anterior cavity of the eye is filled with

aqueous humor.

39

One of the most common IV solutions used in the surgical setting is which one of the following?

0.9% sodium chloride

40

What type of ophthalmic medication is BSS?

irrigating solution

41

The IV fluid composed of 5% dextrose in normal saline is:

D5NS

42

The term remission refers to the:

abatement or stopping of symptoms.

43

Biological response modifiers (BRMs) are agents that:

boost the immune system.

44

The term metastasis refers to the tumor:

spreading to other parts of the body.

45

Normal potassium values are (in mEq/L):

3.5 to 5.0.

46

Select the external factor that causes cancer:

infectious organisms

47

________ are natural proteins to boost immune cells, whereas, ______ are groups of proteins that contain anti-tumor effects.

interferons; interleukins

48

_________ is the cause of disease

etiology

49

____________ agents are agents that harm normal cells and malignant cells.

Cytotoxic

50

_______ promote the regression of breast tumors.

androgens

51

Which one of the following statements is not true of benzodiazepines?

They are exclusively used in surgery.

52

Fentanyl is available under what trade name?

sublimaze

53

Which one of the following responses is not associated with the inadvertent injection of high-concentration epinephrine?

nausea vomiting

54

The indication of an epidural would be:

anorectal, vaginal, perineal, and obstetric procedures

55

The most widely used local anesthetic is

lidocaine

56

Which of the following is the most common benzodiazepine administered preoperatively?

versed

57

Analgesics are administered during which phase of general anesthesia?

maintenance

58

The preoperative phase of general anesthesia is which one of the following?

preinduction

59

What is the trade name for midazolam?

VERSED

60

Preoperative anesthesia assessment of the surgical patient is conducted by any one of the following individuals except

surgeon

61

Nasal intubation may be useful for which type of surgical procedure?

oral

62

During general anesthesia, exhaled C02 is absorbed by:

soda lime reservoir

63

Which one of the following is not a primary objective of general anesthesia?

Patient retains muscle tone during surgery.

64

An IVRA (Bier block) may be used for procedures such as

carpal tunnel release

65

Extubation occurs during which phase of anesthesia?

emergence

66

What are the five phases of general anesthesia in the correct sequence?

Preinduction, induction, maintenance, emergence, recovery

67

What is the generic name of the reversal agent for midazolam (Versed)?

flumazenil

68

Which one of the following groups of medications is given to relieve pain and reduce the amount of anesthesia needed during surgery?

analgesics

69

Topical administration of 4% cocaine solution for a septoplasty is an example of a _______________ anesthetic.

local

70

The surgical patient's heart rate and rhythm are continually assessed using

electrocardiography

71

Cardiac arrhythmias are often observed in surgical patients with imbalances of which one of the following electrolytes?

potassium

72

Impaired breathing due to constriction and inflammation of the bronchi is known as

bronchospasm

73

A method of anesthesia in which medication is injected into the subarachnoid space, affecting a portion of the spinal cord, is called:

spinal block

74

A severe and potentially lethal allergic reaction to a medication marked by hives, dyspnea, circulatory collapse, and severe bronchospasm is known as

anaphylaxis

75

For which type of regional block is the anesthetic agent injected into the space that surrounds the dura mater?

epidural

76

Which one of the following drugs is a not a benzodiazepine?

pentothal

77

What is the name of the procedure performed during placement of the breathing tube to prevent aspiration pheumonia from regurgitation of stomach contents?

Sellick's maneuver

78

Which of the following is NOT a symptom of malignant hyperthermia?

bradycardia

79

Which one of the following is not one of the treatment steps for MH?

slwo ventilation

80

Medications used to reduce nausea and the possibility of vomiting are called

antiemetic

81

The generic name for Marcaine is

bupivacaine

82

Preoperative assessment of the surgical patient is conducted by the anesthesia provider to gather information for all of the following purposes except to

determine if the procedure is necessary

83

Where does the recovery phase take place?

PACU

84

Malignant hyperthermia is caused by a defect in __________ transportation within the skeletal muscles

calcium

85

What is another name for Anectine?

succinylcholine

86

The brand name for bupivacaine is

marcaine

87

Which medication(s) is(are) given to treat a febrile nonhemolytic transfusion reaction to incompatible blood?

antipyretics

88

Inhalation agents enter the bloodstream from the inhaled air through the alveoli in the lungs.

true

89

Which one of the following statements does not apply to lidocaine?

lasts longer than bupivacaine

90

Blood oxygenation can be monitored during surgery by means of a/an:

pulse oximeter

91

A preoperative assessment places special emphasis on all of the following conditions except

melanoma

92

The anesthesia provider would assign which physical status classification rating to a patient with severe systemic disease, massive obesity, controlled hypertension, or status post-myocardial infarction

ASA 3

93

The patient is most prone to agitation and excitement in which phase of anesthesia?

induction

94

Which structure is encountered when placing an ET tube?

trachea

95

Which level of CPR should a surgical technologist be certified in?

health care provider

96

Which one of the following is a late sign of MH?

pyrexia

97

Extreme caution should be exercised when using which of the following for localized anesthesia of fingers, toes, and the peins, or in neonates?

epi

98

The last sensation to leave the patient during general anesthesia induction is:

hearing

99

Measurement of inspired and expired carbon dioxide concentrations is which one of the following terms?

capnography

100

The purpose of a preoperative H2 blocker is to

inhibit production of gastric acid

101

What should the scrubbed surgical technologist's role be in the general anesthesia induction phase

maintains absolute quiet

102

Rapid IV administration of a concentrated dose of medication is known as a ______________.

bolus

103

Medications used to inhibit mucous secretions of the respiratory system and digestive tract are termed

anticholinergics

104

The purpose of an LMA is

establish/maintain airway

105

Which one of the following neutralizes gastric acid?

sodium citrate

106

Which one of the following is not an adverse effect associated with nondepolarizing muscle relaxants?

elevated serum potassium in burn patients

107

A drug used to reverse an overdose of an analgesic is:

Narcan

108

Patient intubation is performed during which phase of general anesthesia?

induction

109

Benzodiazepines are reversed using which one of the following?

mazicon

110

Which of the following drugs is a narcotic analegesic?

meperidine hydrochloride (Demerol)

111

Which drug has a milky appearance and is sometimes referred to as "milk of anmesia"?

propofol

112

Why might lidocaine be administered in the management of cardiac arrest?

To treat ventricular arrhythmias

113

The American Society of Anesthesiologists (ASA) has established the criteria for classifying the patient's

physical status

114

The biggest risk associated with general anesthesia is:

aspiration

115

The drug used to treat malignant hypothermia is:

dantrolene

116

Demerol is a trade name for which one of the following generic drugs?

meperidine

117

Each one of the following inhalation agents, either alone or in combination with succinylcholine, is considered a triggering agent for malignant hyperthermia except

mitrous oxide

118

Which one of the following is the only depolarizing muscle relaxant presently in use?

Succinylcholine

119

Anesthesia that is administered at the surgical site is a _____________ anesthetic.

local

120

Analgesics are used in surgery to reduce the necessary amount of anesthesia drugs.

true

121

In the preanesthesia era, surgery was based on

speed

122

Which inhalation agent is used for short procedures requring no muscle relaxation?

nitrus oxide

123

Which one of the following groups of preoperative sedatives is most often used?

benzodiazepines

124

Which one of the following duties is the primary responsibility of the surgical technologist in the scrub role during an intraoperative cardiac arrest that occurs on the day shift?

maintain sterile field

125

Desflurane is marketed under what trade name?

suprane

126

The commonly used antiemetic used preoperatively is

zofran

127

What is the name of the device that is used to support or modify the curvature of the endotracheal tube during intubation?

stylet

128

The generic name for Sensorcaine is

bupivacaine.

129

Which medication is administered intravenously for anaphylaxis when it occurs under general anesthesia?

dopamine

130

A Bier block provides

anesthesia t a distal portion of an extremity