Anesthesia Pocket Guide Quiz

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Questions and Answers

What is one of the primary goals of the anesthesia pocket guide?

To include advanced surgical techniques used in anesthesia

To create a free, peer-reviewed practical resource for learners (correct)

To provide a comprehensive textbook on anesthesia

To ensure students do not need to engage with anesthesiologists

Which of the following statements about the pocket guide's content is true?

It contains exhaustive information on every anesthesia topic.

It serves as a replacement for hands-on experience in the OR.

It is designed exclusively for advanced practitioners in anesthesia.

It covers required McMaster core clerkship learning objectives and ECE topics. (correct)

How should students utilize this anesthesia pocket guide in relation to their clerkship rotation?

As a supplementary resource to their hands-on experiences. (correct)

In isolation from practical experiences in the OR.

To replace required modules and simulation activities.

As the only resource needed for the clerkship.

What should a student do if they encounter differing practices in anesthesia from those described in the guide?

Discuss the differences with the staff for learning opportunities. (D) Signup and view all the answers

What is an important aspect of pharmacology that the guide aims to improve for clerks?

Understanding the pharmacology of common drugs used in anesthesia (D) Signup and view all the answers

How does the guide recommend that students approach variations in anesthesia practices?

Recognize that variations can exist and be curious about them. (D) Signup and view all the answers

Which statement correctly reflects the intended depth of knowledge provided by the pocket guide?

It provides enough depth for practical application but not exhaustive knowledge. (D) Signup and view all the answers

What should students do if they wish to learn more about a particular anesthesia topic?

Refer to the references provided at the end of each section. (A) Signup and view all the answers

What is one of the potential reasons for rapid deterioration while a patient is intubated?

Displaced ETT (C) Signup and view all the answers

Which management step is essential in treating anaphylaxis?

Administering epinephrine (D) Signup and view all the answers

What does the acronym DOPES represent in the context of complications during ventilation?

Displacement, Obstruction, Pneumothorax, Equipment failure, Stacking breaths (C) Signup and view all the answers

Which step should be taken first when diagnosing equipment malfunction during ventilation?

Turn FiO2 to 100% (D) Signup and view all the answers

Which of the following is NOT a risk factor for aspiration?

Asthma (B) Signup and view all the answers

What is a common complication of aspiration?

Chemical pneumonitis (D) Signup and view all the answers

In the context of extubation, what should be used to prevent a patient from obstructing the breathing tube?

Bite block (B) Signup and view all the answers

What is the primary purpose of performing awake intubation?

To ensure the patient maintains their airway (D) Signup and view all the answers

What is the primary purpose of assessing a patient’s volume status before surgery?

To ensure optimal fluid resuscitation and avoid complications (B) Signup and view all the answers

Which of the following crystalloids is typically used for hydration after surgery?

RL (Ringer's Lactate) (C) Signup and view all the answers

What complication is associated with the placement of an arterial line?

Infection at the insertion site (A) Signup and view all the answers

What happens if an arterial line transducer is positioned too low?

Blood pressure readings will be inaccurately low (D) Signup and view all the answers

Which statement accurately describes shock?

Shock results from inadequate perfusion and can be classified by type and degree (C) Signup and view all the answers

What is one of the main determinants of cardiac output (CO)?

Heart rate and stroke volume (A) Signup and view all the answers

What is the rationale for using vasoactive medications in a patient experiencing shock?

To stabilize hemodynamics and improve perfusion (A) Signup and view all the answers

Why might an anesthesiologist choose to insert an arterial line before induction?

To monitor blood pressure continuously during anesthesia (B) Signup and view all the answers

What is the primary management strategy for bronchospasm?

Administer 100% FiO2 with manual bag ventilation (D) Signup and view all the answers

Which of the following is a risk factor for laryngospasm?

Recent upper respiratory tract infection (D) Signup and view all the answers

What describes status asthmaticus?

An extreme asthma exacerbation unresponsive to short-acting beta agonists (C) Signup and view all the answers

What is a common sign or symptom associated with bronchospasm?

Shark fin waveform on capnography (D) Signup and view all the answers

Which medication is NOT typically used in the prevention of bronchospasm?

Inhaled bronchodilators during exacerbation (D) Signup and view all the answers

What complication can arise from prolonged bronchospasm?

Air trapping leading to auto-PEEP (B) Signup and view all the answers

Which of the following strategies is part of the management of laryngospasm?

Application of a CPAP with 100% FiO2 (C) Signup and view all the answers

Which physiological change is most likely during bronchospasm?

Decreased oxygen saturation (A) Signup and view all the answers

What should be done immediately if tension pneumothorax is suspected?

Perform needle decompression (B) Signup and view all the answers

Which of the following is NOT a sign of hemorrhagic shock?

Hypertension (A) Signup and view all the answers

What does the AMPLE acronym stand for in patient history assessment?

Allergies, Medications, Past Medical History, Last meal, Events (B) Signup and view all the answers

What is the purpose of the tertiary survey?

To check for missed injuries after initial evaluations (C) Signup and view all the answers

During rapid neurological assessment, which of the following evaluations is NOT included?

Motor skill tests (B) Signup and view all the answers

When managing circulation and hemorrhage control, which IV catheter size is preferred?

Two 14-16G catheters (B) Signup and view all the answers

Which clinical sign is associated with a basal skull fracture?

Battle's sign (A) Signup and view all the answers

What is the purpose of fluid resuscitation in the context of hemorrhagic shock?

To restore intravascular volume and circulation (D) Signup and view all the answers

What is the name of the monitoring device that measures the amount of carbon dioxide in the exhaled air of a patient?

ETCO2 capnography (C) Signup and view all the answers

Which of the following monitoring devices is NOT required for continuous use during surgery according to the Canadian Anesthesiologists' Society guidelines?

Peripheral nerve stimulator (C) Signup and view all the answers

What is the minimum number of systems or circuits for delivering oxygen to patients that you should be able to describe?

3 (B) Signup and view all the answers

What is a common anesthetic consideration for laparoscopic surgery?

Risk of pneumothorax (A) Signup and view all the answers

What is the primary reason for an increase in end tidal CO2 during laparoscopic surgery?

Reduced CO2 elimination from the lungs (C) Signup and view all the answers

Which of the following is NOT a recommended monitoring device available without undue delay during surgery, according to the Canadian Anesthesiologists' Society guidelines?

Temperature probe (A) Signup and view all the answers

Which of the following are common mechanical ventilation parameters?

All of the above (D) Signup and view all the answers

What is a specific anesthetic gas monitoring device that must be available for use without undue delay?

Agent-specific anesthetic gas monitor (D) Signup and view all the answers

Study Notes

Anesthesia: A Clerkship Pocket Guide

This is a pocket guide for anesthesia clerkship
It covers McMaster core anesthesia clerkship learning objectives and Essential Clinical Encounters (ECEs)
The guide is intended to be a resource for students during their anesthesia rotation
It aims to provide a practical resource accessible in the OR and hospital for clerks
The guide is physically accessible for review of concepts and questions
It provides knowledge that is applicable to other specialties (internal medicine, emergency, critical care, OBGYN, family medicine, etc.)
The guide emphasizes anesthetic pharmacology considerations for common drugs

Global Objectives

To develop a practical resource for medical students
To cover essential clinical encounter topics and objectives within anesthesia
It is intended to broaden the scope of knowledge learned during anesthesia rotation
To provide knowledge to help students manage common situations encountered
To improve understanding of the pharmacology and rationale use of drugs

How to Use This Resource

This resource is based on McMaster's core anesthesia objectives and essential clinical encounters
It is intended as a supportive learning tool supplementative to actual clinical experience
Cannot replace hands-on experience in the operating room (OR) with anesthesiologists
This resource does not cover all aspects of knowledge for complex situations
The guide provides links to supplementary resources for specific topics

Contributors

Information provided by various authors and editors
Includes section and senior reviewers
Information provided by staff reviewers
The team who authored the pocket guide is a notable contributor

The content is divided into different sections
Each section covers specific topics of anesthesiology
Covers pre-operative assessment, airway management, pain control, obstetrical anesthesia, and pediatric anesthesia, etc
Includes fluid management and resuscitation, and various other topics that fall under the realm of anesthesiology

Pre-operative Assessment

Importance of optimizing patient risk
Understanding malignant hyperthermia and management
Knowledge of pseudocholinesterase deficiency management
Comorbidities in obese patients are noted
OSA impacting post-operative procedures
Strategies for minimizing post-operative complications of OSA
Adapting hypoglycemic therapy perioperatively
Strategies to prevent bronchospasm in COPD/asthma patients
Understanding components of a pre-anesthestic airway exam and Mallampati classification
Using ASA classification to determine a patient's anesthetic risk
Ensuring appropriate medical history and physical examination
Evaluating the patient's airway for proper mask ventilation

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Description

Test your knowledge on the essential concepts and strategies outlined in the anesthesia pocket guide. This quiz covers various topics including pharmacology, managing complications, and best practices during clerkship rotations. Enhance your understanding and application of anesthesia principles in clinical settings.