73 Questions
Which of the following is a risk factor for post-operative nausea and vomiting?
History of motion sickness
Which patient characteristic is associated with a higher risk of post-discharge nausea and vomiting (PDNV)?
Positive smoking history
Which risk factor is associated with an increased likelihood of post-operative nausea/vomiting after laparoscopic surgery?
History of motion sickness
Among the following, which risk factor is NOT associated with an increased risk of post-operative nausea and vomiting?
Age > 70 years old
Which patient factor is commonly associated with a higher incidence of post-operative nausea and vomiting after laparoscopic gynecological surgery?
Use of local anesthetics
In the context of post-operative nausea and vomiting, which factor is least likely to contribute to the development of symptoms?
Age > 70 years old
Which patient-related risk factor is commonly associated with an increased incidence of post-discharge nausea/vomiting?
Positive smoking history
Among the following, which is considered a significant patient-related risk factor for post-operative nausea and vomiting after general anesthesia?
History of motion sickness
Which factor is known to be a common surgery-related risk factor for the development of post-operative nausea and vomiting?
Use of local anesthetics
Which patient-related factor is frequently observed to increase the chances of experiencing post-operative nausea/vomiting?
Positive smoking history
Which one of the following factors is NOT associated with an increased risk of nausea and vomiting?
Positive smoking history
Which demographic factor is identified as a risk factor for nausea and vomiting according to the references provided?
Age > 70 years old
Which medical history factor could contribute to an increased risk of experiencing nausea and vomiting?
History of motion sickness
Which clinical scenario is more likely to lead to nausea and vomiting based on the information provided?
A 75-year-old patient with a history of motion sickness undergoing anesthesia
Which characteristic is NOT typically associated with patients who are more prone to nausea and vomiting?
Young age
In which scenario would the use of local anesthetics potentially lead to nausea and vomiting?
Local anesthesia for a skin biopsy in an elderly patient
Which combination suggests a higher likelihood of experiencing nausea and vomiting during a medical procedure?
Age > 70 years old and local anesthetic use
Which factor is least likely to be associated with an increased risk of postoperative nausea and vomiting?
$\text{Positive smoking history}$
Which patient is generally more susceptible to developing postoperative nausea and vomiting?
A 70-year-old female with a history of motion sickness receiving general anesthesia.
In which situation is the risk for nausea and vomiting expected to be lower?
An 80-year-old patient receiving local anesthesia for a minor procedure.
Which of the following is considered a risk factor for developing postoperative nausea and vomiting?
History of motion sickness
In the context of postoperative nausea and vomiting, which factor increases the risk the most?
Age > 70 years old
Which of the following factors is most likely to categorize a patient as high risk for postoperative nausea and vomiting?
Having more than 4 risk factors
Among the listed factors, which one is NOT typically associated with an increased risk of postoperative nausea and vomiting?
No history of motion sickness
Which factor should be carefully considered in the management of patients prone to postoperative nausea and vomiting?
Use of local anesthetics
For a patient with multiple risk factors for postoperative nausea and vomiting, which factor might require closer monitoring during and after surgery?
Age > 70 years old
Which of the following factors should prompt consideration for additional prophylactic measures against postoperative nausea and vomiting?
Use of local anesthetics
If a patient with multiple risk factors reports a history of intense motion sickness episodes, which combination therapy would be most appropriate for prophylaxis against postoperative nausea and vomiting?
Scopolamine + Dexamethasone
Which factor is particularly important to address in surgical patients with a known history of postoperative nausea and vomiting?
History of motion sickness
In the context of managing postoperative nausea and vomiting, which patient characteristic should prompt additional evaluation for tailored prophylactic strategies?
Age > 70 years old
What is the general definition of nausea?
A feeling in the throat indicating vomiting is likely
Which of the following conditions is not listed as a potential cardiovascular etiology of nausea and vomiting?
Hypertension
What is the characteristic of simple clinical presentation of nausea and vomiting?
Requires only symptomatic therapy
Which of the following is NOT classified as an anticholinergic anti-emetic?
Promethazine
'Morning sickness' in pregnancy typically starts at what gestational age?
6-9 weeks gestation
What is the recommended nonpharmacologic option to manage nausea and vomiting in pregnancy?
Changing prenatal vitamins to folic acid only supplement
'Hyperemesis gravidarum' is characterized by:
'Persistent vomiting requiring hospitalization'
'Dimenhydrinate' is used for persistent symptoms of nausea in pregnancy, but it should be discontinued before starting another antihistamine. Which of the following options is another antihistamine also used for persistent symptoms?
Doxylamine
'Ondansetron' is used for persistent symptoms of nausea in pregnancy. In what form is it administered?
'Per os (PO)'
What is the general characteristic of the complex clinical presentation of nausea and vomiting?
Weight loss; fever; abdominal pain
Which anti-emetic medication is associated with the side effect of hypotension?
Metoclopramide
What is the correct pharmacologic option for persistent symptoms of nausea and vomiting in pregnancy?
Ondansetron PO
Which anti-emetic medication should be discontinued before starting a different antihistamine in pregnancy?
Doxylamine PO
Among the listed anti-emetics, which one is classified as an anticholinergic anti-emetic?
Promethazine
What is the primary goal of therapy for nausea and vomiting as mentioned in the text?
Eliminate N/V regardless of the cause
Which medication is NOT associated with sedation as a side effect among anti-emetics?
Metoclopramide
Which anti-emetic medication is linked to QT interval prolongation except for Palonosetron?
Ondansetron
What is a common nonpharmacologic option for managing nausea and vomiting in pregnancy according to the text?
Change prenatal vitamins to folic acid only supplement
What should be added for persistent symptoms of nausea and vomiting in pregnancy if Pyridoxine (Vitamin B6) alone is insufficient?
Prochlorperazine PR
What is the recommended first-line therapy for the treatment of nausea and vomiting in a pregnant woman?
Ondansetron
Which medication should be avoided before 10 weeks gestation due to the risk of oral clefts in pregnancy?
Methylprednisolone
What is the maximum recommended duration of Methylprednisolone use in pregnancy?
6 weeks
Which medication is beneficial in hyperemesis gravidarum but carries a risk of oral clefts if used before 10 weeks gestation?
Ondansetron
Which medication is NOT recommended for persistent symptoms of vomiting in pregnancy?
Metoclopramide
What is the correct dosage regimen for Methylprednisolone in pregnancy?
16 mg PO/IV TID x 3 days
Which medication used for persistent symptoms in pregnancy should be discontinued before starting another antihistamine?
Dimenhydrinate
Which of the following is NOT a risk factor for developing postoperative nausea and vomiting?
Receiving Scopolamine in the evening prior to surgery
What is the recommended combination therapy for prophylaxis against postoperative nausea and vomiting?
Aprepitant + Dexamethasone
What is the timing of administering Aprepitant for prophylaxis against postoperative nausea and vomiting?
3 hours prior to induction of anesthesia
Which antiemetic should NOT be re-dosed if more than 6 hours have passed since the initial prophylactic dose?
Dexamethasone
Which of the following agents is NOT part of the recommended combination therapy for prophylaxis against postoperative nausea and vomiting?
Promethazine
What should be administered if postoperative nausea and vomiting develops after no prophylaxis was initially given?
Ondansetron via any route
What percentage risk is associated with being classified as moderate risk?
40 - 60%
Which factor is commonly associated with a higher risk of postoperative nausea and vomiting?
Positive family history
In the context of nausea and vomiting, which factor is least likely to contribute to the development of symptoms?
Regular hydration
Which patient characteristic is commonly associated with an increased incidence of post-discharge nausea and vomiting?
Female gender
What demographic factor is identified as a risk factor for nausea and vomiting according to the references provided?
Age > 70 years old
In the context of managing postoperative nausea and vomiting, which patient characteristic should prompt additional evaluation for tailored prophylactic strategies?
History of motion sickness
Which patient-related risk factor is commonly associated with an increased incidence of post-discharge nausea/vomiting?
> 70 years old
'Hyperemesis gravidarum' is characterized by:
Severe and persistent vomiting during pregnancy
'Ondansetron' is used for persistent symptoms of nausea in pregnancy. In what form is it administered?
Intravenous injection
'Dimenhydrinate' is used for persistent symptoms of nausea in pregnancy. Which factor could prompt its discontinuation before starting another antihistamine?
Positive family history of motion sickness
'Morning sickness' in pregnancy typically starts at what gestational age?
< 12 weeks gestation
Explore factors such as the use of local anesthetics, positive smoking history, history of motion sickness, and age over 70 years old that are associated with nausea and vomiting. This quiz is based on references from pharmacotherapy textbooks and multimedia learning resources.
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