1.
What is the primary purpose of anesthesia?
Correct Answer
A. Pain relief
Explanation
Anesthesia primarily serves to manage pain during medical procedures. By blocking nerve signals in the body, anesthesia prevents the brain from processing pain and other sensory inputs, which helps patients undergo surgeries and other medical interventions without discomfort and stress.
2.
Which type of anesthesia numbs a specific area?
Correct Answer
B. Local
Explanation
Local anesthesia numbs a specific area of the body. It is used to block the nerves that sense or transmit pain in a particular region, allowing procedures to be performed without causing significant pain to the patient. Unlike general anesthesia, it does not affect consciousness or bodily control outside of the targeted area.
3.
What is used to administer general anesthesia?
Correct Answer
C. IV injection
Explanation
General anesthesia is typically administered intravenously (through an IV) or through inhalation. IV administration allows the anesthetic to enter the bloodstream directly, which facilitates a rapid onset of anesthesia, making it effective and controllable for inducing unconsciousness before surgery.
4.
Which anesthesia is typically used for childbirth?
Correct Answer
C. Epidural
Explanation
Epidural anesthesia is commonly used during childbirth because it reduces pain in the lower part of the body while allowing the mother to remain awake and active in labor. Administered via injection into the space around the spinal nerves, it provides effective pain control during both labor and delivery.
5.
What drug is NOT used in general anesthesia?
Correct Answer
C. Lidocaine
Explanation
Lidocaine is primarily used for local anesthesia and not typically used in the general anesthesia process. Unlike drugs such as propofol, ketamine, or sevoflurane, which affect the whole body, lidocaine is used to numb specific areas for minor surgical or diagnostic procedures.
6.
What does MAC stand for in anesthesia?
Correct Answer
A. Minimum Alveolar Concentration
Explanation
MAC, or Minimum Alveolar Concentration, is a concept in anesthesia indicating the concentration of anesthetic vapor in the lungs that is needed to prevent movement in 50% of subjects exposed to a painful stimulus. It is a standard measure used to compare the strengths and dosing of different anesthetics.
7.
What is the role of an anesthesiologist?
Correct Answer
C. Pain management
Explanation
Anesthesiologists are medical doctors specializing in perioperative care, developing anesthetic plans, and the administration of anesthetics. They play a crucial role in pain management both during and after surgical procedures. Their expertise ensures that anesthesia is administered safely and tailored to individual patient needs.
8.
What is the risk of not fasting before anesthesia?
Correct Answer
B. Aspiration
Explanation
Fasting before anesthesia is crucial to prevent aspiration—inhaling stomach contents into the lungs, which can cause a serious condition known as aspiration pneumonia. This risk is why patients are advised to avoid eating or drinking for several hours before surgery.
9.
Which monitoring device is essential during general anesthesia?
Correct Answer
A. Heart rate monitor
Explanation
A heart rate monitor is essential during general anesthesia to track the heart's function and detect any abnormalities early. Monitoring heart rate helps ensure that the heart is responding well to the surgery and the effects of anesthesia, allowing immediate intervention if necessary.
10.
What is a common side effect of epidural anesthesia?
Correct Answer
A. Headache
Explanation
A common side effect of epidural anesthesia is a headache. This can occur due to a leak of cerebrospinal fluid at the site where the needle enters the dura mater, which can lead to a decrease in fluid pressure in the brain and spinal cord areas, manifesting as a headache.
11.
Which nerve blocker is used for dental procedures?
Correct Answer
D. Inferior alveolar nerve block
Explanation
The inferior alveolar nerve block is commonly used in dental procedures to numb the lower jaw. It involves injecting anesthetic near the nerve that provides sensation to the teeth on one side of the lower jaw, effectively blocking pain during dental treatments.
12.
What should be monitored after administering spinal anesthesia?
Correct Answer
B. Blood pressure
Explanation
After spinal anesthesia, it is important to monitor blood pressure because the anesthesia can cause vasodilation, which can lead to a drop in blood pressure. Monitoring ensures that blood pressure remains within a safe range to prevent complications.
13.
What is the primary danger of anesthesia in elderly patients?
Correct Answer
B. Delirium
Explanation
In elderly patients, the primary danger of anesthesia can include delirium, characterized by sudden confusion and rapid changes in brain function that occur with physical or mental illness. This risk is higher due to the increased sensitivity of older adults to the agents used and their slower metabolic processes.
14.
What term describes a patient's inability to feel pain?
Correct Answer
C. Analgesia
Explanation
Analgesia describes a state where a person cannot feel pain. It is a crucial component of anesthesia, allowing patients to undergo surgical and medical procedures without the pain they would otherwise experience. Effective analgesia is key in patient comfort and the success of procedures.
15.
Which is NOT a standard preoperative assessment?
Correct Answer
B. Patient's favorite color
Explanation
Patient's favorite color is not a standard preoperative assessment. Standard assessments before surgery typically include evaluating the patient's weight, medical history, and current medications to inform anesthesia plans and surgical preparation, ensuring safety and effectiveness of care.
16.
What can prolonged use of anesthesia cause in some patients?
Correct Answer
C. Anesthesia awareness
Explanation
Prolonged use of anesthesia can lead to a phenomenon known as anesthesia awareness, where a patient becomes conscious during surgery and can recall the event, often leading to potential distress and trauma. This condition, while rare, underscores the importance of careful dosing and monitoring.
17.
How is local anesthesia commonly applied?
Correct Answer
C. Injection
Explanation
Local anesthesia is most commonly applied through injection at the site where pain relief is needed. This method allows the anesthetic to act quickly and effectively at the specific site, blocking the nerves in that area without affecting the rest of the body.
18.
What does TIVA stand for in anesthetic procedures?
Correct Answer
B. Total Intravenous Anesthesia
Explanation
TIVA, or Total Intravenous Anesthesia, refers to a technique where anesthesia is administered solely through intravenous methods without the use of inhalation agents. This approach is used for its ability to control the depth of anesthesia precisely and reduce potential complications from inhalants.
19.
Which condition is a contraindication for nitrous oxide in anesthesia?
Correct Answer
D. Vitamin B12 deficiency
Explanation
Nitrous oxide should not be used in patients with a vitamin B12 deficiency because the gas can inactivate B12, leading to serious neurological issues. Patients with this deficiency are at risk of further complications if they are administered nitrous oxide.
20.
What complication is associated with the use of muscle relaxants in anesthesia?
Correct Answer
D. All of the above
Explanation
The use of muscle relaxants in anesthesia can lead to several complications, including muscle rigidity, prolonged sedation, and respiratory depression. These effects can complicate the recovery process and require careful monitoring and management to ensure patient safety during and after anesthesia.