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]'OMAS
r,t(;i; T,;T}, OF M EDICINT.J
A ND STIRG
ORY
'
ilripnnrrur!lN'l'
oF AN Esr'l l Esl oLoGY
Qtllz
-. r (Jt,t,Y 2e, 2oo4)
Ncn'es
blockt'd
in wrist block
lRxillarv
n.ru. X \*q
Mcdian
llervc
L:'rrrdrnarks
usetl itt tloirrg
dcep pcrolrcal ncrr,c block
rl
I
Radial nervs
Ulnar
nqn'c
VJ 7 Achrllcs
tcndotr
--C
8 Mcdialmallcolus
C3
'e--
a
,
uJ
5 l,atcral
ntallcolrts
T
6 Dorsalrs
Pcdis artery
Adva.ntagc
of cpidural
ancsthesia
C 9. Longer
duratiolt
of a:rcsthcsia
tharr spirral ancsthcslx
-t^j--
l0 Good
nrotor block
:-
ii I"tfitt
uolut*
of localanestl:ctic
necded
,
l-,- -f
Z Can be usc<l
for post-operativc
pain control'
ll. Ctroosa
rllE
Brls'l'ANswER:
iA l. ln adults,
tJrc spinal
cSrd ends at thc lo'cl ol' :
1
Al'v'
ot'
I
B S'
L), LV3
c 2.
partof
ancsthcsia
macirilre
used to reducc
prcssu(e
is gas tank into rvtrrkable
prcssurc
A' Exhaust
valvc
C' Rcducing
ralvc
A
II CO2 absorbctt
D' lilctv
ttlctcr
tA
: in a tull mrrk of nitrous
oxidc
tJ .3.
prcssurc
'1:,,lltl.f"-
u','|rrwuu
v"'"-
c. 5()r)
psi
A 2200
Psi
p"[o,. -i-tif
lii:;,,"
ror o:,vgen
s:
.,
;i,
P
i, ztjo
Psi
D 45
Psi
D 5. Color
cotlc
for oxygen
B
(irav
D' Grccn
9-
b M oi o,
f l*jnl
l'":,iilI
iillilou
"'s
i ol'
rlifi
I[i..
1,
cs t r,,:s i a
d' i:"-"ity
of local
attcsthcsia
D'
'lounttclttct pa1rl
r
b*7
Lc';cari'll*jti:f"'q"l"r'i'r'""'"tlTii'i':il:l;ilil
i
l
i B.
.t..picat D. l;icld bl<,ck
i!
I
-0r"'"f
i:l1;,='ltiuryil
llt: ili1ti':1,',:.?:ii,
,'
()rlurl)alcs fronr S l' 52' Sl
; Orr!rrrates
from S2' 53' Sr
NAII{E: &'uo,
M, ,'k
fr,
TACILITAT ON:M
{'rcI- __*r
CHOOSE TIIE BNS'I' {NSVI/OIT:
o
lq
'lb--DA":
fu! ry--s*,r
A,,,'Meridians
C Ying
-Br
Yan D,Qi
nt
'K
V
Z Peripheral ner\/c bloc'. useful in thc mftnageff,errt of herpes zoster involving facial
nerve.
A. Braclrial Plexus lllock
B. Stellate Ganglion Block
1
^
V l. Vital life errcrgy that tlows irt an invisible char.nel is knorvn as
h:tercostal Nerve illock
Coeliac Plcxus Block
C
I)
3. The following are causes of cancer pain:
A,. Bone metastasis
B. Dre to nerve compression by the tumor
O
4.Duration of actiort of local anesthetics is dependertt trn.
t)Lt
Addipion of vasoconstrictorlon local anesthetic wfll:
A. Delay excretion of the drug
I
B. Delay the ab.sorption of the drugs
C, Delay onset of'action
D. Increase the potencY of the Crug.
P
6. Effcct of low dose local ancsthctic to the brain.
A, Inhibition of both inhibitory facilitatory pathway
B. Excitatory to the brain
h 7. Whicfi of the followilg analgesic is considered a weak opioid?
8. The foltowing are cutaneous non'drug iherapy ftri pain managemerrt EXCEPT:
lll. Write
C
for nll corrcct stntements
S
for all incorrect statemcnts
Iruc about nRrcotics:
$l l, Meperidine
is a natrrrally occurring opioitl
lr
iv 2, Morphine
is an opioid of the phenanthrenc
(5 ring) type
3 Nalbuphine
is an agonist -
antagonist
drug
U 4. Tramadol
is a selective
agonist of mu receptoi
UNIVERSITY OF SANTO TO}TAS
I'',\CULTY OF MEDICINE AND SURGERY
D EPA RTIIIENT OF ANNSTHESIOLOGY
QLIIZ -
2 (September' ?,0,, 2004)
SECTION: I
A
SCORB:
C. Neither
fi. Borh
\
.l
)
I
I,
t
i
A. Lipid solubility
B. Protern binding
A. Tramadol
B, Meperidine
A. Acupuncture
B. ThermotheraPY
c. pKA
D Metabclism
C. Mo'phine sulihte
D, Butorphanol
C. Cryotherapy
D, Massage
C. Convulsion
D, Respiratory arrest
?
:f
U
Thc followlng nre fhctort lnfluenclng r',eed of enalgeslc ln the Post Anesthetlc Cnre llnlt
(PACU)
(,
5. Site of operation:
Abdominal sr.rrgcry are associated u'ith severe pafn. ,
-:r
i ,
j!-
6 Height olpatient
J,-7.
Elderly
patienrs require smaller dose cf'analgesic drugs.
8. Sex of patient
The fotlowing local nnesthetics
belong to the amide groups.
{tl 9. Rooivacaine
i:-i-
'_
V,l
lo. cocaine
(
{.
r
.,
l l, Lidocaine I
.t
l/
12. Tetracaine
(GOOD LUCKtll )
/igd.
t'
'
..1
""
tt
l{-
Ghoose
the best answer:
/"'/'
f
iryeryebrocke-dlllfgllgl:::ranesthsticn1'"t3|3::i!h$*t"dltlmalloolur'
lzg.
Suial Nerve4rle'at
rvtlPo\t<
A.. Superficlal
Peroneal
Nerve
C. Saphenous
Nerve
D. Posterior tibial Net
ANESftESIOLOG'f
QLIIZ
ltarch
1, 200? fl-llursdilY)
---<-'
.,\
4r'
/
..i.1.:.
.
n
;
Score:
Facilltator
I!. f;ticaptr
c
Posterior tibial Nerve
ts. Uufal NQfVereF/n[
rrv\$o\'rA
Cetic"f
Ptexus is formed
by the antorior
raml of:
'
A.-Cs
Co Cz Cs
B. Cr Cz Cg Cr
C. Ce Cg Cr Cs
D.
Nerve comrnonly missg{l
In
dolng
axlllary.' approach of braehial
plelirJslh|ck
f*tviedian
Nerve
Tafi,$f l"**ft
ia:i;t':*,ft
i;':li'li'{ff ['3rtl[:l'T:ff
"*
-\J/
;.
;ffi"r"lir"iiiii""tion
c. Damase to the
slobe
--'d'.
iletronunar
Hemonhage
D. None of the above
f 6 Local anesthetic
tnut
pioJ,iJ"s
peripheral vasoconstriction
both at lou and high
'.d6se
-/i]"Frincaine
B. Etidocaine
c. cocaine
D. Lidocaine
,( Z. n[roiut"
contraindication
for epiclural
anesthesia
-4.
d; c; c. c.
D' cg cr cs ce
-
3. The nerye blocked
using the
palmaris longus tendbn and fiexor carpi radials
I
--tendon
as landmarks
-/x.'hioi"t
Nerve B. Lilnar Nerve
c. Median Nerve D. None of the above
-{_1.
The cord of origln of the.uln?tj"ry"
^
Fr _^^^r^-,\^fr n arr
^rrha
ahnva
3:
.fiL""",i11fl;'surut'r:
6., iittpit"tory
disease-
6
in$raL
A Gl"t;j";i'i;of.tocal,anesthetic
on the area of incision-is:'
.A(,,tnstination
B. lnn'["lion
c, Field Block
D. contact,Anesthesia
E
n. 6",ff:Iil"#o""lii#
;i
"pilar
anesthesia
a L{rrnnfanclnn
C' Bradycardia
,A. HVPOtension
L" cllauyuarfJrcl
)--';'.
;i6;;ttff'ureltnins
Urlnary retention
?' ro. Sunie.tiuJ
CNS symptom
of local anesthetic
toxicity
A
-..,,ir'i',.'
4 - .
^'
G. Numbness
of the tongue
A. Twitching?oiq*
U' NumonesEctrur
ij. ri"r";;J*r''
t)' All of.the afove
Bytouchingthecheekofap91i9rrtwhohad@ialnvolvingthe
fAblg3,
Bainls{lg{ed.
Thjs
is an example.of:.
A. Paresthesia
-"=ffitperalgesoJ' --':C.'
Arloovnlg
. 4
Hypo?l.s?:la
sp6t{.d
Wrlte G for all correct
gtatements
Write W for all incorrect statementg
are
peripheral Blocks.
3- Retrobulbar
Nerve Block '
/.
Ulnar nerve
/
'8.
Mr""ulocutaneous
Nervet/
spawJ
-Ebl4drel
Block
tirteicostal Nerve Block L
t]e. lntemal Pudendal
Nerve Block
drugs are oPioid agonist
, MePerldina
. Morphine
Strtfate.
;P{
Radial Nerve
,,.',,i#r'l llt'.
't I
i'\.;.,
a
*9. NalbuPhine
20. FentanYl
-.r-r*,e,seH,rj
ir'
:,.r{:,^lrr,/II
,,,.'1
"
!@\
t I
-i'
A
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5
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t"'"'it""'ffi"t*11
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t \
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Cuir
-
FebruatY
,l9,2001
091
section c
-
4.Dr. rrerissa t *ril
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UST F/\CULTY OF MEDICINE AND SURGERY
DEPARTMENT OF ANESTHESIOLOGY
QUIZ 2 oCTOBER 4, 2007
Narne l(EY
Facilitator_
fJubaruclrnoid
irrjection
B. epidural injection
Sec Score
C.
phrenic nerve block
D. recurrent laryngeal nerve block
Ctroose ttre best answer and write on tite blanlt provided for. Any erasure
or alteration will be rnarked wrong; countersignature of proctor ls not valld.
Dd not write anything along the margins.
-B--l.
Blad5,r:ardia
after spirral artestlresia is a result of:
A. nypotension
I
B. sympathetic
blockade of cardiac accelerator
C,
parasyrnPathetic blockade
'
D. hypoxia
_2,
Z. Larrdrnark for doing caudal block:
A. anterior sr-iperior iliac spine C. ischial spine
B. posterior superior iliac spine D, iliac crest
ts
g.
Larrdrnark used for doing axillary block:
A. cephalic vein , C, bracltial arte''y
B. axillary artery
,
'
D. axillary vein
-P
-a,For
excision of a breast massj when the surgeon.injects the local
anestiretic along his line of"irrcision, the technique is called:
A. fieid block anestlresia C. topical instillation anesthesia
B. infiltration anesthesia D. contact anesthesia
:
O 5.lr{ost comrnon complication of ceryical plexus block:
A
s Landmark in doing pudendal nerve block:
A. ischiat spine
B. sacrospinous ligameiltr'
C, sacrococcygeal
'
D. sacral comua'
,.;
il.,4ir'l'.
,\
mbmbrane
'
B
L lnjection of local anesthetic anoui 1.5 cm below and behind the mastoid
-ip
in deep cervical
plexus block
Produces
a block of this branch:
A. c1
B. C2 C. C3 D. C4
8. The meclranism of action of local anesthetics follows thls principle:
!" ffi1'ying increased sodium
permeability of axcitable membran
B. Binding directly vrithin the intracellular
portion of the voltage-gated sodium
channel
C. Locaf anesthetics bind to the sodium channel in non-charged or ionized fqrm.
D, The transmission
of in-rpulse is preventod
when sodium
permeablllty,is
increased
A
g
A sign of iorv-cJose toxioly to local anesthetics:
A. trentors
C. cardiac arrest
B resciialorv ceo:esslcn
D aonea
A
B
., ,',il
::::::l:i:::'
-i:iidii:
D 10 rhe following local anesthetics are esters, EXCEpT:
C. Tetracaine
D. Bupivacaine
4-:1
\viriclr of the foilowing local anesthetics has ilte shortest duration of
action?
,A. Procaine
c. Tetracaine
B. Lidocaine
D. Bupivacaine
:L-f
2. An effect of hypothermia after general
anesthesia:
delays emergence
emergence delirium
rJpper ainruay obstruction
dyspnea
recent general
aneslhesia cannot
this is due to:
nr
Lt
13. lf a patient who has undergone
perform a head or leg lift for fivd seeonds,
Procaine
Cocaine
A. hypotlrermia
B. deliriurn
A.
BI
C.
D.
ts 14. Postoperative hypertension
sepsis
distended bladder
A. adequate pain
control
B. stable vital signs
sign of:
pneumothorax
residual effects of SAB
C. evidence of wound healing
D, surgical bleeding controlled
I
clrronic pain,nanagernent:
C. morphine sulfate
, D. NSAIDS
C. residual neuromurscular
blockade
D. pain
C. bone metAstasls
D. cancer therapy
the severity of his pain by statirrg a
C, verbal rating scale
D, numerical rating scale
16. Mosl suitabtg,drug for
meperidirre
nalbuphine
L'tB.
To mainrain
adrninistered:
A. only when necessary (patient c-omplains
B. only irr rhe presence
of background pain
C, on a tirne-contingent basis
D. as often as possible
isa
c
D
u'
15. All of the follovring are rouline discharge criteria from the
post
Ane$thesia Care Unit, EXCEPT:
c'
A
B
-
e--r
7. Pharmacologic managpment for nociceptive lype of pain:
A. morphine sulfate
C. meperidine
B. NSr',lDs
D. oxycodone
an effective analgesic concentration the drug should be
a.t
\-
'19.
A patient r,vith
s one year
hisdory
the cervical vertelrra radiating to the arm6.
of pairr)
...
.,ii;.,: ri'
(pain on mov.ement)
..'
'
'.
":
of breast cancer complains of pain
in
The possible
cause uf cancor pain
ls:
A. turrnor itself
B, turnor compressing on a nerve
number from 0 to 10:
A. visual analogue scale
B. r,,erhal descriprtion scale
20. A patient was asked to assess
"llFiH##Sl'ffJF$$t'3tff'f
.'
. , , QUIZ
2 oCTOBER
8, 2W7
11.*a
. .'
'..
,l(SL .*
, ,.,*
..,'
---ir'.
Facilitaior--
L. . r'j _'
r:
A-"L1
B'12
u' )z
"'
": :
'''::
l
C'
Z. Fadoriinfluoncing,the
epread
of aneethetic
s,olulion,iq
the eRiduml
chooge
tha bost anaww
and
srd$
pn tho'Hant
p'Pvldad ftr' Anif
bi'liull'tia'
'
''l
of aroradon
wnr
e
*"teq*,lgi:l;ffifi$'Ifr;''t'oi
p*et"ii; qotliittu'
'
t"'#;;il
itivrrunu
atong
ltro margtne'
"' ''
"' '
.n t,
.':
b
_L
tn the adtrtt,
tho sprnal cord errdsJt
lF.
lgvel
of:
,
o. Si
l'
'
'
.
,
=.;7
rrtz C.S2 :
;;"ce EXCEPT:
n tevol of catheter
ins{'rtion
'
B. height
of the
Petient
r
'
B. eupraclavicular
c. barbotagp...
"t.'
'
'-';
I
1
il: ili
ffi[i,ioor eneglhqb'c
used
"U)
3. Retrobuiu*
nt r" btock
anesthetizes
which.of
the tollod
^g{
'
'
'
'
^-p-hih;i;L;;#''i,ttris"ri"at
ne*e
c.q'li?1vgg.s]i*.i'i '
j
B. oculornotor
non
D' optic
ngrve
'
l',
'"
A o.whsn
a durgeon
administsrs
local
arngfhgtig
qryund the ssbaoa
dn
i=
going to excise,
the technique
ls'callBo:'
:
^iidt
innfillaliiifl
:'
'
'
:
'
c. tqPi.CFl inqtillglili,.
:
A. lield
block
t
D. *fiH.f
"-iil$ttg''9.
" I .,,'"
B. inliltration
v'. v'"'---
'
b 5. Approach
of brachial
plqxus block thqt enes'lh9tii
iliffiru"4ene
approach
r-
-': -'--
'
C' hftada
D. axillary
foltonitrg locel anestlretics
has thB longest duratjon of
.
:
'.:t.
C. tehacaiqe
D. ethidocaino
-A
,, \^Jhich of tho fotloruirrg
btatoments
is TRUE about timing of emergence
i
i6rn
general anesthesia?
A. A
patiefit alter a minor outpatient
procecure is arnakensd as rapidly
and
promptly as
Possible.
B. All mea$rres ;;;i be'dondr
to ilwaken a patient afler a connplex cardiac
;;;d;iil;i6
;,-;{iitn"
tutol"al
proimuure ls conect'
;
r'
C.
patients
with increasod
intracrarriol
prossure require bster s\Anakoning
to ' 'r' i'i
restore merrtal
stato.
-r
^--:--
D.
patio*ts
wit6 fuit stn,nachs
rntlst not bo awakenocl
to prevent aspiraiion of
gastric contents.
D 13. Vvhich of thri mltcrl,ving
iS NOT associatgd
with agitation'and
deliiium
-D-
,1.
rA/iriclr
of tlro
action?
A. chloroProcaine
B. rrropivacaine
rnust:
A. receive
suPPlemental
okYgen
B. recoive
oPioid analgesics
uii6?En**thosia?
A. hypoxemia
or airwaY obstruction
B. centfal
an\icholinergic
syndromo
C. fullbladder
D. full stomach before
surgery
'C.
be intubated
imm'eaiaelY
D. undorgo incentive
sPirornetry'
A
.,0
Hypoxernia
occurs corrrmorrty
in
patierrts in the
pAcu
so all
patients
A-r5.
\Mren a patient faits to
P*1g-qJlT :f.*esia
6ncl remains
obh'mded'
o rffiutttic
approadr begins by imrngdiatbly
6nsunng:
A. onTgrenation
and vsntilation
i
c. normalterhperattne.
B. ;6;t
"lyte
balance
'
D'
pain-frae state
"
[---)
fi
t6. l-typn6sis, a haightendd
and foctrsed
concenration,
ls useful in
mataging Pain
bY:
A rg
A. suggrestion
C' erornPle '
B. sedation
D' Gate's
thoory
D 17 .'frueof
biofoecback,
EXCEPJ'
'
Eh;6;
tior*ution
abor-rt level of muscle
contraction
:
B.
;i;;;
i"tor*rtiun
about btrrount of
yood
ftcnr ro an arBa
C. itut surfeca elecdromyography
, .
D. ;;* eloctrical stlrnulaii.rl
of nenres in{he
aroa
F
,8. Drug used in tlre
prqtEoncs of a nouropathic'compon"ni
ln ctrronlc
paln:
'
AAmitrypryfini
'i
G' NSAIDS
ii. ffid;azapine ,
D' steroids
".
,,i,r;,,: r,,i'
l
D ,9. rnrorniittent
rbi:oatod
doses
of oemerbt wiit teau to a#irn,irirfi*'bt
urti
msrt'l
wilh nourotoiic
efruct:
c. oxyl*l1P
:
'
I
"
ts, morphino
D' nonehldinu
A
,g,[,lorvo
blocl<
used
to relisve
pains due to
posl5erpetiu
nouslgil'-s-
involving
facial nsrve
:
A, stellate
ganglion block
B. celiac Plexus
block
C. braclrial
Planrs
block
D. Cen'ical Planrs
block
.r'l;
r,
iiii
'NIVERSI''Y
oF sANT:o toMas
;
I
i{|
JEsslcA ll, HEoINA
FACULTY
OF MEDICINE
& SURGERY
'
,.:i i
'
lil
ulr lt' I l'n.trY'rl
DapARTMENT
olr ANESTITESIOIOGY
,
lil
QUIZ-
2 (Marclr 20, 2006),,
'.
j
,, ) ;,
if,
,:
Name:
: . ,- ---,,
'
,
,fbs
""'
()
l'
Datp;
UWt ,?n
t
7009
;[ ' r.
I
Fncilitator: Fr,
ffin\ol
--
.-Score:
..'=.,- .
,,
, ,.
rrl
L CHOOSE
TEE BEST ANSWER
::
B
i
?i*
blok is tle irtrsr.enous sdn:iaistrgrlon:i-
*
'l
-
.i- ).!=s;s:e
L'
-:=:ix'::
'!
El
Su-r.r.z*:rt -
f
-riNu.=
j
:
A
2. Branch of intercostals nenrc possibly spa:eC rvhen tne bloik is done at tbe
:
J-+-
anibnor ocillary line.
,.
.
,..
,
..,
..,,.',i
. I '
$,ilalerdlfgutrineous
nervb C. Medial cutaneous'nerve
B.
'Anteriiir
cutaneous nerve D. Posterior cutanqo.ps-n9{.9:
_ F
3. Nerve blocked when injecting local ar,esthetic at the area of "anbtomic snuff
box",
A. Medial nerve
P,;i:F;ediblinerYe
.n
4. Landmark for doing internal'pudendal nerve block.
-- A. Coccyx
'C.
Posterior spilg,
B. Sacral cornu
,_mm*,.sgL.-sW
,/7
,6
5. Most versatile local anesthetic:
,6.*"iliiffirmryr"
_D__6.
The greater the lipid solubility of
rr local anesthetiq:
l-
A. Th; greater the amount' needed C. The shorter the duration
B. The slower the onset
Lt1 Ka
D
7. The nerve most sensitive to local anesthetic:
A. l,arge unrnyelinated fiber
B. Largc myelinated. fiber
i
C. Snrall unnryelinated nerve
-fiber
g 8. Post spinal heat{ache as a complica.tion of spinal anesthesia due to:
-
+; \efeqed
pain C, lvruscle strain
Bi.i:C:SF:leakage D. Hematoma
'
Write C for al.l corect statements
Write,W' fo r all wrong stntetnettts
True of spinal anestltesia:.
-Utl
9. Uses large volume of local anesthetic
-ep'ct''al
C. lllnnr nerve.
D, Median nqrye
C, Bipivacaine
D. Cocaine
'
-
6fior
bbdb
I
-
V rosrtuli8u6'umt-fi6i'bT$i&P
I
Tlrefollorvirtgare@synlpt0nlsoiIoc:rlarrcstlretictoxicity.
I l.'Tinnitus $?
I 4. Card iovascular
co!laP'se
15. Conrulsion
'
,
w
l,V
n
{ili',i3 il ,'l
t0'Ilrl,i,.1
-L
;,
I