Kelly Kinsinger
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Veterinary Medicine Quiz on Vet 201 Chapter Two Study guide Anesthesiology, created by Kelly Kinsinger on 05/10/2018.

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Vet 201 Chapter Two Study guide Anesthesiology

Question 1 of 57

1

Which of the following steps is not considered important in the patient preparation for a successful anesthetic procedure?

Select one of the following:

  • Developing a minimum patient database

  • Determining if the patient has been appropriately fasted

  • Assuming all necessary equipment and supplies are ready and in working order

  • Administering the preanesthetic medications ordered by the veterinarian

Explanation

Question 2 of 57

1

One of the key elements to a successful anesthetic procedure is:

Select one of the following:

  • a competent veterinarian.

  • a skilled credentialed veterinary technician.

  • the bond between the client and the pet.

  • communication between the veterinarian, the veterinary technician, and the client.

Explanation

Question 3 of 57

1

The minimum database consists of the following:

Select one of the following:

  • patient history and signalment, patient’s name, complete physical examination findings, and the results of the preanesthetic diagnostic workups.

  • patient history and signalment, owner’s income, and complete physical examination findings.

  • patient history and signalment, complete physical examination findings, and results of the preanesthetic diagnostic workups

  • patient name, gender, and complete physical examination findings.

Explanation

Question 4 of 57

1

Which of the following is not a reason to schedule a preanesthetic appointment prior to a surgical event?

Select one of the following:

  • Give client information about fasting of the animal prior to the procedure.

  • Prepare the surgical site on the animal.

  • Acquire the minimum patient database.

  • Obtain signed informed consent forms.

Explanation

Question 5 of 57

1

When collecting information from a client regarding a patient’s history, it is best to ask:

Select one of the following:

  • simple, direct questions.

  • questions that can be answered with yes or no.

  • leading questions.

  • open-ended questions

Explanation

Question 6 of 57

1

While obtaining a patient history, the technician asks a client “Does your pet drink a normal amount of water?” What type of question is this?

Select one of the following:

  • Simple, direct question

  • Question that can be answered with yes or no

  • Leading question

  • Open-ended question

Explanation

Question 7 of 57

1

“How much water does your pet drink per day?” would be an example of which type of question?

Select one of the following:

  • Simple, direct question

  • Question that can be answered with yes or no

  • Leading question

  • Open-ended question

Explanation

Question 8 of 57

1

“Your dog doesn’t eat much food, does he?” This is an example of which type of question?

Select one of the following:

  • Simple, direct question

  • Question that can be answered with yes or no

  • Leading question

  • Open-ended question

Explanation

Question 9 of 57

1

In gathering information for a patient history, which of the following would be the best way to phrase a question about the amount of water consumed daily by a pet?

Select one of the following:

  • “Does your pet drink an excessive amount of water during the day?”

  • “How much water does your pet drink in a 24-hr period?”

  • “Do you allow your pet to drink a lot of water each day?”

  • “Your pet doesn’t drink much water, does he?”

Explanation

Question 10 of 57

1

A patient presents with vomiting. The technician must collect which of the four points to aid the doctor in diagnosing a problem?

Select one of the following:

  • Duration, volume or severity, frequency, and appearance

  • Duration, times of day, volume, and appearance

  • Times of day, volume, appearance, and location

  • Duration, severity, frequency, and location

Explanation

Question 11 of 57

1

A devastating error such as performing surgery on the wrong limb can be avoided by simply doing which of the following?

Select one of the following:

  • Observing the patient and looking at the limb

  • Verbally confirming the affected limb with the owner prior to the surgery

  • Reading the medical chart

  • Having the front office staff ask at drop off

Explanation

Question 12 of 57

1

A complete signalment includes:

Select one of the following:

  • species, breed, age, coloring, and reproductive status.

  • species, temperament, coloring, and reproductive status.

  • species, breed, age, sex, and reproductive status.

  • breed, age, markings, and sex.

Explanation

Question 13 of 57

1

Which of the following species are more sensitive to opioids?

Select one of the following:

  • Horses

  • Dogs

  • Cattle

  • Sheep

Explanation

Question 14 of 57

1

The use of which type of the following agents should be avoided in ruminants, as it (they) can make their salvia thick and ropy causing possible airway obstructions?

Select one of the following:

  • Opioids

  • NSAIDs

  • Anticholinergics

  • Dissociative

Explanation

Question 15 of 57

1

Which of the following species can have rougher recoveries from inhalant anesthetics than other species?

Select one of the following:

  • Cattle

  • Dogs

  • Cats

  • Horses

Explanation

Question 16 of 57

1

Ruminants are more sensitive to which of the following drugs, requiring only one-tenth of the dose of horses?

Select one of the following:

  • Ketamine

  • Atropine

  • Xylazine

  • Lidocaine

Explanation

Question 17 of 57

1

Which of the following drugs can cats tolerate better than dogs without the addition of other agents?

Select one of the following:

  • Lidocaine

  • Ketamine

  • Xylazine

  • Atropine

Explanation

Question 18 of 57

1

Which of the following species are more prone to bloat while under anesthesia?

Select one of the following:

  • Horses

  • Dogs

  • Cats

  • Cattle

Explanation

Question 19 of 57

1

Which of the following species are more prone to hypoxemia due to an increased mechanical dead space in the anesthesia system?

Select one of the following:

  • Cats

  • Large Dogs

  • Sheep

  • Swine

Explanation

Question 20 of 57

1

Which of the following breeds of dog is resistant to acepromazine?

Select one of the following:

  • Border Collie

  • Terrier

  • Boxer

  • Rottweiler

Explanation

Question 21 of 57

1

Which of the following breeds of dog is more difficult to intubate and demands close supervision to ensure a patent airway before, during, and after any anesthetic procedure?

Select one of the following:

  • Golden Retriever

  • English bulldog

  • Greyhound

  • Beagle

Explanation

Question 22 of 57

1

Greyhounds are more sensitive to which class of drugs because of the slow metabolism of these agents and the lack of body fat compared to other breeds?

Select one of the following:

  • Anticholinergics

  • Opioids

  • NSAIDs

  • Barbiturates

Explanation

Question 23 of 57

1

Which of the following breeds of horse would be more at risk for complications during recovery and are more sensitive to sedatives?

Select one of the following:

  • Shetlands

  • Arabians

  • Quarter horses

  • Clydesdales

Explanation

Question 24 of 57

1

Neonates or pediatric patients require special consideration when deciding what drugs to use because:

Select one of the following:

  • they are more difficult to intubate.

  • they are more difficult to catheterize.

  • the liver metabolic pathways are not fully developed.

  • they have poor renal function.

Explanation

Question 25 of 57

1

Which of the following drugs can prolong the action of propofol and ketamine and lead to significantly prolonged recovery?

Select one of the following:

  • Chloramphenicol

  • Diazepam

  • Xylazine

  • Atropine

Explanation

Question 26 of 57

1

It is illegal in most jurisdictions to perform surgery or anesthesia on an animal without:

Select one of the following:

  • preanesthetic blood work.

  • obtaining a signed consent form

  • obtaining a full history of the patient.

  • administering preanesthetic agents.

Explanation

Question 27 of 57

1

A patient evaluation for the purposes of maximizing the quality of care and influencing patient management is referred to as a:

Select one of the following:

  • TPR

  • physical assessment.

  • physical examination.

  • history.

Explanation

Question 28 of 57

1

A patient evaluation for the purposes of diagnosis and treatment planning is referred to as a:

Select one of the following:

  • TPR.

  • physical assessment.

  • physical examination.

  • history.

Explanation

Question 29 of 57

1

Which finding on a physical examination could be an indicator of a clotting disorder that will increase the risk of life-threatening complications?

Select one of the following:

  • Dehydration

  • Respiratory abnormalities

  • Bruising lesions

  • Anemia

Explanation

Question 30 of 57

1

Which finding on a physical examination could put a patient at increased risk of anesthetic complications including hypotension, poor tissue perfusion, and kidney damage?

Select one of the following:

  • Dehydration

  • Respiratory abnormalities

  • Bruising lesions

  • Anemia

Explanation

Question 31 of 57

1

Which finding on a physical examination indicates decreased oxygen-carrying capacity of the blood and a predisposition to hypoxemia?

Select one of the following:

  • Dehydration

  • Respiratory abnormalities

  • Bruising lesions

  • Anemia

Explanation

Question 32 of 57

1

In which of the following species is it acceptable to estimate weight based on the measurement of the girth and length of the animal prior to administering anesthesia?

Select one of the following:

  • Feline

  • Equine

  • Canine

  • Rodent

Explanation

Question 33 of 57

1

When measuring the girth and length of a horse to estimate weight, which of the following landmarks should be used?

Select one of the following:

  • The circumference of the chest at the thirteenth rib and the length from withers to tail head

  • The circumference of the chest just behind the point of the elbow and the length from the point of the shoulder to the tail head

  • The circumference of the chest just behind the point of the elbow and the length from the point of the shoulder to the point of the pelvis

  • The circumference of the chest at the thirteenth rib and the width from withers to tail head

Explanation

Question 34 of 57

1

Which body condition score could predict that anesthetic procedures may be more complicated due to compromised lung function and decreased functional lung volume?

Select one of the following:

  • 1 of 5

  • 2 of 5

  • 3 of 5

  • 5 of 5

Explanation

Question 35 of 57

1

Which body condition score could predict that anesthetic procedures may be more complicated due to the animal being more sensitive to the effects of anesthetics and more prone to hypothermia?

Select one of the following:

  • 1 of 5

  • 3 of 5

  • 4 of 5

  • 5 of 5

Explanation

Question 36 of 57

1

How should anesthetics be dosed in obese patients?

Select one of the following:

  • At the actual weight of the animal

  • At the lean body weight of the animal

  • At 10% lower than the actual weight of the animal

  • At 10% over the lean body weight of the animal

Explanation

Question 37 of 57

1

Which indicator of dehydration is the most accurate indicator of hydration?

Select one of the following:

  • Mucous membranes

  • Position of the eye in the orbit

  • Sudden loss of weight compared to serial weight monitoring of body weight

  • Skin turgor

Explanation

Question 38 of 57

1

A patient with a mildly decreased level of consciousness that can be easily aroused is said to be:

Select one of the following:

  • bright

  • quiet

  • unresponsive

  • lethargic

Explanation

Question 39 of 57

1

A patient that displays a deceased level of consciousness that cannot be fully aroused is said to be:

Select one of the following:

  • bright

  • obtunded

  • stuporous

  • comatose

Explanation

Question 40 of 57

1

Which of the following should be considered when selecting an anesthetic agent as the condition may change the animal’s response to the agent?

Select one of the following:

  • Gait

  • Temperament and activity level

  • coat condition

  • enlarged lymph nodes

Explanation

Question 41 of 57

1

A normal sinus rhythm or a sinus arrhythmia is normal in:

Select one of the following:

  • cats

  • rabbits

  • dogs

  • ferrets

Explanation

Question 42 of 57

1

Which heart rhythm is created when the heart rate cyclically increases during inspiration and decreases during expiration?

Select one of the following:

  • First-degree atrioventricular block

  • Normal sinus rhythm

  • Second-degree atrioventricular block

  • Sinus arrhythmia

Explanation

Question 43 of 57

1

Which appearance of the mucous membranes indicates reduced oxygen saturation, which is a medical emergency?

Select one of the following:

  • bubble-gum pink

  • pale

  • cyanotic

  • brick red

Explanation

Question 44 of 57

1

A patient that inhales and immediately exhales with a short break in between cycles has:

Select one of the following:

  • dyspnea.

  • normal respiration.

  • second-degree atrioventricular block.

  • sinus arrhythmia.

Explanation

Question 45 of 57

1

An elevation in which of the following laboratory blood tests would alert the anesthetist to the possibility of a dehydrated patient and a concern for decreased blood volume, which could adversely affect cardiac output, blood pressure, and tissue perfusion?

Select one of the following:

  • Complete blood cell count

  • Packed cell volume

  • BUN

  • Platelet count

Explanation

Question 46 of 57

1

While all patients should be screened for a coagulation problem, which of the following breeds may be commonly affected?

Select one of the following:

  • Golden retriever

  • Dachshund

  • English bulldog

  • Doberman pinscher

Explanation

Question 47 of 57

1

A geriatric dental patient showing minor dehydration would be classified as a physical status of:

Select one of the following:

  • PS 1

  • PS 2

  • PS 4

  • PS 5

Explanation

Question 48 of 57

1

A complication of regurgitation in an anesthetized patient that is serious and can result in pneumonia, permanent disability or respiratory arrest, and death is:

Select one of the following:

  • esophageal reflux.

  • postoperative nausea.

  • pulmonary aspiration

  • bloat.

Explanation

Question 49 of 57

1

You have been asked to place an intravenous catheter for an orthopedic surgery. What is the most important consideration applicable to the placement of this catheter?

Select one of the following:

  • Size of the catheter

  • Site of placement

  • Using an administration port

  • Administering drugs slowly

Explanation

Question 50 of 57

1

Which of the following body fluid solutes is(are) responsible for providing osmotic pressure and is(are) essential for physiologic processes such as blood clotting, heart, and neuromuscular functions?

Select one of the following:

  • Electrolytes

  • Proteins

  • Red Blood Cells

  • Glucose

Explanation

Question 51 of 57

1

A constant state within the body created and maintained by normal physiologic processes is:

Select one of the following:

  • osmolarity.

  • electroneutrality.

  • homeostasis.

  • oncotic pressure.

Explanation

Question 52 of 57

1

The plasma concentrations of which of the following solutes must be kept in a very narrow range in order to maintain normal muscle and heart functions?

Select one of the following:

  • Magnesium and calcium

  • Sodium and magnesium

  • Potassium and magnesium

  • Potassium and calcium

Explanation

Question 53 of 57

1

Patients that begin having profound hemorrhages during surgery require:

Select one of the following:

  • colloids.

  • blood products.

  • crystalloids

  • hypertonic saline.

Explanation

Question 54 of 57

1

What type of fluids should be used in routine surgeries on healthy patients as well as on sick patients with normal PVC levels?

Select one of the following:

  • Colloids

  • Blood products

  • Crystalloids

  • Dextrose

Explanation

Question 55 of 57

1

The recommended IV administration rate for cats is:

Select one of the following:

  • 10 mL/kg/hr for the first hour followed by 8 mL/kg/hr for the remainder of the procedure.

  • 15 mL/kg/hr for the first hour followed by 10 mL/kg/hr for the remainder of the procedure.

  • 8 mL/kg/hr for the first hour followed by 5 mL/kg/hr for the remainder of the procedure.

  • 5 mL/kg/hr for the first hour followed by 3 mL/kg/hr for the remainder of the procedure.

Explanation

Question 56 of 57

1

The acceptable crystalloid IV infusion rates for a cat in shock would be:

Select one of the following:

  • 3 to 10 mL/kg.

  • 12 to 20 mL/kg.

  • 25 to 30 mL/kg

  • 40 to 60 mL/kg.

Explanation

Question 57 of 57

1

The doctor orders IV fluids for a 65-pound dog at a rate of 10 mL/kg/hr for an orthopedic surgery. What is the infusion rate in mL/hr using a 15 ggt/mL set?

Select one of the following:

  • 295 mL/hr; 1 ggt/sec

  • 295 mL/hr; 1 ggt/3 sec

  • 325 mL/hr; 2 ggt/sec

  • 350 mL/hr; 2 ggt/sec

Explanation