PEARLS: NBPME 2
EXAM QUESTIONS
WITH 100% CORRECT
ANSWERS!!
NBPME
Evatee 9/29/24 NBPME
,PEARLS: NBPME 2 EXAM QUESTIONS WITH
100% CORRECT ANSWERS!!
Which level of anesthesia is considered surgical anesthesia? Answer - Level III
There are four reflexes progressively lost in level III anesthesia. The third reflex
lost in the progression is? Answer - Thoracic muscular
While performing an Austin bunionectomy under general anesthesia, you over
hear the anesthesiologist mention that he/she is administering Reglan. What is
this for? Answer - Reduce gastric motility
Pediatric hypoglycemia is extremely dangerous! Pediatric patients have a very
limited amount of glycogen stores, and therefore should always have what fluid
running in their IV? Answer - D5W
What are the effects of low serum calcium on the EKG? Answer - With a wide
QRS complex
What effect does Ketamine have on a patient? Answer - Amnesia only
Fentanyl is used as what? Answer - Narcotic analgesic
what drug has largely replaced Sodium Pentothal? Answer - Diprivan
What is the first symptom of malignant hyperthermia? Answer - Tachycardia
, Describe the mechanism of breakdown for Esters and Amides. Answer - Esters
are hydrolyzed by pseudocholinesterase in plasma; amides are metabolized in
the liver.
What is the treatment for convulsions? Answer - Valium
Describe a Mayo block. Answer - Local "ring" block of the 1st
metatarsophalangeal joint
Describe MAC anesthesia. Answer - IV sedation with a local anesthesia block
How does local anesthesia provide pain relief? Answer - Prevents sodium
migration through nerve membrane, which prevents depolarization and causes
inhibition of nerve conduction.
What is the basic treatment for shock? Answer - Fluids, ABC's, monitor vitals
The American Society of Anesthesiologists surgical risk classification system
classifies "A healthy patient" as what class? Answer - Class I
List the complications associated with tourniquet use? Answer - Tissue
necrosis, inflammation, paralysis, thrombosis, circulatory volume overload
A contraindication to tourniquet use would be? Answer - Previous popliteal-
dorsals pedis bypass grafting. Sickle cell disease is potentially a contraindication
as well, because the tourniquet causes low oxygen tension which could cause
cells to sickle
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