Question 1

A 78-year-old female patient with a history of CHF has lab work performed with the following results: BUN 22 mg/ml and Creatine level of 2.2 mg/dl. This patient is most likely suffering from:

  1. Pulmonary edema
  2. Kidney failure
  3. Acute MI
  4. Severe dehydration


Question 2

The main clinical use of Succinylcholine (Anectine) is to relax muscles during:

  1. Surgery
  2. Laryngeal spasm
  3. Intubation
  4. Exercise


Question 3

The only depolarizing drug is which of the following?

  1. Tubocurarine
  2. Doxacurium
  3. Pancuronium
  4. Succinylcholine


Question 4

Which of the following barbiturates would be used to control seizures?

  1. Methohexital
  2. Pentobarbital
  3. Phenobarbital
  4. Thiopental


Question 5

Which of the following would be considered a toxic level of alcohol in the blood?

  1. 100 mg/dl
  2. 200 mg/dl
  3. 300 mg/dl
  4. 400 mg/dl


Question 6

Neuromuscular blocking agents are clinically used for all but which of the following?

  1. Relieve severe pain
  2. Muscle paralysis during surgery
  3. To facilitate mechanical ventilation
  4. Endotracheal intubation


Question 7

In a 70-kg person, how much of the total cardiac output flows through the kidney?

  1. 50%
  2. 40%
  3. 37%
  4. 21%


Question 8

Which of the following therapeutic procedures are needed for patients receiving prolonged neuromuscular blockade?

  1. Frequent turning
  2. Range of Motion exercises
  3. Suctioning only every 4 hours
  4. Lubrication of the eyes
  5. Ventilator apnea alarms set at 45 seconds


Question 9

Which of the following describes the mode of action of local anesthetics?

  1. Produce nerve conduction block by blocking sodium channels
  2. Block transmission of pain signals to the brain
  3. Produce nerve conduction block by increasing calcium ions
  4. Provide transmitters that attach to nerves and block signals


Question 10

Hypochloremia and hypoalkemia result in which acid base disorder?

  1. Metabolic alkalosis
  2. Metabolic acidosis
  3. Respiratory acidosis
  4. Mixed respiratory and metabolic alkalsosi


Question 11

The functional unit of the kidney is which of the following?

  1. Glomerulus
  2. Tubule
  3. Bladder
  4. Nephron


Question 12

The kidney is which of the following?

  1. Active organ
  2. Passive filter organ
  3. High oxygen consuming organ


Question 13

The preferred route of administration for neuromuscular blocking agents is which of the following?

  1. IM
  2. Oral
  3. Aerosol
  4. IV


Question 14

Diuretics are used to treat heart failure and lower blood pressure by:

  1. Reducing the plasma volume
  2. Maintaining blood volume
  3. Causing vasoconstriction
  4. Increase the number of RBCs


Question 15

Patients receiving loop diuretics should have their __________ levels monitored.

  1. Magnesium
  2. Potassium
  3. Bleeding time
  4. Bicarbonate


Question 16

All but which of the following statements are true about diuretics?

  1. Diuretics increase urine output
  2. Diuretics act directly on the kidney
  3. Diuretics eliminate excess fluid from the body
  4. Diuretics are all alike in their mode of action


Question 17

Muscle paralysis caused by nondepolarizing blocking agents can be reversed by which of the following?

  1. Spironolactone
  2. Edroponium
  3. Neostigmine
  4. Pavulon


Question 18

Which of the following describes Succinylcholine (Anectine):

  1. Is long lasting
  2. Cannot be reversed
  3. Decreases sodium potassium levels
  4. Is contraindicated for patients with head trauma


Question 19

Which approach is usually more effective in pain management?

  1. Using maximum doses of pain relievers
  2. Estimating a patient’s level of pain while he is sleeping
  3. Using a combination of pain medications
  4. Always using a narcotic pain reliever


Question 20

Carbonic anhydrase inhibitors can be used to stimulate respirations by creating which of the following acid-base disorders?

  1. Metabolic acidosis
  2. Metabolic alkalosis
  3. Respiratory acidosis
  4. Respiratory alkalosis
Question 21

Which of the following drugs are used as reversal agents for Opioid drugs?

  1. Propranolol (Inderal)
  2. Methylxanthine
  3. Propofol (Diprivan)
  4. Naloxone (Narcan)


Question 22

Which of the following are components of the kidney?

  1. Nephron
  2. Bladder
  3. Loop of Henle
  4. Distal tubule


Question 23

Which of the following are uses of Barbiturates?

  1. Used as a hyotonic to induce sleep
  2. Used to relieve pain
  3. Used to stimulate respirations
  4. Used to treat anxiety


Question 24

A patient is scheduled to have a FOB (Fiberoptic bronchoscopy) due to hemoptysis. The patient is given Versed prior to the procedure. Which of the following should be monitored during the procedure?

  1. Pulse oximetry
  2. Endotracheal tube placement
  3. Blood pressure
  4. Continuous ECG monitoring


Question 25

Which group of diuretics are the most potent?

  1. Osmotic diuretics
  2. Loop diuretics
  3. Carbonic anhydrase inhibitors
  4. Thiazide diuretics


Question 26

About 10% of the glomurular filtrate is exerted as urine.

  1. TRUE
  2. FALSE


Question 27

You are caring for a patient who has sustained a severe closed head injury. The ICP monitor reads a pressure of 38 mmHg. To reduce the cerebral edema and lower the ICP, you would recommend which diuretic?

  1. Amiloride
  2. Lasix
  3. Metolazone
  4. Mannitol


Question 28

CNS and respiratory stimulant drugs are used to trea

  1. Anxiety
  2. Narcolepsy
  3. Obesity
  4. Depression


Question 29

A patient is scheduled for a surgery that will require a neuromuscular blocking drug to be given. Upon examination, you find that the patient has bilateral expiratory wheezing, has increased expiratory time, and has small amounts of mucoid secretions. What neuromuscular drug would you NOT recommend for this patient?

  1. Norcuron
  2. D-tubocurarine
  3. Anectine
  4. Valium


Question 30

All of the following are considered to be therapeutic uses for narcotic analgesic EXCEPT:

  1. Muscular paralysis
  2. Pain relief
  3. Sedation
  4. Relief of dyspnea caused by advanced respiratory failure


Question 31

Which of the following lab values would indicate that a 49-year-old male patient is dehydrated?

  1. BUN of 12 mg/ml
  2. Creatine level of .8 mg/dl
  3. BUN of 26 mg/ml
  4. Creatine level of 2.38 mg/dl


Question 32

Muscle contraction occurs with which of the following phases?

  1. Apolarization
  2. Depolarization
  3. Repolarization
  4. Myelination


Question 33

Which of the following applies to narcotic analgesics (Opioid analgesics)?

  1. Used to treat severe pain
  2. Can depress the medullary respiratory center
  3. Can be administered by IV only


Question 34

Which of the following agents will reverse the effects of a benzodiazepine such as Valium?

  1. Amitriptyline (Elavil)
  2. Alteplase (Activase)
  3. Flumazenil (Romazicon)
  4. Atropine


Question 35

What acid-base imbalance would be seen in a person who has overdosed on barbiturates?

  1. Respiratory alkalosis
  2. Respiratory acidosis
  3. Metabolic acidosis
  4. Metabolic alkalosis


Question 36

Nonsteroidal anti-inflammatory drugs (NSAID) should be used cautiously in patient’s with:

  1. A history of cardiac arrhythmias
  2. A history of gastric ulcers
  3. A history of alcohol abuse
  4. A history of CVA


Question 37

The first priority in treating a patient who has just overdosed on Barbiturates is:

  1. Provide circulatory support
  2. Drug elimination
  3. Provide ventilatory support
  4. Prevent dehydration