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Worksheetspre test anesthesia for respiratory disease patient
Total questions: 10
Worksheet time: 10mins
Cessation of smoking on the day prior to an operation is associated with a perioperative
decrease in carbon monoxide in blood
improvement in ciliary beating in the airways
decrease in sputum volume
decrease in the need for postoperative ventilatory support
Pulsus paradoxus is commonly seen during anesthesia in patients with each of the following conditions EXCEPT
severe asthma
right-sided heart failure
hypovolemia
atrial septal defect
Which of the following is NOT true of patients with obstructive pulmonary disease?
High alveolar concentrations of most potent inhalational anesthetics will blunt airway reflexes and reflex
bronchoconstriction.
Administration of opioids will decrease airway reactivity.
Spontaneous ventilation during GA in patients with severe obstructive disease is more likely to result in hypocapnia than in patients with normal pulmonary function.
Deep extubation is suggested in young, asthmatic patients.
After an episode of asthma, airway hyperreactivity may persist up to:
24 hours
48 hours
72 hours
Several weeks
A 16-year-old girl with asthma is to undergo routine pulmonary function testing. In order to measure the FEV1 during spirometry, she
exhales forcefu lly from total lu ng cap acity to residual volume
is asked to breathe slowly at normal
tidal volumes
forcefu lly exhales from total lu ng cap acity to respiratory reserve volume
is asked to forcefu lly exhale for 1 second
Which of the following is true regarding administering general anesthesia to a
chronic obstructive pulmonary disease (COPD) patient?
Nitrous oxide + opioid technique is ideal
Use large tidal volumes
Use lower breathing rates to permit more exhalation time
Correct the hypercapnia intraoperatively to help extubate early
A 55-year-old male presented to you with a pulmonary function test report, which
shows an increase of FEV1 percent predicted of more than 12%, and an increase in FEV1 of greater than 0.2 L in response to bronchodilators. Which characteristic of
his respiratory illness is depicted here?
Bronch ial asth ma—acute bronchodilator responsiveness
Chronic obstructive pulmonary disease (COPD)—variability in airflow obstruction
COPD—acute bronchodilator responsiveness
All the above are correct
Which of the following drugs is useful in the treatment of asthma by
specifically interfering with the leukotriene pathway?
Fluticasone
(Flovent)
Ipratropium bromide
( Atrovent)
Triamcinolone
(Azmacort)
Montelukast (Singulair)
Drugs useful in the treatment of uterine atony in an asthmatic patient with
severe preeclampsia include
Oxytocin (Pitocin) only
Ergonovine (Ergotrate) or methylergono vine (Methergine) only
15-Methyl prostaglandin F2α
(PGF2α) (Carboprost, Hemabate)
onl y
All of the above are safe and can be used alone or in combination
with the others
In the diagram above, curve “D” represents
Emphysema
Chronic bronchitis
Normal lungs
Fibrotic lungs
