Worksheetsneuromuscular blocking agents
Total questions: 13
Worksheet time: 3hrs 44mins
according to Dr Cicuto, in the biz we refer to succinylcholine as?
When nondepolarizing neuromuscular blocking agents are administered which of the follow is MOST true when neuromuscular blockade is assessed?
absence of twitch at the adductor pollicis guarantees neuromuscular blockade at the diaphragm
as neuromuscular blockade faces, the adductor policies will return before the diaphragm
blockade in the diaphragm occurs more slowly than in the adductor pollicis
the corrugated supercilii correlates with the recovery of the laryngeal muscles
which of the following neuromuscular blocking agents when metabolized by the liver has an active metabolite?
cisatracurium
mivacurium
rocuronium
vecuronium
patients with which of the following congenital neuromuscular disorders are the MOST RESISTANT to non depolarizing neuromuscular blocking agents?
Charcot-marie-tooth
duchenne muscular dystrophy
myotonia congenita
myotonic dystrophy
which of the following statements regarding muscle relaxant use in the pediatric population is TRUE?
bradycardia is common in children after their first dose of rocuronium without atropine pretreatment
duration fo action of vecuronium is shortened in neonates due to their increased hepatic metabolism
exaggerated hyperkalemia after succinylcholine administration is not seen in neonates with burn injuries
infants require relatively larger doses of succinylcholine due to their relatively large volume of distribution
a 33 year old female is about to undergo elective laparoscopic cholecystectomy. she is a type 1 diabetic with end stage renal disease and receives dialysis MWF. she had a full dialysis treatment yesterday. laboratory evaluation reveals a K of 3.6, Cr of 4.6, and BUN 46. which of the following neuromuscular blocking agents is the LEAST appropriate for this patient?
mivacurium
rocuronium
pancuronium
succinylcholine
vecuronium
which of the following is a GI effect of succinylcholine?
decreased incidence of PONV
decreased intragastric pressure
increased lower esophageal sphincter tone
increased upper esophageal sphincter tone
the first c-section in the United States was performed with ______ as the anesthetic
nothing
ether
laudanum
alcohol
a 45 year old woman with a history of chronic hypertension and a seizure disorder following a traumatic brain injury sustained as a child is admitted to the hospital with complicated pyelonephritis. on her initial workup she is found to have an obstructive right renal and ureteral calculi. given the concern for sepsis, she is taken to the operating room for nephrolithotomy and possible nephrostomy tube placement under general anesthesia. anesthesia is induced in this patient with lidocaine, propofol and rocuronium. after preoperative administration of which of the following medication will the patient have the more rapid return of neuromuscular function?
ceftriaxone
doxycycline
gentamycin
levofloxacin
in which patient is the use of succinylcholine for induction MOST acceptable?
a patient with myotonic dystrophy
a patient with muscular dystrophy
a patient with myasthenia gravis
a patient with multiple sclerosis
a patient with a T6 spinal cord transection 2 months ago
which of the following is the DIRECT TARGET of the antibodies at the neuromuscular junction in Lambert-eaton syndrome?
acetylcholinesterase
nicotinic acetylcholine receptors
voltage gated calcium channels
voltage gated sodium channels
which of the following is the mechanism for termination of neuromuscular blockade by succinylcholine?
degradation by acetylcholinesterase
diffusion away from the neuromuscular junction
Hofmann elimination
renal and biliary excretion
who would win in a succ race?
nick
alex
omid
nick
