NCCAA Re-certification Practice Exam

These questions are part of the practice quiz. Start practicing

• What might occur if an anesthetic agent is improperly mixed in a vaporizer?
• What could be a possible cause for a sudden decrease in ETCO2 during a total hip replacement?
• What type of pain do C-type nerve fibers transmit?
• Which of the following is NOT a sign of hypovolemia?
• Which two NMBs are known to produce hypotension from ganglionic blockade?
• Which Mapleson circuit is considered the best for controlled ventilation?
• A 75-year-old female patient shows signs of delirium after surgery. She received which two medications preoperatively and intraoperatively that relate to her symptoms?
• Which induction agent is contraindicated in patients with a history of acute intermittent porphyria?
• Which volatile agent will have the quickest onset without considering potency?
• What changes are typically found with left ventricular (LV) dysfunction or failure?
• What is the primary consideration when diagnosing changes in a 78-year-old female's hemodynamics during surgery?
• What ions are responsible for depolarization and repolarization, respectively?
• What type of respiratory disease is characterized by immune-mediated pulmonary involvement that causes fibrosis scarring in rheumatoid arthritis?
• A PaO2/FiO2 ratio of less than 200 indicates which pathophysiological condition?
• What is the action of the sodium-potassium pump specifically related to sodium ions?
• Peripheral chemoreceptors are most sensitive to what changes?
• Which opioid agonist does not act on delta and kappa receptors?
• What is one of the main actions of Phenylephrine in a surgical scenario?
• If a lower vapor pressure agent is added to a vaporizer designed for a higher vapor pressure agent, then the concentration delivered will be?
• A patient chronically on high-dose propranolol is scheduled for general anesthesia. Which agent should be administered with caution?
• What is the vapor pressure of Sevoflurane?
• Which agents are known to cross the blood-brain barrier (BBB)?
• Vital capacity is composed of which of the following?
• Where is the O2 flow meter located in relation to the fresh gas flow (FGF) for maximum oxygenation?
• What occurs with the dependent lung when a patient is placed in the lateral decubitus position?
• What respiratory evaluation outcome can be expected in a patient with extra thoracic foreign body obstruction?
• Which condition can cause a false low measurement when using a pulmonary artery catheter for cardiac output monitoring?
• What is the most appropriate treatment for bronchospasm due to histamine release during surgery?
• What is a common side effect of using Demerol for pain management?
• What is the vapor pressure of Isoflurane?
• What is the most essential focus for care when a patient is experiencing signs of a pulmonary embolism?
• Which sensory nerve is stimulated to produce laryngospasm?
• During which phase of anesthetic is diffusion hypoxia most likely to occur?
• In a triage situation after a natural gas explosion, what is the recommended plan for a patient with singed nasal hairs and eyebrows?
• Volatile agents typically have what impact on spontaneous ventilation?
• What vital sign is most likely to indicate the presence of malignant hyperthermia?
• Which volatile anesthetics can be used interchangeably with accurate delivery based on dial settings?
• What is the appropriate treatment for a pulmonary embolism in an 83-year-old patient undergoing surgery?
• In pulmonary artery monitoring, what factor can result in inaccurate readings?
• In the context of pharmacological management, what does BBB stand for?
• What is the complication if a patient has a portion of the lung that's V/Q ratio is 0?
• Which opioid receptor is associated with mediating euphoria?
• What is the impact of hypomagnesemia on neuromuscular junction activity?
• Which Mapleson circuit is considered the worst for spontaneous ventilation?
• What is the most likely complication of bilateral RLN damage after a subtotal thyroidectomy?
• Which anesthetic agent is characterized by a rapid onset and short duration of action?
• In which scenario is jet ventilation absolutely contraindicated?
• Which opioid agonist is metabolized by plasma cholinesterases?
• What best describes the mechanism of action of ephedrine?
• What is the rate limiting step in norepinephrine synthesis?
• What is the alveolar oxygen tension at sea level given a PaCO2 of 27mmHg?
• What is the best match between Mapleson circuits and their use?
• Which type of nerve fibers first transmit sharp pain?
• What condition is described by flaccid paralysis and respiratory distress following exposure to certain substances?
• In what form is CO2 carried primarily in blood?
• What describes the plane of anesthesia characterized by dilated pupils, shallow respiration, and hypertension?
• What condition is indicated by a dramatic decrease in ETCO2 during surgery?
• In managing pheochromocytoma, which should you block first?
• What is the likely diagnosis for hemodynamic changes observed during a robotic hysterectomy?
• In the event of an interrupted main pipeline gas delivery, which factor determines how long an O2 tank at 1000 psi will last at a flow of 2L/min?
• What changes are expected in an arterial waveform when using a femoral line compared to a radial line?
• Which parameters are NOT directly obtained from spirometry?
• Gas exchange within the tracheobronchial tree begins at which generations?
• Which intravenous induction agent should be avoided in an elderly patient with specific medical history?
• What post operative medication could be the cause of the hypertensive crisis in the described scenario?
• In a clinical setting, which factor would be least likely to influence arterial line placement?
• Intrapulmonary pressure becomes more positive during which phase of breathing?
• Which agent is known for having the greatest antimuscarinic/vagolytic actions?
• During a surgery, if a patient is stable yet shows signs of a pulmonary embolism, what should be monitored closely?
• What are considered the best indicators for difficult intubation?
• Which medication is known to produce extrapyramidal reactions?
• Which condition increases the release of ACh at the neuromuscular junction (NMJ)?
• A patient shows respiratory distress and copious secretions in a gardening setting. What is a possible diagnosis?
• How is the therapeutic index defined?
• Which description about alveoli distribution is correct?
• Which herbal medication is noted to increase the risk of bleeding during chronic therapy?
• How is Flumazenil administered for reversing benzodiazepines?
• What is the first step in termination of norepinephrine actions at the receptor?
• What is the function of MAO in the termination of norepinephrine actions?
• Which of the following is a characteristic of Stage III anesthesia?
• What should be monitored closely during the administration of volatile anesthetics?
• What effect does tachycardia have on a patient's blood pressure management during surgery?
• If the partial pressure of Gas A is 45 mmHg, what is its concentration?
• If an ABG reads PaO2 = 58mmHg with a patient breathing 21% FiO2, what is the source of this blood and what would you expect SaO2 to be?
• Which of the following is associated with an increase in P50?
• Which intravenous anesthetic agent stimulates NDMA receptors as its mechanism of action?
• What is the partial pressure of 7% Desflurane?
• What is included in anatomic dead space?
• How long can an O2 tank with 1000 psi deliver gas at a fresh flow of 2L/min?
• What is a key characteristic of pulmonary hypertension indicated on a CVP tracing?
• Which agent is primarily used for blood pressure control in pheochromocytoma cases?
• FRC equals CC in which of the following scenarios?
• If a patient has a PaO2 of 50mmHg and PAO2 of 100mmHg, why is the patient hypoxic?
• Most of released norepinephrine is?
• An agent with a Blood: Gas partition coefficient of 12.0 and an oil: gas partition coefficient of 0.5 is described as:
• What is the effect of A-delta fibers in pain transmission?
• Which factor does NOT increase MAC?
• After failing to achieve sufficient ventilation, what should be the next step if unable to obtain ETCO2 during mask ventilation?
• What law describes the mechanism of atelectasis in ARDS patients?
• What nerve(s) mediate information from peripheral chemoreceptors?
• What type of nerve fibers are primarily involved in proprioception?
• What are the possible side effects of Yutopar for a patient in premature labor?
• What position results in a patient's left ventricle being 20cm above the transducer during a surgery?
• Which agent is virtually devoid of beta 2 adrenergic activity?
• What is the primary function of the sodium-potassium pump?
• What is the byproduct of the reaction that occurs in CO2 absorbers?
• Which drug's metabolism is affected by the use of echothiopate drops in a patient undergoing a laparoscopic cholecystectomy?
• What is a potential complication when placing a right double lumen central line?
• What is the metabolic oxygen rate for a normothermic anesthetized patient?
• Which lung should CPAP be applied to improve ventilation-perfusion mismatch?
• What is the most reliable indicator of successful tracheal intubation?
• What effect does hyperkalemia have on a resting cell's potential?
• What is the chemical reaction that occurs in CO2 absorbers?
• What effect does poor perfusion have on pulse oximetry readings?
• Which agents are known to decrease systemic vascular resistance?
• Which of the following drugs should be avoided if possible with patients receiving Echothiophate treatment for glaucoma?
• In a surgical setting, what is the priority when managing anesthesia in patients with hypertension on beta blockers?
• What physiological role do Type II pneumocytes primarily serve?
• Which side effect is associated with the use of etomidate as an IV anesthetic?
• In the case of right ventricular (RV) dysfunction or failure, which changes are expected?
• What is the effect of hypokalemia on neuromuscular transmission?
• Cannon A waves on a CVP tracing are characteristic of which condition?
• Which change would NOT increase the rate of inhalational induction?
• Which condition is characterized by decreased RV compliance as seen on a CVP tracing?
• What explains the tachycardia in the preoperative evaluation of an 80-year-old male patient?
• In which type of skull fractures is nasal intubation contraindicated?
• Which medication is typically used to relax smooth muscles during labor management?
• Which medication is indicated for general anesthesia management in a patient on chronic high-dose beta blockers?
• Large V waves on a CVP tracing are typically seen with which condition?
• What is the expected effect of chronic alcohol use on MAC levels?
• After extubating a patient who begins to buck on the ETT, what is the next appropriate step if there are no ETCO2 readings?
• What is the next action when a patient shows cyanosis and sternal retraction after a jaw thrust and PPV intervention?
• To create an optimal opioid agent providing spinal analgesia without sedation, which receptor should be targeted?
• What physiological effect can be expected from high dose anticholinergic drug administration?
• How do the extracellular concentrations of Ca and Mg compare?
• What is the mechanism of action for the anxiolytic effects of benzodiazepines?
• Which of the following methods is effective for monitoring potential neurological function during anesthesia?
• What is the vapor pressure of Desflurane?
• What is the reversal drug for benzodiazepines?
• What is the expected effect of filling a sevoflurane vaporizer with Isoflurane?
• All of the following are associated with the shifting of the oxyhemoglobin dissociation curve to the left except?
• What condition is indicated by a PAO2 of 60 mmHg during a general anesthetic case?
• If the radius of a tube is doubled, how will the laminar flow through the tube change?
• Which of the following combinations shows the best to least favorable interactions with beta-blocked patients?
• In which condition are A waves on a CVP tracing absent?
• Which condition would NOT lead to a faster rate of inhalational induction?
• For a patient experiencing severe nausea after cataract surgery, which antiemetic is preferred?
• What are the most appropriate controlled ventilation settings for a healthy 70kg female during surgery?
• What side effect is caused by ganglionic blockade when using certain NMB?
• What is recognized as the earliest and most sensitive sign of malignant hyperthermia?
• In the application of Mapleson circuits, which combination is correctly matched?
• What is the preferred Mapleson circuit for use in pediatrics?
• Which of the following is true regarding the use of midazolam prior to surgical procedures?
• Which agent provides effective alpha blockade in preparation for pheochromocytoma surgery?
• Which of the following is NOT a common cause of falsely low pulse oximeter readings?
• A patient is given 200mcg of fentanyl on induction. What happens to the oxyhemoglobin dissociation curve and the carbon dioxide blood dissociation curve?
• Which type of channels are crucial for maintaining the resting membrane potential in neurons?
• Which agent is the best choice for intraoperative control of hypertension in an elderly male patient?
• Which statement regarding pneumocytes is most correct?
• Which parameter does not change with age?
• For a right thoracotomy requiring one-lung ventilation, what size double-lumen tube (DLT) is preferred?
• What Mallampati class is described as having visible faucial pillars and soft palate?
• Which pathway of evoked potential monitoring is least sensitive to anesthetics?
• What is the primary purpose of preoxygenating prior to anesthesia induction?
• What is a common physiological response during a laryngospasm?
• During an acute apneic event, which receptors respond to increases in PaCO2?
• Which of the following factors can lead to falsely low pulse oximetry measurements?
• During a laparoscopic cholecystectomy, what complication is suggested by a 40% drop in blood pressure and increased airway pressures?
• For a 12-year-old male with lower extremity paralysis after an MVA, which induction method is most appropriate?
• What is the true blood pressure of a patient positioned 20cm above the phlebostatic axis with a recorded BP of 120/80?
• What is the main role of A-alpha fibers in the nervous system?
• What can the use of the O2 flush valve during positive pressure ventilation (PPV) cause?
• What muscles are responsible for laryngospasm?
• What is the major motor nerve for the intrinsic muscles of the larynx?
• Which ion is responsible for the release of neurotransmitters at the neuromuscular junction?
• What does the term 'absolute refractory period' refer to?
• What changes are typically observed in hypovolemia?
• What ion is bicarbonate exchanged for at the red blood cell to maintain electroneutrality?
• What is the PaO2 when SaO2 is 50%?
• In the context of surgical anesthesia, what is a common sign of bronchospasm?
• Which intravenous anesthetic agent is associated with postoperative nausea and vomiting (PONV)?
• Which potassium ions do leaky K channels primarily allow to diffuse?
• What diagnosis is indicated by the results of a pulmonary function test showing FEV1 = 4.2L, FVC = 5.1L, and FEV1/FVC = 0.82?
• What individuals would most likely experience stridor after extubation?
• Which medication can be administered to assist in diagnosing a cholinergic crisis?
• Which of the following is a major concern during central line placement procedures?
• At what depth will a diacritic notch be observed when floating a pulmonary artery catheter?
• In West Zone 2, perfusion is determined by which pressure?
• Which of the following factors does NOT increase nondepolarizing neuromuscular block?
• What is NOT expected from the administration of Neostigmine?
• What is the primary benefit of using Heliox over 100% O2 in a patient with strider?
• In the case of an 83-year-old patient experiencing hemodynamic changes with low blood pressure and increased heart rate, what is the most likely cause?
• What physiological response is common in left ventricular (LV) failure?
• If a higher vapor pressure agent is added to a vaporizer designed for a lower vapor pressure agent, then the concentration delivered will be?
• Tricuspid or pulmonic stenosis is indicated by what type of wave in a CVP tracing?
• What will you observe in a patient with right-sided paralysis when monitoring neuromuscular blockade using a TOF on the right wrist?