Preoperative assessment of the surgical patient is conducted by any one of the following individuals except a. anesthesiologist. b. certified registered nurse anesthetist (CRNA). c. anesthesiologist assistant (AA). d. surgeon.

Preoperative assessment of the surgical patient is meant to gather information for all of the following purposes except to a. confirm the patient’s surgical diagnosis. b. assess other medical conditions. c. determine the patient’s physical status. d. determine whether the procedure is necessary.

The American Society of Anesthesiologists (ASA) has established the criteria for classifying the patient’s a. physical status. b. degree of wound contamination. c. stage of disease. d. preoperative respiratory status.

Which type of medication is given to relieve a patient’s preoperative anxiety? a. Sedative b. Anticholinergic c. Antimuscarinic d. Narcotic

Which type of medication is given to relieve pain and reduce the amount of anesthesia needed during surgery? a. Sedative b. Antiemetic c. Antimuscarinic d. Analgesic

Medications used to inhibit mucous secretions of the respiratory system and digestive tract are termed a. antacids. b. antiemetics. c. anticholinergics. d. tranquilizers.

Medications used to reduce nausea and the possibility of vomiting are called a. antacids. b. antiemetics. c. anticholinergics. d. antimuscarinics.

Which group of preoperative sedatives is most often used? a. Benzodiazepines b. Phenothiazines c. Diphenhydramine d. Droperidol

Which drug is not in the benzodiazepine family? a. Diazepam b. Lorazepam c. Midazolam d. Promethazine

The ratio of the amount of medication in milligrams per kilogram of patient’s weight is demonstrated by a. mg/kg. b. ug/kg.

Diazepam is the generic name of a. Ativan. b. Versed. c. Valium. d. Phenergan.

What is the trade name for midazolam? a. Ativan b. Versed c. Valium d. Phenergan

What is the trade name for lorazepam? a. Ativan b. Versed c. Valium d. Phenergan

Opiates are a subgroup of: ? a. analgesics. b. sedatives. c. tranquilizers. d. amnesiacs.

Astramorph is a trade name for which generic drug? a. Morphine b. Meperidine c. Fentanyl d. Phenergan

Duramorph is a trade name for a. morphine. b. meperidine. c. fentanyl. d. valium.

Demerol is a trade name for a. morphine. b. meperidine. c. fentanyl. d. phenergan.

Stimuli, such as stretching the peritoneum or retracting the eye muscles, can produce a(n) a. decrease in heart rate. b. increase in heart rate. c. blockage of the production of gastric acids. d. increase in the production of gastric acids.

What is the trade name for glycopyrrolate? a. Robinul b. Inapsine c. Morphine d. Atropine

How long is the onset of atropine (in minutes)? a. Immediate b. 1 to 2 c. 1 to 5 d. 3 to 5

How long is the duration of Robinul (in hours)? a. 1 to 1.5 b. 2 to 3 c. 4 to 6 d. 8 to 24

What is the normal pH of gastric acid? a. 2 b. 4 c. 6 d. 8

To minimize the damage caused by aspiration of gastric contents during surgery, which drug may be given preoperatively? a. Zofran b. Reglan c. Bicitra d. Inapsine

Famotidine is marketed under what trade name? a. Zantac b. Pepcid c. Tagamet d. Zofran

Gastroesophageal reflux may occur when the lower esophageal sphincter and thorax muscles a. flex. b. tighten. c. reflux. d. relax.

A preoperative antacid administered orally is a. Cimetidine (Tagamet) b. H2 blocker c. sodium citrate d. Zantac

Which agent is an H2 blocker? a. Droperidol b. Ondansetron c. Sodium citrate d. Ranitidine

The purpose of a preoperative H2 blocker is to a. inhibit the production of gastric acid. b. neutralize gastric acid. c. produce chyme. d. limit chyme production.

A preoperative assessment places special emphasis on all of the following conditions except a. atherosclerosis. b. chronic obstructive pulmonary disease. c. diabetes. d. melanoma.

Which agent neutralizes gastric acid? a. Cimetidine (Tagamet) b. Ranitidine (Zantac) c. Sodium bicarbonate d. Sodium citrate

The action of metoclopramide (Reglan) is to a. block production of gastric acid. b. decrease mucous secretions. c. increase gastrointestinal motility. d. neutralize gastric acid.

Atropine is an anticholinergic that a. blocks the production of gastric acid. b. decreases mucous secretions. c. increases gastrointestinal motility. d. neutralizes gastric acid.

A trauma patient having an indwelling urinary catheter inserted prior to surgery may need to receive a(n) a. anticholinergic. b. sedative. c. analgesic. d. antiemetic.

Which physical status classification would be assigned to a surgical patient with cancer of the uterus who is undergoing a hysterectomy? a. P1 b. P2 c. P3 d. P4

The most common benzodiazepine administered preoperatively is a. Versed. b. Valium. c. Ativan. d. Demerol.

If a surgical patient is exhibiting significant pain after surgery and will be admitted as an inpatient, which medication may be given for pain? a. Morphine b. Meperidine c. Midazolam d. Lorazepam

Scopolamine is classified as all of the following, except a. antiemetic. b. analgesic. c. sedative. d. antisialagogue

_____________ is a proton-pump inhibitor. a. Pepcid b. Bicitra c. Reglan d. Nexium

Which antiemetic medication has an FDA Black Box warning? a. Inapsine b. Reglan c. Zofran d. Kytril

The commonly used antiemetic used preoperatively is a. Versed. b. Pepcid. c. Zofran. d. Reglan.

Why is gum chewing not allowed preoperatively for the patient who has been NPO? a. Because it may be swallowed b. Because it is not a clear fluid c. Because it is a solid food d. Because it increases gastric fluid

Which category of preoperative medication has an effect on the vagus nerve? a. Sedatives b. Anticholinergics c. Analgesics d. Antiemetics