Quiz | Healthcare Services in Oklahoma

1. On pre-procedure evaluation, it is noted that a patient can only open her mouth 1 cm because of temporomandibular joint disease. Which of the following is most likely?

The patient will have difficulty breathing while awake.
It may be difficult to rescue the patient if she stops breathing.
The patient is likely to become hypoxic during minimal sedation (anxiolysis).
The patient will require a greater-than-expected dose of sedative medications.

2. Following administration of midazolam and meperidine for colonoscopy, a patient becomes sedated to the point where his airway is partially obstructed, but he responds purposefully following painful stimulation. This corresponds to which of the following levels of sedation?

Minimal sedation
Moderate ("conscious") sedation
Deep sedation
General anesthesia

3. Findings of pre-procedure evaluation should be reconfirmed at which one of the following times?

Only if a complication occurs
Within a week before the procedure
On the day before the procedure
Immediately before the procedure

4. Practitioners administering midazolam and meperidine for moderate sedation should be able to rescue patients if they slip into an unintended level of _________.

Minimal sedation
Moderate sedation
Deep sedation
General anesthesia

5. Practitioners administering propofol or methohexital for moderate sedation should have the skills and training to rescue patients if they slip into an unintended level of ________.

Minimal sedation
Moderate sedation
Deep sedation
General anesthesia

6. An otherwise healthy patient requires moderate sedation for elective cardiac catheterization. He should not consume clear liquids for a minimum of how many hours before the beginning of the procedure?

1
2
4
6

7. Continuous electrocardiographic monitoring is optional in which of the following?

Healthy patient undergoing moderate sedation
Healthy patient undergoing deep sedation
Patient with congestive heart failure undergoing moderate sedation
Patient with irregular pulse undergoing moderate sedation

8. A patient who is breathing supplemental nasal oxygen develops complete airway obstruction during moderate sedation. Which of the following is likely to occur first?

Decrease in oxygen-saturation reading by pulse oximeter
Cessation of breath sounds
Sinus bradycardia on electrocardiogram
Hypotension on automated blood pressure cuff

9. A specific individual should be dedicated to monitor patients during sedation and analgesia. During moderate sedation, this individual may assist with an endoscopic procedure under which of the following circumstances?

They do not leave the procedure room for more than 5 minutes.
The alarms of the pulse oximeter are activated.
The tasks are minor and interruptible, and monitoring is maintained.
Supplemental oxygen is administered.

10. During moderate sedation, an individual with advanced life support skills must be available _______.

Within the procedure room
Within 5 minutes
Within 10 minutes
By calling "911"

11. Flumazenil will antagonize the respiratory depression associated with which of the following medications?

Meperidine
Methohexital
Midazolam
Propofol

12. During sedation with propofol, a patient stops breathing and becomes unresponsive to verbal or tactile stimulation. The pulse oximeter reads 86%. Which of the following is most likely to improve the patient's oxygenation?

Positive pressure ventilation
Supplemental nasal oxygen
Intravenous flumazenil
Intravenous naloxone

13. A patient receives ketamine for sedation and analgesia. Her eyes are open but her breathing is labored and she is completely unresponsive to both verbal and painful stimulation. This corresponds most closely to a state of

Anxiolysis
Moderate sedation
Deep sedation
General anesthesia

14. A patient with severe chronic obstructive pulmonary disease and congestive heart failure requires sedation for colonoscopy. Before sedation is administered, which of the following specialists should be consulted?

Pulmonologist
Cardiologist
Anesthesiologist
All of the above

15. The use of supplemental oxygen during sedation and analgesia _________.

Increases the likelihood of hypoxia
Delays the detection of apnea by pulse oximetry
Should be avoided during moderate ("conscious") sedation
Decreases the likelihood of airway obstruction