Surgery Anesthesia Midterm Part 4
Surgery Anesthesia Midterm: Pain Management Quiz
Test your knowledge on the principles of pain management and anesthesia in surgical settings with our comprehensive quiz. Covering essential topics such as analgesic classes, pain types, and procedural protocols, this quiz is designed for veterinary professionals and students alike.
Key Features:
- 47 Thought-Provoking Questions
- Focus on Ruminants and Pain Management Techniques
- Immediate Feedback on Your Performance
The analgesic class most commonly used in ruminants is
NSAIDs
Opioids
Local anesthetics
Idiopathic pain is defined as:
Pain that is of unknown cause
Pain that is caused by cancer
Pain that is caused by inflammation
Pain that is caused by injury to nerves
Which of the following drug group(s) is (are) most often given by CRI?
Opioids.
Local anesthetics.
N-methyl-D-aspartate (NMDA) antagonists.
All are correct
Pathologic pain is defined as:
Pain that is prolonged and exaggerated
Pain that is caused by cancer
Pain that is not associated with tissue injury
Pain that is of unknown cause
Pain creates adverse physiologic changes.
True
False
Pain management should begin before the animal enters the clinic.
True
False
Analgesia should be considered optional.
True
False
The technician is first and foremost the patient advocate especially in regards to anagelsia.
True
False
Because each animal is an individual, it is in the best interest of the pet to wait until it shows signs of pain before administering analgesia.
True
False
Dysphoria can be quieted with calm interaction.
True
False
Pain can delay healing and even lead to a patient’s decline.
True
False
Fentanyl is recommended for one-time bolus use.
True
False
The role of the technician encompasses all of the following except except:
choosing the type of analgesia to be administered to a patient
educating the owner on proper home analgesia
providing the veterinarian with information to administer analgesic medications
assessing the patient,
When might a patient need an intravenous bolus of an analgesic drug?
If the heart rate rapidly increases.
If the blood pressure markedly rises.
If the patient moves during surgical stimulation.
All are correct
What does increasing the concentration of gas anesthesia during a painful procedure do?
Increases the animal’s pain threshold.
Keeps the animal immobile but does not manage pain.
Reduces the animal’s pain threshold.
Keeps the animal immobile and manages pain.
Preemptive pain management prevents the likelihood of all the following except:
Allodynia.
Hyperexcitability.
Hyperalgesia
Hypoalgesia
The American Animal Hospital Association encourages hospitals to recognize pain as which of the following?
A potential income generator.
A necessary element to keep animals quiet postoperatively.
A vital sign.
A subjective value that cannot be quantified.
Pain is often increased in anxious or stressed animals.
True
False
Many animals are unable to mask the signs of pain in the hospital.
True
False
An ovariohysterectomy, which involves surgically incising the skin and abdominal wall and excising the uterus and ovaries, has the following components of pain:
Neither somatic nor visceral pain
Both somatic and visceral pain
Visceral pain only
Somatic pain only
The process by which thermal, mechanical, or chemical noxious stimuli are converted into electrical signals called action potentials is:
Transmission
Transduction
Perception
Modulation
In the spinal cord, pain impulses can be altered by neurons that either suppress or amplify nerve impulses. This process is known as:
Perception
Transmission
Transduction
Modulation
Where in the pain pathway does secondary sensitization or “windup” occur?
Spinal cord
Peripheral pain receptors
Visceral pain receptors
Brain
A pain scale can be used to assess pain as well as response to analgesic therapy.
True
False
Treating pain does not improve wound healing
True
False
Which of the following statements regarding multimodal analgesic therapy is true?
The dose of each drug is decreased when several drugs are used.
Side effects are increased by using several drugs.
Multiple pain receptor mechanisms are targeted by one drug.
One pain receptor mechanism is targeted by several drugs.
Which of the following drug combinations is an example of multimodal analgesic therapy?
Dexmedetomidine, sevoflurane
Dexmedetomidine, morphine, ketamine
Acepromazine, ketamine, isoflurane
Acepromazine, morphine, isoflurane
Which one of the following analgesic plans targets three different pain receptor mechanisms?
Morphine IM, ketamine CRI, lidocaine nerve block
Ketamine CRI, lidocaine and bupivacaine nerve block
Morphine IM, fentanyl CRI, lidocaine nerve block
Morphine IM, fentanyl CRI, bupivacaine nerve block
Administering analgesics before tissue injury is known as:
Premedication
Local analgesia
Multimodal analgesia
Preemptive analgesia
Which of the following is not a potential side effect of opioid administration in cats and dogs?
Dysphoria
Renal failure
Respiratory depression
Vomiting
What is the mechanism of action of nonsteroidal anti-inflammatory drugs?
They are mu-opioid receptor agonists.
They are alpha2-receptor agonists.
They inhibit prostaglandin synthesis.
They block sodium channels.
Which of the following is not a potential side effect of NSAID administration?
Respiratory depression
Kidney damage
Gastrointestinal ulcers
Liver damage
Clinical signs of pain in a dog may include of all of the following except
Aggression
Restlessness
depression.
decreased temperature.
When assessing an animal’s pain, it is good to use a VAS pain scale. VAS stands for
visual analogue scale.
visual subjective scale.
veterinary analogue scale.
veterinary analytic scale.
The five vital signs under anesthesia that a veterinary technician must be constantly aware of are
pulse, respiration, blood pressure, mucous membrane color, and pain.
temperature, pulse, respiration, blood pressure, and pain.
temperature, pulse, respiration, blood gasses, and mucous membrane color.
temperature, pulse, respiration, blood pressure, and mucous membrane color.
Preemptive analgesia means the best way to treat pain is to
wait until the animal absolutely needs some relief.
prevent it.
supply the maximum allowed dosages of pain medication.
treat immediately upon signs of pain and distress.
Pain receptors are also called
analgesiaceptors.
corticoceptors.
anti-inflammatory receptors.
nociceptors.
Multimodal analgesia means
combining two or more classes of analgesic drugs to alter more than one phase of nociception.
combining two or more analgesic drugs.
using analgesic drugs to affect both the PNS and CNS.
using one class of drug to affect or alter more than one phase of nociception.
Signs of pain in animals can be categorized as
psychologic or metabolic.
behavioral or temporal.
metabolic or physiologic.
physiologic or behavioral.
When using an endotracheal tube with an underinflated cuff all of the following maybe potential problems except
pollution of the work space with anesthetic gas.
necrosis of the tracheal mucosa.
aspiration of stomach contents.
difficulty with or inability in keeping the patient anesthetized.
How many Times does an animal need to swallow before removing the ET tube:
1-2 times
2-5 times
2-3 time
4-5 times
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