From classroom to clinic: Test your anesthesia knowledge 

1. Which of the following is the most important factor when selecting a preanesthetic sedation protocol for a geriatric patient with cardiac disease? 
Choosing the highest dose to ensure adequate sedation
Selecting drugs with minimal cardiovascular depression and titrating to effect
Avoiding all opioids due to respiratory depression risk
Using only acepromazine for its reliable sedative properties
2. True or False: A patient that is moving during a procedure is always an indication that the anesthetic plane is too light.
True
False
3. Which of the following monitoring parameters is the most reliable early indicator of hypoventilation under general anesthesia?
Pulse oximetry (SpO2)
End-tidal CO2 (EtCO2)
Heart rate
Blood pressure
4. A 4-year-old English Bulldog is scheduled for a soft palate resection. Which of the following is the most critical consideration when planning anesthesia for this patient?
Avoiding all premedication to reduce sedation time
Preoxygenation, having a secured airway plan, and preparing for a potentially difficult extubation
Using ketamine as the sole induction agent for its bronchodilatory effects
Skipping monitoring until the patient is fully induced
5. During anesthesia, your patient's blood pressure drops to 55mmHg mean arterial pressure. What is your first step?
Immediately administer epinephrine
Assess anesthetic depth, IV fluid rate, and consider a dopamine or dobutamine CRI
Increase the inhalant concentration to stabilize the patient
Discontinue all monitoring and focus on the surgeon
6. True or False: Once a patient is intubated, repositioning the endotracheal tube is never necessary.
True
False
7. Which of the following best describes an appropriate recovery plan for a brachycephalic patient post-extubation?
Extubate as soon as the procedure ends and place in a quiet kennel
Keep intubated until the patient is actively swallowing, monitor closely, and have emergency airway equipment immediately available
Administer a reversal agent and leave the patient to recover unsupervised
Place in lateral recumbency with no supplemental oxygen
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