SUR270 Pharmacology CST Prep

How many milligrams equals 10.82 grams? A. 10,820 milligrams B. 1.082 milligrams C. 1,082 milligrams D. 108.2 milligrams

A. 10,820 milligrams

The surgeon's preference card states that cefazolin (Ancef) 1 gram will be used pre-operatively to prevent a post-operative wound infection. One gram of cefazolin is equal to A. 1000 milligrams. B. 1 mililiter. C. 100 milliliters. D. 1 kilogram.

A. 1000 milligrams.

A patient takes 3 grains of thyroid medication daily. Which of the following is an equivalent dose? A. 180 mg B. 210 mg C. 165 mg D. 225 mg

A. 180 mg

What is the approximate maximum dosage of 0.25% bupivacaine hydrochloride? A. 2 mg/kg up to 70 mL B. 2.5 mg/kg up to 90 mL C. 3 mg/kg up to 120 mL D. 1.5 mg/kg up to 50 mL

A. 2 mg/kg up to 70 mL

The surgeon's order calls for a 2,700 mcg dose of a medication. Which of the following is an equivalent dosage? A. 2.7 mg B. 5.4 mg C. 0.27 mg D. 27,000 mg

A. 2.7 mg

Which of the following is equivalent to 105 mL? A. 21 TPS B. 10 ½ TSP C. 7 TSP D. 63 TSP

A. 21 TPS

Which of the following measurements is equivalent to a 345 mL bottle? A. 23 TBSP B. 46 TBSP C. 11.5 TBSP D. 29 TBSP

A. 23 TBSP

A patient in the postanesthesia care unit (PACU) has a temperature of 101.4°F. Approximately what is the patient's temperature in Celsius? A. 38.6°C B. 74.1°C C. 124.9°C D. 24.3°C

A. 38.6°C

The surgical technician is notified that the hospital pharmacy's medication refrigerator is malfunctioning and has registered a temperature of 5° Celsius. Which of the following is an equivalent temperature? A. 41°F B. 42°F C. 9°F D. 40°F

A. 41°F

A common loop diuretic that is used to reduce tissue swelling and to increase urinary output in patients with cardiovascular disease is A. Lasix. B. Diuril. C. mannitol. D. spironolactone.

A. Lasix.

Which of the following antibiotics is often added to topical irrigating solutions as a prophylaxis against bacteria in a variety of surgical procedures? A. bacitracin B. penicillin C. gentamicin D. ceftriaxone

A. bacitracin

As the patient is placed under a general anesthesia, the last sense to be affected is A. hearing. B. sight. C. smell. D. breathing.

A. hearing.

What common anticoagulant is added to the topical irrigation solution to flush retained clots from the lumen of the artery during a femoral embolectomy? A. heparin sodium B. warfarin C. protamine sulfate D. thrombin

A. heparin sodium

Which of the following is a halogenated inhalation anesthetic that can trigger malignant hyperthermia? A. isoflurane B. nitrous oxide C. dantrolene D. ketamine

A. isoflurane

Tissue swelling that is causing intracranial pressure in a patient with a head injury can be reduced with the administration of an osmotic diuretic called A. mannitol. B. saline. C. furosemide. D. spironolactone.

A. mannitol.

A medication that is used during a coronary artery bypass graft replacement to prevent spasms of the vessels is A. papaverine. B. heparin. C. neostigmine. D. epinephrine.

A. papaverine.

What medication would be used to treat hypokalemia? A. potassium B. magnesium C. sodium chloride D. calcium

A. potassium

What medication would be used to treat metabolic acidosis during cardiac resuscitation? A. sodium bicarbonate B. magnesium sulfate C. vasopressin D. epinephrine

A. sodium bicarbonate

During spinal anesthesia, the local anesthesia agent is injected intrathecally into the A. subarachnoid space. B. dura mater. C. spinal cord. D. subdural cavity.

A. subarachnoid space.

The surgeon has ordered cefazolin (Ancef) 1 gram to be given pre-operatively. This medication is used A. to prophylactically prevent post-op wound infection. B. to reverse the effect of the anticoagulant therapy. C. to prevent post-operative wound hemorrhage. D. to prevent an allergic reaction to the anesthesia gases.

A. to prophylactically prevent post-op wound infection.

A patient is to receive 5 mcg/kg/h of a medication. If the patient weighs 195 lb, how many milligrams will the patient receive over a 24-hour period? A. 443 mg B. 0.44 mg C. 10,632 mg D. 10.6 mg

B. 0.44 mg

After anesthetizing a 30-year-old female patient who weighs 80 kg with halothane in anticipation of endometrial ablation, the anesthesia provider calls a code for malignant hyperthermia crisis. During emergency treatment, a surgical technologist functioning in the assistant circulator role is tasked with mixing and preparing dantrolene sodium for systemic administration. What is the maximum loading dosage of dantrolene sodium that can be administered to this patient? A. 200 mg B. 300 mg C. 150 mg D. 250 mg

B. 300 mg

A pediatric patient weighs 20 kg. What is the patient's weight in pounds? A. 58 lb B. 44 lb C. 20 lb D. 9 lb

B. 44 lb

How many liters equals 5,028 cubic centimeters (cc)? A. 5.028 liters B. 502.8 liters C. 50.28 liters D. 5,028,000 liters

B. 502.8 liters

What medication is administered intra-operatively for its antagonistic effect on nondepolarizing muscle relaxants? A. Norcuron B. Prostigmin C. Tracrium D. Flaxedil

B. Prostigmin

Which of the following would be used to aid in the visualization of vessels or structures, such as the common bile duct? A. indigo carmine B. contrast media C. methylene blue D. Lugol's solution

B. contrast media

What antibiotic would be used to treat a patient who has been diagnosed with methicillin-resistant staphylococcus aureus (MRSA)? A. penicillin B. erythromycin C. ampicillin D. vancomycin

B. erythromycin

Which of the following medications would be used as an adjunct to general anesthesia to relieve pain and to produce sedation? A. cocaine B. fentanyl C. naloxone D. betamethasone

B. fentanyl

A drug that is used to stimulate uterine contractions necessary for labor and to assist with the expulsion of the placenta to stop postpartum bleeding is A. estrogen. B. oxytocin. C. progesterone. D. vasopressin.

B. oxytocin.

Which of the following medications is an anticoagulant when used by itself, but becomes an antagonist when used in conjunction with heparin? A. papaverine B. protamine sulfate C. Narcan D. Prostigmin

B. protamine sulfate

Which of the following medications is a depolarizing agent used to provide muscle relaxation during a surgical procedure? A. atracurium B. succinylcholine C. pancuronium bromide D. vecuronium bromide

B. succinylcholine

If 5,000 units of heparin are to be given subcutaneously, how many milliliters should be given if the heparin has a concentration of 10,000 units/mL? A. 5 mL B. 2 mL C. 0.5 mL D. 0.2 mL

C. 0.5 mL

The surgeon has requested the use of topical local anesthetic with epinephrine for hemostasis. Which of the following medications should be used? A. 0.25% bupivacaine with epinephrine 1:200,000 B. 2% procaine with epinephrine 1:100,000 C. 1% lidocaine with epinephrine 1:1,000 D. 10% cocaine with epinephrine 1:10,000

C. 1% lidocaine with epinephrine 1:1,000

To facilitate local anesthesia and hemostasis during nasal turbinate resection on a 37-year-old male patient weighing 95 kg, the surgeon requests cocaine hydrochloride-soaked packing material. What is the maximum dose of cocaine that can safely be administered to this patient? A. 237.5 mg B. 285 mg C. 142.5 mg D. 190 mg

C. 142.5 mg

The recommended dosage of fentanyl citrate for analgesia is 1-2 mcg/kg. If a patient weighs 250 lbs, what is the maximum dose of fentanyl that may be administered? A. 200 mcg B. 250 mcg C. 227 mcg D. 238 mcg

C. 227 mcg

A patient's medication comes in a 20 gram bottle. How many 2 milliliter doses are contained in the bottle? A. 20 B. 10 C. 36.97 D. 50

C. 36.97

A 63-year-old male patient weighing 140 kg is undergoing bilateral total knee arthroplasty. The surgeon has requested the use of 0.5% ropivacaine for intraarticular injection during the procedure. What is the maximum total volume of ropivacaine that may be safely administered to this patient? A. 20 mL B. 30 mL C. 40 mL D. 50 mL

C. 40 mL

How many grams equals 6.92 kilograms? A. 692 grams B. 69.2 grams C. 6,920 grams D. 69,200 grams

C. 6,920 grams

A patient is receiving a 25 mg/250 mL phenylephrine drip which is infusing at 100 mcg/min. What is the infusion rate in mL/h? A. 42 mL/h B. 30 mL/h C. 60 mL/h D. 24 mL/h

C. 60 mL/h

The surgeon administers two drops of an antibiotic solution in each of the patient's eyes after the completion of a phacoemulsification procedure. The abbreviation for both eyes is A. OD. B. OB. C. OU. D. OS.

C. OU.

Which of the following medications is an intravenous antibiotic that would be used intra-operatively to prevent a post-operative surgical site infection? A. Neomycin B. Erythromycin C. Rocephin D. Gantrisin

C. Rocephin

Which of the following classification of medication would be given to prevent nausea and vomiting after surgical intervention? A. antibiotic B. anticoagulant C. antiemetic D. anticholinergic

C. antiemetic

During administration of a general anesthetic, the patient develops muscle rigidity followed by a rapid increase in body temperature. What medication should the anesthesia provider have on hand to treat this condition? A. succinylcholine B. adrenalin C. dantrolene sodium D. meperidine hydrochloride

C. dantrolene sodium

Which of the following medications is classified as a benzodiazepine? A. meperidine B. sufentanil C. diazepam D. atracurium

C. diazepam

After the anesthesia provider administers a depolarizing muscle relaxant, the patient begins to fasciculate. This refers to A. simultaneous contractions of the atria and the ventricles. B. respiratory distress due to paralysis of the diaphragm. C. involuntary muscle contractions or twitching. D. cardiac arrhythmia due to rapid contraction of the atria.

C. involuntary muscle contractions or twitching.

To determine the patency of the fallopian tubes on a 25-year-old female patient with pelvic inflammatory disease, the surgeon would inject which of the following medications to assist with the diagnosis? A. Lugol's solution B. gentian violet C. methylene blue D. Omnipaquez

C. methylene blue

What medication would be given to the patient pre-operatively to produce an amnesic effect? A. meperidine hydrochloride B. cimetidine C. midazolam D. halothane

C. midazolam

A patient is prescribed 1.5 g of a drug daily. If each capsule contains 500 mg, how many should the patient take each day? A. 4 B. 1.5 C. 0.5 D. 3

D. 3

If bleeding from the liver bed cannot be controlled during a laparoscopic cholecystectomy, the surgeon may utilize a hemostatic agent to prevent the necessity of surgically opening the patient. Which of the following hemostatic agents is available for endoscopic application? A. bone wax B. Gelfoam C. thrombin D. Avitene

D. Avitene

What type of regional anesthesia technique involves primary exsanguination and the use of a double tourniquet to render the extremity free of blood? A. epidural block B. spinal block C. digital nerve block D. Bier block

D. Bier block

What special consideration should the surgical technologist be aware of when passing Avitene to the surgeon? A. All the medication must be applied to ensure hemostasis of venous bleeding. B. Excessive medication can be returned to the container for later use on other surgical procedures. C. The medication can only be applied to bleeding bone surfaces to prevent tissue necrosis. D. The medication should be applied with a dry instrument after blotting the bleeding surfaces.

D. The medication should be applied with a dry instrument after blotting the bleeding surfaces.

To treat severe bradycardia during a surgical procedure, the anesthesia provider would administer which of the following agents? A. digitoxin B. lidocaine C. adrenalin D. atropine

D. atropine

Which of the following is a histamine H2 receptor blocker? A. hydroxyzine B. metoclopramide C. promethazine D. cimetidine

D. cimetidine

An inhalation agent that can trigger malignant hyperthermia is A. succinylcholine. B. nitrous oxide. C. etomidate. D. halothane.

D. halothane.

During a surgical procedure, the cardiac monitor indicates that the patient is having frequent arrhythmias called PVCs. To treat this condition, the anesthesia provider would administer A. digitoxin. B. atropine sulfate. C. epinephrine. D. lidocaine.

D. lidocaine.

Due to a high probability of the patient developing osteomyelitis after suffering a compound fracture of the tibia, the surgeon prescribes Gentamicin, which is classified as an aminoglycoside. What is the most likely complication of administration of this drug? A. cardiac arrest B. increased appetite C. pulmonary embolism D. nephrotoxicity

D. nephrotoxicity

A 20-year-old male patient is in hypovolemic shock due to an extensive amount of blood loss after being involved in an automobile accident. The surgeon orders dextran to be given prior to the start of the surgical procedure. This medication is classified as a/an A. blood substitute. B. intravenous antibiotic. C. intravenous hemostatic agent. D. plasma volume expander.

D. plasma volume expander.

An intravenous induction agent used in general anesthesia that has a characteristic milky white appearance is A. sodium pentothal. B. ketamine. C. methohexital. D. propofol.

D. propofol.

If the patient is experiencing severe respiratory depression after the administration of morphine sulfate, the anesthesia provider would give the patient a narcotic antagonist called A. atropine sulfate. B. Narcan. C. Prostigmin. D. protamine sulfate.

D. protamine sulfate.

Why must a surgical technologist remain aware of the maximum dosages for specific medications used during surgical procedures? A. to promote drug actions at target cells B. to prevent anaphylaxis for patients with known allergies C. to facilitate distribution of drugs within the body D. to minimize the risk of toxic metabolic effects

D. to minimize the risk of toxic metabolic effects