Apex NMB RE

Which neuromuscular blocking agents are aminosteroid compounds ? ( Select 2. ) A) Vecuronium B) Pancuronium C) Atracurium D) Mivacurium

A) Vecuronium and B) Pancuronium

Which antiemetic can prolong succinylcholine's duration of action? A) Droperidol B) Metoclopramide C) Scopolamine D) Ondansetron

B) Metoclopramide

Succinylcholine is metabolized by : ( Select 2. ) A) acetylcholinesterase. B) butyrylcholinesterase. C) type 1 cholinesterase. D) plasma cholinesterase.

B) butyrylcholinesterase & D) plasma cholinesterase

All of the following ions pass through the nicotinic receptor at the neuromuscular junction EXCEPT : A) potassium. B) chloride. C) sodium. D) calcium.

B) chloride

The duration of action of cisatracurium is prolonged by: A) hepatic failure. B) hypothermia C) metabolic alkalosis D) Homozygous atypical pseudocholinesterase

B) hypothermia

Choose the BEST neuromuscular blockers to administer to patient with hypertrophic cardiomyopathy . ( Select 2. ) A) Pancuronium B) Atracurium C) Cisatracurium D) Vecuronium

C & D

All of the following have been shown to reduce the incidence of postoperative myalgia following the administration of succinylcholine EXCEPT: A) ketorolac. B) lidocaine. C) fentanyl. D) use of a higher dose rather than a lower dose of succinylcholine.

C) fentanyl

Select the BEST location to monitor the onset of neuromuscular blockade . Facial nerve Oculomotor nerve Ulnar nerve Trigeminal nerve

Facial nerve

The adductor pollicis muscle can be stimulated by placing the negative electrode at points : ( Select 2. ) A. X-B. X-C. D .

Fix Q

Which antibiotics prolong the duration of action of vecuronium ? ( Select 2. ) Gentamycin, Clindamycin, Cefazolin, Penicillin G

Gentamycin and Clindamycin

Which of the following neuromuscular blockers is MOST likely to increase airway resistance ? Cisatracurium Mivacurium Rocuronium Pancuronium

Mivacurium

Match each muscle with its mechanical action . Adductor pollicis Adducts the thumb Corrugator supercili Moves the eyebrow Medial rectus CAdducts the eyeball Orbicularis oculi CCloses the eyelid

Same- fix q

Match each neuromuscular blocker with its ED95 . Vecuronium 0.04 mg / kg Atracurium 0.21 mg / kg Succinylcholine 0.30 mg / kg

Same- fix q

Interpret each dibucaine number: 50 Heterozygous atypical plasma cholinesterase . 80 Homozygous typical plasma cholinesterase 20 Homozygous atypical plasma cholinesterase

Same-fix Q

Select the BEST intraoperative test to confirm the diagnosis of an anaphylactic response caused by a neuromuscular blocker . White blood cell count with differential Homocysteine Intradermal skin test Tryptase

Tryptase

The risk of pulmonary aspiration increases when the train - of - four ratio measured at the adductor pollicis is less than : 0.9 . 0.8 0.7 0.6

0.9 .

Which inhaled anesthetic potentiates the neuromuscular blocking effect of nondepolarizing neuromuscular blockers the MOST?

Desflurane

Which finding is MOST consistent with recovery from neuromuscular blockade in a 70 kg patient ? Vital capacity 1,400 mL Train - of - four monitor reveals 4 equal twitches Tidal volume 350 ml Patient holds tongue blade in mouth against force

Patient holds tongue blade in mouth against force