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fd426de7-a17d-577a-9075-f400f61f55f7
4
C
1
At what percentage of blockade by non-depolarizing muscle relaxants would you achieve surgical relaxation?
99%
75%
90%
60%
非去极化肌松药达到多少百分比的阻滞可以实现手术松弛?
99%
75%
90%
60%
null
null
null
null
null
null
null
null
null
null
d4d4e758-681f-5487-9489-f42601c03388
4
C
1
What is recommended dose of Edrophonium?
0.1-0.4 mg/kg
0.08 mg/Kg
0.5-1.0 mg/Kg
0.01-0.03 mg/Kg
推荐的依酚氯铵剂量是多少?
0.1-0.4 mg/kg
0.08 mg/Kg
0.5-1.0 mg/Kg
0.01-0.03 mg/Kg
null
null
null
null
null
null
null
null
null
null
557070cf-2df0-5642-a8c5-5b5f3d73e18f
4
B
2
What would be a proper dose of ketamine to give to a patient who is having pain and weighs 50 kg?
100 mg
25 mg
150 mg
50 mg
对于一位体重50公斤且正在疼痛的患者,适当的氯胺酮剂量是多少?
100毫克
25毫克
150毫克
50毫克
null
null
null
null
null
null
null
null
null
null
2ee8ea55-7728-56c7-86b8-fdcd6f30d186
4
D
2
What would be the most appropriate reversal agent for a child weighing 20 kg?
Neo 1.6 mg, atropine 0.2 mg
Pyridostigmine 2 mg, no cholinergic agent
Do not use agents which require reversal on pediatric patients.
Edrophonium 20 mg, Atropine 0.28 mg
对于体重20公斤的儿童,最合适的拮抗剂是什么?
新斯的明 1.6 mg,阿托品 0.2 mg
吡啶斯的明 2 mg,无胆碱能药物
不要对儿科患者使用需要拮抗的药物。
依酚氯铵 20 mg,阿托品 0.28 mg
null
null
null
null
null
null
null
null
null
null
cab10576-155e-5cf2-9f6d-367827601c6d
3
A
2
You are caring for a 82 yr old woman who is about to be induced for surgery. You plan to use propofol for your induction and would plan that….
You would reduce your dose by 25-50%
With no prior medical history you could use the standard dosage of propofol
You would increase your dose by 25-50%
null
您正在照顾一位即将进行手术诱导的82岁女性。您计划使用丙泊酚进行诱导,并计划……
您将减少剂量25-50%
在没有既往病史的情况下,您可以使用丙泊酚的标准剂量
您将增加剂量25-50%
null
null
null
null
null
null
null
null
null
null
null
0cdc7fd1-f121-5dc0-af4a-5357520f4968
4
D
1
Which of the following has the shortest duration of action?
Vecuronium
Rocuronium
Pancuronium
Succinylcholine
以下哪种药物的作用时间最短?
维库溴铵
罗库溴铵
潘库溴铵
琥珀胆碱
null
null
null
null
null
null
null
null
null
null
9b97b9ab-368f-5377-890c-e4a22e160334
4
A
1
Dantrolene should be continued for ____ Hours post MH episode.
24
12
48
6
在恶性高热(MH)发作后,应继续使用丹曲林 ____ 小时。
24
12
48
6
null
null
null
null
null
null
null
null
null
null
21625f41-0117-55af-b5ac-e7666cb82bd7
3
B
1
This non-barb will increase salivation, inclusion of a antisialagogue is recommended.
Etomidate
Ketamine
Propofol
null
这种非巴比妥类药物会增加唾液分泌,建议加入抗唾液药。
依托咪酯
氯胺酮
丙泊酚
null
null
null
null
null
null
null
null
null
null
null
d825214d-6c24-5dba-9cb9-289ca2dbb0b1
4
B
1
Which of the following drugs is metabolized by pseudocholinesterase?
Atracurium
Mivacurium
Rocuronium
Vecuronium
下列哪种药物是由假胆碱酯酶代谢的?
阿曲库铵
米库氯铵
罗库溴铵
维库溴铵
null
null
null
null
null
null
null
null
null
null
d35a9a5b-8d52-57c3-a3d0-d74843a7a795
5
E
2
Which of the following patients could you use succinylcholine on?
A burn patient admitted 3 hours ago.
A spinal cord injury patient in the ICU admitted 1 week ago
Dialysis patient who is mildly hyperkalemic
Patient with past history of Muscular Dystrophy
以下哪位患者可以使用琥珀胆碱?
3小时前入院的烧伤患者。
1周前入院ICU的脊髓损伤患者。
轻度高钾血症的透析患者。
有肌营养不良病史的患者。
None of the above
以上都不是。
null
null
null
null
null
null
null
null
08398c99-cc2b-53ad-ab3e-0ffc1a951d40
4
C
2
You are the SRNA for a patient currently undergoing biopsy and removal and liver mass. You paralyzed the patient with vecuronium and are using Sevoflurance for sedation. You notice your patient suddenly becomes tachycardic and the ETCO2 goes way up. You attempt to increase your RR to decrease ETCO2 but it does not work. At the same time you notice the patients muscles are becoming rigid. What is the FIRST thing you should do now?
Give a beta blocker to decrease HR and increase O2 to 100%
Start mixing dantrolene and apply a hypothermic blanket
Call for Help, tell surgeon to stop procedure.
Turn off your sevoflurane and draw an ABG.
您是目前正在进行活检和肝脏肿块切除手术的患者的麻醉护士。您使用维库溴铵使患者麻痹,并使用七氟醚进行镇静。您注意到患者突然出现心动过速,呼气末二氧化碳分压急剧上升。您尝试增加呼吸频率以降低呼气末二氧化碳分压,但无效。同时,您注意到患者的肌肉变得僵硬。现在您应该首先做什么?
给予β受体阻滞剂以降低心率,并将氧气增加到100%
开始混合丹曲林并使用低温毯
呼叫帮助,告诉外科医生停止手术。
关闭七氟醚并抽取动脉血气。
null
null
null
null
null
null
null
null
null
null
2222a296-d25f-5662-975e-95c1b049809b
4
C
1
What drug could you give to decrease the incidence of emergence delirum in patients receiving ketamine?
Propofol
Thiopental
Versed
All of the above
在接受氯胺酮的患者中,您可以给予哪种药物来减少术后谵妄的发生率?
丙泊酚
硫喷妥钠
咪达唑仑
以上皆是
null
null
null
null
null
null
null
null
null
null
33f6f51b-d715-5c65-945d-34f6aa4362c0
3
C
2
Https://www.youtube.com/watch?v=c1JzCDqt3BM
Love it
Now I have that song stuck in my head....
All of the above.
null
Https://www.youtube.com/watch?v=c1JzCDqt3BM
喜欢它
现在这首歌在我脑海中挥之不去……
以上全部。
null
null
null
null
null
null
null
null
null
null
null
60118c45-afa2-5936-9a03-e5a942940de9
2
B
1
Hyperthermia is an early sign of MH.
True
False
null
null
高热是恶性高热的早期征兆。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
beecc252-0478-5d0a-b4f6-093a1b08639b
3
A
1
Which non-barb can supress adrenal cortical function?
Etomidate
Ketamine
Propofol
null
哪种非巴比妥类药物可以抑制肾上腺皮质功能?
依托咪酯
氯胺酮
丙泊酚
null
null
null
null
null
null
null
null
null
null
null
ca2eee53-8525-5907-8b55-95a3b6d206c3
5
A
1
What is an appropriate intubating dose of Succinylcholine?
1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
琥珀胆碱的适当插管剂量是多少?
1-1.5 mg/kg
0.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
0.4-0.5 mg/kg
null
null
null
null
null
null
null
null
8d4dc32a-bfaf-566c-84b7-8106070d2d73
5
C
2
You are the SRNA for a 75 yr old female going in for a bowel resection. She is 5’2” and 50 kg. What would be an appropriate intubating dose of Rocuronium?
75 mg
5 mg
30 mg
10 mg
您是为一名75岁女性进行肠切除术的麻醉护士。她身高5英尺2英寸,体重50公斤。合适的罗库溴铵插管剂量是多少?
75 毫克
5 毫克
30 毫克
10 毫克
90 mg
90 毫克
null
null
null
null
null
null
null
null
7334d064-3412-525d-9130-b1ef053d93a4
5
B
1
What is an appropriate intubating dose of Pancuronium?
1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
Pancuronium 的适当插管剂量是多少?
1-1.5 mg/kg
0.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
0.4-0.5 mg/kg
null
null
null
null
null
null
null
null
6a526385-2ff0-5d01-8505-3c629dafd5d8
5
E
2
What would be an appropriate intubating dose of Atracurium for a 5’1” 48 yr old female weight 60 kg?
90 mg
6 mg
70 mg
12 mg
对于一名身高5英尺1英寸、48岁、体重60公斤的女性,适合的阿曲库铵插管剂量是多少?
90 毫克
6 毫克
70 毫克
12 毫克
30 mg
30 毫克
null
null
null
null
null
null
null
null
cc033297-664b-5cde-b17f-b321353011ca
5
B
1
What is the most important clinical s/s that would lead you to suspect MH?
Increased temperature
Increased ETCO2
Hypoxia
Muscle rigidity
什么是最重要的临床症状/体征,会让你怀疑恶性高热?
体温升高
呼气末二氧化碳增加
缺氧
肌肉僵硬
Increased HR
心率增加
null
null
null
null
null
null
null
null
96fbc4fb-f0f3-5afa-a0e7-5bf044dfdee8
3
B
1
This non-barb is know to inhibit PLT aggregation.
Etomidate
Ketamine
Propofol
null
这种非巴比妥类药物已知可抑制血小板聚集。
依托咪酯
氯胺酮
丙泊酚
null
null
null
null
null
null
null
null
null
null
null
880dda42-8430-5b5c-9600-26518239048b
3
A
1
Which non-barb induction agent has analgesic and bronchodilator effects?
Ketamine
Propofol
Etomidate
null
哪种非巴比妥诱导剂具有镇痛和支气管扩张作用?
氯胺酮
丙泊酚
依托咪酯
null
null
null
null
null
null
null
null
null
null
null
b15a4e4e-e04f-5987-bb6d-98bab8fdebad
4
D
2
Which of the following non-barbituate agents would be the BEST choice for a trauma patient?
Thiopental
Etomidate
Propofol
Ketamine
以下哪种非巴比妥类药物是创伤患者的最佳选择?
硫喷妥钠
依托咪酯
丙泊酚
氯胺酮
null
null
null
null
null
null
null
null
null
null
20e66ebe-9fb1-5d3e-b3b6-4f334c014be1
4
B
2
Which of the following muscle relaxing agents would be BEST to give to a patient in multi-system organ failure?
Succinylcholine
Mivacurium
Vecuronium
Rocuronium
以下哪种肌肉松弛剂最适合用于多系统器官衰竭的患者?
琥珀胆碱
米库氯铵
维库溴铵
罗库溴铵
null
null
null
null
null
null
null
null
null
null
67ac7333-909e-5d4f-9630-5f54bd8be2a7
4
A
1
The non-barbituate agents have short duration of action mainly due to…
Redistribution
Metabolism
Low lipid solubility
Low potency
非巴比妥类药物作用时间短主要是由于…
重新分布
代谢
低脂溶性
低效力
null
null
null
null
null
null
null
null
null
null
a1a0ed65-7e73-5f49-bf79-4a5c01ea8adb
3
C
1
This non-barb has a high incidence of emergence delirium, 12%.
Etomidate
Propofol
Ketamine
null
这种非巴比妥药物具有12%的高发生率的苏醒谵妄。
依托咪酯
丙泊酚
氯胺酮
null
null
null
null
null
null
null
null
null
null
null
1265d949-64c4-5327-9776-1b98a6457edc
5
B
1
What is an appropriate intubating dose of Vecuronium?
1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
维库溴铵的适当插管剂量是多少?
1-1.5 mg/kg
0.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
0.4-0.5 mg/kg
null
null
null
null
null
null
null
null
1328d11c-ae0a-5d46-885a-3a605a92af9c
4
D
1
Which of the following lab values would not help to confirm diagnosis of Malignant hyperthermia?
Serum K 6.5
Ph 7.10
Base excess –10
PCO2 50
以下哪项实验室数值不有助于确认恶性高热的诊断?
血清钾 6.5
pH 7.10
碱剩余 -10
PCO2 50
null
null
null
null
null
null
null
null
null
null
e22a41f1-534c-5225-bfbc-5705347291ae
4
A
2
What would be a proper  IV induction dose for ketamine on a patient who is 5’9” and 80 kg?
120 mg
40 mg
240 mg
200 mg
对于一名身高5英尺9英寸、体重80公斤的患者,适当的静脉注射氯胺酮诱导剂量是多少?
120 毫克
40 毫克
240 毫克
200 毫克
null
null
null
null
null
null
null
null
null
null
4ff18a04-37a4-5c3a-a7d6-8ffacce0331f
4
C
1
Which of the following non-barbituate agents do we use as a racemic mixture?
Etomidate
Propofol
Ketamine
Thiopental
以下哪种非巴比妥类药物是以外消旋混合物形式使用的?
依托咪酯
丙泊酚
氯胺酮
硫喷妥钠
null
null
null
null
null
null
null
null
null
null
6ec72ee7-858d-57e4-8b86-84549e7efda3
4
A
2
You are the SRNA for a patient with a known pseudocholinesterase deficiency who needs a rapid sequence induction due to past medical history of GERD which is poorly controlled. The patient weighs 80 kg. What medication would you choose for this induction?
Rocuronium 90 mg
Succinylcholine 120 mg
Mivacurium 20 mg
Rapid sequence can not be done on this patient without prolonged effect of muscle relaxant.
你是一个麻醉护士学员,负责一名已知有假性胆碱酯酶缺乏症的患者,该患者因既往有控制不佳的胃食管反流病史需要快速序贯诱导。患者体重80公斤。你会选择哪种药物进行诱导?
罗库溴铵 90 mg
琥珀胆碱 120 mg
米库氯铵 20 mg
在没有肌肉松弛剂的延长作用下,无法对该患者进行快速序贯诱导。
null
null
null
null
null
null
null
null
null
null
58d0c52c-0ae3-5a36-a4ce-57445ee0aa58
4
A
1
What class of medications is contraindicated in MH?
Calcium Channel blockers
Beta Blockers
Calcium gluconate
NSAIDS
哪一类药物在恶性高热中禁用?
钙通道阻滞剂
β受体阻滞剂
葡萄糖酸钙
非甾体抗炎药
null
null
null
null
null
null
null
null
null
null
e5e2494f-54c5-552b-9308-8e8587221850
3
B
1
This non-barb hypnotic is good for patients with a history of PONV.
Etomidate
Propofol
Ketamine
null
这种非巴比妥类催眠药适用于有术后恶心呕吐史的患者。
依托咪酯
丙泊酚
氯胺酮
null
null
null
null
null
null
null
null
null
null
null
a4ca2d81-a0a6-5937-a270-4f9928ad494e
4
D
1
Which of the following could you give to counteract delirium cause by benzodiazepines and CNS effects of anticholinergic drugs?
Neostigmine
Edrophonium
Pyridostigmine
Physostigmine
下列哪种药物可以用来对抗由苯二氮卓类药物和抗胆碱能药物的中枢神经系统效应引起的谵妄?
新斯的明
依酚氯铵
吡啶斯的明
毒扁豆碱
null
null
null
null
null
null
null
null
null
null
53edb623-5dc6-5b18-8e38-0c1c4b499b6a
4
D
1
What is the recommended dose of propofol for maintenance of anesthesia?
1.5-2.5 mg/kg
3-5 mg/kg
25-100 mcg/kg/min
100-300 mcg/kg/min
推荐的丙泊酚维持麻醉剂量是多少?
1.5-2.5 mg/kg
3-5 mg/kg
25-100 mcg/kg/min
100-300 mcg/kg/min
null
null
null
null
null
null
null
null
null
null
e65d20da-3696-517e-87df-4613e1bb37c6
4
B
1
All muscle relaxants are quaternary ammonium compounds that mimic the effects of…
Pseudocholinesterase
Acetylcholine
Monocholine
Muscarinic receptors
所有肌肉松弛剂都是季铵化合物,它们模拟……的作用
假性胆碱酯酶
乙酰胆碱
单胆碱
毒蕈碱受体
null
null
null
null
null
null
null
null
null
null
f5df7b60-3185-59db-a66d-972a53f7111e
5
E
1
What are the common side effects of Dantrolene?
Muscle weakness including difficulty swallowing or choking
Pulmonary edema
Anaphylaxis
Rhabdomyolysis
Dantrolene 的常见副作用是什么?
肌肉无力,包括吞咽困难或窒息
肺水肿
过敏反应
横纹肌溶解
All of the above
以上所有
null
null
null
null
null
null
null
null
d7935564-beb0-5a20-b649-1c2232053abc
4
A
1
What is the recommended dose of neostigmine?
0.08 mg/kg
1 mg/kg
0.014 mg/kg
0.2 mg/kg
新斯的明的推荐剂量是多少?
0.08 mg/kg
1 mg/kg
0.014 mg/kg
0.2 mg/kg
null
null
null
null
null
null
null
null
null
null
bd9f857a-e64d-53d5-b032-6d6a536dc5f6
4
B
1
Which of the following will have the most rapid onset?
Neostigmine
Edrophonium
Pyrdiostigmine
All have same onset time.
以下哪一种药物的起效最快?
新斯的明
依酚氯铵
吡啶斯的明
所有药物的起效时间相同。
null
null
null
null
null
null
null
null
null
null
429a6652-26e4-50b2-ad53-a8fc7bfc4a2a
4
A
1
How much glycopyrolate should you give to a patient receiving 3 mg of neostigmine?
0.6 mg
0.32 mg
0.021 mg
3 mg
对于接受 3 mg 新斯的明的患者,您应该给予多少格隆溴铵?
0.6 mg
0.32 mg
0.021 mg
3 mg
null
null
null
null
null
null
null
null
null
null
7b3513c2-a3e5-59f6-8f8f-82c689aee9f5
4
D
1
Which isomer of ketamine is known to cause delirium and combatance on emergence?
Both isomers can cause this.
Neither isomer can cause this
S isomer
R isomer
哪种异构体的氯胺酮在苏醒时会导致谵妄和战斗性行为?
两种异构体都可能导致这种情况。
没有异构体会导致这种情况。
S 异构体
R 异构体
null
null
null
null
null
null
null
null
null
null
fe21043e-ab08-53f8-9987-f5825dd0d362
5
D
2
What is an appropriate intubating dose of Nimbex for a 50 yr old 5’11” male weighing 110 kg?
165 mg
11 mg
100 mg
22 mg
对于一名50岁、身高5英尺11英寸、体重110公斤的男性,合适的Nimbex插管剂量是多少?
165 毫克
11 毫克
100 毫克
22 毫克
55 mg
55 毫克
null
null
null
null
null
null
null
null
0b343376-4806-590d-9885-599ccc6a8d8c
3
A
1
You  were  a very good SRNA this morning and drew up all your drugs, including the propofol, at 6:15 am.  At the last minute your first case of the day was cancelled and you did not get another case until 1:30 pm. Can you still use your propofol on this patient?
No, too much time has passed
Yes, but only if you remembered to refrigerate the propofol.
Yes, propofol is good for 12 hours after opening.
null
你今天早上是一名非常优秀的麻醉护士学员,早上6:15就准备好了所有药物,包括丙泊酚。就在最后一刻,你的第一个手术被取消了,直到下午1:30才有新的手术。你还能在这个病人身上使用你的丙泊酚吗?
不,时间过得太久了
可以,但前提是你记得把丙泊酚放进冰箱。
可以,丙泊酚开封后12小时内有效。
null
null
null
null
null
null
null
null
null
null
null
08145547-ea98-55e8-8ca1-4a07f9ed242b
3
C
1
The chemical structure of this drug is 2,6-diisopropylphenol.
Etomidate
Ketamine
Propofol
null
这种药物的化学结构是2,6-二异丙基苯酚。
依托咪酯
氯胺酮
丙泊酚
null
null
null
null
null
null
null
null
null
null
null
8f742321-5945-5b93-98b5-b7995005280f
4
B
1
How much can your temperature increase every 5 minutes in MH? (pick best answer)
1 degree C
1-2 degrees C
0.5-1 degree C
0.1 degree C
在恶性高热(MH)中,每5分钟你的体温可以升高多少?(选择最佳答案)
1摄氏度
1-2摄氏度
0.5-1摄氏度
0.1摄氏度
null
null
null
null
null
null
null
null
null
null
9fcd3c74-5169-50e2-9cf6-296e1f5ea7ed
4
B
1
Which of the following agents has the highest degree of protein binding?
Etomidate
Propofol
Ketamine
All have similar protein binding
以下哪种药物具有最高程度的蛋白结合?
依托咪酯
丙泊酚
氯胺酮
都具有相似的蛋白结合
null
null
null
null
null
null
null
null
null
null
75233c16-31e2-52d0-962f-6ad3afa26725
4
B
1
In a patient with MH, what would you expect their serum myoglobin to be?
> 100 mg
> 170 mcg
> 180 mg
>2200 mcg
在患有恶性高热的患者中,您预计他们的血清肌红蛋白会是多少?
> 100 毫克
> 170 微克
> 180 毫克
> 2200 微克
null
null
null
null
null
null
null
null
null
null
28ce95d7-c79a-5c47-b52a-7662e528d958
4
A
2
What would be an appropriate induction dose of etomidate for a 58 yr old female who is 5’6” and weighs 90 kg?
18 mg
180 mg
45 mg
90 mg
对于一名58岁、身高5英尺6英寸、体重90公斤的女性,适当的依托咪酯诱导剂量是多少?
18 毫克
180 毫克
45 毫克
90 毫克
null
null
null
null
null
null
null
null
null
null
2a91536f-22c6-53eb-a025-adb1d790061b
5
B
2
You are the SRNA for a 12 yr old male who is 5’0” and weighs 45 kg. What would be an appropriate intubating dose of  vecuronium?
45 mg
4.5 mg
54 mg
9 mg
你是负责一名12岁男孩的麻醉护士,该男孩身高5英尺,体重45公斤。适合的维库溴铵插管剂量是多少?
45 毫克
4.5 毫克
54 毫克
9 毫克
22.5 mg
22.5 毫克
null
null
null
null
null
null
null
null
977e04c7-5574-5abb-9e0b-a7d328d7f849
4
B
2
What is the maximum dose of Dantrolene which can be given to a 10 yr old child weighing 30 kg?
75 mg
300 mg
600 mg
30 mg
10岁体重30公斤的儿童最大可给予多少剂量的丹曲林?
75毫克
300毫克
600毫克
30毫克
null
null
null
null
null
null
null
null
null
null
500be121-2d11-5c86-be9b-9131b726f3a3
2
A
1
The MH gene is passed via:
Autosomal dominant gene
Autosomal recessive gene
null
null
MH基因的遗传方式是:
常染色体显性基因
常染色体隐性基因
null
null
null
null
null
null
null
null
null
null
null
null
99146466-851c-5a4c-9e4e-d866a7e3ea75
4
A
1
If you give your pt an intubating dose of succynocholine and they have a MH reaction, what type of muscle rigidity can you see prior to actually intubating the patient?
Masseter
Chest wall
Diaphragm
Bicep
如果你给病人注射了插管剂量的琥珀胆碱,并且他们出现了恶性高热反应,在实际插管之前你可以看到哪种类型的肌肉僵硬?
咬肌
胸壁
膈肌
肱二头肌
null
null
null
null
null
null
null
null
null
null
ea36af35-61a0-5d61-9b7b-56b57f7c6750
4
C
1
Which of the following is commonly used in the treatment of myasthenia gravis?
Edrophonium
Physostigmine
Pyridostigmine
Glycopyrolate
以下哪种药物常用于治疗重症肌无力?
依酚氯铵
毒扁豆碱
吡啶斯的明
东莨菪碱
null
null
null
null
null
null
null
null
null
null
cf7eb717-5c4f-580d-92d9-24648dce7c7a
2
A
1
You can safely administer glycopyrolate without a cholinesterase inhibitor.
True
False
null
null
您可以在没有胆碱酯酶抑制剂的情况下安全地给予格隆溴铵。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
1a1bc6a8-bc79-5f90-83c9-f3c3594a522d
4
C
1
Which of the following will increase your ICP?
Propofol
Etomidate
Ketamine
All of the above
下列哪一项会增加你的颅内压?
丙泊酚
依托咪酯
氯胺酮
以上全部
null
null
null
null
null
null
null
null
null
null
37709950-0081-5c70-90f2-f4ca3bd50220
4
A
1
Which agents is known for its HIGH degree of individual variability?
Rocuronium
Nimbex
Vecuronium
Succinylcholine
哪种药物以其高度的个体差异性而闻名?
罗库溴铵
尼美西
维库溴铵
琥珀胆碱
null
null
null
null
null
null
null
null
null
null
4201dfca-e53f-50bb-98cf-84d5c94386d3
3
B
1
Ketamine is a NMDA agonist or antagonist?
Agonist
Antagonist
Neither, works on GABA receptors
null
氯胺酮是NMDA受体的激动剂还是拮抗剂?
激动剂
拮抗剂
都不是,作用于GABA受体
null
null
null
null
null
null
null
null
null
null
null
c6833874-05f4-59ca-be3c-03739b1167e0
4
D
1
What is the recommended dose of physostigmine?
0.1-0.4 mg/kg
0.08 mg/kg
0.5-1.0 mg/Kg
0.01-0.03 mg/Kg
推荐的毒扁豆碱剂量是多少?
0.1-0.4 mg/kg
0.08 mg/kg
0.5-1.0 mg/Kg
0.01-0.03 mg/Kg
null
null
null
null
null
null
null
null
null
null
deebb693-5eab-5946-a70e-53f15df00033
5
D
1
What is an appropriate intubating dose of Nimbex?
1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
Nimbex 的适当插管剂量是多少?
1-1.5 mg/kg
0.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
0.4-0.5 mg/kg
null
null
null
null
null
null
null
null
336b0834-3b77-51f5-b809-a32dda6b8e27
4
B
1
What is the half life of Dantrolene?
1 hour
6 hours
30 minutes
2 hours
丹曲林的半衰期是多少?
1小时
6小时
30分钟
2小时
null
null
null
null
null
null
null
null
null
null
3fa3da67-56ba-5801-b50b-d25e0797980a
4
C
1
How is Etomidate metabolized?
By pseudocholinesterase
By the kidneys
By hepatic microsomal enzymes
Via exhalation through the lungs
依托咪酯是如何代谢的?
通过假性胆碱酯酶
通过肾脏
通过肝微粒体酶
通过肺部呼出
null
null
null
null
null
null
null
null
null
null
aff9af8c-dc47-5c1e-827b-e02bcd03c4d5
2
A
2
A patient with a sulfite allergy should not be given the generic propofol because of the metabisulfite preservative in it, but it is ok to give Diprovan.
True
False
null
null
患有亚硫酸盐过敏的患者不应使用含有偏亚硫酸盐防腐剂的普通丙泊酚,但可以使用Diprovan。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
4e30228f-1dbd-53d2-b50e-6c954b537676
4
D
2
Which of the following muscle relaxants would you choose to give to a patient having cardiac surgery in order to counteract the bradycardia caused by narcotics?
Succinylcholine
Rocuronium
Mivacurium
Pancuronium
在心脏手术中,为了对抗麻醉药物引起的心动过缓,你会选择使用以下哪种肌肉松弛剂?
琥珀胆碱
罗库溴铵
米库氯铵
潘库溴铵
null
null
null
null
null
null
null
null
null
null
e8e2eaa8-ebec-55a5-a8a8-22e4b63b8c66
4
B
2
You are the SRNA for Mrs. Nannit who is currently having a fem pop done. You have used vecuronium to paralyze the patient and she is receiving Desflurane for sedation.  Her heart rate is currently NSR 60, blood pressure is stable, but your ETCO2 is climbing. What should you do?
Send an ABG immediately to evaluate for malignant hyperthermia, call for help.
Increase the patient respiratory rate, she is hypoventilating.
Give some fentanyl and increase your des.
Wait and watch the patient for further signs of MH.
您是负责Nannit女士的麻醉护士,目前她正在进行股动脉-腘动脉旁路手术。您使用了维库溴铵使患者瘫痪,并给予地氟醚进行镇静。她的心率目前为窦性心律60,血压稳定,但您的呼气末二氧化碳正在上升。您应该怎么做?
立即发送动脉血气分析以评估恶性高热,并呼叫帮助。
增加患者的呼吸频率,她正在通气不足。
给予一些芬太尼并增加地氟醚。
等待并观察患者是否有进一步的恶性高热迹象。
null
null
null
null
null
null
null
null
null
null
e6573a44-f359-5d24-a91d-3aa1a3d5ee6c
2
B
2
For a patient who is borderline tachycardic it is recommended to administer neostigmine without glycopyrolate.
True
False
null
null
对于一个心动过速边缘的患者,建议在没有使用羟丁酸的情况下给予新斯的明。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
1f81ac6b-88d9-5818-a545-d676ed536388
4
D
1
What test could be done on a patient suspected to have MH?
DNA Hyperthermia test
Succinylcholine challenge test
There are no tests available.
Caffeine Halothane Test
可以对怀疑患有恶性高热的患者进行什么测试?
DNA高热测试
琥珀胆碱挑战测试
没有可用的测试。
咖啡因卤烷测试
null
null
null
null
null
null
null
null
null
null
55c0f8ae-b7c4-5414-ba5b-d2da563f9fec
4
C
1
Which of the following agents is eliminated via Hoffman Elimination?
Mivacurium
Pancuronium
Atracurium
Rocuronium
以下哪种药物通过霍夫曼消除代谢?
米库氯铵
潘库溴铵
阿曲库铵
罗库溴铵
null
null
null
null
null
null
null
null
null
null
7d7ae10d-f72e-563e-9479-9732269b6c01
2
A
1
It is perfectly safe to use regional anesthetics on malignant hyperthermia susceptible patients.
True
False
null
null
对恶性高热易感患者使用区域麻醉是完全安全的。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
2a45a17f-e342-5712-aac9-6e495c5ceee3
5
E
2
You suspect your patient has MH, what do you expect to see on their ABG?
CO2 42, BE +3, Ph 7.34
CO2 62, BE 0, Ph 7.60
CO2 65, BE -10, Ph 7.43
CO2 32, BE -9, Ph 7.18
你怀疑你的病人有恶性高热(MH),你期望在他们的动脉血气分析(ABG)中看到什么?
CO2 42, BE +3, Ph 7.34
CO2 62, BE 0, Ph 7.60
CO2 65, BE -10, Ph 7.43
CO2 32, BE -9, Ph 7.18
CO2 61, BE -11, Ph 7.20
CO2 61, BE -11, Ph 7.20
null
null
null
null
null
null
null
null
4e7d2e4f-517b-5a47-835d-fb8258ec03ce
4
A
1
Why is gylcopyrolate the anticholinergic agent of choice for neostigmine?
Onset of action is very similar to neo
Only cholinergic which can be safely mixed with neo
Only cholinergic which will counteract bradycardia caused by neo
Because of it’s ability to cross blood brain barrier.
为什么选择使用甘氯铵作为新斯的明的抗胆碱能药物?
起效时间与新斯的明非常相似
唯一可以安全与新斯的明混合的胆碱能药物
唯一可以抵消新斯的明引起的心动过缓的胆碱能药物
因为它能够穿过血脑屏障。
null
null
null
null
null
null
null
null
null
null
24e108c2-b627-5ada-bfd6-7f432e6326cc
4
A
1
What is the half life of etomidate?
2-5 hours
30-90 minutes
5-10 hours
10-20 minutes
依托咪酯的半衰期是多少?
2-5 小时
30-90 分钟
5-10 小时
10-20 分钟
null
null
null
null
null
null
null
null
null
null
6da04a18-b42f-533f-8c56-02c15cf00c8d
2
A
1
The majority of incidences of MH occur in patients under 15.
True
False
null
null
大多数恶性高热(MH)病例发生在15岁以下的患者中。
正确
错误
null
null
null
null
null
null
null
null
null
null
null
null
eba296ea-2684-55b3-8c94-0bd224dbfc2e
4
B
1
What is the name of the receptor that is responsible for MH?
Ranitidine
Ryanodine
Cyanide
Muscarinic
负责恶性高热的受体叫什么名字?
雷尼替丁
雷诺定
氰化物
毒蕈碱
null
null
null
null
null
null
null
null
null
null
2a47f8bb-119b-5a92-b82b-2aeca9abba7d
4
A
1
Which of the non-barbituate agents has analgesic properties?
Ketamine
Etomidate
Propofol
Thiopental
以下哪种非巴比妥类药物具有镇痛特性?
氯胺酮
依托咪酯
丙泊酚
硫喷妥钠
null
null
null
null
null
null
null
null
null
null
a8c8b20a-af17-5c1e-8c61-794eebd38339
4
B
1
Pre-treatment with a non-depolarizer may help to lessen all side effects from succinylcholine except:
Arrythmias
Hyperkalemia
Myalgia
Elevated Intraocular Pressure
使用非去极化药物进行预处理可能有助于减轻琥珀胆碱的所有副作用,除了:
心律失常
高钾血症
肌痛
眼内压升高
null
null
null
null
null
null
null
null
null
null
6500718d-4ffd-5131-8ba5-d9149e2dfb29
4
C
3
You are the SRNA for a 16 yr old boy coming in for appendectomy. After administering succinylcholine to the pt you can not open the patients mouth the intubate him. What should you do next?
Wait for sux to wear off, and give a different paralytic agent
Plan to mask the case. Place face mask on pt and turn on the sevo.
Immediately notify MD and send an ABG and labs to assess for MH. Cancel case.
Trach the patient immediately.
你是为一名16岁男孩进行阑尾切除术的麻醉护士。在给患者注射琥珀胆碱后,你无法打开患者的嘴进行插管。你接下来应该怎么做?
等待琥珀胆碱失效,然后给予不同的麻醉药
计划使用面罩进行麻醉。给患者戴上面罩并打开七氟醚。
立即通知医生并发送动脉血气和实验室检查以评估恶性高热。取消手术。
立即为患者进行气管切开。
null
null
null
null
null
null
null
null
null
null
23b6e45b-86bd-5e26-865a-a848dab94ce7
4
A
1
What is the recommended dose of Pyridostigmine?
0.1-0.4 mg/kg
.08 mg/kg
0.5-1 mg/kg
0.01-0.03 mg/kg
吡啶斯的明的推荐剂量是多少?
0.1-0.4 mg/kg
0.08 mg/kg
0.5-1 mg/kg
0.01-0.03 mg/kg
null
null
null
null
null
null
null
null
null
null
ac82ebd0-c517-59ee-9e04-688b420eb349
4
D
1
What is the mechanism of action of succinylcholine?
Works at spinal nerve roots to cause paralysis and NMJ
Bind to alpha subunit receptors but do not activate them, merely tie up the receptors to block acetylcholine.
By potentiating the inhibitory effects of GABA
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
琥珀胆碱的作用机制是什么?
作用于脊神经根以引起麻痹和神经肌肉接头
结合到α亚基受体但不激活它们,仅仅占据受体以阻断乙酰胆碱。
通过增强GABA的抑制作用
通过结合并激活α亚基受体以引起持续去极化。
null
null
null
null
null
null
null
null
null
null
a7d3287d-a7e6-51ed-8666-e0cd1c053f29
4
C
2
What be an appropriate induction dose of propofol for a 75 yr old female who is 5’4” and weighs 75 kg? (Be careful here…)
150 mg
225 mg
75 mg
15 mg
对于一位75岁、身高5英尺4英寸、体重75公斤的女性,适当的丙泊酚诱导剂量是多少?(请注意…)
150 毫克
225 毫克
75 毫克
15 毫克
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0a51f137-f5b2-5c4b-93d6-bcf0c8c8a127
4
D
1
Which of the following has the longest duration of effect?
Nimbex
Vecuronium
Succinylcholine
Pancuronium
以下哪种药物的作用持续时间最长?
Nimbex
维库溴铵
琥珀胆碱
潘库溴铵
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f93094ae-4a43-5df3-bf52-6475c1db7aef
4
B
1
Whta is MOA of Ketamine?
Selective modulation of GABA receptors
Non-competitive antagonist binding to the phencyclidine recognition site on the NMDA receptor & acts on opioid receptors
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
Inhibition of acetycholinesterase
氯胺酮的作用机制是什么?
选择性调节GABA受体
作为非竞争性拮抗剂结合于NMDA受体的苯环利定识别位点,并作用于阿片受体
通过结合并激活α亚基受体引起持续去极化。
抑制乙酰胆碱酯酶
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57c945f5-a5b6-5789-b38d-2a3868a9b696
4
B
1
Which of the non-barbituate agents has the lowest amount of protein binding & works on NMDA receptors?
Propofol
Ketamine
Etomidate
Thiopental
以下哪种非巴比妥类药物具有最低的蛋白结合率并作用于NMDA受体?
丙泊酚
氯胺酮
依托咪酯
硫喷妥钠
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956cc563-f8d0-510d-85a2-e68f83bda3e0
4
B
1
Which of the following is not at an increased risk for Malignant Hyperthermia?
Patient with Muscular Dystrophy
Patient who is immunosuppressed
Patient who had a heat stroke last year while playing outdoors
Patients whose mother has MH.
以下哪项不属于恶性高热的高风险因素?
患有肌营养不良的患者
免疫抑制的患者
去年在户外活动时中暑的患者
母亲有恶性高热病史的患者
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d83f4f04-7112-52b1-aabf-3aff1610c7d4
4
A
1
What is the incidence of Malignant hyperthermia in adults?
1: 50,000
1: 100,000
1: 15,000
1: 250,000
成人恶性高热的发生率是多少?
1: 50,000
1: 100,000
1: 15,000
1: 250,000
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c5a32c89-8287-5255-acc4-b9d1dc923564
4
B
2
How much atropine would you give to a patient receiving 40mg Edrophoinium?
0.28 mg
0.56 mg
0.8 mg
4 mg
对于接受40mg依酚氯铵的患者,你会给予多少阿托品?
0.28 mg
0.56 mg
0.8 mg
4 mg
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c9ee1620-6173-5c11-a23d-46d8bafac821
4
B
2
What is an appropriate induction dose of propofol for a 50 yr old male who is 5’10” and weighs 80 kg?
80 mg
160 mg
16 mg
400 mg
对于一名50岁、身高5英尺10英寸、体重80公斤的男性,适当的丙泊酚诱导剂量是多少?
80 毫克
160 毫克
16 毫克
400 毫克
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92036d0d-450c-5217-8888-c187dcd43b69
4
D
1
How do we prevent the muscarinic effects of cholinesterase inhibitors?
By delivering small doses calculated on patient weight
By pre-medication with an opioid
Through inactivation of acetylcholinesterase
By concurrently administering an anticholinergic drug
我们如何预防胆碱酯酶抑制剂的毒蕈碱效应?
通过根据患者体重计算的小剂量给药
通过使用阿片类药物进行术前用药
通过失活乙酰胆碱酯酶
通过同时给予抗胆碱药
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1268fc00-0a07-5dd6-8b83-54e47164ac8f
2
B
2
Regaining 4/4 twitches after administration of a non-depolarizing muscle relaxant means that you no longer need to administer a reversal agent.
True
False
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在使用非去极化肌松药后恢复4/4次抽搐意味着您不再需要使用拮抗剂。
正确
错误
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cafaf1b2-4da2-5584-9095-dbfce49810b0
2
B
1
When caring for children you should ALWAYS give the anticholinergic and the cholinesterase inhibitor together  in one syringe.
True
False
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null
在护理儿童时,您应该始终将抗胆碱药和胆碱酯酶抑制剂一起放在一个注射器中。
正确
错误
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18847cbd-93de-5ec8-a131-46a33bb3362f
4
C
2
What would be an appropriate starting dose of dantrolene to give to a 2 yr old child weighing 14 kg?
14 mg
140 mg
35 mg
280 mg
对于一名体重14公斤的2岁儿童,适合的丹曲林起始剂量是多少?
14毫克
140毫克
35毫克
280毫克
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edc0ab7f-94ff-5b29-91f9-9a8c04d4260c
4
B
2
You have a patient in the PACU who has been receiving morphine and is now itching from the pain medications. What might you give to help relieve the itching?
Ketamine 0.2 mg/kg
Propofol 10 mg
Etomidate 0.1 mg/kg
Propofol 50 mg
你有一位在术后恢复室的病人,他一直在使用吗啡,现在因止痛药而感到瘙痒。你可能会给什么来帮助缓解瘙痒?
氯胺酮 0.2 mg/kg
丙泊酚 10 mg
依托咪酯 0.1 mg/kg
丙泊酚 50 mg
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3c81ff92-3355-53f6-b206-72b609a79c84
5
C
1
What is an appropriate intubating dose of Rocuronium?
1-1.5 mg/kg
.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
罗库溴铵的适当插管剂量是多少?
1-1.5 mg/kg
0.08-0.1 mg/kg
0.6-1.2 mg/kg
0.15-0.2 mg/kg
0.4-0.5 mg/kg
0.4-0.5 mg/kg
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13a99971-4bd2-50f4-96ff-5a8640694b04
3
A
2
Propofol is metabolized extensively in the liver, as well as in the lungs and other sites. How will hepatic disease affect the half life of Propofol?
Effects can be prolonged
Decrease the half life
Contraindicated in liver disease
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丙泊酚在肝脏、肺部及其他部位广泛代谢。肝病将如何影响丙泊酚的半衰期?
作用可能延长
减少半衰期
肝病患者禁用
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f0ed30a0-b7b6-59b4-b975-e8b861df8f39
4
C
1
What is the purpose of giving lidocaine prior to administration of propofol?
To make the propofol slightly more acidic
To prevent allergic reaction to egg lecithin
To prevent burning upon injection
To decrease ability of bacteria to grow in propofol
在给予丙泊酚之前使用利多卡因的目的是什么?
使丙泊酚略微更酸性
防止对卵磷脂的过敏反应
防止注射时的烧灼感
减少细菌在丙泊酚中生长的能力
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7dd2c400-b856-57dd-9a83-5103c99fe427
4
A
1
What is an appropriate dose of propofol sedation during a MAC case?
25-100 mcg/kg/min
1.5-2.5 mg/kg
100-300 mcg/kg/min
3-5 mg/kg
在MAC手术中,适当的丙泊酚镇静剂量是多少?
25-100 mcg/kg/min
1.5-2.5 mg/kg
100-300 mcg/kg/min
3-5 mg/kg
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ab770253-7ccb-5a6b-8bee-1bfc12a39611
4
B
1
What is the mechanism of action of the cholinesterase inhibitors?
Attenuate the peripheral muscarinic effects of NMBA's.
Inhibition of the hydrolysis of acetylcholine resulting in greater availability at its sites of action
Through binding to and activating alpha subunit receptors to cause sustained depolarization.
Selective inhibition of GABA
胆碱酯酶抑制剂的作用机制是什么?
减弱NMBA的外周毒蕈碱效应。
抑制乙酰胆碱的水解,从而在其作用位点增加可用性。
通过结合并激活α亚基受体引起持续去极化。
选择性抑制GABA。
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d96c6b91-08c3-5a61-a465-5c2a01707a24
4
A
1
Which of the following muscle relaxants allows you to skip use of a reversal agent?
Mivacurium
Vecuronium
Pancuronium
Rocuronium
以下哪种肌肉松弛剂可以不使用拮抗剂?
米库氯铵
维库溴铵
潘库溴铵
罗库溴铵
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11f72922-24d4-56e6-81cb-4e71085ddef3
4
B
1
When can your reversal agents be administered?
When you have 0/4 twitches
When you have at least 1 /4 twitches
You must have 4/4 twitches prior to administration
After your anesthetic agent has been turned off.
何时可以给予拮抗剂?
当你有0/4次抽搐时
当你至少有1/4次抽搐时
在给药前必须有4/4次抽搐
在麻醉剂关闭后
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fbc50605-97e6-544e-9e95-bb0275117aff
4
C
1
Which opioid receptor causes dysphoria, miosis, diuresis & sedation?
Mu1
Mu2
Kappa
Delta
哪种阿片受体会导致烦躁不安、瞳孔缩小、利尿和镇静?
Mu1
Mu2
Kappa
Delta
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fc770dd3-3374-57f6-8386-a95eb0dd3487
4
B
2
You are caring for Mr. X who is currently having a Left BKA. You notice his HR increasing and take a quick glance at his pupils to see they are normal size. His train of four is currently 0/4. What does this tell you?
He is too light, Increase the sevo.
Maybe he could use some more opioids, to relieve pain.
Maybe he could use some more paralytic.
He needs a little more midazolam, to calm him.
您正在照顾正在进行左侧小腿截肢术的X先生。您注意到他的心率增加,并快速查看他的瞳孔,发现它们大小正常。他的四个刺激反应目前是0/4。这告诉您什么?
他太轻了,增加七氟醚。
也许他需要更多的阿片类药物来缓解疼痛。
也许他需要更多的肌松药。
他需要多一点咪达唑仑来使他平静。
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