Anesthesia Techniques & Patient Management Flashcards
7 cards from real BCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Anesthesia Techniques & Patient Management flashcards as text
Which nerve block is most appropriate for postoperative analgesia following a total knee arthroplasty to preserve quadriceps strength?
Answer: Adductor canal block
The adductor canal block targets sensory fibers of the saphenous nerve, providing analgesia while largely preserving quadriceps motor function.
A patient with a full stomach requires emergency surgery. Which modification to RSI is most appropriate when succinylcholine is contraindicated?
Answer: Rocuronium 1.2 mg/kg
Rocuronium 1.2 mg/kg provides intubating conditions comparable to succinylcholine within 60 seconds and can be reversed with sugammadex.
During epidural placement, the anesthesiologist notices CSF returning through the needle. The most appropriate next step is:
Answer: Convert to a continuous spinal technique with an intrathecal catheter
An inadvertent dural puncture with an epidural needle can be managed by threading the catheter intrathecally and using it as a continuous spinal, with appropriate dose adjustments.
Which factor most significantly increases the risk of postoperative pulmonary complications (PPCs) in a patient undergoing abdominal surgery?
Answer: Surgical duration greater than 3 hours
Prolonged surgical duration (>3 hours) is a major independent risk factor for postoperative pulmonary complications.
In a patient undergoing awake craniotomy, which anesthetic technique provides adequate sedation during skull pin placement while allowing rapid awakening for cortical mapping?
Answer: Propofol/remifentanil infusion (asleep-awake-asleep)
The asleep-awake-asleep technique using propofol/remifentanil allows deep sedation for painful skull fixation and craniotomy, then rapid offset for awake neurological testing.
A patient with obstructive sleep apnea (OSA) is scheduled for laparoscopic cholecystectomy. Which postoperative disposition is most appropriate?
Answer: Admit for 23-hour observation with continuous pulse oximetry
Patients with OSA are at increased risk for postoperative respiratory events and should be monitored with continuous oximetry, with admission for 23-hour observation often recommended.
When performing a transversus abdominis plane (TAP) block, the local anesthetic is deposited in which fascial plane?
Answer: Between the internal oblique and transversus abdominis muscles
The TAP block targets the neurovascular plane between the internal oblique and transversus abdominis muscles where T7–L1 anterior rami travel.