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麻醉試題及答案英文版
Multiple-choiceQuestions(2pointseach,10questionsintotal)
1.Whichdrugiscommonlyusedforinductionofgeneralanesthesia?
A.Morphine
B.Propofol
C.Lidocaine
D.Ephedrine
Answer:B
2.Themainsiteofactionoflocalanestheticsis?
A.Nervecellbody
B.Axon
C.Synapse
D.Dendrite
Answer:B
3.Whatisthenormalrangeofend-tidalcarbondioxidepartialpressure($EtCO_2$)duringanesthesia?
A.20-30mmHg
B.35-45mmHg
C.45-55mmHg
D.55-65mmHg
Answer:B
4.Whichofthefollowingisaninhalationalanesthetic?
A.Fentanyl
B.Sevoflurane
C.Midazolam
D.Atropine
Answer:B
5.Thefunctionofmusclerelaxantsinanesthesiaisto?
A.Induceanesthesia
B.Provideanalgesia
C.Relaxskeletalmuscles
D.Reduceanxiety
Answer:C
6.Whichdrugcanbeusedtoreversetheeffectofnon-depolarizingmusclerelaxants?
A.Neostigmine
B.Epinephrine
C.Dopamine
D.Diazepam
Answer:A
7.Duringgeneralanesthesia,whatisusedtomaintaintheairway?
A.Nasogastrictube
B.Endotrachealtube
C.Foleycatheter
D.Centralvenouscatheter
Answer:B
8.Themostcommoncomplicationofspinalanesthesiais?
A.Hypotension
B.Bradycardia
C.Respiratorydepression
D.Headache
Answer:D
9.Whichopioidhasarelativelyshortdurationofaction?
A.Morphine
B.Meperidine
C.Remifentanil
D.Codeine
Answer:C
10.Thepurposeofpremedicationbeforeanesthesiaisnotto?
A.Reduceanxiety
B.Increasegastricmotility
C.Reduceairwaysecretions
D.Providesedation
Answer:B
Multiple-choiceQuestions(2pointseach,10questionsintotal)
1.Whichofthefollowingarecomponentsofbalancedanesthesia?
A.Inhalationalanesthetics
B.Intravenousanesthetics
C.Opioids
D.Musclerelaxants
Answer:ABCD
2.Possiblesideeffectsoflocalanestheticsinclude?
A.Hypotension
B.Tachycardia
C.Centralnervoussystemtoxicity
D.Allergicreactions
Answer:ACD
3.Monitoringitemsduringanesthesiausuallyinclude?
A.Electrocardiogram(ECG)
B.Bloodpressure(BP)
C.Pulseoximetry($SpO_2$)
D.Temperature
Answer:ABCD
4.Whichdrugscanbeusedforpremedication?
A.Benzodiazepines
B.Anticholinergics
C.Antiemetics
D.Opioids
Answer:ABCD
5.Theadvantagesofregionalanesthesiainclude?
A.Lessimpactontherespiratorysystem
B.Lessriskofpostoperativecognitivedysfunction
C.Goodanalgesiaeffect
D.Noneedforairwaymanagement
Answer:ABC
6.Whichfactorscanaffectthechoiceofanestheticmethod?
A.Patient'sage
B.Surgicalsite
C.Patient'sunderlyingdiseases
D.Anesthesiologist'spreference
Answer:ABC
7.Whichofthefollowingareintravenousanesthetics?
A.Ketamine
B.Thiopentalsodium
C.Propofol
D.Isoflurane
Answer:ABC
8.Complicationsassociatedwithtrachealintubationmayinclude?
A.Laryngealedema
B.Trachealinjury
C.Aspiration
D.Pneumothorax
Answer:ABC
9.Whatarethefunctionsofanestheticmachines?
A.Deliverinhalationalanesthetics
B.Provideoxygen
C.Monitorvitalsigns
D.Assistventilation
Answer:ABD
10.Postoperativeanalgesiamethodsinclude?
A.Oralanalgesics
B.Patient-controlledanalgesia(PCA)
C.Regionalanalgesia
D.Intravenousopioids
Answer:ABCD
TrueorFalseQuestions(2pointseach,10questionsintotal)
1.Generalanesthesiaalwaysrequirestrachealintubation.(False)
2.Localanestheticsworkbyblockingsodiumchannelsinnervefibers.(True)
3.Opioidscanonlybeusedforintraoperativeanalgesia.(False)
4.Musclerelaxantscancauserespiratorymuscleparalysis.(True)
5.Thehighertheconcentrationofinhalationalanesthetic,thefastertheinductionofanesthesia.(True)
6.Spinalanesthesiahasnoriskofsystemictoxicityoflocalanesthetics.(False)
7.Premedicationcanreducetheamountofanestheticdrugsusedduringanesthesia.(True)
8.Anestheticdepthcanbeaccuratelyjudgedonlybymonitoringvitalsigns.(False)
9.Postoperativenauseaandvomitingarenotrelatedtoanesthesia.(False)
10.Nitrousoxideisacommonlyusedinhalationalanestheticwithstronganalgesiceffect.(True)
ShortAnswerQuestions(5pointseach,4questionsintotal)
1.Question:Listtwocommonsideeffectsofopioidsduringanesthesia.
Answer:Respiratorydepressionandnausea/vomitingarecommonsideeffectsofopioidsduringanesthesia.
2.Question:Whatarethekeypointsofairwaymanagementduringgeneralanesthesia?
Answer:Ensureapatentairway.Thisincludesproperpositioning,usingdeviceslikeendotrachealtubesorsupraglotticairways,andpreventingairwayobstructionfromsecretionsorforeignbodies.
3.Question:Whyispremedicationimportantbeforeanesthesia?
Answer:Premedicationhelpsreducepatientanxiety,decreasegastricacidityandvolume,dryairwaysecretions,andprovidessomesedationandanalgesia,facilitatingasmootherinductionofanesthesia.
4.Question:Whatarethemaindifferencesbetweendepolarizingandnon-depolarizingmusclerelaxants?
Answer:Depolarizingmusclerelaxantsactlikeacetylcholine,causinginitialmusclefasciculations.Non-depolarizingmusclerelaxantscompetitivelyblockacetylcholinereceptors.Depolarizingonescannotbereversedeasily,whilenon-depolarizingonescanbereversedbydrugslikeneostigmine.
DiscussionQuestions(5pointseach,4questionsintotal)
1.Question:Discusstheimportanceofintraoperativemonitoringinanesthesia.
Answer:Intraoperativemonitoringiscrucial.Itallowsanesthesiologiststocontinuouslyassessthepatient'sphysiologicalstatus,suchasvitalsigns,oxygenation,andanestheticdepth.Thishelpsinearlydetectionofpotentialproblemslikehypotension,hypoxia,oranestheticoverdose,enablingtimelyinterventionstoensurepatientsafety.
2.Question:Analyzetheindicationsandcontraindicationsofregionalanesthesia.
Answer:Indicationsincludesurgeriesinspecificbodyregions,likelowerlimborabdominalsurgeries,forgoodanalgesiawithlessimpactonthewholebody.Contraindicationsarepatientrefusal,localinfectionattheinjectionsite,coagulopathy,andneurologicaldiseasesintheareaofblock.
3.Question:Howtopreventanddealwithintraoperativehypotensionduringanesthesia?
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