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Quiz about A Day In The Life Of The Anesthesiologist

A Day In The Life Of The Anesthesiologist Quiz

For my first quiz, I thought I would write about my daily routine. Welcome to my world and hope you enjoy the quiz!

A multiple-choice quiz by tihata. Estimated time: 5 mins.

Author
tihata

Time
5 mins

Type
Multiple Choice

Quiz #
221,841

Updated
Dec 03 21

# Qns
10

Difficulty
Average

Avg Score
6 / 10

Plays
3522

Awards
Top 5% quiz!

Last 3 plays: NovaLuna (10/10), Luckycharm60 (5/10), sw11 (10/10).

One at a Time - Single Page - Timed Game

Question 1 of 10

1. Arriving for work, I discover that my first case is a tonsillectomy for a 2 year old. Which of these should I NOT expect? Hint

The parents of the patient will be nervous.

The patient's IV line will be running as we roll into the OR.

Surgery time will be less than 45 minutes.

The patient will go home later that day.

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Question 2 of 10

2. My next case is an appendectomy. After inducing anesthesia with intravenous drugs, I am ready to intubate the patient. I pick up my shiny metallic instrument called a(n) ? Hint

supraintubator

esophagoscope

colonoscope

laryngoscope

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Question 3 of 10

3. I decide on general anesthesia for my next case. Which of these drugs should I NOT inject first? Hint

morphine

succinylcholine

valium

sodium pentothal

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Question 4 of 10

4. The OB department has asked me to place a labor epidural for a pregnant patient. Which level of the spine are most labor epidurals placed near? Hint

L3-L4

T2-T3

C4-C5

T9-T10

5. I am asked to place another labor epidural, however, the patient has concerns that I will "hit her spinal cord and paralyze her." I reassure her that this will likely NOT happen. Why should I feel so confident? Hint

Paralysis would be more of a problem with a spinal anesthetic rather than an epidural.

I have never missed an epidural yet.

The spinal cord terminates @L1-L2 and the epidural is placed below this level.

Any paralysis would likely be temporary and resolve quickly.

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Question 6 of 10

6. As I interview my next patient, I discover that the patient's mother underwent a surgery which had to be stopped because "her heart started beating really fast and she got really hot." My sphincter tightens as this is a good description of what condition? Hint

Malignant hyperthermia

Rheumatic fever

Scarlet fever

Reye's syndrome

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Question 7 of 10

7. Which of these monitors is NOT normally used in a routine surgery? Hint

EEG

Sphgymomanometer

EKG

Pulse oximeter

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Question 8 of 10

8. My next case is an emergency repair of a partially amputated finger. Unfortunately, the patient ate a hamburger and fries 1 hour ago, making him a risk to aspirate that food into his lungs while I perform my anesthetic. I ask the nurse to give some cricoid pressure-- pressing down on the cricoid cartilage to try to prevent aspiration. Where will the nurse be applying this pressure? Hint

The nose

The stomach

The neck

The chest

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Question 9 of 10

9. In between cases, I am called STAT to the ICU, where I am asked to intubate a patient in respiratory failure. After intubation, a nurse comments "Looks like you tubed the goose, doc." Grrr. What have I done? Hint

Put the breathing tube in the esophagus

Used the wrong kind of breathing tube

Put the breathing tube in too far

Intubated Donald Duck

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Question 10 of 10

10. My last patient for the day is a very, very sick patient. Several surgeons, nurses and technicians are involved, working quickly, as if trying to beat the clock. Suddenly, in the middle of the procedure, I turn off my anesthesia machine and monitors, say goodbye to everyone, and go home, while the rest of the surgery team continues working. What have I just described? Hint

A blatant case of malpractice

A complex neurosurgery

Cardiac bypass surgery

An organ harvest procedure

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Quiz Answer Key and Fun Facts

1. Arriving for work, I discover that my first case is a tonsillectomy for a 2 year old. Which of these should I NOT expect?

Answer: The patient's IV line will be running as we roll into the OR.

2 year olds are not expected to be cooperative, so most IV's placed in children are done in the OR after the child has been anesthetized with a gas anesthetic. Tonsillectomies are typically short procedures and patients usually do go home the same day.

2. My next case is an appendectomy. After inducing anesthesia with intravenous drugs, I am ready to intubate the patient. I pick up my shiny metallic instrument called a(n) ?

Answer: laryngoscope

A laryngoscope is used to intubate the trachea. Colonoscopes enter the colon, esphagoscopes enter the esophagus, and a supraintubator is something I made up.

3. I decide on general anesthesia for my next case. Which of these drugs should I NOT inject first?

Answer: succinylcholine

Succinylcholine is a rapidly-acting muscle relaxant. If given first, the patient may be rendered "awake, but paralzyed" and unable to breathe. Oops. The patient should be asleep BEFORE you paralyze them.

4. The OB department has asked me to place a labor epidural for a pregnant patient. Which level of the spine are most labor epidurals placed near?

Answer: L3-L4

Most labor epidurals are placed in the lumbar(L) region, roughly L3-L4. To approximate this level, palpate the tops of your hip bones (the iliac crests) and draw a line connecting these points. Cervical(C) and Thoracic(T) level epidurals are not used for labor epidurals.

Answer: The spinal cord terminates @L1-L2 and the epidural is placed below this level.

The spinal cord does not run all the way down the spine, instead terminating @L1-L2. Most labor epidurals are placed @L3-L4 so unless I stray too far north, I should be safe.

Answer: Malignant hyperthermia

Malignant hyperthermia (MH) is a very rare inherited disorder. Symptoms do not present unless the patient is given an anesthetic which includes agents that "trigger" the disorder (these agents include the anesthetic gases and succinylcholine). Fast recognition is key-- if recognized promptly, proper treatment can be administered to reverse the symptoms, which include fever, hypoxemia, metabolic acidosis, and muscle rigidity. I have yet to see a case of MH, and I don't really want to, either.

7. Which of these monitors is NOT normally used in a routine surgery?

Answer: EEG

EEG, or electroencephalogram is used to monitor brain waves-- it is not part of the monitoring in a routine surgery. An EKG monitors the heart, pulse oximeter measures oxygen saturation, and sphygmomanometer is a fancy name for a blood pressure cuff-- all are routine monitors.

Answer: The neck

The idea behind cricoid pressure is to try to press down on the cartilage which in turn occludes the esophagus, which lies behind the cartilage--decreasing the chance of aspiration by preventing food from travelling the stomach--> esophagus--> trachea--> lungs route.

Answer: Put the breathing tube in the esophagus

The "goose" is medical slang for the esophagus. Occasionally, the breathing tube gets placed in the esophagus instead of the trachea. This is usually recognized quickly and corrected.

Answer: An organ harvest procedure

Organ harvest is the procurement of organs from a willing donor who has been declared "brain-dead." The anesthesiologist's job is to keep the patient's circulatory system functioning to keep the vital organs perfused. Once the heart has been harvested, the anesthesiologist's job is done. This may be the only time when an anesthesiologist can leave the OR before the surgeons!

Source: Author tihata

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