| Physician’s Name*
|
| Status*:
Physician
Resident |
| Date of Exam*
(month/day/year) |
| Physician’s E-mail*
|
| * Required Fields |
| 1. Which of the following describes moderate sedation? |
a. Patient remains arousable and/or responsive to physical stimulation and/or verbal command.
b. Protective reflexes are maintained and patient retains the ability to independently and continuously maintain a patent airway.
c. The administration by any route of sedatives, analgesics, and/or other medications so as to induce a medically controlled state of depressed consciousness while performing a diagnostic, therapeutic, or interventional procedure.
d. All of the above.
|
| 2. Patients undergoing a diagnostic, therapeutic, or interventional procedure with moderate sedation need: |
a. A review of history and physical.
b. An ASA physical status assignment.
c. An informed consent.
d. All of the above.
|
| 3. All of the following are monitoring requirements for the sedated patient EXCEPT: |
a. Blood pressure.
b. Continuous pulse oximetry.
c. Respiratory rate.
d. Peripheral pulses.
|
| 4. All of the following are required to be immediately available in all designated moderate sedation locations: |
a. Crash cart with a defibrillator.
b. Positive pressure breathing device.
c. Equipment for monitoring of vital signs and oxygen saturation level.
d. All of the above.
|
| 5. Guidelines for patients at discharge after moderate sedation include the following, EXCEPT: |
a. Par Score of 8 or > or = baseline status.
b. Written discharge instructions provided to patient’ caregiver.
c. Responsible adult available as escort upon discharge.
d. Written release of the hospital from responsibility.
|
| 6. A sedated patient suddenly demonstrates an obstructed airway. The first response is to: |
a. Open the airway by performing a head tilt-chin lift maneuver.
b. Written discharge instructions provided to patient’s caregiver.
c. Responsible adult available as escort upon discharge.
d. Written release of the hospital from responsibility
|
| 7. Which of the following statements regarding Midazolam (Versed) is correct? |
a. It is an anxiolytic drug.
b. It produces amnesia.
c. It is reversible with Flumazenil.
d. All of the above.
|
| 8. Which of the following statements are true when using reversal agents post moderate sedation? |
a. Naloxone reverses effects of narcotics and Flumazenil reverses the effects of benzodiazepines.
b. Patient monitoring must be extended for another 2 hours and discharge criteria are met before discharge.
c. A Notification Form must be completed.
d. All of the above.
|
| 9. The most likely significant side effect of Midazolam (Versed) overdose is: |
a. Respiratory depression.
b. Cardiac dysrhythmias.
c. Hypotension.
d. Myocardial ischemia.
|
| 10. Considerations when giving Fentanyl (Sublimaze) for moderate sedation include: |
a. It has shorter duration of action but more potent than morphine.
b. It produces respiratory depression that may last longer than analgesia.
c. It is associated with chest wall rigidity.
d. All of the above.
|
| 11. Which of the following statements regarding Diazepam (Valium) is correct? |
a. It is a long-acting benzodiazepine.
b. It produces sedation, hypnosis, and skeletal muscle relaxation.
c. Its onset of action after an IV dose is 1-2 minutes.
d. All of the above.
|
| 12. Precautions in using morphine for moderate sedation include: |
a. Avoid use in patients with severe asthma.
b. May cause histamine release with subsequent bronchospasm.
c. May be used with caution in patients with hepatic or renal dysfunction.
d. All of the above.
|
| 13. Which of the following statements regarding Ketamine (Ketalar) is correct? |
a. Ketamine is used as an intramuscular sedative drug in children.
b. Apnea can occur if the drug is administered rapidly IV.
c. Pediatric dose is 1.0 – 1.5 mg/kg IV or 2.-5 mg/kg IM.
d. All of the above.
|
| 14. The recommended dose for giving Chloral Hydrate in pediatrics is: |
a. 25-50 mg/kg, maximum dose of 0.5 gram PO/PR.
b. 50-75 mg/kg, maximum dose of 1.0 gram PO/PR.
c. 50-100 mg/kg, maximum dose of 1-2 grams PO/PR.
d. None of the above.
|
| 15. Adverse effects following administration of Naloxone Hydrochloride (Narcan) include: |
a. Convulsions.
b. Ventricular tachycardia or fibrillation.
c. Pulmonary edema.
d. All of the above.
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| 16. Required documentation by the physician when performing moderate sedation include: |
a. Pre-sedation and pre-induction assessments.
b. Informed consent.
c. Post-procedure status.
d. All of the above.
|
| 17. The recommended dose for giving Flumazenil (Romazicon) in adults is 0.2 mg given IV over 15 seconds, repeating every minute to a total of 1 mg. |
a. True.
b. False.
|
| 18. The recommended dose for giving Naloxone Hydrochloride is 0.4 to 2 mg IV every 2 minutes. |
a. True.
b. False.
|
| 19. The physician must reevaluate the patient immediately prior to induction of moderate sedation to determine if the plan for moderate sedation remains appropriate for the planned procedure. |
a. True.
b. False.
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| Updated: 08/01/07.ERomo |
