BCA Anesthesia Techniques & Patient Management 2

Question 1

Which nerve block is most appropriate for postoperative analgesia following a total knee arthroplasty to preserve quadriceps strength?

Accepted Answer

Adductor canal block

Answer

The adductor canal block targets sensory fibers of the saphenous nerve, providing analgesia while largely preserving quadriceps motor function.

Question 2

A patient with a full stomach requires emergency surgery. Which modification to RSI is most appropriate when succinylcholine is contraindicated?

Accepted Answer

Rocuronium 1.2 mg/kg

Answer

Rocuronium 1.2 mg/kg provides intubating conditions comparable to succinylcholine within 60 seconds and can be reversed with sugammadex.

Question 3

During epidural placement, the anesthesiologist notices CSF returning through the needle. The most appropriate next step is:

Accepted Answer

Convert to a continuous spinal technique with an intrathecal catheter

Answer

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.

Question 4

Which factor most significantly increases the risk of postoperative pulmonary complications (PPCs) in a patient undergoing abdominal surgery?

Accepted Answer

Surgical duration greater than 3 hours

Answer

Prolonged surgical duration (>3 hours) is a major independent risk factor for postoperative pulmonary complications.

Question 5

In a patient undergoing awake craniotomy, which anesthetic technique provides adequate sedation during skull pin placement while allowing rapid awakening for cortical mapping?

Accepted Answer

Propofol/remifentanil infusion (asleep-awake-asleep)

Answer

The asleep-awake-asleep technique using propofol/remifentanil allows deep sedation for painful skull fixation and craniotomy, then rapid offset for awake neurological testing.

(BCA) Board of Certification in Anesthesiology Practice Test

(BCA) Board of Certification in Anesthesiology Practice Test

BCA Anesthesia Techniques & Patient Management 2