CSFA Surgical Pharmacology and Anesthesia Questions and Answers

Question 1

Which intravenous anesthetic agent is known for its sympathomimetic properties, causing bronchodilation and an increase in heart rate and blood pressure, making it a favorable choice for hemodynamically unstable or asthmatic patients?

Accepted Answer

Ketamine

Answer

Propofol

Answer

Etomidate

Answer

Midazolam

Question 2

A 55-year-old patient is scheduled for a coronary artery bypass grafting (CABG) procedure at 8:00 AM. According to Surgical Care Improvement Project (SCIP) guidelines, when is the most appropriate time to administer the prophylactic intravenous antibiotic, such as cefazolin?

Accepted Answer

Within 60 minutes prior to the surgical incision

Answer

In the post-anesthesia care unit (PACU)

Answer

On-call to the operating room

Answer

After the skin incision is made

Question 3

During a shoulder arthroscopy performed in the beach chair position, the patient's blood pressure drops significantly. The CSFA and surgical team should be most concerned about which specific position-related complication?

Accepted Answer

Cerebral hypoperfusion

Answer

Venous thromboembolism

Answer

Brachial plexus injury

Answer

Sciatic nerve damage

Question 4

At the conclusion of a procedure, the anesthesiologist needs to reverse the effects of rocuronium. Which of the following drugs works by encapsulating the neuromuscular blocking agent, rendering it inactive?

Accepted Answer

Sugammadex

Answer

Neostigmine

Answer

Atropine

Answer

Flumazenil

Question 5

A surgeon requests a local anesthetic with epinephrine for a procedure on a patient's finger. The addition of epinephrine is traditionally contraindicated in such 'end-arterial' areas primarily due to the risk of what complication?

Accepted Answer

Profound vasoconstriction leading to tissue ischemia and necrosis

Answer

Systemic hypertension from epinephrine absorption

Answer

Increased risk of local anesthetic systemic toxicity (LAST)

Answer

Severe vasodilation causing excessive bleeding

Question 6

A patient requires a rapid sequence intubation (RSI). The anesthesiologist plans to use succinylcholine. The CSFA should be aware that an absolute contraindication for this depolarizing neuromuscular blocker is a personal or family history of what condition?

Accepted Answer

Malignant Hyperthermia

Answer

Asthma

Answer

Hypertension

Answer

Diabetes Mellitus