NBCRNA Anesthetic Complications and Crisis Management

Question 1

Intraoperative anaphylaxis most commonly presents with which cardiovascular sign?

Accepted Answer

Severe hypotension and tachycardia

Answer

Hypertension and bradycardia

Answer

Bradycardia with normal blood pressure

Answer

Atrial fibrillation

Question 2

The first-line treatment for intraoperative anaphylaxis is:

Accepted Answer

Epinephrine 0.01 mg/kg IV (10–100 mcg) titrated to response

Answer

Diphenhydramine IV first, followed by corticosteroids

Answer

Ephedrine 10 mg IV bolus

Answer

Norepinephrine infusion

Question 3

Intraoperative bronchospasm during general anesthesia is most commonly caused by what?

Accepted Answer

Airway manipulation (intubation, suctioning) in an inadequately anesthetized patient

Answer

Volatile anesthetic overdose

Answer

Excessive PEEP causing air trapping

Answer

Pulmonary embolism

Question 4

Which intraoperative sign is the earliest indicator of malignant hyperthermia (MH)?

Accepted Answer

Unexplained increase in end-tidal CO2

Answer

Rising core temperature

Answer

Muscle rigidity

Answer

Tachycardia with ST changes

Question 5

The immediate management of an accidental intravenous injection of local anesthetic (LAST) begins with:

Accepted Answer

Stop injection, call for help, secure airway, and prepare lipid emulsion

Answer

Immediately administer epinephrine 1 mg IV

Answer

Perform chest compressions as first action

Answer

Administer sodium bicarbonate to alkalinize the blood

Question 6

During cardiac arrest under general anesthesia, which drug is given with caution (or avoided) when epinephrine is being used to treat LAST?

Accepted Answer

High-dose vasopressin and calcium channel blockers

Answer

Beta-blockers

Answer

Amiodarone

Answer

Lidocaine