Evaluation - Examination

An examination covering the material presented during the Anesthesia IDEPT 470 will be administered on the final day of the six week IDEPT 470 rotation. Separate examination scores will be given for each IDEPT course. Each examination will be viewed as a separate course and must be passed as a requirement of the curriculum. The test questions will be taken directly from the educational materials that can be obtained from either the anesthesia department or by accessing the anesthesia web page through the computer based learning segment of JEFFLINE. The following list can serve as a study guide when studying for the examination.

Preoperative Cardiac Evaluation:

  1. Identify those patient characteristics associated with an increased incidence of perioperative cardiac complications.
  2. Identify the types of surgery associated with an increased incidence of perioperative cardiac complications.
  3. Identify the phase of the perioperative period during which myocardial ischemia most commonly occurs.
  4. Identify the most common perioperative cardiac complications.
Preoperative Pulmonary Evaluation:
  1. Identify which patient characteristics are associated with an increased incidence of perioperative pulmonary complications.
  2. Identify the causes of perioperative hypoxemia.
  3. Describe the alterations in pulmonary function that occur postoperatively.
  4. Understand the logic for ordering preoperative pulmonary function testing.
  5. Understand the logic for ordering preoperative pulmonary function tests prior to lung resection.
Preoperative Laboratory Testing:
  1. Identify the indications for preoperative laboratory testing.
  2. Identify the indications for preoperative chest x-rays.
  3. Identify the indications for preoperative EKGs.
  4. Identify how long preoperative tests are acceptable.
General anesthesia:
  1. Identify the components of general anesthesia.
  2. Identify the three phases of general anesthesia
  3. Identify the names of intravenous anesthetics.
  4. Identify the names of inhalation anesthetics.
  5. Understand the difference between depolarizing and non-depolarizing neuromuscular blocking agents.
  6. Understand the difference between pharmacokinetics and pharmacodynamics.
  7. Identify which drugs can trigger and which drug is used to treat malignant hyperthermia.
  8. Understand the side effects of succinylcholine.
Local Anesthesia:
  1. Understand basic nerve physiology.
  2. Understand the mechanism of elimination of local anesthetics.
  3. Understand the signs, symptoms, and treatment of local anesthetic toxicity.
  4. Identify which regional anesthesia techniques have the highest amount of systemic absorption of the local anesthetic.
  5. Identify which nerve fibers are responsible for conducting pain impulses.
Monitoring:
  1. Identify the routine anesthesia monitors.
  2. Identify the which EKG leads used to monitor for myocardial ischemia and heart rhythm.
  3. Understand the use of capnography to verify tracheal intubation.
  4. Understand the use of pulse oximetry.
  5. Understand the pathophysiologic causes of intraoperative hypoxemia.
  6. Understand the use of different blood pressure monitoring devices.
Spinal and Epidural Anesthesia
  1. Understand the anatomy of the epidural and subarachnoid space.
  2. Understand the differences between epidural and spinal anesthesia.
  3. Understand the etiology and treatment of dural puncture (spinal) headache.
  4. Understand the time course of respiratory depression caused by epidural morphine.
  5. Understand the complications and side effects of spinal and epidural anesthesia.
Fluid and Transfusion Therapy
  1. Understand the different types of available blood products.
  2. Understand the difference between crossmatching and screening blood.
  3. Understand the hemoglobin level at which patients should be transfused.
  4. Understand the etiology and treatment of transfusion reactions.
  5. Understand the complications of blood product transfusion.
  6. Understand the importance of IV catheter size during rapid blood transfusion.

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