MODERATE SEDATION COURSE 2021 November 11, 2021 0 Uncategorized Load QuizSave QuizThis quiz consists of 10 questions. Each question, you are required to provide 3 responses with an answer True [T] or False [F]. In total, you are required to provide 30 responses. To pass this quiz, you will need to answer correctly to 25 out of the 30 responses. Please note that you have only up to 3 attempts to pass the quiz. Your information 1. Regarding drug use in sedationa. The standard initial dose for a healthy 50 year old patient weighing 53kg is as follows: midazolam 2mg and fentanyl 37.5 mcg True Falseb. Patients who received topical lignocaine spray can be allowed to eat immediately after completion of gastroscopy if they did not receive sedation True Falsec. Respiratory depression is a major side effect of midazolam True False2. In assessing your patients for risk of sedationa. A Mallampati score of I would predict risk of airway issues True Falseb. Patients with ASA 3 should be considered for monitored anaesthetic care True Falsec. Patient who had eaten a cheese sandwich 6 hours before an OGD is not at risk of aspiration True False3. Regarding drug use in sedationa. Due to the synergistic effect of sedatives and narcotics used in combination, individual drug doses should be reduced True Falseb. The initial dose of Propofol alone sedation for a 65 year old patient (ASA I, 60kg) undergoing OGD is 80-100mg over 1 min True Falsec. The initial dose of naloxone to reverse respiratory depression in opioid over-sedation is 0.02-0.2mg and can be repeat every 2-3min True False4. Please assess the following scenario:A 50 year old male, ASA II, weighing 55kg, Mallampati score II, was given the following initial doses of sedative drugs. Midazolam 2 mg and Fentanyl 37.5 mcg prior to a routine gastroscopya. His sedation level should not be deepened within the first 2 minutes of initial drugs administered True Falseb. If he is struggling during insertion of the scope, an add-on dose of propofol 40mg can be given to rapidly deepen his sedation True Falsec. If his pulse oximeter reads 92% during the procedure and there is noisy breathing, head tilt chin lift and jaw thrust should be given True False5. Please assess the following scenario: During insertion of the endoscope, the patient is noted to have noisy breathing and Sp02 revealed a dropped from baseline 99% to 93%.a. Procedure can continue but examination should be hastened True Falseb. Sedation should be deepened to provide more comfort to the patient True Falsec. Laryngospasm is a potential complication True False6. The following are important aspects of safe monitoringa. The endoscopist is primarily responsible for the safe monitoring of patient during endoscopy True Falseb. Head tilt chin lift and jaw thrust should be performed in the presence of hypoxia True Falsec. Ephedrine can be used to counteract the hypotensive effects of sedatives True False7. The following statements are consistent with moderate sedationa. Patient's oxygen saturation usually drops to 95% True Falseb. Patient respiratory rate would be 4-6 breaths per minute True Falsec. Patient cannot be expected to give a proper consent True False8. Regarding a patient who had completed the procedure and is in recovery rooma. After flumazenil was provided to patient for reversal, the endoscopist should review the patient before discharge True Falseb. The patient with a blood pressure BP 80/40 mmHg and HR 100/min can be safely discharged without review if otherwise alert True Falsec. Patients who have undergo sedation can be allowed to drive home if they fulfil the hospital ‘fitness for discharge’ True False9. Regarding drug use in sedationa. When used as combination in a healthy 40 year old female, the initial dose of midazolam is 4mg and fentanyl 75 mcg given over 1-2 min True Falseb. In patients struggling during endoscopy, drug top-up with midazolam 1mg should be given every 30 seconds until the patient is well sedated True Falsec. The usual starting dose for flumazenil to reverse sedation is 0.5 mg True False10. The following statements are consistent with moderate sedationa. Patient is responsive after performing a sternal rub True Falseb. IV fluids are required to maintain blood pressure in the normal range True Falsec. Patient is able to respond to verbal commands True False3 out of 2You have reached the end of the quiz. To review your answer from the previous page, click the previous button. If you are ready to submit your quiz, click the submit button. Thank you. Time is Up! Time's up
