RVT Journal Quiz Volume 46 Issue 4 Article 1 — Ontario Association of Veterinary Technicians

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1. If bradycardia is noted in the neonates, the FIRST response should be to:

a) start chest compressions

b) administer sublingual atropine

c) administer 100% oxygen with a tight fitting oxygen mask

d) administer intratracheal epinephrine

e) gently swing the neonate with its head down to clear fluid from the airway

2. A decrease in oxygen supply to the fetuses can occur with the following change(s) in the mother:

a) hypotension

b) decreased cardiac output

c) hypoxia

d) vasoconstriction

e) all of the above

3. Which of the following IS NOT an indication that a Caesarean section may be required?

a) the patient is dolicocephalic

b) the fetus is too large

c) the patient is brachycephalic

d) parturition is greater than 24 hrs

e) there are more than 4 hours between the delivery of neonates

4. Which of the following drugs is used to increase blood pressure while maintaining blood flow to the uterus?

5. An anesthetic protocol for Caesarean section should:

a) use as few medications as possible

b) provide analgesia for the dam or queen

c) not include administration of a local anesthetic to the incision site

d) always use mask inhalant induction techniques

e) avoid the use of anticholinergic drugs

6. Anesthetic drug requirements in pregnant patients are decreased owing to:

a) increased plasma volume

b) decreased functional residual capacity

c) decreased BUN

d) increased secretion of growth hormone

e) increased levels of progesterone

7. Hypocapnia occurs frequently in patients undergoing anesthesia for Caesarean section due to:

a) an increase in minute ventilation

b) decreased cardiac reserve

c) decreased functional residual capacity

d) an increase in oxygen consumption

e) decreased lower esophageal sphincter tone

8. Which of the following DOES NOT directly contribute to hypotension?

a) rapid injection of local anesthetic into the epidural space

b) using high concentrations of inhalant agent

c) decreased systemic vascular resistance

d) increased oxygen demand

e) rapid intravascular blood loss

9. The effects and frequency of gastric esophageal regurgitation may be minimized by:

a) using an inhalant only anesthetic protocol

b) withholding opioid administration until after the neonates are delivered

c) using an anticholinergic as a premedication

d) administration of a proton pump inhibitor prior to anesthesia

e) using epidural anesthesia techniques alone without general anesthesia

10. A neonatal heart rate of 140 bpm indicates:

a) a need for oxygen administration

b) a healthy neonate

c) a need for epinephrine administration

d) neonatal tachycardia

e) all of the above

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