SEDATION / ANALGESIA TEST

Name (please print): Date:

Part 1: General and Pharmacology Questions - Required for Sedation/Analgesia Privileges Level 2
&3

1. Your patient responds to pain but is difficult to arouse; his protective reflexes are present but weak. Which of
the following describes his response:
A. Amnesia
B. General anesthesia
C. Moderate sedation
D. Deep sedation

2. Physician responsibilities for documentation prior to sedation/analgesia procedures are:

A. informed consent, history and physical, planned level of sedation, ASA score and airway assessment
B. ASA score, Aldrete score, informed consent; initial assessment
C. baseline O2 saturation only
D. history and physical, informed consent, recovery criteria

3. Sedation/analgesia levels are clearly demarcated and easily monitored with little risk to the patient going from
one level of sedation to the next.
A. True
B. False

4. Opioid adverse effects may include:

A. urinary incontinence and hypertension
B. respiratory depression, nausea, vomiting
C. papillary dilation and tachycardia

5. The duration of action of naloxone and flumazenil are usually:

A. much longer than the agents for whose activity they are used to reverse
B. about the same duration as all agents for whose activity they are used to reverse
C. shorter than the agents for whose activity they are used to reverse
D. naloxone is much shorter and flumazenil is much longer than the agents being reversed

6. Select the correct order for the duration of action of the following agents given IV to adults:
A. meperidine > fentanyl
B. fentanyl > morphine
C. diazepam > midazolam
D. midazolam > lorazepam
E. a and d
F. a and c

7. Which of the following agents can be used to reverse the sedative effects of benzodiazepines?
A. naloxone
B. hydroxyzine
C. promethazine
D. flumazenil

8. How long after administration of the reversal agent flumazenil can the patient be safely discharged from the
hospital?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 2 hours

Revised 7/18/02; 4/23/07, 8/1/13, 10/17/17

9. How long after administration of the reversal agent naloxone can the patient be safely discharged from the
hospital?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 2 hour

10. Chloral hydrate has a consistent and predictable response in most pediatric patients.
A. True
B. False

11. The following agents can be safely be used for minimum-moderate sedation; Level 1 and Level 2:
A. morphine
B. etomidate
C. propofol
D. fentanyl
E. midazolam
F. all of the above
G. a, d and e only

Part 2: Pharmacology questions - Required for Sedation/Analgesia Privileges Level 3 only

1. Naloxone is the reversal agent of choice for Propofol.

A. True
B. False

2. Ketamine is an excellent agent for sedation/anesthesia procedures in adolescents and adult patients.
A. True
B. False

3. Contraindication in patients with hypersensitivity to soybeans or eggs is associated with which of the following
agents:
A. phenobarbital
B. etomidate
C. ketamine
D. propofol

4. Which of these agents can cause muscle fasciculation?

A. Etomidate
B. Midazolam
C. Meperidine
D. A and C only

5. Which of the following agents are considered anesthetics:

A. propofol
B. thiopental
C. etomidate
D. morphine
E. all of the above
F. a, b, and c

Score:
Part I

Part II

Signature of Reviewer:
Revised 7/18/02; 4/23/07, 8/1/13, 10/17/17