ADVANCED HEALTH ASSESSMENT EXAM 3

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ADVANCED HEALTH ASSESSMENT EXAM 3

NEWEST 2025 ACTUAL EXAM COMPLETE 150

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

ADVANCED HEALTH ASSESSMENT EXAM 3

Which of the following is the most likely cause of hypoventilation in the PACU?

• Residual neuromuscular blockade
• Hypovolemia
• Allergic reaction
• Hyperthyroidism - CORRECT ANSWER -A. Residual

neuromuscular blockade

What is the most appropriate intervention for a patient with postoperative nausea and vomiting (PONV) in the PACU?

• Administering antiemetics
• Increasing fluid intake
• Giving oral food
• Administering antibiotics - CORRECT ANSWER -A.

Administering antiemetics 1 / 4

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What ion's dysregulation leads to malignant hyperthermia?

• Potassium
• Sodium
• Calcium
• Magnesium - CORRECT ANSWER -C. Calcium

What is the most common gene mutation associated with malignant hyperthermia?

• DHP receptor
• RyR1 receptor

C. CACNA1S

• TRPC channel - CORRECT ANSWER -B. RyR1 receptor

What is the primary mechanism by which RyR1 receptor mutations trigger MH?

• Excess sodium influx into the muscle cell
• Failure of calcium reuptake by sarcoplasmic reticulum
• Increased chloride ion release
• Decreased muscle membrane permeability - CORRECT

ANSWER-B. Failure of calcium reuptake by sarcoplasmic reticulum 2 / 4

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Malignant hyperthermia affects which type of muscle?

• Skeletal muscle
• Cardiac muscle
• Smooth muscle
• All muscle types - CORRECT ANSWER -A. Skeletal muscle

What is typically the earliest sign of an MH crisis?

• Hyperthermia
• Muscle rigidity
• Hypercarbia
• Hypoxia - CORRECT ANSWER -C. Hypercarbia

Which laboratory finding would be expected during an MH episode?

• Serum potassium <3.5 mEq/L
• Creatine kinase >20,000 units/L
• Serum myoglobin <60 mcg/L
• PaCO2 <35 mmHg - CORRECT ANSWER -B. Creatine

kinase >20,000 units/L

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What is the most specific early sign of MH in the operating room?

• Hypotension
• Masseter muscle rigidity
• Bradycardia
• Hyperkalemia - CORRECT ANSWER -B. Masseter muscle

rigidity

What diagnostic test is considered the gold standard for MH susceptibility?

• Genetic testing
• Electromyography (EMG)
• Caffeine-Halothane Contracture Test (CHCT)
• Muscle biopsy with potassium analysis - CORRECT

ANSWER-C. Caffeine-Halothane Contracture Test (CHCT)

Which of the following is a known MH trigger?

• Propofol
• Sevoflurane
• Dexmedetomidine
• Lidocaine - CORRECT ANSWER -B. Sevoflurane
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