ADVANCED HEALTH ASSESSMENT EXAM 3

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ADVANCED HEALTH ASSESSMENT EXAM 3

AND STUDYGUIDE NEWEST 2024-2025 ACTUAL

EXAM COMPLETE 280 QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS) |ALREADY GRADED A+

ADVANCED HEALTH ASSESSMENT EXAM 3

What agent is most commonly associated with masseter muscle rigidity in children?

• Succinylcholine
• Ketamine
• Desflurane
• Rocuronium - CORRECT ANSWER -A. Succinylcholine

What is the initial treatment of choice for MH?

• Succinylcholine administration
• Dantrolene IV bolus
• Administration of calcium channel blockers
• Intravenous potassium replacement - CORRECT ANSWER -
• Dantrolene IV bolus
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What dose of dantrolene is initially recommended for treating MH?

• 1 mg/kg
• 2.5 mg/kg
• 5 mg/kg
• 10 mg/kg - CORRECT ANSWER -B. 2.5 mg/kg

Why should calcium channel blockers be avoided in an MH crisis?

• They worsen hyperkalemia and lead to cardiovascular

collapse.

• They trigger MH in susceptible patients.
• They exacerbate muscle rigidity.
• They interfere with dantrolene's action. - CORRECT

ANSWER-A. They worsen hyperkalemia and lead to cardiovascular collapse.

What is the typical maintenance dose of dantrolene after the initial bolus?

• 2.5 mg/kg every 6 hours
• 1 mg/kg every 6 hours
• 0.5 mg/kg every 4 hours 2 / 4

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• 5 mg/kg every 12 hours - CORRECT ANSWER -B. 1 mg/kg

every 6 hours

What cooling measure is recommended during an MH crisis?

• Warm saline infusion
• Cold IV fluids and ice packs
• Antipyretic administration
• Skin exposure to room air - CORRECT ANSWER -B. Cold

IV fluids and ice packs

What precaution should be taken when anesthetizing a known MH-susceptible patient?

• Avoid volatile agents and use total IV anesthesia (TIVA).
• Administer prophylactic dantrolene pre-operatively.
• Avoid using non-depolarizing muscle relaxants.
• Administer halothane to test for susceptibility. - CORRECT

ANSWER-A. Avoid volatile agents and use total IV anesthesia

(TIVA).

How long should dantrolene be administered post-MH crisis to prevent recurrence?

• 6 hours
• 12 hours 3 / 4

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• 24-72 hours
• 5 days - CORRECT ANSWER -C. 24-72 hours

What is the role of the Malignant Hyperthermia Association of the United States (MHAUS)?

• Provides dantrolene directly to hospitals.
• Manages MH patient databases and provides education.
• Administers genetic testing for MH.
• Issues MH-free certifications for anesthesia providers. -

CORRECT ANSWER -B. Manages MH patient databases and provides education.

Which demographic is most affected by MH?

• Females over 50 years
• Infants less than 6 months old
• Males younger than 19 years
• Elderly patients over 70 years - CORRECT ANSWER -C.

Males younger than 19 years

What U.S. states have a higher prevalence of MH cases?

• Texas, Florida, and New York
• Wisconsin, Michigan, and West Virginia
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