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Quiz on Capnography

 

Prepared by Dr. Bhavani Shankar Kodali, MD
Associate Professor, Department of Anesthesia
Briglam & Women's Hospital, Harvard Medical School
Boston MA

(Posted 19th September, 2007)

   
Question 1. During craniotomy, the end-tidal CO2 decreases from 33 mm Hg to 20 mm Hg. The possible causes are:
Hypotension
Air Embolism
Both of the above
None of the above
Question 2. Elevated base line of capnogram (phase 0) suggests:
Re-breathing of carbon dioxide
Contamination of capnograph
Inspiratory valve malfunction
All of the above
Question 3. During laparoscopy, possible occurrence of carbon dioxide embolism:
Sudden increase in end-tidal CO2 followed by a decrease
Dual capnogram
Elevated base line of capnogram
Prolongation of phase 2 (upstroke) of capnogram
Question 4. Malignant hyperpyrexia is suggested by:
Increasing end-tidal carbon dioxide
Prolongation of phase 2
Sloping phase 3 of capnogram
All of the above
Question 5. The signature capnogram is a hallmark of:
Closed circuit anesthesia
Mapelson D circuit
Non rebreathing circuit
None of the above
Question 6. End-tidal carbon dioxide and cardiac output are:
Directly related
Inversely related
Not related
Both directly and inversely related
Question 7. For given minute ventilation, the end-tidal CO2 is a function of:
Carbon dioxide production
Cardiac output
Alveolar dead space
All of the above
Question 8.  During pneumothroax, the end-tidal CO2 may: 
Increases
Decreases
No change
All of the above
Question 9. The arterial to end tidal CO2 difference is decreased in all circumstances except:
Infants
Pregnancy
High tidal volume low frequency ventilation
Hypotension
Question 10. In healthy subjects undergoing anesthesia with LMA, the arterial to end-tidal CO2 difference is _____ as compared to anesthesia with endotracheal tube :
Increased
Decreased
Not changed
Variable
References & Bibliography

The author maintains website http://www.capnography.com The answers to above questions are well referenced under sections physiology, FAQ, LMA and anesthesia circuits.