5 Written Questions

1. A catheter placed in a large vein such as the internal juglar, subclavian, or femoral vein with the tip of the catheter close to the atrium, or in the right atrium of the heart.
2. Refers to a continuum of sedation ranging from light to deep. Anesthesia provider must be prepared to convert to a general anesthesia, if necessary.
3. General, Regional, and Monitored Anesthesia Care (MAC)
4. Anesthesia provider avoids an area where the surgeon is working (usually on procedures around the head, neck, or shoulder girdle). The ASA assigned a minimum base unit value of "5" for procedures requiring field avoidance.
5. A delay in treatment would lead to significant increase in the threat to life or body part.

5 Matching Questions

1. CRNA
2. Controlled hypotension
3. Add-on codes
4. Medical Supervision
5. Qualifying Circumstances

1. a Certified Registered Nurse Anesthetist) - A registered nurse who has completed an accredited nurse anesthesia training program successfully.
2. b A technique used in general anesthesia to reduce blood pressure to control bleeding during surgery.
3. c Occurs when an anesthesiologist is involved in five or more concurrent anesthesia procedures, or fails to meet required medical direction criteria.
4. d Circumstances that significantly affect the character of an anesthesia service. These add-on codes may be reported only with anesthesia codes, and more than one may be reported.
5. e Procedures that commonly are carried out in addition to the primary procedure performed.

5 Multiple Choice Questions

1. Loss of sensation in a region of the body.
   1. Monitored Anesthesia Care
   2. Regional Anesthesia
   3. General Anesthesia
   4. Medical Direction
2. Is based on the physician fee schedule. Payments are made under the Relative Value Unit, rather than by Conversion Factor. Time is not a consideration for payment.
   1. Flat Fee
   2. PAC
   3. Radical
   4. OLV
3. Anatomically, beginning with the head.
   1. Monitored Anesthesia Care
   2. How are anesthesia codes grouped in the CPT Manual?
   3. Extraperitoneal or Retroperitoneal
   4. Anesthesiologist Assistant
4. A unit of measure used to assign a value to services. It is determined by assigning weight to factors such as physician work, practice expense and malpractice expense.
   1. Flat Fee
   2. Relative Value Unit
   3. Resident
   4. Base Unit Value
5. (AKA: Swan Ganz) - Pulmonary Artery Catheter - a flow directed catheter inserted into the pulmonary artery. PACs are used to measure pressures and flows within the cardiovascular system.
   1. PAC
   2. OLV
   3. CRNA
   4. CVP

5 True/False Questions

1. Extraperitoneal or Retroperitoneal → Behind the peritoneum

   True        False

2. Cardiopulmonary Bypass (CPB) → Loss of sensation in a region of the body.

   True        False

3. Intraperitoneal (Upper Abdomen) → Within the peritoneum; organs in the upper abdomen - stomach, liver, gallbladder, spleen, jejunum, ascending and transverse colon.

   True        False

4. Hypothermic Circulatory Arrest → Implies a temperature of 20 degrees centrigrade or less.

   True        False

5. Arterial Line → A catheter inserted into an artery. It is used most commonly to measure real-time blood pressure and to obtain samples for arterial blood gas.

   True        False