ANAESTHESIOLOGY END OF POSTING ASSESSMENT GROUP

3 YEAR 2004/2005
1. No respond
2. No respond
3. In ICU
A. Common site for CVP is femoral vein (IJV) F
B. CVP cannula cause nasocomial infection
T
C. LMW heparin used in DVT prophylaxis
T
D. Baseline blood culture on admission help in empirical antibiotic therapy F
E. Pneumomediastinum is the complication of ventilation
T
4. No respond
5. Regarding monitoring in GA patient
A. ECG for ischaemic changes T
B. SpO2 for ventilation
F (OYGENATION)
C. Intraarterial blood pressure monitoring is done for a short procedure F
D. Oesophageal temperature probe give a false core body temperature F(true)
E. Pulmonary artery catheterization placed for poor cardiac reserve to monitor
ventricular function
T
6. Anaes preparation of patient in the OT
A. Anaes machine check list
T
B. Anaes drugs check list
T
C. Removal of hearing aid
F
D. Verification of consent form and premedication checklist
E. Clinical re-examination is not necessary
F
7. In
A.
B.
C.
D.
E.

the OT
O2 cylinder can be identified by color-coding and pin-index system
T
Hypothermia produces metabolic alkalosis
F
Bradycardia is more serious than tachycardia in paediatric
T
Preoxygenation is given for 3 minutes
T
Intubation in patient with cervical spine fracture is done by fiber optic
intubation
T

8. Sensory innervation for larynx

A. Glossopharyngeal
F
B. Internal Sup larynx T
C. External Sup larynx F
D. Trigeminal nerve
F
E. Recurrent laryngeal T

9. Regarding IV induction agents

A. Thiopentone causes hypotension in normal patients T
B. Propofol causes drop 20% of cardiac output
F
C. Ketamine causes delirium
T
D. Morphine can induce bronchospasm
T
E. Ethomidate use for cardiac patients going for non-cardiac surgery T
10. No respond
11. No respond
12. Post-op pain management
A. Pruritus is a complication
B. Intercostals block is for flail chest
C. Rectal administration is for moderate pain
D. Epidural for post-op hip replacement
E. Persistent motor blockade after epidural catheterization is due to haematoma
13. Blood transfusion
A. Normal patient : <8 gm% need to be transfused
T
B. CMV is common risk
T
C. DIVC transfused platelet, FFP and cryoprecipitate T
D. Blood transfuse is 1:5 of blood loss
F (1:1)
E. O positive can be transfused to B positive patient T
14. In resuscitation
A. VF is treated with amiodarone alone
B. Ratio breathing with cardiac massage is 1:5 if 2 people are involved
C. In VF cardiac massage is done first
D. Asystole is treated with vasopressin
E. Ventricular ectopic can be treated with lidocaine
15. Complications of spinal anaesthesia
A. Bradycardia T
B. Meningitis
T
C. Hypertension F
D. Headache
T
E. Epidural haematoma T
16. Regarding management of unconscious patient
A. Serial GCS <8 demand intubation T
B. Should be nursed supine if they are breathing spontaneously(head up35-45 F
C. Monitored for sign of increase ICP T
D. Neck collar is required till cervical fracture is ruled out
T
E. They need to be paralyzed always when ventilated
F

17. Transport of critically ill patient

A. Need close monitoring of vital signs during transportation only
B. Stabilization of vital signs is important after transport only
C. Ventilator setting is to be noted before shifting and ventilated accordingly
D. Patient on high ventilator setting and haemodynamic may be transported if
urgent
E. Involves risk of accidental extubation and hypoxia
18. No respond
19. Regarding anaesthesia for bronchial asthma
A. Rapid sequences intubation is done in all cases
F
B. Epidural anaesthesia is a routine technique
F
C. They desaturate very fast due to reduce residual volume
D. Hypotension is a complication
E. Aspiration prophylaxis is given in all cases
(Ranithidine anti H2- inc H1- precipitate asthma)

F
T
F

20. Regarding sepsis

A. Patient may or may not have fever
T
B. Metabolic acidosis < common
F
C. Reduce SVR
T
D. Pro inflammatory mediators capillary thrombosis and vasodilatation
E. Noradrenaline and aggressive fluid therapy is choice of management

T
T