MCQ Posting Anaesthesiology Group 1 (2004/2005)

1)

Regarding shock
A) Septic shock usually die due to lactic acidosis
B) Treatment of cardiogenic shock include correction of arryhtmia
C) Capillary leak&vasodilator are hallmark of hypovolomic shock
D) Intra gastric pH is monitor to ascess severity of poor perfusion
E) Interleukin 1 is secreted in hypovolomic shock with 40% blood
(lupa)
T

2)

Sensory innervation for larynx

A) Glossopharyngeal
B) Internal Sup larynx
C) External Sup larynx
D) Trigeminal nerve
E) Recurrent laryngeal

3)

Regarding induction agent

A) Thiopentone cause release of histamine & vasodilation T
B) Propofor cause decrease of Cardiac output
T
C) Ketamine used in bronchial asthma patient
T
D) Etomidate given in patient with poor cardiac reserve
T
E) Fentanyl given post operation for post operation pain via IM route (IV) F

4)

Transport of critically ill patient

A) Need close monitoring of vital signs during transportation only
F
B) Stabilization of vital signs is important after transport only
F
C) Ventilator setting is to be noted shifting and ventilated accordingly
T
D) Patient on high ventilator setting and haemodynamic may be transported if
urgent
T
E) Involves risk of accidental extubation and hypoxia
T

5)

Bupivacaine
A) Is a local anaesthesia which can given for Biers block
F (prilocaine, licgo)
B) Belongs to ester group of local anaesthesia
F
C) Less neurotoxic then lignocaine
F (= BUT >cardiotoxic)
D) Duration action shorter than lignocaine
F
E) Produce less motor block compare to levobupivacane
F

6)

Regarding Ketamine
A) Increase heart rate by facilitation of Ca+ influx
B) Is contraindicated in patient with head injury
C) Is indicated in patient with controlled hypertension
D) Cause unpleasant dream to children
E) Is used in ICU for analgesia for dressing surgical wound

7)

F
T
F
T
loss &..

F
T
F
F
T

Spinal Anaesthesiology
A) Used for gangrene diabetic foot above knee amputation
B) Commonly use for caeserian section
C) Hypotension is a known complication
D) Post punctual headache usually need to be treated
E) ?? xde..

F
T (inc ICP)
F
T
F
F
T
T
F

8)

Regarding inotropes
A) Dopamine increase mysentric blood flow in low dose
T
B) Adrenaline causes alpha,beta 1 & beta 2 stimulation
T
C) Noradrenaline in used in septic shock
T
D) Adrenaline is use 1st line treatment of hypovolemic shock
F
E) Dobutamine decrease systemic vascular resistance in doses above
10mic/KG/H
T

9)

Suxemthonium
A) indicate in all patient suspect full stomach
B) ?????
C) It hyperpolarize the transmembrane potential at NMJ
D) It act by increase influx of Na+ & K+
E) Can be given to??

10)

Regarding shock
A) Anaerobic metabolism result in hypoperfusion
B) Severe blood loss lead to cardiogenic shock
C) Adrenaline is first line inotrophic in cardiogenic shock
D) Serum lactate is used as marker
E) Metabolic alkalosis is common in ABG findings

F
F
F

F
F
F
T
F

11)

Post-op pain management

A) Pruritus is a complication
T
B) Intercostals block is for flail chest
T
C) Rectal administration is for moderate pain
T
D) Epidural for post-op hip replacement
T
E) Persistent motor blockade after epidural catheterization due to haematomaT

12)

Autonomic nerve system

A) All pregenglionic sympathetic fibers myelinated T
B) Ach receptor have 5 units
T
C) Alpha 2 agonist treatment lead to bradycardia& hypotension
T
D) Choline-o-acethyl transferase involved in brake down of acethylcholineF
E) Noradrenaline is not metabolized by COMTF

13)

Regarding intensive care management

A) Early enteral feeding prevent nasocromial infection
T
B) Hypoglycaemia is a known complication of TPN
T
C) Pulmonary artery catheter is used to study left ventricular end diastolic
function
T
D) Vibration is mode of physiotheraphy
T
E) CPAP is a mode of hearing from ventilator
F

14)

Regarding ICU
A) Universal precaution must be taken care
T
B) Continuous enteral feeding more better than bolus intermittent feedingT
C) ??
D) Oxygen index used to titrate oxygen level given to patient
T
E) Bronchosuction through the tracheobroncho tube caused pneumothoraxT

15)

Mechanical Ventilator
A) pH low,PaCO2 high
B) Pulmonary edema is a complication
C) Nasocromial infection can occurs within 24-48 Hours
D) Early tracheostomy for tetanus
E) Hypotension is complication of low PEEP

F
F
F (48-72H)
T
F

16)

Respiratory failure
A) Occur due to electrolyte imbalance
F
B) Seen in acute cardiac decompesation
T
C) Seen in severe cervical spine injury with f racture C1 vertebra T
D) Decrease PaCO2 decrease PaO2 seen in type II resp failure
F
E) Leads to anaerobic metabolic & respiratory acidosis
T

17)

?? xde..

18)

Regarding General Anaesthesia

A) hypotension after induction is due to muscle relexant
F
B) 5 lead ECG help in patient monitor heart rate & rhtym F
C) Trace of 4 peripheral nerve stimulation help in minotoring the type of
Neuromascular block
T
D) Neuromascular blockade with trachrium cause smooth muscle paralysis
F
(Skeletal mu)
E) ETCO2 monitoring ventilation to ascess patient oxygenation.F (ventilation)

19)

depolarizing muscle relaxtion

A) Suxemethonium onset of action within 60 second
B) Suxemethonium remain at nicotinic receptor
C) Lupa
D) Lupa lagi.
E) Arghh..betul betul lupa laa..sorry!!!

20)

T
F

Regarding endotracheal tube

A) Spiral tube can be used in prone position
T
B) Cuff reduced the tube diameter
F
C) Murphys eye not always necessary in pediatric F
D) Preformed tube inhibit kinking
F (REINFORCED TUBE)
E) High volume and low pressure cuff,increased trauma to trachea F

(LOW V, HIGH P)