Oct 29, 2012 - Medical Quiz    Comments Off

Anaesthesia

Random 20 Questions

Question 1
A patient with bilirubin value of 8mg/dl and serum creatinine of 1.9 mg/dl is planned for surgery. What is the muscle relaxant of choice in this patient
A
Vecuronium
B
Pancuronium
C
Atracurium
D
Rocuronium
Question 2
All of the following statements about neuromuscular blockage produced by succinylcholine are true, Except
A
No fade on Train of four stimulation
B
Fade on tetanic stimulation
C
No post tetanic facilitation
D
Train of four ratio > 0.4
Question 3
A 25 year old overweight female was given fentanyl pancuronium anesthesia for surgery. After surgery and extubation she was observed to have limited movement of the upper body and chest wall in the recovery room. She was conscious and alert but voluntary respiratory effort was limited. Her blood pressure and heart rate were normal. The likely diagnosis is:
A
Incomplete reversal of pancuronium
B
Pulmonary embolism
C
Fentanyl induced chest wall rigidity
D
Respiratory depression
Question 4
A 27 year old female was brought to emergency department for acute abdominal pain following which she was shifted to the operation theatre for Laparotomy. A speedy intubation was performed but after the intubation, breath sounds were observed to be decreased on the left side and a high end tidal C02 was recorded. The likely diagnosis is:
A
Endotracheal tube blockage
B
Bronchospasm
C
Esophageal intubation
D
Endobronchial intubation
Question 5
The volarility of an anesthetic agent os directly proportional to lowering the flow in the portal vein, Portal flow is maximally reduced by:
A
Ether
B
Halothane
C
Isoflurane
D
Enflurane
Question 6
A yount boy has sickle cell trait.Which of the following anaesthesia is contraindicated?
A
IV regional anaesthesia
B
Brachial plexus block by supraclavicular approach
C
Brachia plexus block by infraclavicular approach
D
Brachial plexus block by axillary approach
Question 7
Local anaesthesia causing methemoglobinemia:
A
Procaine
B
Prilocaine
C
Etiodicaine
D
Ropivacaine
Question 8
Which one of the following is the fastest acting inhalational agent?
A
Halothane
B
Isoflurane
C
Ether
D
Sevoflurane
Question 9
All of the following are the disadvantages of anesthetic agents causes a rise in the Intracranial pressure:
A
Induction is show
B
Irritant nature of ether increases salivary and bronchial sectetions
C
Cautery cannot be used
D
Affects blood pressure and is liable to produce arrhythmias
Question 10
Which one of the following anaesthietic agents causes a rice in the Intracranial pressure:
A
Sevoflurane
B
Thiopentone sodium
C
Lignocaine
D
Propofol
Question 11
The following are used for treatment of postoperative nausea and vomiting following squint surgery in children except:
A
ketamine
B
ondsteron
C
propofol
D
dexamethasone
Question 12
The laryngeal mask airway used for securing the airway of a patient in all of following conditions expect:
A
In a difficult intubation
B
In cardiopulmonary resuscitation
C
In a child undergoing an elective/roution eye surgery
D
In a patient with tumour in the oral cavity
Question 13
The most appropriate circuit for ventilating a Spontaneously breathing infant during anaesthesia is:
A
Jackson rees' modification of Ayres'T piece
B
Mapleson A or Magill's circuit
C
Mapleson C or Waters' to and fro canister
D
Bains circuit
Question 14
The following modes of ventilation may be used for weaning off patients from mechanical ventilation except:
A
Controlled Mechanical ventilation (CMV)
B
Synchronized intermittent mandatory ventilation (SIMV)
C
Pressure support ventilation (PSV)
D
Assist-control ventilation (ACV)
Question 15
A Lower Segment Caesarean section (LSCS) can be carried out under all the following techniques of anaesthsia except:
A
General anaesthesia
B
Spinal anaesthesia
C
Caudal anaesthesia
D
Combined spinal Epidural anaesthesia
Question 16
A child with bladder exstrophy and chronic renal failure.The Anesthesia of choice for the child while operating exstrophy is:
A
Atracurium
B
Miacurium
C
Pancuronium
D
Rocuronium
Question 17
Local Anesthetic first used clinically:
A
Procaine
B
Lignocaine
C
Bupivacaine
D
Cocaine
Question 18
55 year old female a known case of thryotoxicosis in control posted for abdomino perineal resection during surgery there was sudden drop in B.P. and end tidal CO[sub]2[/sub] decreased from 40 to 10 mmHg.On auscultation there was a mill wheel murmur,what is the diagnosis:
A
Thyroid storm
B
Bleeding
C
Hypoxia
D
Air embolism
Question 19
Which of the following is not an indication for endotracheal intubation?
A
Maintenance of a patent airway
B
To provide positive pressure ventilation
C
Pulmonary toilet
D
Pneumothorax
Question 20
Which one of the following muscle relaxant has the maximum duration of action?
A
Atracurium
B
Vecuronium
C
Rocuronium
D
Doxacurium
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All Questions

Question 1
A patient with bilirubin value of 8mg/dl and serum creatinine of 1.9 mg/dl is planned for surgery. What is the muscle relaxant of choice in this patient
A
Vecuronium
B
Pancuronium
C
Atracurium
D
Rocuronium
Question 2
All of the following statements about neuromuscular blockage produced by succinylcholine are true, Except
A
No fade on Train of four stimulation
B
Fade on tetanic stimulation
C
No post tetanic facilitation
D
Train of four ratio > 0.4
Question 3
A 25 year old overweight female was given fentanyl pancuronium anesthesia for surgery. After surgery and extubation she was observed to have limited movement of the upper body and chest wall in the recovery room. She was conscious and alert but voluntary respiratory effort was limited. Her blood pressure and heart rate were normal. The likely diagnosis is:
A
Incomplete reversal of pancuronium
B
Pulmonary embolism
C
Fentanyl induced chest wall rigidity
D
Respiratory depression
Question 4
A 27 year old female was brought to emergency department for acute abdominal pain following which she was shifted to the operation theatre for Laparotomy. A speedy intubation was performed but after the intubation, breath sounds were observed to be decreased on the left side and a high end tidal C02 was recorded. The likely diagnosis is:
A
Endotracheal tube blockage
B
Bronchospasm
C
Esophageal intubation
D
Endobronchial intubation
Question 5
The volarility of an anesthetic agent os directly proportional to lowering the flow in the portal vein, Portal flow is maximally reduced by:
A
Ether
B
Halothane
C
Isoflurane
D
Enflurane
Question 6
A yount boy has sickle cell trait.Which of the following anaesthesia is contraindicated?
A
IV regional anaesthesia
B
Brachial plexus block by supraclavicular approach
C
Brachia plexus block by infraclavicular approach
D
Brachial plexus block by axillary approach
Question 7
Local anaesthesia causing methemoglobinemia:
A
Procaine
B
Prilocaine
C
Etiodicaine
D
Ropivacaine
Question 8
Which one of the following is the fastest acting inhalational agent?
A
Halothane
B
Isoflurane
C
Ether
D
Sevoflurane
Question 9
All of the following are the disadvantages of anesthetic agents causes a rise in the Intracranial pressure:
A
Induction is show
B
Irritant nature of ether increases salivary and bronchial sectetions
C
Cautery cannot be used
D
Affects blood pressure and is liable to produce arrhythmias
Question 10
Which one of the following anaesthietic agents causes a rice in the Intracranial pressure:
A
Sevoflurane
B
Thiopentone sodium
C
Lignocaine
D
Propofol
Question 11
The following are used for treatment of postoperative nausea and vomiting following squint surgery in children except:
A
ketamine
B
ondsteron
C
propofol
D
dexamethasone
Question 12
The laryngeal mask airway used for securing the airway of a patient in all of following conditions expect:
A
In a difficult intubation
B
In cardiopulmonary resuscitation
C
In a child undergoing an elective/roution eye surgery
D
In a patient with tumour in the oral cavity
Question 13
The most appropriate circuit for ventilating a Spontaneously breathing infant during anaesthesia is:
A
Jackson rees' modification of Ayres'T piece
B
Mapleson A or Magill's circuit
C
Mapleson C or Waters' to and fro canister
D
Bains circuit
Question 14
The following modes of ventilation may be used for weaning off patients from mechanical ventilation except:
A
Controlled Mechanical ventilation (CMV)
B
Synchronized intermittent mandatory ventilation (SIMV)
C
Pressure support ventilation (PSV)
D
Assist-control ventilation (ACV)
Question 15
A Lower Segment Caesarean section (LSCS) can be carried out under all the following techniques of anaesthsia except:
A
General anaesthesia
B
Spinal anaesthesia
C
Caudal anaesthesia
D
Combined spinal Epidural anaesthesia
Question 16
A child with bladder exstrophy and chronic renal failure.The Anesthesia of choice for the child while operating exstrophy is:
A
Atracurium
B
Miacurium
C
Pancuronium
D
Rocuronium
Question 17
Local Anesthetic first used clinically:
A
Procaine
B
Lignocaine
C
Bupivacaine
D
Cocaine
Question 18
55 year old female a known case of thryotoxicosis in control posted for abdomino perineal resection during surgery there was sudden drop in B.P. and end tidal CO[sub]2[/sub] decreased from 40 to 10 mmHg.On auscultation there was a mill wheel murmur,what is the diagnosis:
A
Thyroid storm
B
Bleeding
C
Hypoxia
D
Air embolism
Question 19
Which of the following is not an indication for endotracheal intubation?
A
Maintenance of a patent airway
B
To provide positive pressure ventilation
C
Pulmonary toilet
D
Pneumothorax
Question 20
Which one of the following muscle relaxant has the maximum duration of action?
A
Atracurium
B
Vecuronium
C
Rocuronium
D
Doxacurium
Question 21
Which of the following is the muscle relaxant of choice in renal failure?
A
Rapacurium
B
Pancuronium
C
Atracurium
D
Rocuronium
Question 22
Which one of the following antibacterials should not be used with d-tubocurarine?
A
Norfloxacin
B
Streptomycin
C
Doxycycline
D
Cefotaxime
Question 23
Which one of the following local anesthetics belongs to the ester group?
A
Procaine
B
Bupivacaine
C
Lignocaine
D
Mepivacaine
Question 24
Which of the following inhalational agents is the induction agent of choice in children
A
Methoxyflurane
B
Sevoflurane
C
Desflurane
D
Isoflurane
Question 25
Which one of the following agents sensitizes the myocardium to catecholamines?
A
Isoflurane
B
Ether
C
Halothane
D
Propofol
Question 26
Which of the following statements is not true about etomidate?
A
It is an intravenous anesthetic
B
It precipitates coronary insufficiency
C
It inhibits cortisol synthesis
D
It causes pain at site of injection
Question 27
Which of the following anesthetic agents does not trigger malignant hyperthermia?
A
Halothane
B
Isoflurane
C
Suxamethonium
D
Thiopentone
Question 28
Which of the following intravenous induction agents is the most suitable for day care surgery?
A
Morphine
B
Ketamine
C
Propofol
D
Diazepam
Question 29
Which of the following agents is used for the treatment of postoperative shivering?
A
Thiopentone
B
Suxamethonium
C
Atropine
D
Pethidine
Question 30
Which of the following agents is not used to provide induced hypotension during surgery?
A
Sodium nitroprusside
B
Hydralazine
C
Mephentermine
D
Esmolol
Question 31
A two-month-old infant has undergone a major surgical procedure. Regarding postoperative pain relief which one of the following is recommended:
A
No medication is needed as infant does not feel pain after surgery due to immaturity of nervous system
B
Only paracetamol suppository is adequate
C
Spinal narcotics via intrathecal route
D
Intravenous narcotic infusion is lower dosage
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Atul Tiwari (21 Posts)

Medical Officer, Pratapgarh (Raj)


  

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