Mcq Subject: Anaesthesia

A 65-year-old man who had a 25-lb weight loss over the previous 6 months is diagnosed with adenocarcinoma of the distal esophagus. He undergoes a transhiatal esophagectomy complicated by a cervical leak. He is receiving enteral feeds through a jejunostomy tube. After a week, his physicians wish to assess his nutritional resuscitation. Which of the following is the most accurate measure of adequacy of his nutritional suppo?

A. Urinary nitrogen excretion level

B. . Total serum protein level

C. Serum albumin level

D. Serum transferrin level

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Agent causing malignant hypehermia

A. Succinyl choline

B. Dantrolene

C. Gallamine

D. Ketamine

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Tubocurare affects which muscle first?

A. Head and neck

B. Limbs

C. Respiratory muscles

D. Abdominal muscles

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Saddle block can be used for all the following condition except-

A. Dilatation and curettage

B. Haemorrhoids

C. Rectal prolapse

D. Cesarean section

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At the end of anaesthesia after discontinuation of nitrous oxide and removal of endotracheal tube, 100% oxygen is administered to the patient to prevent –

A. Diffusion Hypoxia

B. Second gas effect

C. Hyperoxia

D. Bronchospasm

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In magil circuit airflow is –

A. 1/2 of minute volume

B. equal to M.V.

C. 2 x m.v.

D. 3 x m.v.

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An intravenous anaesthetic agent that is associated with hemodynamic stability, maintenance of CVP with post operative nausea, vomiting and myoclonus –

A. Ketamine

B. Etomidate

C. Propofol

D. Opioids

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A 4-year-old child was intubated while posted for craniotomy. Suddenly anesthetic machine staed showing bellowing. Next management is:

A. Sta manual ventilation

B. Do nothing

C. Larger size of endotracheal tube

D. Increase flow rate

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Epidural anaesthesia is initiated in Primigravida at 38 weeks gestation, with a bolus of 15mg of Bupivacaine. Within few minutes, fetal heart rate monitoring shows variable decelerations. If scalp pH reveals fetal acidosis, compared with a normal pH, the anaesthetic absorbed by fetus will be present in

A. Lower concentration, most in ionized form

B. Higher concentration, most in ionized form

C. Higher concentration, most in unionized form

D. Unchanged concentration, equal fraction of ionized and nonionized

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Which one of the following is the fastest acting inhalational agent ?

A. Halothane

B. Isoflurane

C. Ether

D. Sevoflurane

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