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1644 Anaesthesia

A 70 kg old athlete was posted for surgery, Patient was administered succinylcholine due to unavailability of vecuronium. It was administered in intermittent dosing (total 640 mg). During recovery patient was not able to respire spontaneously & move limbs. What is the explanation –

APseudocholinesterase deficiency increasing action of syccinylcholine
BPhase 2 blockade produced by succinylcholine (Correct Answer)
CUndiagnosed muscular dystrophy and muscular weakness
DMuscular weakness due to fasciculation produced by succinylcholine
1647 Anaesthesia

A 62-year-old woman undergoes a pancreaticoduodenectomy for a pancreatic head cancer. A jejunostomy is placed to facilitate nutritional repletion as she is expected to have a prolonged recovery. What is the best method for delivering postoperative nutrition?

AInstitution of enteral feeding the jejunostomy tube after return of bowel function as evidenced by passage of flatus or a bowel movemen
BInstitution of enteral feeding the jejunostomy tube within 24 hours postoperatively (Correct Answer)
CInstitution of supplemental enteral feeding the jejunostomy tube only if oral intake is inadequate after return of bowel function
DInstitution of a combination of immediate trophic (15 mL/h) enteral feeds the jejunostomy tube and parenteral nutrition to provide total nutritional suppo