Mcq Subject: Anaesthesia

Levo–bupivacaine is administered by which of the following route –

A. Nasogastric

B. Epidural

C. Intravenous

D. Intra-theccal

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Mechanism of action of theophylline in Bronchial asthma include all of the following Except ?

A. Phosphodiesterase inhibition

B. Adenosine receptor antagonism

C. Increased histone deacetylation

D. Beta-2 receptor stimulation

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Mallampati score is used in:

A. Thoracoabdominal angular curvature during respiration

B. Flexion and extension of neck during intubation

C. Free rotation

D. To assess difficulty in intubation in oral cavity

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Which muscle relaxant increases intracranial pressure ?

A. Mivacurium

B. Atracurium

C. Suxamethonium

D. Vecuronium

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Which of the following inhalational agent is contraindicated in renal disease –

A. Desflurane

B. Isoflurane

C. Methoxyflurane

D. Halothane

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Which of the following has minimum MAC ?

A. Methoxyflurane

B. N2O

C. Halothane

D. Desflurane

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A 25 year old G2P, at 39 weeks gestation is electing to have spinal anaesthesia for a repeat cesarean section. 5 minutes after bupivacaine spinal injection, the patient becomes hypotensive and is complaining of tingling in her fingers with subjective difficulty breathing. Her oxygen saturation remains 100% and blood pressure in 90/60 mmHg The most likely etiology is.

A. Severe patient anxiety

B. Increased peripheral nerve sensitization to local anaesthetics

C. Decrease in volume of CSF in subarachnoid space facilitated higher spread of local anaesthetics

D. Engorgement of epidural veins contributed to inadvertent intravascular injection of local anaesthetic

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Impoance of CVP measurements is :

A. Need for blood transfusion

B. Assess amount of fluid to be given

C. Need for inotropic suppo

D. All

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True about d-TC is all except:

A. Excreted unchaged by kidney

B. Causes hypotension by ganglion blocking action

C. Vagolytic action

D. Effects lasts for 2-3 hours.

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Epidural anaesthesia can cause all of the following, EXCEPT:

A. Hypotension

B. Nausea

C. Bladder distension

D. Hyperpnoea

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