Mcq Subject: Anaesthesia

The most common side effect of neuraxial opioid is:

A. Nausea & vomiting

B. Pruritus

C. Urinary retention

D. Sedation

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Hepatitis can be a complication of ……

A. Halothane

B. Enflurane

C. Methoxyflurane

D. Enflurane

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A 74-year-old man has a 5-hour elective operation for repair of an abdominal aoic aneurysm. He had a small myocardial infarction 3 years earlier. In the ICU on the first postoperative day, he is hypotensive and is receiving dobutamine by continuous infusion.select the best method of physiologic monitoring necessary for the patient.

A. Central venous catheterization

B. Pulmonary aery catheterization

C. Blood-gas monitoring

D. Intracranial pressure monitoring

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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 ?

A. Pseudocholinesterase deficiency increasing action of syccinylcholine

B. Phase 2 blockade produced by succinylcholine

C. Undiagnosed muscular dystrophy and muscular weakness

D. Muscular weakness due to fasciculation produced by succinylcholine

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Local anaesthetics act by-

A. Na channel inhibition inside gate

B. Na channel inhibition outside gate

C. K channel inhibition inside gate

D. K channel inhibition outside gate

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A 29-year-old woman on oral contraceptives presents with abdominal pain. A computed tomography (CT) scan of the abdomen demonstrates a large hematoma of the right liver with the suggestion of an underlying liver lesion. Her hemoglobin is 6, and she is transfused 2 units of packed red blood cells and 2 units of fresh frozen plasma. Two hours after staing the transfusion, she develops respiratory distress and requires intubation. She is not volume overloaded clinically, but her chest x-ray shows bilateral pulmonary infiltrates. Which of the following is the management strategy of choice?

A. Continue the transfusion and administer an antihistamine

B. Stop the transfusion and administer a diuretic

C. Stop the transfusion, perform bronchoscopy, and sta broad-spectrum empiric antibiotics

D. Stop the transfusion and continue suppoive respiratory care

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False statement about post-dural puncture headache (PDPH):

A. Breach of dura

B. Onset of headache is usually 12-72 hours following procedure

C. Commonly occipito - frontal in location

D. Headache is relieved in sitting standing position

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Depolarizing muscle relaxant –

A. Scoline

B. Ketamine

C. Halothane

D. Atracurium

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Index of potency of general anesthesia

A. Minimum alveolar concentration

B. Diffusion coefficient

C. Dead space concentration

D. Alveolar blood concentration

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Mendelsons syndrome is:

A. Aspiration of gastric contents

B. Aspiration of nasal mucous

C. Hypersensitivity to inhalational anesthetics

D. Faulty intubation syndrome

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