Mcq Subject: Anaesthesia

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

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An elderly male on ventilator has received atracurium infusion for 3 days. He now develops epileptic fits. Probable cause for his epilepsy is:

A. Allergy to drug

B. Accumulation of Atracurium

C. Accumulation of Laudanosine

D. Ventilator failure

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A 24-year-old man presents in septic shock from an empyema. He is febrile to 103degF, tachycardic in the 120s, and hypotensive to the 90s. His oxygen saturation is 98% on 2-L oxygen. His white blood cell count is 25,000/mL and creatinine is 0.8 mg/dL. His blood pressure does not respond to fluid administration despite a CVP of 15. Which of the following therapies is indicated in managing this patient?

A. Intubation

B. Recombinant human activated protein C

C. Epinephrine

D. Norepinephrine

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5 year old child going to sitting craniotomy while positioning in O.T. developed end tidal CO2 0mm HgPO2 80 mm Hg implies –

A. Endotracheal tube in oesophagus

B. E.T. blocked with secretion

C. Venous air Embolism

D. Left lung collapse

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First clinically used local anaesthetic drug is?

A. Procaine

B. Prilocaine

C. Cocaine

D. Lidocaine

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Heart is not sensitized by –

A. Halothane

B. Chloroform

C. Diethyl–ether

D. None

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Laryngeal mask is contraindicated in all Except

A. Oral tumor

B. Ocular surgeries

C. Massive maxillofacial injury

D. High risk of aspiration

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Which of the following statements about pediatric airway is true?

A. More caudal position of Larynx as compared to adult

B. More acute angulation of epiglottis

C. Glottic opening is narrowest part of airway

D. Longer trachea as compared to adults

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Which of the following doesn’t belong to ester group of local anaesthetics:

A. Chlorprocaine

B. Tetracaine

C. Benzocaine

D. Dibucaine

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Relationship between myasthenia gravis and effect of neuromuscular blocker, all true except:-

A. Patients with myasthenia gravis are resistant to succinylcholine

B. They are more sensitive to non-depolarizing neuromuscular blockers

C. If a neuromuscular blocker is used in myasthenic patient, they should be electricity ventilated till recovery

D. Neuromuscular blockers should be avoided in these patient and if used thrice the dose of reversal agent should be given to reverse it

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