Mcq Subject: Anaesthesia

Which intravenous anesthetic agent has local anaesthetic the propeies-

A. Ketamine

B. Propofol

C. Thiopentone

D. Etomidate

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A 68-year-old hypeensive man undergoes successful repair of a ruptured abdominal aoic aneurysm. He receives 9 L Ringer lactate solution and 4 units of whole blood during the operation. Two hours after transfer to the surgical intensive care unit, the following hemodynamic parameters are obtained: systemic blood pressure (BP) 90/60 mm Hg, pulse 110 beats per minute, central venous pressure (CVP) 7 mm Hg, pulmonary aery pressure 28/10 mm Hg, pulmonary capillary wedge pressure (PCWP) 8 mm Hg, cardiac output 1.9 L/min, systemic vascular resistance 1400 (dyne*s)/cm5 (normal is 900-1300), PaO2 140 mm Hg (FiO2 : 0.45), urine output 15 mL/h (specific gravity: 1.029), and hematocrit 35%. Given this data, which of the following is the most appropriate next step in management?

A. Administration of a diuretic to increase urine output

B. Administration of a vasopressor agent to increase systemic blood pressure

C. Administration of a fluid challenge to increase urine output

D. Administration of a vasodilating agent to decrease elevated systemic vascular resistance

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Which of the following is a controlled delivery device which is used to deliver a fixed concentration of oxygen?

A. Venturi mask

B. Nasal cannula

C. Nasal mask

D. Non breathing mask

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Thiopentone is not used in

A. Induction of anesthesia

B. Medically induced coma

C. As truth serum

D. As antidepressant

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Which of the following is most sensitive to the inhibition by local anesthetics –

A. B fibre

B. Dorsal root

C. As

D. Aa

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True about N2O cylinder – a) Pressure is 2200 PSI b) Blue in colourc) Gas in liquid formd) Pin index 3.5e) It is flammable

A. abc

B. bcd

C. ac

D. bd

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A patient is on regular medication for medical illness. Which of the following drugs can be safely stopped with least adverse effects before an abdominal surgery

A. Stains

B. Steroids

C. Beta blockers

D. ARB

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Calcium channel blockers in anesthesia, True is :

A. Needs to be decreased as they augment hypotension & muscle relaxation

B. Withheld because they lower LES pressure

C. Should be given in normal doses as they prevent MI & angina

D. All of the above

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Risk factors associated with post-operative nausea and vomiting following strabismus surgery’ are all except-

A. Age < 3years

B. Duration of anesthesia >30 mins

C. Personal or family history of post - op nausea and vomiting

D. Personal or fami ly history of motion sickness

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Contraindications to epidural analgesia include the following EXCEPT –

A. Raised intracranial pressure

B. Coagulopathy

C. Infection over the back

D. Hypertension

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