Mcq Subject: Anaesthesia

During maintenance of a general inhaled anaesthetic for urgent non-obstetric surgery, one would expect this difference in the pregnant patient versus a non-pregnant patient

A. Minimal change in depth of anaesthesia

B. Slower emergence from anaesthesia

C. Faster induction of anaesthesia

D. There is no difference

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Which of the following agent is associated with maximum histamine release?

A. d-Tubocurarine

B. Cisatracurium

C. Pancronium

D. Rocuronium

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Cardio protective effect of Thiopentone is effective in all of the following clinical scenario except:-

A. Neurosurgery

B. Cardiac surgery

C. Comatose survival of cardiac arrest

D. None of the above

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This type of flow time graph is seen in which type of ventilator mode?

A. VCV

B. PCV

C. PSV

D. CPAP

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Which of the following is false with regards to propofol

A. i.v agent of choice for daycare surgery

B. Rapid metabolism

C. Longer half life

D. Contains egg lecithin and glycerol

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During surgery for aortic arch aneurysm under deep hypothermic circulatory arrest, which of the following anesthetic agent administered prior to circulatory arrest that also provides cerebral protection ?

A. Etomidate

B. Thiopental sodium

C. Propofol

D. Ketamine

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A 61-year-old alcoholic man presents with severe epigastric pain radiating to his back. His amylase and lipase are elevated, and he is diagnosed with acute pancreatitis. Over the first 48 hours, he is determined to have 6 Ranson’s criteria, including a PaO2 less than 60 mm Hg. His chest x-ray reveals bilateral pulmonary infiltrates, and his wedge pressure is low. Which of the following criteria must be met to make a diagnosis of adult respiratory distress syndrome (ARDS)?

A. Hypoxemia defined as a PaO2 /FiO2 ratio of less than 200

B. Hypoxemia defined as a PaO2 of less than 60 mm Hg

C. A pulmonary capillary wedge pressure greater than 18 mm Hg

D. Lack of improvement in oxygenation with administration of a test dose of furosemide

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In sepsis, management of fluid involves administration of?

A. Colloids

B. Crystalloids

C. Hydroxyethyl starch

D. None

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A 65-year-old man has an enterocutaneous fistula originating in the jejunum secondary to inflammatory bowel disease. Which of the following would be the most appropriate fluid for replacement of his enteric losses?

A. 3% normal saline

B. Ringer lactate solution

C. 0.9% sodium chloride

D. 6% sodium bicarbonate solution

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A 40-year female has to undergo incisional hernia surgery under general anesthesia. She complains of awareness during her past cesarean section. Which of the following monitoring techniques can be used to prevent such awareness?

A. Color doppler

B. Bispectral index monitoring

C. Transesophageal echocardiography

D. Pulse plethysmography

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