1q: following spinal subarachnoid block a patient develops hypotension . this can be managed by all of the following means except ?
a. lowering the head end
b. administration of 1 liter of ringer lactate before the block
c. vasopressor drug like methoxamine
d. use of ionotrope like dopamine
2q: which of the following is the shortest acting intravenous analgesic ?
a. remifentanyl
b. fentanyl
c. alfentanyl
d. sufentanyl
3q: the following combination of agents are the most preferred for short day care surgeries ?
a. propofol, fentanyl, isoflurane
b. thiopentone sodium, morphine, halothane
c. ketamine, pethidine, halothane
d. propofol, morphine, halothane
4q: during laryngoscopy and endo-tracheal intubation which of the following maneuver is not performed ?
a. flexion of the neck
b. extension of the head at the atlanto-occipital joint
c. the laryngoscope is lifted upwards levering over the upper incisors
d. in a straight blade laryngoscope, the epiglottis is lifted by the tip
5q: the administration of succinyl choline to a paraplegic patient led to the appearance of dysarrythmias , conduction abnormalities and finally cardiac arrest. The most likely cause is ?
a. hypercalcemia
b. hyperkalemia
c. anaphylaxis
d. hypermagnesemia
6q: in a young patient who had extensive soft tissue and muscle injury, which of these muscle relaxants used for endotracheal intubation might lead to cardiac arrest ?
a. atracurium
b. suxamethonium
c. vecuronium
d. pancuronium
7q: a patient was administered epidural anaesthesia with 15 ml of 1.5 % lignocaine with adrenaline for hernia surgery. He developed hypotension and respiratory depression within 3 minutes after administration of the block. The commonest cause would be ?
a. allergy to drug administered
b. systemic toxicity to drug administered
c. patient got vasovagal shock
d. drug has entered the subarachnoid space
8q: pin index system is a safety feature adopted in anaesthesia machines to prevent ?
a. incorrect attachment of anaesthesia machines
b. incorrect attachment of anaesthesia face masks
c. incorrect inhalation agent delivery
d. incorrect gas cylinder attachment
9q: the pin index code of nitrous oxide is ?
a. 2,5
b. 1,5
c. 3,5
d. 2,6
10q: the ideal muscle relaxant used for a neonate undergoing porto-enterostomy for biliary atresia is ?
a. atracurium
b. vecuronium
c. pancuronium
d. rocuronium
11q: in a 2 months old infant undergoing surgery for biliary atresia , you would avoid one of the following anaesthetic ?
a. thiopentone
b. halothane
c. propofol
d. sevoflurane
12q: all of the following factors decrease the minimum alveolar concentration ( MAC ) of an inhalational anaesthetic agent except ?
a. hypothermia
b. hyponatremia
c. hypocalcemia
d. anemia
13q: visual analogue scale ( VAS ) most widely used to measure ?
a. sleep
b. sedation
c. pain intensity
d. depth of anaesthesia
14q: the narrowest part of larynx in infants is at the cricoid level . in administering anaesthesia this may lead to all except ?
a. choosing a smaller size endotracheal tube
b. trauma to subglottic region
c. post operative stridor
d. laryngeal oedema
15q: regarding neonatal circumcision , which one of the following is true ?
a. it should be done without anaesthesia , as it is hazardous to give anaesthesia
b. it should be done without anaesthesia, as neonates do not perceive pain as adults
c. it should be done under local anaesthesia only
d. general anaesthesia should be given to neonate for circumcision as they also feel pain as adults .
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