Tuesday, March 17, 2009

34 - AIIMS november 2004 anaesthesia mcqs


1q: a 52 year old male diagnosed as triple vessel coronary artery disease with poor left ventricular function. Coronary artery bypass grafting surgery was decided. During maintenance of anaesthesia which one of the following agents should be preferred ?

a. IV opioids
b. Isoflurane
c. Halothane
d. Nitrous oxide


2q: which of the following produces the least drainage to blood elements ?

a. disc oxygenator
b. membrane oxygenator
c. bubble oxygenator
d. screen oxygenator


3q: trendelenburg position produces decrease in all of the following except ?

a. vital capacity
b. functional residual capacity
c. compliance
d. respiratory rate


4q: which one of the following statements regarding desflurane is correct ?

a. it causes severe myocardial depression
b. it is a structural analogue of isoflurane
c. it has very high blood and tissue-gas partition coefficients
d. it is metabolically unstable


5q: all of the following drugs are eliminated by kidney except ?

a. pancuronium bromide
b. atracurium besylate
c. vecuronium bromide
d. pipecuronium


6q: which of the following does not represent a significant anaesthetic problem in the morbidly obese patient ?

a. difficulties in endotracheal intubation
b. suboptimal arterial oxygen tension
c. increased metabolism of volatile agents
d. decreased cardiac output relative to total body mass


7q: all of the following statements are incorrect about the treatment of prolonged suxamethonium apnoea due to plasma cholinesterase deficiency ( after a single dose of suxamethonium ) except ?

a. reversal with incremental doses of neostigmine
b. continue anaesthesia and mechanical ventilation till recovery
c. transfusion of fresh frozen plasma
d. plasmapheresis


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