Showing posts with label aiims november 2002 anaesthesia mcqs. Show all posts
Showing posts with label aiims november 2002 anaesthesia mcqs. Show all posts

Tuesday, March 17, 2009

30 - AIIMS november 2002 anaesthesia mcqs


1q: rapid induction of anaesthesia occurs with which of the following inhalational anaesthetics ?

a. isoflurane
b. halothane
c. desflurane
d. sevoflurane


2q: a 5 year old child is scheduled for strabismus ( squint ) correction . induction of anaesthesia is uneventful. After conjunctival incision as the surgeon grasps the medial rectus the anaesthesiologist looks at the cardiac monitor. Why do u think he did that ?

a. he wanted to check the depth of anaesthesia
b. he wanted to be sure that the BP did not fall
c. he wanted to see if there was an oculocardiac reflex
d. he wanted to make sure there was no ventricular arrythmias which normally accompany incision


3q: which muscle relaxant increases intracranial pressure ?

a. mivacurium
b. atracurium
c. suxamethonium
d. vecuronium


4q: which of the following inhaled gases is used to decrease pulmonary artery pressure in adults and infants ?

a. nitrous oxide
b. nitrogen dioxide
c. nitric oxide
d. nitrogen


5q: the use of succinyl choline is not contraindicated in ?

a. tetanus
b. closed head injury
c. cerebral stroke
d. hepatic failure


6q: a 6 year old boy is scheduled for examination of the eye under anaesthesia . the father informed that for the past six months , the child is developing progressive weakness of both legs. His elder sibling had died at age of 14 years. Which drug would you definitely avoid during the anaesthetic management ?

a. succinyl choline
b. thiopentone
c. nitrous oxide
d. vecuronium


7q: which of the following statement is not correct for vancuronium ?

a. it has high incidence of cardiovascular side effects
b. it has short duration of neuromuscular block
c. in usual doses the dose adjustment is not required in kidney disease
d. it has high lipophilic property


8q: the topical use of which of the following local anaesthetics is not recommended ?

a. lignocaine
b. bupivacaine
c. cocaine
d. dibucaine


9q: during surgery for aortic arch aneurysm under deep hypothermic circulatory arrest which of the following anaesthetic agent administered prior to circulatory arrest that also provides cerebral protection ?

a. etomidate
b. thiopental sodium
c. propofal
d. ketamine


10q: in volume cycled ventilation the inspiratory flow rate is set at ?

a. 140-160 L/min
b. 110-130 L/min
c. 60-100 L/min
d. 30-50 L/min


Saturday, March 14, 2009

9 - inhalational anaesthetics mcqs - part 1


Q: rapid induction of anaesthesia occurs with which of the following anaesthetic agents ?

a. isoflurane
b. halothane
c. desflurane
d. sevoflurane

explanation : rapid induction of anaesthsia is seen with both desflurane and sevoflurane but desflurane is the answer as it causes more rapid induction of anaesthsia than sevoflurane .

--- the speed of induction by inhalational anaesthetics in descending order is :

1. nitrous oxide
2. desflurane
3. sevoflurane
4. isoflurane
5. halothane

--- an important point to be noted here is that “ the rate of induction of anaesthesia by inhalational anaesthetics is inversely proportional to its blood gas partition coefficient" , that is the agents with low blood gas partition coefficient like nitrous oxide will have faster rate of induction .

-- this question was asked in the AIIMS November 2002 question paper .

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