Showing posts with label atracurium mcqs. Show all posts
Showing posts with label atracurium mcqs. Show all posts

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


33 - AIIMS may 2004 anaesthesia mcqs


1q: the neuromuscular blocking action of curare is brought about by ?

a. blocking aceylcholine synthesis
b. preventing the release of acetylcholine
c. causing persistent depolarization
d. competitive inhibition


2q: which of the following local anaesthetic is most likely to produce an allergic reaction?

a. prilocaine
b. ropivacaine
c. etidocaine
d. benzocaine


3q: a 6 year old child is posted for elective urology surgery under general anaesthesia. He refuses to allow the anaesthesiologist an IV access. The best inhalational agent of choice for induction of anaesthesia is ?

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


4q: a 70 year old male is posted for a surgery, which is likely to last for 4-6 hours. The best inhalational agent of choice for maintenance of anesthesia in such a case is ?

a. ether
b. methoxyflurane
c. trichloroethylene
d. desflurane


5q: a 30 year old lady is to undergo surgery under intravenous regional anaesthesia for her left trigger finger. Which of the following should not be used for this patient ?

a. lignocaine
b. bupivacaine
c. prilocaine
d. lignocaine + ketorolac


6q: a 21 year old lady with a history of hypersensitivity to neostigmine is posted for an elective caesarean section under general anaesthesia. The best muscle relaxant of choice in this patient should be ?

a. pancuronium
b. atracurium
c. rocuronium
d. vecuronium


Monday, October 20, 2008

7 - muscle relaxants - onset and duration of action list

Muscle relaxants

Onset

( minutes )

Duration

( minutes )




Succinyl choline

1-1.5

3-6

Mivacurium

2-4

12-20

Rocuronium

1-2

25-40

Vecuronium

2-4

30-60

Atracurium

2-4

20-35

Cisatracurium

3-6

20-40

Piperacuronium

2-4

50-100

d-tubocurarine

4-6

30-60

Pancuronium

4-6

40-80

Doxacurium

4-8

60-120


So if the question is ?


Q: what is the shortest acting muscle relaxant ?

Answer : succinyl choline .


Q: what is the shortest acting non-depolarising muscle relaxant ?

Answer: mivacurium


Q: what is the longest acting muscle relaxant ?

Answer: doxacurium .


Q: what is the longest acting non-depolarising muscle relaxant ?

Answer: doxacurium .


TRY USING THIS MNEMONIC TO REMEMBER : Suck Me Rosy Victoria's Attractive Sister , Prepare To Please Doctors.


( in PREPARE = Two P s indicate piperacuronium and please indicates pancuronium )


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