35 - AIIMS may 2005 anaesthesia mcqs

1q: 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 block. The most common 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

answer d. drug has entered the subarachnoid space

2q: all of the following drugs are recommended for treatment of beta blocker induced excessive bradycardia and/or decrease in cardiac output , except ?

a. dopamine
b. dobutamine
c. glucagon
d. calcium chloride

answer b. dobutamine

3q: sodium nitroprusside infusion may result in ?

a. hypertension
b. pulmonary edema
c. cyanide toxicity
d. heart block

answer c. cyanide toxicity

4q: the most common cause of mortality and morbidity in patients undergoing major vascular surgery is ?

a. renal complications
b. thromboembolic phenomenon
c. coagulopathies
d. cardiac complications

answer d. cardiac complications

5q: the drug which is not suitable for patients with acute porphyria for intravenous induction is ?

a. thiopentone sodium
b. propofol
c. midazolam
d. etomidate

answer a. thiopentone sodium

6q: the most common rhythm disturbance during early postoperative period is ?

a. bradycardia
b. ventricular fibrillation
c. tachycardia
d. complete heart block

answer c. tachycardia

7q: the physiological dead space is decreased by ?

a. upright position
b. positive pressure ventilation
c. neck flexion
d. emphysema

answer c . neck flexion

8q: which one of the following device provides fixed performance oxygen therapy ?

a. nasal cannula
b. venturi mask
c. O2 by T-piece
d. Edinburgh mask

answer b. venturi mask.

9q: which one of the following local anaesthetics is highly cardio-toxic ?

a. lignocaine
b. procaine
c. mepivacaine
d. bupivacaine

answer d. bupivacaine

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

answer c. desflurane

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

answer c. he wanted to see if there was an oculocardiac reflex

3q: which muscle relaxant increases intracranial pressure ?

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

answer c. suxamethonium or succinyl choline or scoline

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

answer c . nitric oxide

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

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

answer 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

answer a. succinyl choline

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

answer a. it has high incidence of cardiovascular side effects

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

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

answer b. bupivacaine

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

answer b. thiopental sodium

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

answer c. 60-100 L/min