Test Your Knowledge - Free MCQ PRACTICE
ANAESTHESIA
by Dr K Chaudhry
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A fresh set of 20 random questions is generated every time you open this page and every time you refresh it.
For each of the following multiple choice questions, choose the most appropriate answer :

1. All of the following statements are correct about the treatment of prolonged suxamethoniumapnoea due to plasma cholinesterase deiciency (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

2. Correct about hypothermia in anesthesia?
A. Seen in all patients
B. Corrected by warm saline
C. Maximum loss due to conduction
D. Can not be corrected by bair hugger

3. Midazolam causes all except
A. Anterograde amnesia
B. Retrograde amnesia
C. Causes tachyphylaxis during high dose infusions
D. Decreased cardiovascular effects as compared to propofol

4. Vasopressor of choice used for t/t of hypotension during anesthesia in aortic stenosis-
A. Dopamine
B. Dobutamine
C. Ephedrine
D. Phenylephrine

5. Lithium potentiates non depolarising muscle relaxants .How many days prior to surgery, lithium should be stopped-
A. 1 day
B. 2 days
C. 3 days
D. 4 days

6. The plane of surgical anesthesia during either anesthesia is defined as
A. Loss of consciousness
B. Loss of consciousness to the onset of spontaneous respiration
C. From onset of regular respiration to cessation of spontaneous breathing
D. Absence of reflexes

7. Which of the following intravenous anesthetic agents is contraindicated in epileptic patients posted for general anesthesia?
A. Ketamine
B. Thiopentone
C. Propofol
D. Midazolam

8. Which of the following drugs does not affect absorption and secretion of cerebrospinal fluid?
A. Halothane
B. Nitrous oxide
C. Ketamine
D. Thiopentone sodium

9. I/V induction agent contraindicated in epilepsy-
A. Propofol
B. Thipentone
C. Ketamine
D. A and C

10. The appropriate size of LMA for an average adult patient weighing 50 kg is
A. 2.5
B. 3.0
C. 4.0
D. 5.0

11. A patient was posted for laparoscopic surgery, and received iv antibiotic following which the patient become pulseless and unresponsive. Which of the following is the next best step for the patient?
A. Call ambulance
B. Check for breathing
C. Give 2 breaths
D. Cardiac compressions

12. A 27 year old female was brought to emergency department for acute abdominal pain following which she was shifted to the operation theatre for laparotomy. A speedy intubation was performed but after the intubation, breath sounds were observed to be decreased on the left side and a high end trial CO2 was recorded. The likely diagnosis is:
A. Endotracheal tube blockage
B. Bronchospasm
C. Esophageal intubation
D. Endobronchial intubation

13. A patient with bilirubin value of 8 mg/dl and serum creatinine of 1.9 mg/dl is planned for surgery. What is the muscle relaxant of choice in this patient?
A. Vecuronium
B. Pancuronium
C. Atracurium
D. Rocuronium

14. All of the following statements about neuromuscular blockage produced by succinylcholine are true, except:
A. No fade on train of four stimulation
B. Fade on tetanic stimulation
C. No post tetanic facilitation
D. Train of four ratio > 0.4

15. Suxamethonium is used as an intravenous clear aqueous solution. what is its shelf life-
A. 30 min
B. 1 yr
C. 2 yrs
D. 3 yrs

16. A patient of head injury is intubated and ventilated. The ideal mode of ventilation in him would be
A. CMV
B. CPAP
C. AMV
D. SIMV

17. A 57 yr old male presenting with intracranial surgery .Inhalational agent of choice-
A. Sevolurane
B. Isolurane
C. Deslurane
D. Halothane

18. A 25 year old overweight female was given fentanyl-pancuronium anesthesia for surgery. After surgery and extubation she was observed to have limited movement of the upper body and chest wall in the recovery room. She was conscious and alert but voluntary respiratory effort was limited. Her blood pressure and heart rate were normal. The likely diagnosis is:
A. Incomplete reversal of pancuronium
B. Pulmonary embolism
C. Fentanyl induced chest wall rigidity
D. Respiratory depression

19. True about Celiac block?
A. Block at L3 level
B. Done usually b/l using alchol ,phenol
C. Most common side effect is diarrhea and hypotension
D. Done for lower abdominal malignancies

20. At supra MAC concentrations, anaesthetics lead to shift of EEG wave from
A. ? to ? waves
B. ? to ? waves
C. ? to ? waves
D. ? to ? waves

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