1.
During general anesthesia arterial hypertension can be caused by the following:
>Full Bladder
2. A 53 year old female patient is Anaesthetised for an emergency laparotomy. she is
obese with a BMI of 39. After induction of anaesthesia a central venous catheter is
placed via the right subclavian vein following two failed attempts via the right internal
jugular vein.After 30 minutes after starting the procedure, the Airway pressure and heart
rate increase and oxygen saturation decreases to 88%. The most likely cause is:
>Tension pneumothorax.
3. The cause of distributing Genesis of hypertension may be (low SVR):
> Neurogenic shock (regional blocks)
4. The most common causes of malignant hyperthermia are:
> inhalation agents and succinylcholine
5. ECG we give this information to all of the above, except:
> Adequacy of circulation
6. the most used ECG lead in anaesthesia for detecting rhythm disturbances and ischemia are:
> II, V5
7. Paradoxical pulse on arterial waveform is associated with:
> Tamponade
8. PCW/PAOP gives us information about:
> Left ventricular end diastolic pressure
9. Sellicks Maneuver is most often used for:
> Reduce the risk of aspiration
10. Nasopharyngeal Airway contraindicated in patients with:
> Basilar skull fracture
11. The use of combi-tube is advisable in patients with:
> CVCI situations
12. according to difficult Airway algorithm after failure LMA ventilation (plan B) the next step is:
> Revert to face mask, oxygenate and ventilate
13. what means time sensitive surgery, how long can you delay the surgery:
> 1-6 weeks.
14. A 4 year old child is to undergo a tonsillectomy. The child had Water 2 hours ago. As per
ASA guidelines, the optimal NPO status would be to wait another _____ before proceeding to
surgery:
> 2hr.
15. Which from this is a minor cardiac predictor.
> Uncontrolled systemic hypertension.
16. What information gives us MET (Metabolic Equivalent)
> Assessment of functional capacity.
17. 64 years old man with previous pulmonary resection has planned aortobifemoral bypass
surgery. Based on this information, which preoperative examination is mandatory:
> Pulmonary function test.
18. After cholecystectomy, 22 years old female complaints decreased ability to perceive gravity,
confusion, illusions and hallucinations. Which anaesthetic was probably used by the
anaesthesiologist?
>Ketamine
19. A 26-year old girl is preparing for hysteroscopy. History of egg allergy. Which drug would you
refrain from using?
> Propofol
20. Factor that has NO effect on MAC is:
> Carbon dioxide tension.
21. How long does it take 60-70% to recover:
> 6-7 days
22. What does not reduce risk of atelectasis:
> delayed extubation.
23. Which is not prevention of post op:
>
24. Most common cause of fever in post op period:
> atelectasis
25. Optimal time to take prophylactic antibiotics:
> Within 1hr before surgery.
26. > Pulse oximetry not:
27. Preferred drug for intubation of patient with status asthamaticus is:
> Ketamine
28. Factors that increase requirements for anaesthesia is:
> Hyperthermia
29. Which of the following inhalation anesthetic agents is associated with the highest incidence
of hepatitis post operatively?
>
30. Which of the following statements about propofol infusion syndrome is most likely true?
> Mortality rate in established cases is very high
> abdominal soemthig is one of the diagnostic criteria
> tachycardia is early sign of this syndrome
> cardiac dysnfuction is very common in this condition.
Remember: Treatment of propofol infusion syndrome is to stop the infusion and wait
31. Patient is admitted to clinic with minimal skin burns, oxygen saturation is and arterial
saturation is less than 80% what is the reason for this?
> high levels of carboxyhemoglobin
32. Which of the following is NOT prevention of post op DVT?
> 8min 30 secs - medication to do with nausea and vomiting
> H2 receptor antagonist
> use of stocking
> use of cuff pumps
> anticoagulants
33. Most common causes of fever in early post op period between 1st and 3 days is:
> Abscesses
> Wound infection
> Septic pelvic vein thrombosis
> Atelectasis
34. Possible causes of non invasive pressure monitoring artefact is?
> irregular pulse
35. What do we call a laryngeal mask without a cuff?
>IGEL
36. Which inhalational anesthetic is associated with airway irritation?
Desflurane
37. Barbiturates cerebral effect is manifested in the following:
> Decrease oxygen consumption
38. Emergency surgery
> 24hrs
39. As per ASA classification with low cardiac end organ damage should be classified in which
ASA?
> ASA 2
40. Oestrogen pills increased periopetrive risk of what?
> thromboembolism
41. Which is a preferred adjucant device for verifying placement of an endotracheal tube in a
patient with a perfusing breathing?
> stethoscope
> pulse oximetry
> end tidal CO2
> esophageal detecting device
42. An example of a supraglottic airway is?
> endotracheal tube
> laryngeal mask
> orophargeal airway
> nasopharangeal airway
43. Percentage of oxygen in room air?
21%
44. Factor limiting and giving sedatives for premedication is
> GER
> extremes of age
> malignant hyperthermia in history
> minimal cardiac pulmonary reserve
45. Which investigation is mandatory when patients has lung resection?
> pulmonary resection
