1) All of the following are true regarding effective CPR except?

A) Chest compressions 80-100/min

B) Allow for complete chest recoil
C) Avoid excessive ventilation
D) Rotate compressor every 2 minutes or earlier if fatigued

2) 30-year-old female presented to the OPD with intermittent abdominal

pain, nausea, vomiting. Physician advised her to get complete blood
count. Her hemoglobin was 7.5g/dl. Later on, other investigations are
advised by physician. Urinary ALA is increased and urinary
porphobilinogen levels elevated. She was started on medications. After
about 5 months, patient was planned for elective surgery which was for
another condition. Which of the following intravenous anesthesia is
contraindicated in this patient?
A) Ketamine
B) Propofol
C) Thiopentone
D) Etomidate

3) All of the following are advantages of Laryngeal Mask Airway except

A) Less risk of tooth and laryngeal injury
B) Less invasive
C) Less risk of aspiration
D) Better hemodynamic stability

4) 24-year-old female was diagnosed with Borderline Personality Disorder

and she was prescribed aripiprazole and clonazepam by Psychiatrist.
Patient consumed around 50 tablets of clonazepam at a time due to
relationship issue with her boyfriend. After which, she was drowsy, her
family members brought her to emergency and they shown the tablet
strips to the physician what she has consumed. What medication will
physician start now to this patient?
A) Glucagon
B) Amyl nitrite
C) Atropine
D) Flumazenil
5) 35-year-old male from China who was known case of cardiomyopathy,
has been planned for varicose vein surgery. which of the following
intravenous anesthesia is most safe in this patient?
A) Thiopentone
B) Ketamine
C) Propofol
D) Etomidate

6) Pick the correct statement

A) Propofol is emetic and Etomidate is antiemetic
B) Etomidate is emetic and Propofol is antiemetic
C) Both propofol and etomidate are emetic
D) Both propofol and etomidate are antiemetic

7) The device shown below in the image which measures

A) Oxygen content of the blood

B) Partial pressure of oxygen
C) Oxygen saturation
D) Amount of inspired oxygen

8) 35-year-old man met with road traffic accident and had severe head
injury, he was brought to the emergency by strangers who were nearby
the accident, on examination, his blood pressure 100/60mmhg, pulse
rate 58/min, and he was severely bleeding. What i.v cannula should the
nursing officer place it in this patient?
A) Pink
B) Blue
C) Yellow
 D) Green
9) what surgical position can lead to venous air embolism?

A)

B)

C)

D)

10) 35-year-old man was diagnosed with cholelithiasis and he had undergone
surgery. In post operative period, patient started experiencing hallucinations
and vivid dreams. What medication to be given to this patient now?
A) Ketamine
B) Propofol
C) Thiopentone
D) Midazolam
11) All of the following are propofol infusion syndrome features except
A) Metabolic acidosis
B) Metabolic alkalosis
C) Rhabdomyolysis
D) Bradycardia
12) All of the following intravenous anesthesia causes pain on injection except
A) Thiopentone
B) Propofol
C) Ketamine
D) Etomidate
13) Spinal anesthesia involves local anesthetic administration between
A) Dura and ligamentum flavum
B) Dura and arachnoid
C) Pia and arachnoid
D) Pia and vertebra
14) All of the following undergoes non-Hofmann elimination except
A) Atracurium
B) Pancuronium
C) Rocuronium
D) Vecuronium
15) 2-year-old child was posted for elective surgery. What is the recommended
pre operative fasting period for this child?
A) 2 hours for a light meal
B) 1 hour for a clear fluid
C) 2 hours for a clear fluid
D) 4 hours for a light meal
16) Inhalational agent of choice for day care anesthesia is
A) Propofol
B) Rocuronium
C) Desflurane
D) Sevoflurane
17) identify the given instrument in the image below

A) Endotracheal tube
B) Nasogastric tube
C) Laryngeal Mask Airway
D) Venturi Mask
18) which of the following classes of Mallampati classification is considered as
difficult airway?
A) class 4 only
B) class 3 only
C) class 2,3,4
D) Both class 3 and class 4
19) The image given below shows neuromuscular monitoring of the patient
after anesthesia. What muscle activity is monitored here?
A) Abductor digiti minimi
B) Flexor digiti minimi
C) Opponens pollicis
D) Adductor polllicis
20) 22-year-old male recently admitted in neurology ward and senior
resident suspecting it to be meningitis, due to which lumbar puncture was
planned. What structure is not to be pierced during lumbar puncture?

A) Interspinous ligament
B) Supraspinous ligament
C) Ligamentum flavum
D) Posterior longitudinal ligament
21) Among the local anaesthesia’s, which one is most cardio toxic?
A) lidocaine
B) Prilocaine
C) Bupivacaine
D) Cocaine
22) 48-year-old female known case of hypertension and diabetes
mellitus, she was taking Amlodipine 10 mg and Metformin 1000 mg,
with these two medications, she was maintaining well. She was
posted for fibroid surgery. What would you advice regarding the use
of amlodipine 10 mg and metformin 1000 mg?
A) continue same dose of metformin on the day of surgery and same
dose of amlodipine on the day of surgery
B) Reduce the dose to half of both amlodipine and metformin
C) Continue same dose of amlodipine 10 mg on the day of surgery
and withhold metformin 1000 mg on the day of surgery
D) withhold amlodipine 10 mg on the day of surgery and continue
same dose of metformin 1000 mg on the day surgery
23) what is the clinical test shown given below?

A) Adson test
B) Modified Allen test
C) Dugas test
D) Kernig sign
24) The given instrument is commonly used in
A) Spinal Anaesthesia
B) Bone marrow biopsy
C)Epidural Anaesthesia
D) all of the above
25) what is the recommended range of Bispectral Index value of
anaesthesia?
A) 20-40
B) 40-60
C) 60-80
D) 80-100
26) What is glycopyrrolate?
A) Cholinergic agent
B) Anticholinergic agent
C) Both A and B
D) None of the above
27) Murphy’s eye is seen in which instrument
A) Bronchoscope
B) Laryngoscope
C) Endotracheal tube
C) Laryngeal mask airway
28) what is the main mechanism of action of local anaesthesia?
A) inhibition of calcium channels
B) inhibition of sodium channels
C) stimulation of sodium channels
D) stimulation of calcium channels
29) Which of the following non depolarising muscle relaxant has
fastest onset of action?
A) Succinylcholine
B) Mivacurium
C) Pancuronium
D) Rocuronium
30) Which of the following monoclonal antibody is used in
Paroxysmal Nocturnal Hemoglobinemia?
A) Trastuzumab
B) Omalizumab
C) Eculizumab
D) Bevacizumab