NEET PG Workbook
Anaesthesia
Anaesthesia
Question: Which of the following scoring system is being depicted in the image?
(a) ASA scoring
(b) Mallampati scoring
(c) AHA scoring
(d) Cormack lehane scoring
NEET PG Work Book
Question: Jackson Rees circuit is used in?
(a) Obstetric general anaesthesia
(b) Pediatric anaesthesia
(c) Neuro-anaesthesia
(d) Cardiac anaesthesia
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Anaesthesia
High Pressure System Intermediate Pressure System Low Pressure System
1. Hanger Yoke Assembly 1. Pipeline Inlet Connections 1. Flow Indicators
2. C ylinder Pressure Indicator 2. P ipeline Pressure Indicators (Gauge) 2. U nidirectional Check valve
(Bourdon Guage) 3. Piping 3. Pressure Relief Device
3. Pressure Reducing Device 4. Gas Power Outlet 4. V aporizer Mounting Devices
(Regulator) 5. Common Fresh Gas Outlet
5. Master Switch
4. Cylinder
6. O xygen Pressure Failure Devices
7. Oxygen Flush Valve
8. S econd Stage Reducing Device
9. Flow Control Valves
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Anaesthesia
Question: In the capnography image, what does the line CD represent?
(a) Dead space air
(b) Alveolar phase and end tidal gas
(c) Inspiratory phase
(d) Mixed gas expiration of alveolar and dead space air
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Question: A 15 year old biy reported to the emergency department with breathing
difficulty. Monitor was attached and the following graph was seen on capnography.
What can be the diagnosis?
(a) Malignant hyperthermia
(b) Pericarditis
(c) Cardiac tamponade
(d) Acute bronchial asthma
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Anaesthesia
Different Waveforms
Slow RR with High RR with
increased decreased EtCO2 5
Pressure 5 Pressure
EtCO2 (kPa) Suggests (kPa)
0 0
Suggests hyperventilation
hypoventilation
‘Shark-fin’ Cleft within
plateau plateau - so-called
Suggests airway 5 ‘Curare Cleft’ 5
Pressure Pressure
obstruction (kPa) Suggests (kPa)
0 patient is taking 0
e.g. Asthma or
COPD spontaneous
breaths
Decreasing Sudden loss of
EtCO2 waveform / drop
Suggests partial in EtCO2
obstruction, Suggests
ETT cuff leak or Pressure
5 disconnection / Pressure
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gradually falling (kPa) obstruction of (kPa)
cardiac output 0 breathing circuit 0
or rapid fall in
cardiac output
e.g. PE/cardiac
arrest
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NEET PG Work Book
Question: Which of the following agents has blood gas partition co-efficient similar
to nitrous oxide?
(a) Halothane
(b) Isoflurane
(c) Deslurane
(d) Sevoflurane
Question: Best inhalational induction agent for a pediatric patient?
(a) Isoflurane
(b) Desflurane
(c) Sevoflurane
(d) Halothane
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Anaesthesia
Question: All are true about thiopentone except
(a) It is lipid soluble
(b) It has maximum concentration in the bran after iv injection
(c) It gets redistributed to a dipose tissue and muscle
(d) The time of action is less as it is maximally excreted by the kidney
Question: Most common drug used for TIVA?
(a) Propofol
(b) Thiopentone
(c) Ketamine
(d) Etomidate
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NEET PG Work Book
Question: Adrenocortical suppression is seen with, which of the following drug?
(a) Thiopentone
(b) Propofol
(c) Etomidate
(d) Ketamine
General Anesthetics
Inhaled Intravenous
Gas Volatile liquids Barbiturates Benzodiazepines
(nitrous oxide) (halothane) (thiopental) (midazolam)
Dissociative Opioids
(ketamine) (fentanyl)
Miscellaneous
(etomidate, propofol)
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Anaesthesia
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NEET PG Work Book
Question: The image shows neuromuscular monitoring of a patient after anesthesia.
The question asks: What is the most commonly used nerve for monitoring?
(a) Ulnar nerve
(b) Median nerve
(c) Radial nerve
(d) Metacarpal nerve
Question: Which of the following is not reversed with atropine?
(a) Bradycardia
(b) Muscle weakness
(c) Bronchoconstriction
(d) Miosis
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Anaesthesia
Question: A pt was given rocuronium for a short surgery. Which of the following
would you use to end its effect fast?
(a) Edrophonium
(b) Neostigmine
(c) Sugammadex
(d) Glycopyrrolate
Depolarizing Agents Nondepolarizing Agents
Like acetylcholine interact with the ACh By competing with ACh for binding sites.
receptor by depolarizing the end plate
but persist at the synapse
Continuous end-plate Depolarization Competitive Antagonists
Succinylcholine Aminosteroid compounds
Pancuronium
Pipecuronium
Vecuronium
Rocuronium
Benzylisoquinolinium compounds
Doxacurium
Atracurium
Cis-atracurium
Mivacurium
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NEET PG Work Book
Question: Topical anaesthesia used in cataract surgery?
(a) Bupivacaine 0.5 %
(b) Lignocaine 2%
(c) Proparacaine 0.5%
(d) Ropivacaine 0.75 %
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Anaesthesia
Question: A young male patient was given regional block with 0.25% bupivacaine for
a minor surgical procedure. Shortly after the injection the patient suddenly became
unresponsive and the pulse was not recordable. Which of the following would be the
best course of management for this patient?
(a) CPR with 20% intralipid
(b) CPR with sodium bicarbonate
(c) CPR with dobutamine
(d) CPR with calcium
Question: A 20 yr old patient was undergoing orthopaedic surgery under general
anaesthesia. During the procedure, the patient suddenly developed rise in temperature,
rise in CO2 levels and muscle rigidity. Which of the following drugs is most likely
implicated in this condition?
(a) Halothane
(b) Propofol
(c) Nitrous oxide
(d) Etomidate
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NEET PG Work Book
Question: Identify the image?
(a) Biers block
(b) Radial nerve block
(c) Median nerve block
(d) Wrist block
Local Anaesthetics
Injectable Anaesthetic Surface Anaesthetic
Low potency, Intermediate High Soluble Insoluble
short potency and potency, Benzocaine
Cocaine
duration duration long
duration Lidocaine Butylamino-
Procaine Lidocaine
Chloroprocaine (Lignocaine) Tetracaine Tetracaine benzoate
Prilocaine Proparacaine Oxethazaine
Bupivacaine
Ropivacaine
Dibucaine
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Anaesthesia
Local Anaesthetics
Ester Linked Amide Linked
Cocaine, Procaine, Chloroprocaine, Tetra Lignocaine, Bupivacaine, Prilocaine, Ropiva
Metabolized by plasma esterase Metabolized by liver enzymes
Can be used in poor liver function Avoided in poor liver function
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NEET PG Work Book
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Anaesthesia
Question: A patient presented with headache, vomiting and fever. Meningitis was
suspected. While performing a lumbar puncture, which is the last structure you will
pierce just before entering the lumbar cistern?
(a) Ligamentum flavum
(b) Dura mater
(c) Arachnoid membrane
(d) Pia mater
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Question: Identify the needle shown?
(a) Verres Needle
(b) Tuohy needle
(c) Spinal Needle
(d) Liver biopsy Needle
The spinal, epidural and caudal blocks are collectively known as Neuraxial
Block
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Anaesthesia
Spinal Anaesthesia Extradural Anaesthesia
Level: Below L1/L2, where the spinal cord Level: At any level of the vertebral column.
ends
Injection: Subarachnoid space i.e punture Injection: Epidural space (between
of the dura mater Ligamentum flavum and dura mater) i.e
without punture of the dura mater
Identification of the subarachnoid Identification of the Peridural space:
space: When CSF appears Using the Loss of Resistance technique.
Doses: 2.5-3.5 ml bupivacaine 0.5% heavy Doses: 15-20 ml bupivacaine 0.5%
Onset of action: Rapid (2-5 min) Onset of action: Slow (15-20 min)
Density of block: More dense Density of block: Less dense
Hypotension: Rapid Hypotension; slow
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NEET PG Work Book
Vasovagal syncope
Intravascular injection
Shivering
Nausea and vomiting
Hypotension
High spinal anesthesia
Bradycardia and asystole
Respiratory impairment
CNS
Urinary retention
Post dural puncture headache
Infection
Complications
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Anaesthesia
Absolute Relative
1. Skin infection at injection site 1. Uncooperative patient
2. Severe hypovolemia 2. P
reexisting neurological deficits
3. Coagulopathy 3. Demyelinating lesions
4. Increase intracranial pressure 4. Severe spinal deformity
5. Lack of consent/patient refusal 5. Infection at site remote from insertion
6. Allergy to drugs
7. Shock/sepsis
8. Severe AS or MS
Question: What is the position in the adjoining image used for?
(a) Sniffing position for intubation
(b) Neurosurgery
(c) Neck position for intubation
(d) Insertion of bougie
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NEET PG Work Book
Question: Proseal LMA is which generation of the supraglottic devices?
(a) First
(b) Second
(c) Third
(d) Fourth
Question: Which of the following is a second generation lma?
(a) Ambu lma
(b) Proseal lma
(c) Intubating lma
(d) Flexible lma
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Anaesthesia
Question: A newborn child has respiratory distress. On examination, it is found that
the newborn has cyanosis and scaphoid abdomen. Which of the following is not
supposed to be done in the management of this newborn?
(a) Nasogastric tube
(b) Xray chest and abdomen
(c) Bag mask ventilation
(d) Intubation
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Anaesthesia
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Anaesthesia
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Anaesthesia
Question: A child was being delivered oxygen by nasal canula at 3L/min. What is the
FiO2 being delivered?
(a) 25 %
(b) 30 %
(c) 35 %
(d) 40 %
Question: Identify the mask in the image?
(a) Venturi mask
(b) Hudson mask
(c) Nebuliser
(d) Non-rebreathing mask
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NEET PG Work Book
Question: Which of the following is not an indication to use BiPAP?
(a) Obstructive sleep apnoea
(b) Unconscious patient
(c) High pCO2
(d) Low po2
Device: Nasal Cannula
Flow: 1-6 L/min
FiO2: 25-40%
Device: Face Mask
Flow: 5-10 L/min
FiO2: 40-60%
Device: Non-Rebreather
Flow: 12-15 L/min
FiO2: 80-95%
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Anaesthesia
Device: High Flow
Nasal Cannula
Flow: up to 60 L/min
FiO2: 21-100%
Device: Venturi Mask
Flow: 2-15 L/min (based on
valve)
FiO2: 24-60% (precisely
controlled)
Bipap
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NEET PG Work Book
Question: From the image given below, the marked circles denote
(a) Cannulated screw for compound tibial fracture
(b) Intraosseous cannula for fluid therapy
(c) K-wire for tibial fracture
(d) Bone marrow aspiration
Question: Which of the following test is depicted in the following image?
(a) Allen test
(b) Durkan’s test
(c) Roos test
(d) Adson test
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Anaesthesia
Question: During resuscitation, an unresponsive patient is kept in the following
recovery position as in the image. This indicates which of the following ?
(a) pt unconscious, pulse and breathing present
(b) pt unconscious, pulse and breathing absent
(c) pt unconscious, pulse present and breathing absent
(d) pt unconscious, pulse absent and breathing present
Question: Which of the following is incorrect about Quality CPR ?
(a) Rate of compression is 100-120/min
(b) Respiratory rate is 20-25/min
(c) Depth of chest compressions in adult is 5 to 6 cm
(d) Allow adequate chest recoil
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NEET PG Work Book
Question: What is the sixth link added to the chain of survival as per AHA 2020
guidelines?
(a) Recovery
(b) High Quality CPR
(c) Defibrillation
(d) Post cardiac arrest care
Question: In case of a 2 rescuer CPR, what is the compression to ventilation ratio?
(a) 30 : 1
(b) 30 : 2
(c) 15 : 1
(d) 15 : 2
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Anaesthesia
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NEET PG Work Book
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Anaesthesia
Question: Which of the following criteria corresponds to ASA grade III?
(a) Mild illness
(b) Moderate illness
(c) Severe illness
(d) Severe illness which is a constant threat to life
Question: Which of the following is ASA 1 grading?
(a) Normal patient
(b) Mild disease
(c) Moderate disease
(d) Severe disease
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NEET PG Work Book
ASA Physical Status Classification
Grade-1-A normal healthy patient
Grade-2-Mild systemic disease
Grade-3-Severe systemic disease
Grade-4-Constant threat to life
Grade-5-A moribund patient
Grade-6-A brain dead patient
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