few years agoAnesthesia Equipment's & Ventilation Questions ( Part 1 )

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1. INTRAVENOUS ANESTHETICS Questions 
2. 1. Which of the following statements about propofol is false:
3. 2. Propofol is given in concentration of:
4. 3. A 20-year-old patient presented with early pregnancy for medical termination of pregnancy (MTP) in day care facility. What will be the anesthetic induction agent of choice:
5. 4. Regarding features of propofol, which of the following statement is correct:
6. 5. All are true about propofol except:
7. 6. True about propofol:
8. 7. A severely ill patient was maintained on an infusional anesthetic agent. On the 2nd day he started deteriorating. The probable culprit may be:
9. 8. Which of the following anaesthetic drug causes pain on intravenous adminstration:
10. 9. Bradycardia during anaesthesia is seen in:
11. 10. Which of the following anesthetic agents is contraindicated in a 32 yr old patient with hypertension and planned for elective cholecystectomy:
12. 11. Cerebral metabolism and O2 consumption are increased by:
13. 12. With regards to Ketamine, all of the following are true except:
14. 13. All statements regarding ketamine are true except:
15. 14. Ketamine is safe in:
16. 15. An unconscious patient of head injury comes in casualty. Examination, shows raised intracranial pressure. Which anesthetic agent is contraindicated:
17. 16. Total cerebral metabolic failure occurs at blood flow of:
18. 17. Most potent cerebral vasodilator is:
19. 18. Anesthetic agent (s) safe to use in ‘↑ed’ ICP:
20. 19. Use of Thiopentone:
21. 20. All are true about thiopentone except:
22. 21. Drugs contraindicated in acute intermittent porphyria:
23. 22. Intravenous thiopentone pentox, produces:
24. 23. Which of the following anesthetic agent lacks analgesic effect:
25. 24. Primary mechanism responsible for cerebral protection effect of thiopentone is:
26. 25. Characteristics of remifentanyl:
27. 26. Which one of the common side effects is seen with fentanyl:
28. 27. Drug contraindicated in renal failure is:
29. 28. Increase in ICT is due to:
30. 29. There have been many recent advances in TIVA compared to inhalational anesthesia. Which of the following is true about TIVA:
31. 30. Which anesthetic induction agent may cause adrenal cortex suppression:
32. 31. An intravenous anesthetic agent that is associated with hemodynamic stability, maintenence of CPP with postoperative nausea, vomiting, and myoclonus:
33. 32. Which anesthetic induction agent produces cardiac stability:
34. 33. All of the following cause myocardial depression except:
35. 34. Hypotensive anesthesia in nasopharyngeal angiofibroma is/are given by:           
36. 35. Sodium nitroprusside infusion may result in:
37. 36. Which among the following is an IV induction agent:
38. 37. In which of the following conditions ketamine can be used:
39. 38. Thiopentone is contraindicated in:
40. 39. True about thiopentone is all except:
41. 40. Intravenous dose of thiopental for induction of anesthesia is:
42. 41. Ketamine can be used through all the following routes, except:
43. 42. Oxygen carrying capacity of the blood in dissolved form depends on:
44. 43. Normal value of oxygen saturation of venous blood in adults is approximately:
45. 44. Ketamine causes all except:
46. 45. Following accidental intra-arterial injection of thiopentone, what should not be done:
47. 46. Ketamine should be avoided in:
48. 47. Concerning propofol all are TRUE, except:
49. 48. An asthmatic child needs a small outpatient surgical procedure. Which of the following is the best anesthetic with good analgesia:
50. 49. Dissociative anesthesia is produced by:
51. 50. Which of the following causes minimal changes in cardio vascular parameters:
52. 51. The following increases intraocular pressure:
53. 52. Hallucinations are commonly seen with:
54. 53. Safe inducing agent in malignant hyperpyrexia is:
55. 54. Dose of thiopentone used is:
56. 55. Anesthetic agent causing bradycardia are all except:
57. 56. Which of the following increases cerebral oxygen consumption:
58. ANSWERS :

 

INTRAVENOUS ANESTHETICS Questions 

1. Which of the following statements about propofol is false:

a. It is contraindicated in prophyria

b. It does not trigger malignant hyperthermia

c. Commercial preparation contains egg

d. It is a suitable agent for day care surgery

e. Increases cerebral metabolic rate of oxygen

2. Propofol is given in concentration of:

a. 0.5 % emulsion

b. 1 % emulsion

c. 1.5 % emulsion

d. 10 % emulsion

3. A 20-year-old patient presented with early pregnancy for medical termination of pregnancy (MTP) in day care facility.
What will be the anesthetic induction agent of choice:

a. Thiopentone

b. Ketamine

c. Propofol

d. Diazepam

4. Regarding features of propofol, which of the following statement is correct:

a. It suppresses adrenocortical hormone secretion

b. I.M. injection is painful

c. Undergoes hepatic metabolism

d. Chemically it is derivative of D-isopropyl phenol

e. Cerebral protector action

5. All are true about propofol except:

a. Pleasant sedation and recovery

b. Safe in porphyria

c. Antiemetic effect

d. Suppression of airway reflexes

e. Cardiac stimulant

6. True about propofol:

a. Indicated in egg allergy

b. Can be used in porphyria

c. It is of barbiturate group

d. Used in day care surgery

7. A severely ill patient was maintained on an infusional anesthetic agent. On the 2nd day he started deteriorating. The probable culprit may be:

a. Etiomidate

b. Propofol

c. Opioid

d. Barbiturate

8. Which of the following anaesthetic drug causes pain on intravenous adminstration:

a. Midazolam

b. Propofol

c. Ketamine

d. Thiopentone sodium

9. Bradycardia during anaesthesia is seen in:

a. Pancuronium

b. Vecuronium

c. Atracurium

d. Propofol

e. Succinyl choline

10. Which of the following anesthetic agents is contraindicated in a 32 yr old patient with hypertension and planned for elective cholecystectomy:

a. Ketamine

b. Propofol

c. Etomidate

d. Diazepam

11. Cerebral metabolism and O2 consumption are increased by:

a. Propofol

b. Ketamine

c. Atracurium

d. Fentanyl

12. With regards to Ketamine, all of the following are true except:

a. It is a direct myocardial depressant

b. Emergence phenomenon is more likely if anticholinergic premedication is used

c. It may induce cardiac dysarrhythmias in patients receiving tricyclic antidepressants

d. Has no effect on intracranial pressure

13. All statements regarding ketamine are true except:

a. May be arrythmogenic

b. Raised ICT do not respond to CO2 level

c. Vasodialator and negative ionotropic effect

d. Psychomimetic emergence

e. Indirect sympathetic action

14. Ketamine is safe in:

a. Raised ICT

b. Open eye injury

c. Ischemic heart disease

d. Severe shock

15. An unconscious patient of head injury comes in casualty. Examination, shows raised intracranial pressure. Which anesthetic agent is contraindicated:

a. Thiopentone

b. Propofol

c. Ketamine

d. Etomidate

16. Total cerebral metabolic failure occurs at blood flow of:

a. 10 mL/100 gm/min

b. 20 mL/100 gm/min

c. 30 mL/100 gm/min

d. 40 mL/100 gm/min

17. Most potent cerebral vasodilator is:

a. β blocker

b. Nitroglycerine

c. Hypercarbia

d. Nitroprusside

18. Anesthetic agent (s) safe to use in ‘↑ed’ ICP:

a. Halothane

b. Thiopentone

c. Ketamine

d. Ether

19. Use of Thiopentone:

a. Seizure

b. Truth spell

c. Reduction of ICP

d. Cerebral protection

e. Maintenance of an anesthesia

20. All are true about thiopentone except:

a. NaHCO3 is a preservative

b. Contraindicated in porphyria

c. Agent of choice in shock

d. Has cerebroprotective action

21. Drugs contraindicated in acute intermittent porphyria:

a. Thiopentone

b. Etomidate

c. Ketamine

d. Propofol

e. Midazolam

22. Intravenous thiopentone pentox, produces:

a. Rash

b. Pain

c. Spasm

d. Hypotension

e. Muscular excitation (locally)

23. Which of the following anesthetic agent lacks analgesic effect:

a. N2O

b. Thiopentone

c. Methohexitone

d. Ketamine

e. Fentanyl

24. Primary mechanism responsible for cerebral protection effect of thiopentone is:

a. GABA action, calcium channel block and free radicle removal

b. Increased cerebral blood flow

c. Decreased (lowered) cerebral metabolism

d. Reduces cerebral O2 demand by limiting CBF

25. Characteristics of remifentanyl:

a. Metabolized by plasma esterase

b. Short half life

c. More potent than alfentanyl

d. Dose reduced in hepatic and renal disease

e. Duration of action more than alfentanyl

26. Which one of the common side effects is seen with fentanyl:

a. Chest wall rigidity

b. Tachycardia

c. Pain in abdomen

d. Hypertension

27. Drug contraindicated in renal failure is:

a. Morphine

b. Pethidine

c. Fentanyl

d. Alfentanil

28. Increase in ICT is due to:

a. Ketamine

b. Bupivacaine

c. Procaine

d. Prolicaine

29. There have been many recent advances in TIVA compared to inhalational anesthesia. Which of the following is true about TIVA:

a. Reduces cerebral metabolism and CBF

b. Smooth induction with high incidence of postoperative nausea and vomiting

c. Propofol inhibits pulmonary vasoconstriction d/t hypoxia, and is a/w increased pulmonary toxicity, malignant hyperthermia and enhanced N2O effects

d. Higher chances of nephrotoxity

30. Which anesthetic induction agent may cause adrenal cortex suppression:

a. Ketamine

b. Etomidate

c. Propofol

d. Thiopentone

e. Fentanyl

31. An intravenous anesthetic agent that is associated with hemodynamic stability, maintenence of CPP with postoperative nausea, vomiting, and myoclonus:

a. Ketamine

b. Etomidate

c. Propofol

d. Opioids

32. Which anesthetic induction agent produces cardiac stability:

a. Ketamine

b. Propofol

c. Thiopental

d. Etomidate

33. All of the following cause myocardial depression except:

a. Halothane

b. Etomidate

c. Thiopentone

d. Ketamine

e. Propofol

34. Hypotensive anesthesia in nasopharyngeal angiofibroma is/are given by:           

a. Propofol

b. Ketamine

c. Phentolamine

d. Halothane

e. Sodium nitroprusside

35. Sodium nitroprusside infusion may result in:

a. Hypertension

b. Pulmonary oedema

c. Cyanide toxicity

d. Heart block

36. Which among the following is an IV induction agent:

a. Thiopentone sodium

b. Morphine

c. Diazepam

d. None

37. In which of the following conditions ketamine can be used:

a. Hypovolemia

b. Myocardial infarction

c. Hypertension

d. Head injury

38. Thiopentone is contraindicated in:

a. Acute intermittent porphyria

b. Malignant hyperthermia

c. ↑ ICT

d. ↑ IOP

39. True about thiopentone is all except:

a. Causes malignant hypertension

b. Induction of anesthesia

c. ↑ ICT

d. Can cause asthma

40. Intravenous dose of thiopental for induction of anesthesia is:

a. 1-3 mg/kg

b. 3-5 mg/kg

c. 5-7 mg/kg

d. 7-9 mg/kg

41. Ketamine can be used through all the following routes, except:

a. Intravenous

b. Intramuscular

c. Intratecal

d. Epidural

42. Oxygen carrying capacity of the blood in dissolved form depends on:

a. Partial pressure of oxygen in blood

b. Atmospheric pressure of oxygen

c. Both

d. None of the above

43. Normal value of oxygen saturation of venous blood in adults is approximately:

a. 40%

b. 97%

c. 75%

d. 50%

44. Ketamine causes all except:

a. Increase ICT

b. Increase IOP

c. Decrease ICT

d. Increase BP

45. Following accidental intra-arterial injection of thiopentone, what should not be done:

a. Remove the needle

b. Intra-arterial heparin

c. Intra-arterial papavarine

d. Do a stellate ganglion block

46. Ketamine should be avoided in:

a. The presence of increased arterial pressure

b. Pregnancy

c. Hypovolemic shock

d. Asthmatic

47. Concerning propofol all are TRUE, except:

a. It has no active metabolites

b. It can cause myoclonus

c. It causes less nausea than thiopentone

d. It can cause metabolic alkalosis

48. An asthmatic child needs a small outpatient surgical procedure. Which of the following is the best anesthetic with good analgesia:

a. Propofol

b. Ketamine

c. Thiopentone sodium

d. Methohexitone sodium

49. Dissociative anesthesia is produced by:

a. Propofol

b. Ketamine

c. Thiopental

d. Halothane

50. Which of the following causes minimal changes in cardio vascular parameters:

a. Pentothal

b. Ketamine

c. Etomidate

d. Propofol

51. The following increases intraocular pressure:

a. Thiopentone

b. Althesin

c. Ketamine

d. Barbiturate

52. Hallucinations are commonly seen with:

a. Ketamine

b. Halothane

c. Ether

d. Cyclopropane

53. Safe inducing agent in malignant hyperpyrexia is:

a. Thiopentone

b. Etomidate

c. Halothane

d. Propofol

54. Dose of thiopentone used is:

a. 2%

b. 2.5%

c. 3%

d. 5%

55. Anesthetic agent causing bradycardia are all except:

a. Ketamine

b. Bupivacaine

c. Procaine

d. Prolicaine

56. Which of the following increases cerebral oxygen consumption:

a. Propofol

b. Ketamine

c. Thiopentone

d. Alfentanil

ANSWERS :

1. a and e              2. b. 1 % emulsion           3. c. Propofol                  4. c, d and e

5. a, b, c, d           6. b and d                         7. a and b                       8. b > d

9. c, d and e        10. Ketamine                    11. b. Ketamine            12. d. Has no effect

13. b.                   14. d. Severe shock         15. c. Ketamine            16. a. 10 mL/100 gm/min

17. c.                   18. b. Thiopentone           19. All                           20. c. Agent of choice

21. a > b              22. All                               23. b and c                   24. c. Decreased 

25. b and c          26. a. Chest wall rigidity   27. b > a                       28. a. Ketamine 

29. a.                  30. b. Etomidate                31. b. Etomidate          32. d. Etomidate

33. b.                   34. e                               35. c. Cyanide toxicity   36. a. Thiopentone sodium

37. a.                  38. a. Acute intermittent  39. a. Causes malignant  40. b. 3-5 mg/kg

41. c. Intratecal   42. a. Partial pressure     43. c. 75%                     44. c. Decrease ICT 

45. a.                  46. a. The presence of     47. d. It can cause         48. b. Ketamine 

49. b. Ketamine 50. c. Etomidate                51. c. Ketamine             52. a. Ketamine 

53. a, b and d     54. b. 2.5%                      55. a. Ketamine              56. b. Ketamine

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