2024.1 MCQ

Question 1

2024.1

1) A medication that would be acceptable to a patient who refuses all products derived from human plasma is

a) albumin
b) F7
c) Fib conc
d) PT complex

Answer 1

recombinant F7

a) albumin (from plasma)
b) F7 (recombinant lab made)
c) Fib conc(from freeze dried plasma) d) PT complex (from plasma)

“https://www.bjanaesthesia.org.uk/action/showFullTableHTML?isHtml=true&tableId=AEV161TB1&pii=S0007-0912%2817%2931069-3

BJA artice of table of whats not ok and whats ok”

Question 2

2024.1

2) An adult patient undergoing cardiac surgery exhibits excessive bleeding following cardiopulmonary bypass. A thromboelastogram performed on their blood is shown below. The most likely cause of the bleeding is

a) Platelets
b) Fibrinogen
c) Cryo
d) FFP

Answer 2

Platelets (ie reduced max amp, thin sausage)

LITFL DP CSL

Question 3

2024.1

3) A term neonate is undergoing closure of gastroschisis under general anaesthesia with pressure control ventilation via an endotracheal tube. The estimated blood loss is 10 mL. Fluid therapy has been 4% albumin 40 mL/kg in addition to maintenance 10% dextrose 4 mL/kg/h. During closure of the defect, the oxygen saturation falls to 80%. The most likely cause of the desaturation is

a)Pulmonary oedema/excessive fluids
b) Reduced Lung compliance
c) Shunt
d) FiO2 too low

Answer 3

b) Reduced Lung compliance

UTD

Question 4

2024.1

4) Phaeochromocytoma commonly presents with all of the following EXCEPT

a) RVH/ failure
b) stress induced cardiomyopathy
c)Pulmonary HTN
d) long QT (and VTs)
e) ST changes
f) Cardiomyopathy

Answer 4

c) Pulmonary HTN

a) RVH/ failure yes,
b)stress induced cardiomyopathy
c)Pulmonary HTN
d) long QT (and VTs)
e) ST changes. yes 2o ischaemia from HTN/ supply demand mismatch
f) Cardiomyopathy. yes 2o HTN

Unclear recalled options, list of sx

UTD

Question 5

2024.1

5) 5. Duchenne muscular dystrophy is NOT associated with

Answer 5

No sux or VA

** Resistant to NDMR (can give, generally delayed onset, prolonged duration)
** Female carriers dont usually have CM”

Question 6

2024.1

6) 6. When administered in combination with tramadol, the agent considered highest risk for the development of serotonin syndrome is

a) moclobemide
b) escitalopram
c) desvenlafaxine
d) tapentadol
e) TCAs”

Answer 6

a) moclobemide

Tramadol + MAOIs = CI because high risk serotonin syndrome!

“NPS Org - https://www.nps.org.au/assets/AP/pdf/p41-Perananthan-Buckley.pdf

Question 7

2024.1

7) 7. The action of methylene blue in treating vasoplegia is mediated by

“a) inhib GNP
b) inhib indicible nitric oxidase
c) inhib constitutive nictric oxidase
d) binds to vasopressin recep
e) binds to angiotensin 2”

Answer 7

“a) inhib GNP

https://academic.oup.com/ejcts/article/28/5/705/502264

Question 8

2024.1

8) 8. A stellate ganglion block is NOT indicated in the management of

Answer 8

“sympathetically mediated pain from the head, neck and upper extremities
- reflex sympathetic dystrophy
- herpes zoster
vasospasm
- Raynaud disease
- temporal arteritis
- Buerger disease
hyperhidrosis
electrical storm 7
- three or more ventricular arrhythmias within 24 hours requiring defibrillation or overdrive pacing –> a left-sided (or bilateral) stellate ganglion block is preferred in this context 8

Contraindications are current coagulopathy, recent myocardial infarction, pathologic bradycardia, and glaucoma, contralateral phrenic nerve palsy”