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PGI > 5.6.2013(anesthesia) 28 > Flashcards

5.6.2013(anesthesia) 28 Flashcards

0
Q

Muscle relaxation in myasthenia pts if needed during Sx

A

1/10th of dose of atracurium

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1
Q

Ketanserine is used in

A

Carcinoid syndrome

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2
Q

Muscle relaxant CI in obstetrics

A

Gallamine(crosses placenta)

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3
Q

Muscle relaxant used in arterial Sx

A

Pancuronium(to maintain arterial pressure)

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4
Q

Muscle relaxant with maximum histamine release

A

d-tubocurarine

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5
Q

NDMR used in RSI

A

Rocuronium

Rapacuronium

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6
Q

Muscle relaxant used in hypotensive anesthesia

A

d tubocurarine

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7
Q

Rate of flow in oxygen flush

A

35-75L/min

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8
Q

High pressure system

A

Cylinder

Wall pipes

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9
Q

Low pressure system

A

Valves
Flowmeters
Vaporisers

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10
Q

Analgesic anaesthetic agents

A

ketamine
Trilene
N2O
Ether

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11
Q

Antianalgesic anaesthetic agent

A

Thiopentone

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12
Q

Rx of seizures in bupivacaine toxicity

A

Thiopentone
Midazolam
Propofol

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13
Q

Gases filled as liquid in cylinder

A

O2
N2O
CO2
Cyclopropane

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14
Q

Percentage of lignocaine used for urethral analgesia

A

1-2% jelly

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15
Q

Concentrations of lignocaine available

A 
1%
2%
4%
5%
10%
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16
Q

Anesthesia of intact skin

A

Eutectic mixture of LA

2.5% lidocaine+2.5% prilocaine

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17
Q

Anesthesia of cut skin

A

TAC

LET

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18
Q

TAC

A

Tetracaine 0.5%
Adrenaline 1/2,00,000
Cocaine

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19
Q

LET

A

Lidocaine 4%
Epinephrine 1/20,000
Tetracaine 0.5%

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20
Q

Side effects of opioids for which tolerance does not develop

A

Miosis
Constipation
Convulsions

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21
Q

Concentration of Epinephrine used along with LA

A

1:2,00,000

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22
Q

Remifentanyl is metabolised by

A

RBC esterase

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23
Q

LA never used as surface anaesthetics

A

Procaine
Mepivacaine
Bupivacaine

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24
Betablockers with membrane stabilising activity
``` Propranolol Metoprolol Labetolol Acebutalol Pindolol ``` Possess Membrane stabilising or Local Anesthetic Property
25
Concentration of adrenaline in bronchial asthma(inhalational)
1:100
26
1:1000 conc of adrenaline is used for
Anaphylactic shock i.m and subcutaneous
27
1:10,000 concentration of adrenaline used in
Anaphylactic shock I.V | cardiac arrest- Intracardiac
28
Potency of remifentanyl
Alfentanyl
29
Renally eliminated Betablockers
``` Nadolol Sotalol Atenolol Acebutalol Betaoxalol Bisoprolol Celiprolol ``` Not Soluble ABC
30
No of chest compressions in children
90/min including neonate 30breaths Totally 120events/min
31
Universal compression-ventilation ratio
30:2 for all excluding newborn
32
Newborn CPR guidelines
Only till the baby remains in hospital
33
Circulation in infants assessed by
Brachial or femoral
34
Compression ventilation ratio in infants
15:2
35
CPR in ventilated patients
Continuous compressions | 8-10 ventilations per min
36
pH below which NaHCO3 can be given
<7.15
37
Fluids in hypovolemic shock
NaCl RL colloid
38
Not a part of criteria for brainstem death
ECG
39
Philadelphia criteria for brain death
Lack of reflexes Pupil fixed and dilated Isoelectric EEG
40
Confirmatory tests for brainstem death
Isoelectric EEG | abscence of cerebral circulation by IV radioisotope cerebral angiography or four vessel contrast cerebral angiography
41
Harvard criteria for brainstem death
Absence of postural reflexes like decerebration
42
Mismatched blood transfusion during Peroperative period,earliest manifestation
Oozing from operative site
43
In conscious individual earliest manifestation of mismatched BT
Lumbar pain due to ureteric colic secondary to oliguria
44
Factors increasing absorption in anesthesia circuits
Resistance in circuit Small size granules Low flow rate
45
CO2 absorption decreased by
High flow rate and tidal volume Dead space Channelling
46
Desflurane is broken down to CO by
Ba(OH)2
47
Components of sodalime
94% CaOH2 5% NaOH as catalyst 1% KOH
48
Sodalime reacts with trilene to form
Phosgene
49
Sodalime shouldn't be used with
Sevoflurane Trilene Chloroform
50
Baralyme composition
80% CaOH2 | 20% BaOH2
51
Antibodies in fulminant form of halothane hepatitis
Halothane altered protein antigen
52
Halothane use within __________ months is a contraindication
3 months
53
Muscle relaxants with minimal CVS effects
Vecuronium>doxacurium>rocuronium
54
Principle of boyles apparatus
Continuous flow,during both inspiration and expiration
55
Boyle apparatus is a ____________ resistance system
Low
56
Time for which EMLA should be in contact with skin for analgesic effect
45-60min
57
Spinal cord in autopsy is approached through
Posterior approach
58
Common form of acute arsenic poisoning
Gastric
59
Antidotes for arsenic poisoning
Hydrated ferric oxide | Dimercaprol
60
Stages of chronic arsenic poisoning
1. gastrointestinal 2. catarrhal 3. skin 4. neurological
61
Postmortem appearance of stomach in arsenic poisoning
Red velvety mucosa
62
Garlic odor is seen in
arsenic poisoning
63
Kerosene odor in which poisoning
OPC | KEROSENE
64
Phenolic odour in which poisoning
Carbolic acid
65
Rotten egg odour in which poisoning
Hydrogen sulphide
66
Fishy odour in which poisoning
Zinc phosphide
67
Burnt rope odour in which poisoning
Cannabis
68
Bitter almonds odour in which poisoning
Cyanide
69
Fruity odour in which poisoning
Ethyl alcohol
70
Criminal negligence IPC
304A
71
Factors favouring adipocere formation
Warm Moist Anaerobic environment
72
Bacteria involved in adipocere formation
Cl.perfringens(produce lecithinase)
73
Adipocere formation is not seen in
Foetus <7months
74
Adipocere first forms in
Subcutaneous tissues of cheeks Breast Buttocks Abdomen
75
Time taken for adipocere formation
Adult limb:3-6months | 12 month for whole body
76
Conditions required for mummification
High temperature No moisture Free air circulation around body
77
Substances favouring mummification
Arsenic | Antimony poisoning
78
Medical education granted by Indian universities comes under
Schedule I of MCI act

PGI (16 decks)

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