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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
Q

Betablockers with membrane stabilising activity

A 
Propranolol
Metoprolol
Labetolol
Acebutalol
Pindolol

Possess Membrane stabilising or Local Anesthetic Property

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25
Q

Concentration of adrenaline in bronchial asthma(inhalational)

A

1:100

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26
Q

1:1000 conc of adrenaline is used for

A

Anaphylactic shock i.m and subcutaneous

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27
Q

1:10,000 concentration of adrenaline used in

A

Anaphylactic shock I.V

cardiac arrest- Intracardiac

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28
Q

Potency of remifentanyl

A

Alfentanyl<remifentanyl=fentanyl

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29
Q

Renally eliminated Betablockers

A 
Nadolol
Sotalol
Atenolol
Acebutalol
Betaoxalol
Bisoprolol
Celiprolol

Not Soluble ABC

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30
Q

No of chest compressions in children

A

90/min including neonate
30breaths

Totally 120events/min

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31
Q

Universal compression-ventilation ratio

A

30:2 for all excluding newborn

32
Q

Newborn CPR guidelines

A

Only till the baby remains in hospital

33
Q

Circulation in infants assessed by

A

Brachial or femoral

34
Q

Compression ventilation ratio in infants

A

15:2

35
Q

CPR in ventilated patients

A

Continuous compressions

8-10 ventilations per min

36
Q

pH below which NaHCO3 can be given

A

<7.15

37
Q

Fluids in hypovolemic shock

A

NaCl
RL
colloid

38
Q

Not a part of criteria for brainstem death

A

ECG

39
Q

Philadelphia criteria for brain death

A

Lack of reflexes
Pupil fixed and dilated
Isoelectric EEG

40
Q

Confirmatory tests for brainstem death

A

Isoelectric EEG

abscence of cerebral circulation by IV radioisotope cerebral angiography or four vessel contrast cerebral angiography

41
Q

Harvard criteria for brainstem death

A

Absence of postural reflexes like decerebration

42
Q

Mismatched blood transfusion during Peroperative period,earliest manifestation

A

Oozing from operative site

43
Q

In conscious individual earliest manifestation of mismatched BT

A

Lumbar pain due to ureteric colic secondary to oliguria

44
Q

Factors increasing absorption in anesthesia circuits

A

Resistance in circuit
Small size granules
Low flow rate

45
Q

CO2 absorption decreased by

A

High flow rate and tidal volume
Dead space
Channelling

46
Q

Desflurane is broken down to CO by

A

Ba(OH)2

47
Q

Components of sodalime

A

94% CaOH2
5% NaOH as catalyst
1% KOH

48
Q

Sodalime reacts with trilene to form

A

Phosgene

49
Q

Sodalime shouldn’t be used with

A

Sevoflurane
Trilene
Chloroform

50
Q

Baralyme composition

A

80% CaOH2

20% BaOH2

51
Q

Antibodies in fulminant form of halothane hepatitis

A

Halothane altered protein antigen

52
Q

Halothane use within __________ months is a contraindication

A

3 months

53
Q

Muscle relaxants with minimal CVS effects

A

Vecuronium>doxacurium>rocuronium

54
Q

Principle of boyles apparatus

A

Continuous flow,during both inspiration and expiration

55
Q

Boyle apparatus is a ____________ resistance system

A

Low

56
Q

Time for which EMLA should be in contact with skin for analgesic effect

A

45-60min

57
Q

Spinal cord in autopsy is approached through

A

Posterior approach

58
Q

Common form of acute arsenic poisoning

A

Gastric

59
Q

Antidotes for arsenic poisoning

A

Hydrated ferric oxide

Dimercaprol

60
Q

Stages of chronic arsenic poisoning

A
  1. gastrointestinal
  2. catarrhal
  3. skin
  4. neurological
61
Q

Postmortem appearance of stomach in arsenic poisoning

A

Red velvety mucosa

62
Q

Garlic odor is seen in

A

arsenic poisoning

63
Q

Kerosene odor in which poisoning

A

OPC

KEROSENE

64
Q

Phenolic odour in which poisoning

A

Carbolic acid

65
Q

Rotten egg odour in which poisoning

A

Hydrogen sulphide

66
Q

Fishy odour in which poisoning

A

Zinc phosphide

67
Q

Burnt rope odour in which poisoning

A

Cannabis

68
Q

Bitter almonds odour in which poisoning

A

Cyanide

69
Q

Fruity odour in which poisoning

A

Ethyl alcohol

70
Q

Criminal negligence IPC

A

304A

71
Q

Factors favouring adipocere formation

A

Warm
Moist
Anaerobic environment

72
Q

Bacteria involved in adipocere formation

A

Cl.perfringens(produce lecithinase)

73
Q

Adipocere formation is not seen in

A

Foetus <7months

74
Q

Adipocere first forms in

A

Subcutaneous tissues of cheeks
Breast
Buttocks
Abdomen

75
Q

Time taken for adipocere formation

A

Adult limb:3-6months

12 month for whole body

76
Q

Conditions required for mummification

A

High temperature
No moisture
Free air circulation around body

77
Q

Substances favouring mummification

A

Arsenic

Antimony poisoning

78
Q

Medical education granted by Indian universities comes under

A

Schedule I of MCI act

PGI (16 decks)

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