Anaesthetics & Peri Op💉

Question 1

4 NSAIDs

Answer 1

Ibuprofen
Diclofenac
Aspirin
Naproxen

Question 2

Side effects of NSAIDs (2)

Answer 2

Gastric irritation
Renal impairment

Question 3

3 drug interactions with NSAIDs

Answer 3

Warfarin
Heparin
Lithium

Question 4

Side effects of opioids (5)

Answer 4

Respiratory depression
N & V
Sedation
Bradycardia
Constipation

Question 5

Side effects of amitriptyline (5)

Answer 5

Dizziness
Drowsiness
Dry mouth
Constipation
Urinary retention

Question 6

MOA of gabapentin

Answer 6

Calcium channel blocker

Question 7

Analgesia to avoid in renal impairment (2)

Answer 7

Morphine
NSAIDs - dose dependant

Question 8

Safe analgesia in renal impairment (5)

Answer 8

Paracetamol
Oxycodone
Buprenorphine
Fentanyl
Ketamine

Question 9

Analgesia caution in liver disease (2)

Answer 9

Paracetamol, methadone

Question 10

Agent to reduce ICP in emergency neurosurgical induction

Answer 10

Thiopental sodium

Question 11

Analgesic which can increase ICP

Answer 11

Ketamine

Question 12

Anaesthetic which can cause malignant hyperthermia (2)

Answer 12

Sevoflurane and isoflurane
Suxamethonium

Question 13

3 signs of malignant hyperthermia

Answer 13

Muscle rigidity
Hyperthermia
Skin mottling

Question 14

Common side effect of ketamine

Answer 14

Increased salivation and secretions

Question 15

Treatment of local anaesthetic toxicity

Answer 15

IV lipid emulsion

Question 16

Rocuronium is often used for…

Answer 16

Rapid sequence induction

Question 17

Example of a non-depolarising muscle relaxant

Answer 17

Rocuronium

Question 18

1st line management malignant hyperthermia

Answer 18

IV dantrolene

Question 19

How to manage insulin before elective surgery

Answer 19

Reduce the once daily long acting dose by 20% day before

Question 20

Preferred induction agent in patients with CV problems

Answer 20

Etomidate

Question 21

Induction agent for trauma patients with haemodynamic instability

Answer 21

Ketamine

Question 22

Induction agent to avoid in adrenal insufficiency

Answer 22

Etomidate

Question 23

Common side effect of propofol

Answer 23

Pain at injection site

Question 24

Why is PEEP useful in RSI

Answer 24

Reduces risk of atelectasis

Question 25

What to do with warfarin before surgery

Answer 25

Stop 5 days before, have LMWH to bridge

Question 26

What to do with apixaban before surgery

Answer 26

Discontinue 2 days before

Question 27

What can propofol do to BP during induction

Answer 27

Hypotension - due to vasodilation

Question 29

What is type 1 hypersensitivity

Answer 29

IgE mediated

Question 30

What is type 2 hypersensitivity

Answer 30

Cytotoxic - antibody mediated

Question 31

What is type 3 hypersensitivity

Answer 31

Immune complex - antibody-antigen complex

Question 32

What is type 4 hypersensitivity

Answer 32

Delayed - T-cell mediated

Question 33

Example of Type 3 hypersensitivity (3)

Answer 33

SLE Rheumatoid arthritis Post-strep glomerulonephritis

Question 35

Most common gene mutation for malignant hyperthermia

Answer 35

Autosomal dominant ryanodine receptor 1

Question 36

Anti emetic that is avoided in GI obstruction or post GI surgery

Answer 36

Metoclopramide