Anesthesiology

Question 1

Post operative acute headache after spinal or epidural anesthesia

Answer 1

Postdural puncture headache
12 to 48 hours after
Frontal and occipital region
Self limiting and resolves within a week
Reassure oral fluids
If not Iv fluids

Question 2

M/c complication of an epidural in labour

Answer 2

Prolonged labour

Question 3

M/c side effect of an epidural anesthesia

Answer 3

Headache

Question 4

Painter with sudden headache or hazard in a closed space with a stove left on
Pt unconscious

Answer 4

Carbon monoxide poisoning

Question 5

Carbon monoxide poisoning
Pt conscious

Answer 5

100% oxygen on tight fitting face mask with O2 reservoir

Question 6

Carbon monoxide poisoning
Pt unconscious

Answer 6

Intubate and provide IPPV on 100% oxygen

Question 7

Best way to accurately assess the arterial oxygen in pts with CO poisoning

Answer 7

Arterial blood gas

Question 8

Elimination half life of CO

Answer 8

4 hrs on breathing air
1hr on 100%O2
23 mins on O2 at 3 atmp

Question 9

Propofol induction during anesthesia common side effects

Answer 9

HYPOTENSION and bradycardia
Expected finding during anesthesia
Give ephedrine to reverse hypotension

Question 10

Medications to stop 24 hrs before surgery

Answer 10

ACE inhibitors and ARBs

Question 11

Bradycardia and hypotension during insufflation
Treatment

Answer 11

Deflate immediately

Question 12

ETCO2 zero means

Answer 12

Probably intubated wrongly
Remove the ETTube and commence face mask ventilation

Question 13

SOB following a femur # with 72 hrs
With petechial rash

Question 14

Symptoms of malignant hyperthermia

Answer 14

Muscle rigidity
Fever
Tachycardia

Question 15

Yound male
Overweight
undergoing herniorhaphy
No other systemic diseases
Wanted investigations?

Answer 15

No investigations needed

Question 16

Acute epiglottitis caused by

Answer 16

H. Influenzae type B

Question 17

Dysphagia
Drooling
Hotpotato voice
Inspiratiry stridor
Diagnosis

Answer 17

Acute epiglottitis

Question 18

SoB
Wheezing
HYPOTENSION
Urticarial rash
Erythema
Angioedema
Diagnosis

Answer 18

Anaphylaxis

Question 19

Acute epiglottitis management

Answer 19

Call anesthesist
Intubation
IV antibiotics

Question 20

Anaphylaxis management

Answer 20

IM adrenaline

Question 21

Pt with COPD on LTOT
Requires pelvic surgery
Which anesthesia is preferred

Answer 21

Spinal anesthesia
GA cause respiratory depression and often requires mechanical ventilation

Question 22

Opioid toxicity management

Answer 22

Clear and maintain airway by jaw thrust
Ventilate on oxygen with bag and mask
Administer naloxone intravenously
Consider intubation after bag mask especially if aciditic

Question 23

Fractured ribs
Paradoxical respiration

Answer 23

Flial chest
Diagnosis by chest X ray

Question 24

Flial chest management

Answer 24

High flow oxygen
Analgesia paracetamol and NSAIDS
Intubation or mechanical ventilation if worsening fatigue and respiratory rate