MCQ 2 Flashcards
(56 cards)
In the resuscitation of a 55 year old man in asystolic cardiac arrest, it is appropriate to:
Start CPR - 5 cycles of 15:2 at a rate of at least 100/min
A cardiac arrest patient arrives to the Emergency Department with PEA. The ECG monitor shows
a rate of 30 beats per minute. CPR continues and IV access is established. Which medication is
most appropriate to give next?
Epinephrine 1 mg IV
What is a common but sometimes fatal mistake in cardiac arrest management?
Prolonged interruptions in chest compressions
Hypothermia is associated with:
Increased postoperative infection
A patient with COPD with an acute exacerbation of his symptoms suffers a cardiorespiratory
arrest in the A&E. You would now give him oxygen using:
24% venturi mask
A 58 year old known alcoholic who has had frequent admissions to hospital was found on the corridor just outside the busy A&E department. He was unresponsive with no pulse so cardiopulmonary resuscitation was started immediately. He was found to be in ventricular fibrillation. The LEAST likely cause of the cardiac arrest could be:
Hypothermia
Capnography may be useful in the following situations EXCEPT:
Decreased oxygen saturation
A 3 year old child, weighing 15kg, had bilateral hernia repair. Surgeon requests local anaesthesia
for wound infiltration. The maximum dose of plain bupivacaine that can be used will be:
12 mL of 0.25%
A 75 kg 1.8 m tall basketball player sustained a laceration to his leg during practice. The wound
is clean and requires suturing under local anaesthesia. The emergency department only has 1.5%
lignocaine available. A 1.5% solution of lignocaine has:
15 mg per mL
Which of the following induction agents has a bronchodilator effect?
Ketamine
A 6 year old is having squint surgery. Whenever the ocular muscle is pulled, the patient develops
bradycardia. Which drug do you choose to manage this event?
Atropine
A pre-med student accompanies her mother and 5 year old brother to the Anaesthesia Assessment
Clinic. He is booked for an umbilical hernia repair. She has questions about the planned
anaesthetic technique. Which statement regarding inhalation anaesthetic agents is TRUE?
They may potentiate the effect of neuromuscular blocking agents
ECG may be useful in the following situations EXCEPT:
Bronchospasm
Pulse oximetry
Is less accurate when oxygen saturation is less than 70%
A 55 year old poorly controlled asthmatic patient is under GA for a laparotomy and pelvic
exenteration. The surgeon is having difficulty resecting the ovarian carcinoma. The capnograph
trace shows an elevated inspired CO2 level. The likely cause is:
Exhaustion of soda lime
Regarding oxygen therapy:
Nasal cannulae depend on patient characteristics for delivering FiO2
Pre-oxygenation is performed for all the reasons EXCEPT:
It prevents diffusion hypoxia
Postoperative nausea and vomiting may be treated with all of the following EXCEPT:
Ibuprofen
A 73 year old woman is booked for a nephrolithotomy. She has had two previous uneventful
general anaesthetics in the past for LSCS. Her youngest child is 35 years old. A potential difficult
intubation may be anticipated by all EXCEPT:
She has congestive heart failure
A 50 year old man is booked for a partial thyroidectomy as an elective procedure. The potential
difficulty in performing endotracheal intubation may be anticipated by all EXCEPT:
He is edentulous
A 30 year old G2P1 patient with mild preeclampsia requests an epidural for anaesthesia for her
caesarean section. Which statement about epidural anaesthesia is TRUE:
It may cause urinary retention
Bupivacaine:
Compared to lignocaine has more cardiovascular toxicity than neurotoxicity
A 35 year old man has a diagnosis of a right tension pneumothorax from a flail chest following a
motor vehicle accident. What is the appropriate immediate management?
Large cannula in 2nd right intercostal space mid clavicular line
Midazolam:
May cause anterograde amnesia
