PassMedicine Anaesthetics

Question 1

Ileus presents with what after surgery before N+V ?

Answer 1

Hypovokaemia and electrolyte disturbances

Question 2

What are the causes of malignant hypertension and how do you treat it?

Answer 2

Inhaled anaesthetic agents
Suxamethonium

IV Dantrolene

Question 3

What is malignant hypertension?

Answer 3

Aut Dom disorder presenting as a hyper metabolic crisis characterised by an increase msk end tidal co2 (hypercapnia) tachycardia muscle rigidity rhabdonyolysis hyperthermia arrhythmia

Question 4

What is the reversal agent for Benzos?

Answer 4

Flumazenil

Question 5

What does 2% strength liquid medicine mean.

Answer 5

2g of the drug are dissolved in 100ml

Question 6

Treat anastomotic leak

Answer 6

Urgent surgery no matter what time

Question 7

Not respiratory effort after being extubated - what’s the problem?

Answer 7

Suxamethonium apnoea

Question 8

Is dehydration a risk factor for DVT?

Answer 8

Yes

Question 9

Why is suxamethonium contraindicated in penetrating eye injuries or glaucoma

Answer 9

Increases IOP

Question 10

What are the food and drink rules before GA

Answer 10

No food for 6 hours and no clear fluids for 2 hours before op

Question 11

What should you do if you see a wound de hiss?

Answer 11

Call for senior help urgently

Question 12

ASA1

Answer 12

A normal healthy patient

Question 13

ASAII

Answer 13

A patient with mild systemic disease

Question 14

ASAIII

Answer 14

A patient with severe systemic disease

Question 15

ASAIV

Answer 15

A patient with severe systemic disease that is a constant threat to life

Question 16

ASAV

Answer 16

A moribund patient who is not expected to survive without the operation

Question 17

ASAVI

Answer 17

A declared break. Dead patient whose organs are being removed for donor purposes

Question 18

If a patient was high risk for stroke prior to surgery how would you stop there warfarin?

Answer 18

Stop a week before and commence treatment dose LMWH which can be withheld the evening before surgery

Question 19

Can the OCP be used prior to surgery?

Answer 19

No stop 28 days before the procedure

Question 20

How would you feed a patient after an oesophagectony in a ward?

Answer 20

Feeding jejunostomy

Question 21

How does lidocaine work?

Answer 21

Blocks Na channels

Question 22

If the patient is found to be markedly anaemia prior to surgery, what is the treatment

Answer 22

Blood transfusion

Question 23

If there is a definite chance of transfusion during surgery what would you do prior to it

Answer 23

Cross match 4-6 units

Question 24

If there is a likely chance of transfusion what should you do before surgery?

Answer 24

Cross match 2 units

Question 25

If the chance of transfusion needed during surgery is low what do you do?

Answer 25

Group and save only

Question 26

How to get fluids in a patient quickly in a peripherally shut down patient

Answer 26

Intraosseuous infusion

Question 27

What are the two lines used for long term therapeutic requirements?

Answer 27

Groshong | Hickman.

Question 28

What would you use to wean a oatient off a ventilator?

Answer 28

Tracheostomy

Question 29

Airways maintenance for a quick day case procedure

Answer 29

LMA

Question 30

Airway for patients getting a laparotomy

Answer 30

Endotracheal intubation

Question 31

VTE prophylaxis after elective hip replacement lasts for how long

Answer 31

28 days

Question 32

VTE prophylaxis after elective knee replacement lasts for how long

Answer 32

14 days

Question 33

VTE prophylaxis after hip fracture lasts for how long

Answer 33

28 days

Question 34

If you are a current smoker which ASA do you get

Answer 34

2

Question 35

Fever <24 hours after surgery

Answer 35

Could be a physiological response to surgery

Question 36

How long after surgery before a patient can receive pharmacological vte prophylaxis?

Answer 36

6-12 hrs after surgery

Question 37

If a patient having surgery is on prednisalone what happens

Answer 37

They get hydrocortisone supplementation

Question 38

Being non fasted means you can’t use what type of airway

Answer 38

LMA

Question 39

Which drugs slow bone healing?

Answer 39

NSAIDS

Question 40

Which anaesthetic agent has anti emetic properties?

Answer 40

Propofol

Question 41

Halothane is known to be toxic to what

Answer 41

The liver

Question 42

Most common site for IO access

Answer 42

Proximal tibia

Question 43

BMI >40 automatically gives an ASA of

Answer 43

40

Question 44

Excessive IV infusions can cause what

Answer 44

Oedema cardiac failure hyperchloraemic acidosis If large volumes are required use Hartmans

Question 45

Why not use adrenaline in toe blocks

Answer 45

Can cause digital ischaemia

Question 46

How can local anaesthetic toxicity be treated?

Answer 46

IV 20% lipid emulsion

Question 47

What reverses a heparin overdose

Answer 47

IV protamine sulfate

Question 48

Intraoperative hypo/hyperthermia causes excessive bleeding in theatre

Answer 48

Hypothermia