Questions Flashcards

0
Q

Suggamadex mode of action

A

Encapsulation of rocuronium

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1
Q

Prosthetic inhibitor of Ach

A

Neostigmine

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2
Q

D/D of thyroid storm

A

A. MH
B. NMS
C. Catechols disease ???

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3
Q

Super obesity

A

BMI ??

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4
Q

Back to sleep campaign

A

OSA , SIDS, ARDS

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5
Q

OSA Risk factor

A

Obesity

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6
Q

Peristyloid approach to nerve block

A

Facial, glossy pharyngeal, RLN, SLN

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7
Q

Not a risk factor for PONV

A

Pregnancy, Non smoker, post op pain,

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8
Q

Sensor in kinemyograpgh

A

Pressure, spring, piezo

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9
Q

Basic monitor for air embolism

A

Echo, Doppler, per cordial stethoscope

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10
Q

Not a part of Gurd’ s criteria

A

Hypotension

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11
Q

Number of systems in SOFA score

A

4,5,6,7

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12
Q

Class of muscle relaxants- chlorfumaronium

A

Rocuronium , Ganta

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13
Q

Dibucaine number indicates what ??

A

Genetic makeup, effeciency is ScH hydrolysis

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14
Q

Aminoester LA metabolism by

A

Ester hydrolysis

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15
Q

Substitute for scoline

A

Rocuronium

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16
Q

Intubation for head injury pt with unstable c spine

A

RSI with MIS

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17
Q

Diff b/w vec and pancuronium

A

Water solubility

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18
Q

Phenanthrene opioids

A

Morphine

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19
Q

Action through NMDA receptor

A

Ketamine

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20
Q

HA effect on flow meter for O2 and N2O

A

Under reads

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21
Q

Standard of care @ 34 wks with failed therapy

A

ECMO

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22
Q

N2O directly measured by

A

Spectroscopy, IR

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23
Q

Piezoelectric measurement in which part of multi para monitor

A

Volatiles, O2, CO2, N2O

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24
Q

BG coefficient of Xe

A

0.015

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25
Q

Action on K receptor

A

Buprenorphine

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26
Q

Thickness of ligament in Thoracic space

A

3-5 mm

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27
Q

IV needles first used by

A

Alexander Wood/ Christ wren ?

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28
Q

Muscle relaxant first used by

A

Griffith et al

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29
Q

Pneumoperitoneum always causes

A

Reduced FRC

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30
Q

Factor for sudden massive bleed in CT sx

A

Redo sx

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31
Q

Factors depleted in stored blood

A

Vi and VIII

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32
Q

Septic shock

A

Sepsis + hypot resistant to treatment

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33
Q

% body weight being water in females

A

50

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34
Q

Most abundant extra cellular ion

A

Na

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35
Q

Most abundant intracellular ion

A

K

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36
Q

Hypermagnesemia

A

> 3.5 mew/l

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37
Q

PPO FEV1

A

Pope FeV x 1- % segment / 100

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38
Q

Improve oxygenation in OLV

A

Clamp Q to NV lung

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39
Q

Factor not responsible for post post op plum oedema

A

DLT

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40
Q

Commonest cause for POSTOPERATIVE Pulm oedema

A

Fluid overload

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41
Q

Leukocyte depleted blood not true

A

Ac haemolytic reactions

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42
Q

CPAP/PEEP does not lead to

A

Decreased after load of RV

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43
Q

Stimulus for muscle stimulation

A

Monophasic

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44
Q

QT prolongation by

A

Droperidol, dexem ??

45
Q

Treatment of many arrhythmias

A

RA ablation, metoprolol

46
Q

Sitting neurosx BP adjusted at level of

A

EAC, sternum, Heart, T7

47
Q

Predictor of post op renal failure

A

Prep renal status

48
Q

Low dose Sevo MAC on hepatic blood supply

A

Both decreased

49
Q

Effect of hyperglycaemia on O2 transport

A

Glycosalation of RBC beta chains

50
Q

Hyperosmolar coma

A

Type-1 DM

51
Q

Interval between TOF stimulus

A

10 seconds

52
Q

True about DBS

A

Detects fade

53
Q

Fade indicates

A

Blockade of post ganglionic receptor

54
Q

Most important cause of Cb dysfunction after Cardiac sx

A

Micro- macro emboli

55
Q

Compliance is ratio of volume/

A

Pressure

56
Q

Fasting time for infant with milk and solids

A

6 hrs

57
Q

Diff b/w adult and paediatric airway

A

VC are angled

58
Q

Best predictor of difficult tube placement

A

Preop bronchoscopy

59
Q

NIBP value affected by

A

Cuff size

60
Q

Best reading of core body temp

A

PAC with thermistor

61
Q

Effect of midline sternotomy on lung parameters

A

Decrease FRC, TLC, FEV1

62
Q

Auto PEEP present in

A

COPD

63
Q

Goldenhaar syndrome CVS defects

A

AS, PS, Cardimyopathy

64
Q

Ulnar nerve branch of

A

Medial cord

65
Q

Best lumbar plexus achieved by

A

Psoas compartment block

66
Q

Subarachnoid space to what level

A

S3 level

67
Q

Baricity is

A

Density of solution/ Density of Water

68
Q

Factors affecting block height

A

Baricity

69
Q

Hyperventilation in head injury

A

Limit till PACO2 20 mm of Hg

70
Q

Physiological adaptation in HA except

A

Increased capillary permeability

71
Q

Ist step in case of airway fire

A

Remove source of fire

72
Q

Commonest cause of OT fire

A

Lasers, ESU

73
Q

Commonest cause for case cancellation by anaesthesiologist

A

Further work up

74
Q

Recommendations for anaesthesia at remote location except

A

Piped gas supply

75
Q

Min pressure of O2 cylinder on checking

A

1000 psi

76
Q

Placement of laryngoscopes in Mac technique

A

Pyriform fossa, vallecula

77
Q

Nasal dose of ketamine

A

6-8 mg/kg

78
Q

Propofol for conscious sedation

A

25-75 mcg/ kg

79
Q

Dose of naloxone

A

5-10 mcg/kg

80
Q

VAP after how many hours

A

48 hrs

81
Q

Measures to minimise muscle relaxants in ICU except

A

Maximise analgesics and sedation

82
Q

Continuous infusion vs bolus dose results in all EXCEPT

A

Total drug dose

83
Q

Fast tracking

A

Bypassing PACU after ambulatory surgery

84
Q

Hyperbaric O2 no role in

A

Delayed awakening after GA

85
Q

Indicator of adequate reversal

A

5sec head lift

86
Q

Conventional SPO2 monitoring

A

Near infra red, reflectance, transmittance

87
Q

Condition not resulting in acidosis

A

Hyperphosphatemia

88
Q

RRT not indicated in

A

Urine< 200 ml in 6 hrs

89
Q

Max rate of Na correction in hyponatremia

A

0.5 meq/ L / hr

90
Q

Refeeding syndrome

A

High triglycerides

91
Q

Absolute humidity

A

Total vapour in gas

92
Q

Factor predicting intraop Pao2 during OLV

A

Preop lateral pao2 with Both lung ventilation

93
Q

Best test for Pulm embolism

A

Lung scan

94
Q

PDPH increased in

A

Pregnant women

95
Q

Carbonisation of LA

A

hastens onset

96
Q

L-R shunt

A

PDA

97
Q

Adequate preoxygenation indicated by

A

ETO2 > 90%

98
Q

Neuroleptic analgesia

A

Fentanyl+ Droperidol

99
Q

Incidence of phrenic nerve block in interscalene

A

100%

100
Q

Induction agent of choice in ECT

A

Methohexital

101
Q

SpO2 reading affected in severe anaemia

A

Decrease reading

102
Q

Not a complication of laser sx

A

Prolonged awakening

103
Q

MRI zone within

A

2 gauss line

104
Q

Transdermal drug delivery except

A

High molecular weight

105
Q

3 pronged approach to preop evaluation

A

Mechanics, parenchyma, CP reserve

106
Q

Citrate toxicity due to

A

Hypocalcemia

107
Q

Bleeding after tonsillectomy

A

6 hrs

108
Q

Not true for NSAIDS

A

Improved haemostasis

109
Q

Not true about disinfectants

A

Sanitisers

110
Q

LA toxicity is enhanced by

A

Acidosis

111
Q

Acute haemolysis under GA

A

Haemoglobinuria