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Anasthesia > Study > Flashcards

Study Flashcards

Neet

1
Q

Anasthetic agent of course for manual removal of placenta

A

Halothane

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2
Q

Anasthetic agent contra indicated in epileptic patients

A

Enflurane

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3
Q

Anasthetic agent of choice for deliberate hypotensive anasthesia

A

Isoflurane

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4
Q

Anasthetic agent if choice for cardiac surgery

A

Isoflurane

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5
Q

Anasthetic agent if choice in liver diseases

A

Xenon > isoflurane > seroflurane

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6
Q

Most pungent anasthetic agent

A

Desflurane

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7
Q

Maximum green house effect amount fluorinated agents

A

Desflurane

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8
Q

Inhalational agent of choice for day care surgery

A

Sevoflurane

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9
Q

Inhalational agent if coffee for induction in children

A

Sevoflurane

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10
Q

Anasthetic agent of choice for raised ICT

A

Sevoflurane

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11
Q

Anasthetic agent of choice for neurosurgery

A

Sevoflurane

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12
Q

Agent of choice in asthmatic patients

A

Halothane > sevoflurane

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13
Q

HELIOX is combination of

A

79% He and 21% oxygen

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14
Q

Agent if choice for liver disease patients

A

Xenon

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15
Q

Which muscle relaxant does not show FADE on” train of four”

A

Succinylcholine

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16
Q

Succinylcholine is antagonized by

A

Non depolarizing SMR

Metabolic acidosis

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17
Q

Muscle relaxant of choice for FULL STOMACH PATIENTS

A

Succinylcholine

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18
Q

Agent of choice for liver transplant surgery

A

Isoflurane

Because is maintains the total hepatic blood flow and portal vein flow

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19
Q

Which agent causes acid burn of the respiratory mucosa

A

Sevoflurane

It is degraded by metal and environmental impurities to form handful levels of HF

WHICH CAUSES ACID BURN OF RESP MUCOSA

20
Q

Which fluorinated agents had max number of fluorine atoms

A

Sevoflurane

7 fluorine atoms

21
Q

Which agent is useful in large airway obstruction

A

HELIOX

since it has density lighter than air

22
Q

What is phase 2 blockade?

A

It is a depolarizing block which acts like a non-depolarizing block

It occurs when succinylcholine is given in dose of 7-10 mg/kg

It results in conformational classes in the receptors

And the block starts to act like a non depolarizing block

23
Q

What causes is scoline apnea ?

A

Production of atypical pseudocholinesterase due to generic defect in both the set of genes responsible for production of normal plasma pseudocholinesterase
( HOMOZYGOUS condition)

24
Q

Treatment of scoline apnea ?

A

Continue mech. Ventilation
And
FFP ( since it is plamsa pseudocholinesterase)

25
Q

DIBUCAINE number is used for

A

Scoline

26
Q

What is DIBUCAINE number?

A

It is the percentage inhibiton of plasma cholinesterase by DIBUCAINE

Normal blocks 75-80% of enzyme activity

In HOMOZYGOUS atypical pseudocholinesterase it blocks <20% of enzyme activity

27
Q

Contraindication of SCOLINE

A

Muscular dystrophy

Dystrophia myotonica

28
Q

Effect of scoline on potassium

A

Increases by 0.5mEq/Lit

29
Q

MCC nerve used for neuromuscular monitoring?

A

Ulnar

30
Q

MCC muscle used for neuromuscular monitoring?

A

Adductor pollicis

31
Q

Muckle corresponding to laryngeal paralysis?

A

Orbicularis Oris supplied by CN 7

32
Q

MCC mode of neuromuscular monitoring?

A

TRAIN OF FOUR ( TOF )

33
Q

What is TRAIN OF FOUR?

A

It’s is a mode of neuromuscular monitoring

4 stimuli are given of 2Hz each at 0.5 second interval

34
Q

FADE is seen in TOF in

A

NON DEPOLARIZING SMR

NOT SEEN IN SCOLINE

35
Q

last muscle to undergo paralysis?

A

Diaphragm

36
Q

1st muscle to recover from paralysis?

A

Diaphragm

37
Q

SMR metabolised by plasma pseudocholinesterase?

A

Scoline

And

MIVACURIUM

38
Q

SMR off choice for DAY CARE SURGERY?

A

Mivacurium

39
Q

SMR with most rapid onset?

A

Rocuronium

40
Q

NDMR of choice for FULL STOMACH PATIENT?

A

Rocuronium

41
Q

Choice of MR of INTUBATION in CHILDREN?

A

Rocuronium

42
Q

Specific Reversal agent of rocuronium?

A

SUGAMMADEX

Can also reverse vecorunium

43
Q

Least potent ND-SMR

A

Gallamine

44
Q

SMR CONTRAINDICATED in Pregnancy?

A

Gallamine

45
Q

NDMR metabolised 100% by Kidneys?

A

Gallamine

And

Metocurine

46
Q

NMDR contraindicated in iodine sensitivity patient?

A

Metocurine

It contains iodine

Anasthesia (1 decks)

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