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
DIBUCAINE number is used for
Scoline
26
What is DIBUCAINE number?
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
Contraindication of SCOLINE
Muscular dystrophy Dystrophia myotonica
28
Effect of scoline on potassium
Increases by 0.5mEq/Lit
29
MCC nerve used for neuromuscular monitoring?
Ulnar
30
MCC muscle used for neuromuscular monitoring?
Adductor pollicis
31
Muckle corresponding to laryngeal paralysis?
Orbicularis Oris supplied by CN 7
32
MCC mode of neuromuscular monitoring?
TRAIN OF FOUR ( TOF )
33
What is TRAIN OF FOUR?
It's is a mode of neuromuscular monitoring 4 stimuli are given of 2Hz each at 0.5 second interval
34
FADE is seen in TOF in
NON DEPOLARIZING SMR | NOT SEEN IN SCOLINE
35
last muscle to undergo paralysis?
Diaphragm
36
1st muscle to recover from paralysis?
Diaphragm
37
SMR metabolised by plasma pseudocholinesterase?
Scoline And MIVACURIUM
38
SMR off choice for DAY CARE SURGERY?
Mivacurium
39
SMR with most rapid onset?
Rocuronium
40
NDMR of choice for FULL STOMACH PATIENT?
Rocuronium
41
Choice of MR of INTUBATION in CHILDREN?
Rocuronium
42
Specific Reversal agent of rocuronium?
SUGAMMADEX | Can also reverse vecorunium
43
Least potent ND-SMR
Gallamine
44
SMR CONTRAINDICATED in Pregnancy?
Gallamine
45
NDMR metabolised 100% by Kidneys?
Gallamine And Metocurine
46
NMDR contraindicated in iodine sensitivity patient?
Metocurine | It contains iodine