MCQAnaesthesiology

1. The following devices protect the airway from soiling in an anaesthetized patients;
A. Laryngeal mask Airways
F/T Toronto say increase risk, (modified one
prevent soiling)
B. Cuffed Endotracheal Tube T
C. Guedel airway
F (OPA)
D. Nasogastric tube
F (does not always guarantee complete emptying of
gastric content)
E. Armoured Tube
T
2. Indications for endotracheal
A. Alcohol intoxication
B. Active TB
C. Small bowel obstruction
D. Pregnancy
E. HIV infection

intubation during general anaesthesia include;

T
T
T
T
T

3. Heat loss during anaesthesia is caused by

A. Conduction
T
B. Convection
T
C. Evaporation
T (cleaning fluids, open body cavities)
D. Decreased metabolic activity
F (hypothermia causes decrease in metabolic rate)
E. Radiation
T (accounts for over 50% of heat loss)
4. Normal daily requirement for electrolytes are;
A. Sodium 1-2 mmol/kg
T (according to USM TPN form)
B. Potassium 1-2 mmol/kg
T
C. Calcium 1-2 mmol/kg
F 0.1
D. Zinc 1-2 mmol/kg
F
E. Magnesium 1-2 mmol/kg F 0.1
5. The Minimum Alveolar Concentration (MAC) of a volatile anaesthetic agents;
A. Is the minimum vaporizer concentration setting required to know that a patient is
asleep F(no movement)
B. Is the same for everybody, regardless of age
F(elderly have lower MAC)
C. Depends on sex
F
D. Depends on body weight
F
E. Is the same even in different altitude due to vaporizer setting
F (MAC increases with increasing ambient pressure)
Sex, height, weight &anaesthetic duration do not alter MAC

6. The following occur commonly in the early postoperative period

A. Shivering
T
B. Hypertension
T(exacerbated by hypoxemia, hypercarbia, hypothermia,
delirium, pain)
C. Hyperthermia
T
D. Hypotension
F ( sedation effect : decrease preload, vasodilatation, decrease
CO)
E. Tachypnoea
T (residual effect of muscle relaxant)

7. Appropriate drugs to use for a rapid sequence induction include

A. Propofol
T
B. Sodium thiopental T
C. Atracurium
F
D. Suxamethonium
T
E. Ketamine
T
8. Which of the following statement are true?
A. Patients graded ASA I have mild systemic disease which are completely controlled
by therapy F II
B. Patients graded ASA II have moderate systemic illness which are completely controlled by
therapy T
C. Patients graded ASA III have severe systemic illness which pose a constant threat
to life (grade 4)
F
D. Patients graded ASA IV are moribund and are likely to die with or without surgery
(grade 5)
F
E. Patients graded ASA V are patients requiring emergency surgery
T
9. Concerning SEVERE anaphylactic reaction
A. Patients always presented with bronchospasm and wheeze
F
(hypotension)
B. Adrenaline is the drug of choice
T
C. Oxygen should only be given if hypoxia has been demonstrated on a blood gas
F
D. Anaphylaxis cannot occur without a rash appearing
F
E. Should have an intravenous drip inserted and be given IV fluids
T
10.Recognized side effects of morphine are
A. Nausea and vomiting
T
B. Hallucinations
F (sedation)more on ketamine
C. Itchiness
T
D. Respiratory depression
T
E. Urinary retention
T
11.Patient controlled analgesia device (PCA)
A. Can be used in patients once they have been shown how to use them
T
B. Can only be used in high dependency unit
F
C. Can prevent the patient from suffering nausea and vomiting post operatively F
D. Are safer than continuous infusion of opioids
T
E. Are suitable for any type of analgesics
F (mainly opioids)
12.Contraindications to NSAIDs include
A. Patients receiving haemodialysis
B. Platelet counts less than 200
C. Patients on antihypertensive medication
thiazide, need adjust dose)
D. Patients receiving paracetamol
E. Patients receiving IV morphine

T (due to renal impairment)

F
F (antagonist ACEI, loop diuretics,
F
F

13.Naloxone may be used to reverse respiratory depression caused by

A.
B.
C.
D.
E.

Pethidine
Codein
Epidural fentanyl
Thiopentone
Morphine

T
T
T
F
T

14.Regarding pulse oximetry

A. It measures the amount of oxygen dissolve in blood
F
(oxyhaemoglobin)
B. Only reading of over 75% are accurate
F (> 90%)
C. Patients with SpO2<90% should not receive supplemental O2 as this may depress
respiratory drive
F
D. Is not affected by skin pigmentation
F darker skin will
have lower sp02
E. Is not affected by methemoglobin
F (A higher level
of methemoglobin will tend to cause a pulse oximeter to read closer to 85%
regardless of the true level of oxygen saturation)
15.Concerning inotropes
A. Adrenaline stimulates both alpha and beta adreno-receptors
T
B. Noradrenaline increases myocardial oxygen demand
T
C. Dopamine stimulated beta-2 more than beta-1 receptors
F
D. Dobutamine is normally present in the body
F (synthetic
catecholamine)
E. Dopamine is the first choice of treatment for septicaemic shock
F
(noradrenaline)
16.Defibrillation may be used to treat
A. Asystole
F CPR
B. Multifocal ventricular ectopics
F
C. Ventricular tachycardia
F (Pulse VT is not treated by defil)
D. Atrial fibrillation
F
E. Pulseless electrical activity (PEA)
F CPR
17.Transferring critically ill patients requires;
A. Physiological stability
B. Endotracheal intubation
F
C. Adequate monitoring
D. Secured IV access
T
E. Communication with nursing staffs only

F
T
F

18.Regarding regional anaesthesia

A. It is the preferred mode of anaesthesia for upper limb surgery
T (brachial
plexus block)
B. Epidural anaesthesia decreases incidence of DVT
T
C. Incidence of postural puncture headache is higher in subarachnoid block then in
epidural block T
D. Epidural space haematoma is a common complication
F (rare)???
E. Only local anaesthetic agents are suitable for use
F
19.In blood gas analysis
A. Actual bicarbonate is a measured value

B.
C.
D.
E.

Standard bicarbonate is a derived value

PaCO2 is a measured value
PaO2 is a derived value
pH is a derived value

T
T
F
F

Measured: PaCo2, PaO2, pH

standardbicarb: defined as the bicarbonate concentration under standard conditions: PCO2 = 40 mmHg,
temperature 37oC, and saturated with oxygen. It is the inverse of Hasselbalch's Standard pH.

20.Regarding septicaemia
A. Presence if hypotension is the main feature
F
B. Bacteremia is present in all of the cases
(fungal also cause septicemia)
C. Noradrenaline is the first inotropic/vasopressor of choice in septic shock
T
D. The diagnosis is confirmed by positive blood culture
T
E. Broad spectrum antibiotic in indicated in all patient
F
(prophylactic)

BASED ON HUSM TPN form:

Daily Electrolyte requirements:
Na+
K+
Ca++
Mg++
ClPO4-

mmol/kg/day
1.0 2.0
0.7 1.0
0.1
0.1
1.0 2.0
0.4

Daily requirements for Trace Elements and Vitamins for patients receiving TPN:
Micrograms
Chromium
10 15
Copper
500 1500
Manganese
150 800
Selenium
30 60
Zinc
2500 4000
Vitamin A - Retinol
3300 IU
Vitamin D
200 IU
Vitamin E
10 IU
Vitamin K
2 4 mg/week if not on warfarin
Vitamin B1 - Thiamine
3 mg
Vitamin B2 - Riboflavin
3.6 mg
Vitamin B3 - Niacin
40 mg
Vitamin B5 - Pantothenic acid
15 mg
Vitamin B6 - Pyridoxine
4 mg
Vitamin B7 - Biotin
60 mcg
Vitamin B9 - Folic acid
0.4 mg
Vitamin B12 - Cyanocobalamin
5 mg
Vitamin C
100 mg