ANAESTHESIOLOGY: PRACTICE 1

                                    SINGLE BEST OPTION SERIES

                   INSTRUCTION: SELECT THE SINGLE BEST OPTION
    

1.        The following are the usual objectives of pre-operative anaesthetic assessment except:
   a.       To establish rapport with the patient
   b.      To assess the patient’s fitness for anaesthesia
   c.       To relieve anxiety
   d.      To compel the patient to give consent
   e.      To prescribe appropriate premedications
   2.       According to the ‘breath-holding test of Sabrasez’, a patient is declared to have normal cardiorespiratory reserve if he/she can hold his/her breath for:
   a.       Less than 25 seconds
   b.      More than 25 seconds
   c.       Less than 15 seconds
   d.      More than 15 minutes
   e.      More than 10 seconds
   3.       Pre-operative assessment of a patient does not usually involve:
   a.       History taking
   b.      Physical examination
   c.       Routine laboratory investigations
   d.      Assigning American society of anesthesiology status.
   e.      None of the above.
   4.       Which of the following is consistent about a male patient categorized as American Society of Anaesthesiology class 3E during pre-operative assessment?
   a.       He is a patient with a mild systemic disease
   b.      It is not an emergency case
   c.       He is a patient with a severe systemic disease that is incapacitating but it is not life-threatening.
   d.       He is a moribund patient who is not expected to survive 24 hours with or without surgery.
   e.      He is a patient with severe systemic disease that is a life-threatening.
   5.       Which of the following is incorrect about fluid requirements in pre-operative anaesthetic management?
   a.       Pre-operative fast for elective operations is about 8 hours for adults
   b.      Adults can take moderate amount of oral clear fluids up to 4 hours before operation
   c.       Pre-operative fast for small infants is usually about 4 hours
   d.      Infants are usually allowed to take moderate amounts of clear fluid until the start of operation
   e.      Overzealous fluid restriction may lead to dryness and dehydration in surgical patients.
   6.       The following are class of pre-operative premedications in anaesthesia except:
   a.       Narcotics
   b.      Tranquilisers
   c.       Neuroleptics
   d.      Anticholinergics
   e.      None of the above
   7.       Which of the following is incorrect about premedications in anaesthesiology:
   a.       Chloral hydrate is a sedative
   b.      Pethidine causes less sedation than morphine
   c.       Chlorpromazine is sometimes used as premedication
   d.        Droperidol usually cause emesis as side effect
   e.      Lorazepam is a benzodiazepine.
   8.       Which of the following is incorrect about morphine?
   a.       It should usually be avoided in asthmatics
   b.      It may cause painful spasm of the sphincter of Oddi
   c.       It usually induce excessive urination
   d.      It is more effective for dull continuous pain than sharp intermittent pain.
   e.      It may be administered intramuscularly.
   9.       Which of the following is not an effect of atropine?
   a.       Reduced oral and bronchial secretion
   b.      Miosis
   c.       Tachycardia
   d.      Reduced peristalsis in the gut.
   e.      Bronchodilation
   10.   The following are used to predict the ease of endotracheal intubation before anaesthesia except:
   a.       Cormack and Lehane classification
   b.      Thyromental distance
   c.       Malampati classification
   d.      Atlanto-occipital joint extension
   e.      None of the above
   
   
   
   
   ANSWERS:
   1. d
   2. b
   3. e
   4. c
   5. d
   6. e
   7. d
   8. c
   9. b
   10. e
   
   
                                           REMEMBER
   ” Some people sin by not working diligently for six days whereas, others – because of greed, unbelief or powerlessness- sin by working also on a day of rest and worship. Either way of breaking this   command results in poverty.”   By  Vishal Mangalwadi.