ANAESTHESIOLOGY: PRACTICE 2

                                          SINGLE BEST OPTION SERIES

                       INSTRUCTION: SELECT THE SINGLE BEST OPTION
    

1.        The following are the aims of premedications in anaesthesia except:
   a.       To relieve anxiety
   b.      To reduce salivary secretion
   c.       To delay vomiting to the immediate post-operative period
   d.      To reduce gastric volume and increase gastric P^H
   e.      Prevention of undesirable reflexes
   2.       The following are usual effects of  drug  therapy on anaesthesia except:
   a.       Aminoglycosides may potentiate non-depolarizing muscle relaxants
   b.      Beta blockers medications may potentiate the cardiovascular depression of halothane.
   c.       Diuretics causing hypokalaemia may cause increased patient sensitivity to non-depolarizing muscle relaxants
   d.      Intravenous hydrocortisone may be necessary to provide steroid cover in patients with adrenal cortical depression
   e.      None of the above
   3.       Neuroleptic premedication may produce the following effects except:
   a.       Sedation
   b.      Mental detachment
   c.       Extrapyramidal side effects
   d.      Mild alpha-adrenergic effects
   e.      none of the above.
   4.       Which of the following is incorrect about the Cormack and Lehane classification of the airway during pre-operative assessment?
   a.       The classification is done using the view at laryngoscopy.
   b.      Visualization of only the posterior laryngeal aperture is grade 2
   c.       Visualization of only the epiglottis is grade 1
   d.      Neither the glottis nor the epiglottis is seen in grade 4
   e.      None of the above
   5.       Which of the following is incorrect about tranquiliser premedication in anaesthesis?
   a.       They produce sedation and tranquillity
   b.      They may be given by oral and intramuscular routes
   c.       Lorazepam is usually long-acting
   d.      They may produce restlessness/excitement in elderly patients
   e.      Valium is an example.
   6.       Which of the following is incorrect about thyromental distance?
   a.       It is the distance between the inside of the mandible to hyoid bone.
   b.      It is used to predict the ease of endotracheal intubation
   c.       The preferred value is greater than 3 centimetres or more
   d.      The preferred value is greater than 3 finger breadths or more
   e.      None of the above
   7.       To prevent suxamethonium-induced bradycardia, which of the following premedication is usually given?
   a.       Haloperidol
   b.      Atropine
   c.       Chloral hydrate
   d.      Diazepam
   e.      Fentanyl
   8.       Which of the following is incorrect about Malampati classification of the airway?
   a.       In class I, the faucial pillars are visible
   b.      In class III, the soft palate and the base of the uvula is seen
   c.       In class IV, only the hard palate is visible
   d.      In class II, the tongue will mask  the anterior and posterior faucial pillars
   e.      In class II, the posterior faucial pillar is visible.
   9.       Extension of the atlanto-occipital joint allows for alignment of the oral, pharyngeal and laryngeal axes into a straight line during intubation. This alignment is best described as:
   a.       Fencer’s posture
   b.      Sniffing position
   c.       Waiter’s tip posture
   d.      Honeymoon palsy
   e.      Anatomical position
   10.   Which of the following is incorrect about anticholinergic premedication in anaesthesia?
   a.       They protect the heart from vagal reflexes
   b.      Hyoscine has less bronchodilator effect than atropine
   c.       Glycopyrrolate is less effective than atropine in drying secretions
   d.      They may prevent drug-induced bradycardia
   e.      None of the above.
   
   
   
   
   ANSWERS:
   1. c
   2. e
   3. e
   4. c
   5. c
   6. c
   7. b
   8. e
   9. b
   10. c
   
   
                                           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.