MCQ Anaethesia Posting Group 4 2014/2015

1.
a.
b.
c.
d.
e.

Regarding airway assessment prior to anaesthesia

Normal thyromental distance should be more than 5.5 cm F more than 6.5cm
Beard is associated with difficult intubation F mask ventilation
Obesity is a risk factor for difficult laryngoscope T
Stridor indicates a lower airway obstruction F upper airway obstruction
Patient with limited mouth opening is a contraindication for awake fibreoptic intubation F

2.
a.
b.
c.
d.
e.

Rapid sequence intubation

Aim to secure airway in patient with high risk of aspiration T
Rocuronium is the muscle relaxant of choice F suxamethonium
Cricoid pressure no need to apply for certain patient F
The dose of drug given is pre-calculated T
Contraindication for difficult airway patient T

3.
a.
b.
c.
d.
e.

Regional anaesthesia
Is the preferred technique for lower limb surgeries T
Improves post-operative pulmonary function T
Reduces the risk of deep vein thrombosis T
Is indicated in patient with coagulopathy F
Is safe in septic patients F

4.
a.
b.
c.
d.
e.

Concerning intravenous anaesthetic agents

Propofol associated with pain on injection T with etomidate
Midazolam administration can be reversed by flumazenil T
Ketamine is contraindicated in asthmatic patients F mixed with atropine/glycopyrolate
Sodium thiopentone less likely to cause laryngospasm compared to propofol F
Etomidate is cardiovascular stable. T

5.
a.
b.
c.
d.
e.

Concerning infection in ICU

Hand washing is the most effective preventive measure T
Narrow spectrum antibiotics should be commenced 6 hours of diagnosis F asap
Blood culture is the definitive diagnosis of septicaemia F
Ventilator associated pneumonia occurs as early as 24hours F more than 48 hours
Risk of MRSA infection among neurosurgical patient T renal failure patient as well

6.
a.
b.
c.
d.
e.

Complication of suxamethonium administration

Myalgia T
Bradycardia in paediatric patients T
Increase in intracranial pressure T increase also IOP, gastric pressure
Neuroleptic malignant syndrome F Malignant hyperthermia
Hypokalemia F hyperkalemia

7.
a.
b.
c.

Regarding pre-op management

Patient with thyroidectomy should have biochemically euthyroid before elective operation. T
Patient with active URTI increased risk for laryngospasm and bronchospasm T
Anti-aspiration prophylaxis should be given in all pregnant mother before surgery. F
>16weeks
d. Awake fibreoptic intubation should be consider in difficult airway patient T
e. Clopidogrel should be continue prior to surgery. F stop 5-7days before, aspirin can
continue
8.
a.
b.
c.
d.
e.

Different type of ET tube available in OT

RAE tube T
PVC tube T
Laser shield tube T
EMG tube T
Microlaryngeal tube T

9.
a.
b.
c.
d.

Regarding non-depolarising muscle relaxant

Trachium(atracurium) associated with histamine release T
Rocuronium duration prolong in patient with renal impairment T
Mivacurium are short acting non-depolarisng muscle relaxant T
Vecuronium can be reversed by administration of sugammadex T Rocuronium also.
Atracurium cant
e. Pancuronium are short acting non-depolarising muscle relaxant F long acting
10. Concerning pain management for post-operative patient
a. NSAIDs will induce bronchospasm in asthmatic patient T
b. Excessive morphine will cause hyperventilation F
c. Epidural catheter should be remove if epidural abscess is suspected. T
d. Tramadol is anti-emetic F
e. Paracetamol can be given via intravenous T
11. Patient is safe for discharge from recovery OT once
a. Pain is bearable T
b. Vital signs are stable T
c. Airway is patent T
d. Able to communicate F communicate well
e. Bleeding is minimal T
12. The possible causes of atrial fibrillation in ICU
a. Hypokalemia T
b. Sepsis T
c. Acute coronary syndrome T
d. Thyroid storm T
e. Hypernatremia F

13. Drug that can be given via ET tube

a. Adrenaline T
b. Naloxone T
c. Surfactant T
d. Vasopressin T
e. Lignocaine T
14. Regarding monitoring during anaesthesia
a. Pulse oximetry reading is overestimated by in carbon monoxide poisoning T
b. Temperature monitoring via rectal less accurate for monitoring intra-operatively T
esophageal most accurate
c. Electric cautery is known to disrupt an ECG signal T
d. BIS monitoring is useful to reduce risk of awareness T
e. End tidal CO2 measure CO2 content in the blood. F
15. Regarding non-invasive ventilation
a. Indicated for acute exacerbation of COPD T
b. Does not protect from pulmonary aspiration T
c. Patient able to eat orally T
d. Muscle relaxant can be given F
e. Decrease the need for intubation T
16. Possible causes of extubation failure
a. Respiratory acidosis T
b. Cerebrovascular accident T
c. Hyponatremia T
d. Hyperthermia F hypothermia
e. Inadequate reversal T
17. Complication related to internal jugular catheter insertion
a. Pneumothorax T
b. Neck haematoma T
c. Arrhythmia T
d. Catheter related blood stream infection T
e. Fitting F
18. Splenic injury
a. Is less common than renal injury F
b. Is grade by ultrasound jury F
c. Is complicated by infarction T
d. Has rib fracture as an associated finding T
e. Requires CT scan as mandatory examination in haemodynamically unstable patients. F

19. Complication of morphine

a. Diarrhoea F constipation
b. Urinary incontinence F urinary retention
c. Vomiting T
d. Pruritus T
e. Hypoventilation T
20. Regarding septic shock
a. Define as severe sepsis and hypotension that does not respond to fluid resuscitation T
b. Vasopressor of choice is dopamine F Norad dobutamine
c. Dobutamine administration increase cardiac contractility T
d. Increase lactate level indicate inadequate tissue perfusion T
e. High dose steroid is started to improve adrenocortical insufficiency. F low dose