MCQ Anaesthesiology

1. The following devices protect the airway from soiling in an anaesthetized patients;
A. Laryngeal mask Airways
F (risk of gastric aspiration)
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
D. Zinc 1-2 mmol/kg
F
E. Magnesium 1-2 mmol/kg F
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
F (hypothermia)
D. Hypotension
T (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.
B.
C.
D.
E.

Propofol
Sodium thiopental
Atracurium
Suxamethonium
Ketamine

T
T
F
T
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
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)CAN CAUSE HALLUCINATIONS
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
D. Patients receiving paracetamol
E. Patients receiving IV morphine

T (due to renal impairment)

F
F (only ACEI)
F
F

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

A. Pethidine
T
B. Codein
T
C. Epidural fentanyl T

D. Thiopentone
E. Morphine

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
T
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
B. Multifocal ventricular ectopics
C. Ventricular tachycardia
D. Atrial fibrillation
F
E. Pulseless electrical activity (PEA)

F
F (Pulse VT is not treated by defil)
F

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. Standard bicarbonate is a derived value
C. PaCO2 is a measured value
D. PaO2 is a derived value
E. pH is a derived value

F
T
T
F
F

Measured: PaCo2, PaO2, pH

standard bicarb: 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
T

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