ANAESTHESIOLOGY END OF POSTING ASSESSMENT GROUP 2 YEAR

(2004/05)
1. Anaesthesia preparation of patient in the OT
A. Anaesthetic machine
B. Anaesthetic drugs check list
C. Removal of hearing aid
D. Verification of consent form and premedication check list
E. Clinical re-examination is not necessary
2. In spinal anaesthesia
A. Bradycardia is common complication
B. Spinal headache is more when using needle size 27
C. Can give in right lateral position
D. Can give I patient with sepsis for amputation of leg
E. Common mode for C-section

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3. In the OT
A. O2 cylinder can be identified by color-coading and pin index system T
B. Hypothermia produced metabolic alkalosis
(ACIDOSIS)
F
C. Bradycardia is more serious than tahycardia in peadiatric
T
D. Preoxygenation is given for 3 minutes
T
E. Intubation in patient with cervical spine fractureis done by fiber optic intubationT
4.Post-op management
A. Pruritus is a complication
T
B. Intercostal blocks is for flail chest
T
C. Rectal administration is for moderate pain
T
D. Epidural for post op hip replacement
T
E. Persistent motor blockade after epidural catheterization is due to haematomaT
5. In resuscitation
A. VF is treated with amiodarone alone
F
B. Ratio breathing with cardiac massage is 1:5 if 2 people are involved
C. In VF cardiac massage is done first
F
D. Asystole is treated with vasopressin
F (CPR)
E. Ventricular ectopic can be treated with lidocaine T

6. Regarding sepsis
A. Patient may or may not have fever
T
B. Metabolic acidosis is less common
F
C. Reduced SVR
T
D. Pro inflammatory mediators lead to capillary thrombosis and vasodilatation
E. NE and aggressive fluid therapy is choice of management
T

7. Transport of critical ill patient

A. Need close monitoring of vital sign during transportation only F
B. Stabilization o vital sign is important after transport only
F
C. Ventilator setting is to be noted before shifting and ventilated accordingly
T
D. Patient on high ventilor setting and haemodynamic may be transported if urgent T
E. Involves risk of accidental extubation and hypoxia
T
8. ??
9. Spinal anaesthesia
A. If persistent headache can treat with epidural blood patch from blood bank
B. Abducen paralysis is common
F
C. Opiod ( Fentanyl) can add on LA
T
D. Patient on Warfarin can go for LCSC
F
E. Hypotension ic complication
T

10.??
11. In ICU
A. Type 1 respiratory failure need ventilator support
B. CVC cause of nasocomial infection
C. Pneumothorax is complication
D. Gram +ve is common than gram ve
E. Swan Gantz catheter is used to differential the type of shock

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12. Regarding shock

A. Tissue hypoperfusion lead to metabolic acidosis
B. One of the mode of treatment in cardiogenic shock is intra aortic ballon pump
C. NE is the inotrope of choice in cardiogenic shock (DOBUTAMINE)
D. Bleeding placenta previa patient with hypovolemic needs immediate surgery
E. PAOP (wedge pressure) is high in hypovolemic shock LOW

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F

13. Inotrope
A. Dopamine increase Coronary, renal, splanchnic BF in low dose (0.5-5/kg/min) T
B. Adrenaline cause and and -2 stimulation
T
C. NA stimulates and -1 receptor
T
st
D. Adrenaline is need as 1 line therapy is hypovolemic shock (FLUID)
F
E. Dobutamine reduced systemic vascular resistance
B2
T
14. Regarding neonatal anaesthesia
A. Commonest type of TOF is type III b ( OA and distal TOF)
B. The Hb concentration is about 18.4g/dL on day 1 of life (17-21)
C. The Hb concentration is about 17.0 g/dL on day 7 of life
D. Hypoglycemia occurs in babies born to mothers who are diabetes
E. Vitamin K stores are normal at birth

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15. ??
16. IV induction agents
A. Thiopentone cause bronchospasm in hyperactive airway patient
B. Propofol cause 20% drop in cardiac output
(thiopentone)
C. Ketamine used n pre-eclampsia patient
(thiopentone)
D. Ethomidate use in cardiac patient in non-cardiac surgery
E. Fentanyl use as an induction agent in patient for non-cardiac surgery
17. In ABG investigation
A. It show normal O2 in arterial blood
B. Normal HCO3 is 22mmol
(+- 24)
C. In hyperchloremic anion gap is <16

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18. Intravascular volume

A. Normal capillary filling is 0.2 sec
B. Normal osmolarity is 310 mmol

F (<2S)
F (280-295)

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19. Disease that cause metabolic acidosis

A. RTA
T
(renal loss of HCO3)
B. Ileostomy
T
(GI loss of HCO3)
C. DKA
T
(betahydroxybutyrate, acetoacetate)
D. Alcoholism
T
(lactate)
E. G6PD deficiency T
(Lactic acidosis)
20. Regional anaesthesia
A. Bupivacaine is a LA which can administered through IV route
B. Lidnocaine more cardiac toxicity than bupivacaine
C. Tinnitus is a complication of RA
D. Toxic dose lidnocaine 3ml/kg body weight
E. ??

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F (4ml/kg)