1.

The following devices protect the airway from soiling in an anaesthetized patients:
A. Laryngeal mask airways
B. cuffed endotrachal tube
C. guedel airway
D. nasogastric tube
E. Armoured tube
2. Regarding monitoring during anaesthesia
A. Pulse oximetry reading is underestimated by a nail varnish
B. an ambient light in operation influences an SpO2 reading
C. electric cautery is known to disrupt an ECG signal
D. indirect blood pressure measurement depends on the cuff size
E. end tidal CO2 measures CO2 content in the plasma
3. Concerning intravenous anaesthetic agents
A. propofol induces loss of consciousness within 1 arm-brain circulation
B. midazolam induces rapid onset of anaesthesia
C. ketamine is suitable for patients with hypertension
D. Sodium thiopentone does not cross the BBB
E. etomidate does not cause hypotension
4. During the visit to see the patients before the surgery, the following finding should prompt an
immediate medical referral
A. a blood pressure of 160/85mmHg
B. Mobitz type 1 heart block on ECG
cC. Gallop ryhtym on auscultation
D. crepitation on auscultation
E. allergic to the antibiotics
5. At the induction of anaesthesia for an adult patient
A. cricoids pressure should be applied before consciousness is lost
B. suxomethonium should only be used in RSI
C. preoxygenation is indicated in all patients
D. inhalational induction is widely used in paediatric population
E. propofol is suitable induction agent in a hypotensive patient
6. Concerning peri-operative analgesia
A. IV opiods are suitable for mild to moderate pain
B. ketamine has an analgesic property
C. hallucination is one of the side effect of morphine
D. patient receiving hemodialisis should not be given NSAIDs
E. diclofenac (NSAIDS) is contraindicated for asmathic patients
7. Patient is safe for discharge from post anaesthesia care unit when
A. aldrete activity score is 8
B. PADSS activity score is 8

C. blood pressure measurement is 170/90mmHg

D. breathing at 8 breath perminute
E. complaining of pain
8. Signs of acute respiratory failure includes
a. respiratory rate of more than 30bpm
B. SpO2 <90% under room air
C. ABC shows respiratory acidosis
D. use of accessory muscle
E. drowsiness
9. Signs of inadequate tissue perfusion are
A. systolic blood pressure less than 9-mmHg
B. urine output less than 0.5ml/kg/day
C. hyperglycaemia
D. mottled skin
E. decreased serum lactate level
10. Concerning fluids and electrolytes
A. 60% of the body mass is water in an adult male
B. intravascular volume is 5% of total body weight
C. potassium is largely an extracellular electrolytes
D. calciums is largely an extracellular electrolytes
E. isotonic fluids stay longer in intravascular than interstitial space
11. An obese patient is more likely to be
A. hypoxaemic
B. hypercarbic post-op
C. hypertensive
D. difficult to intubate
E. anaesthetic drug overdose
12. pH 7.25, PaCO2 50, SBE -8 indicates
A. partially compensated metabolic acidosis
B. partially compensated respiratory acidosis
C. mixed metabolic and respiratory acidosis
D. predominantly metabolic acidosis
E. moredate respiratory and severe metabolic alkalosis
13. Criteria for admission to ICU are
A. a patients financial circumstances
B. availability of treatment
C. poor prognosis
D. requirement of organ support
E. legal medical directive from patients

14. Concerning inotropes

A. adrenaline stimulates both alpha and beta adreno-receptors
B. noradrenaline increases myocardial oxygen demand
C. dopamine stimulates beta 2 more than beta 1 receptor
D. dobutamine is normally present in the body
E. dopamine is the first choice of treatment for septicaemic shock
15. Regarding local anaesthetic agents
A. bupivacaine has a slower onset compared to lignocaine
B. lignocaine is preferred because of its long acting duration
C. EMLA topical anaesthetic mixture is effective after 30 minutes of application
D. ropivacaine is lipid soluble but not water soluble
E. the degree of ionization depends on the pH of the drug solution
16, Possible causes of post op confusion or altered conscious state include
A. hypoxaemia
B. hypernatremia
C. hypocapnia
D. pain
E. hypoglycaemia
17. Regional anaesthesia
A. is the most employed anaesthetic technieuq for lower limb surgeries
B. improves post op pulmonary function
C. reduces the risk of DVT
D. is indicated for patients with coagulapathy
E. reduces hospital stay
18. Hypokalaemia
A hyperpolarized the membrane
B. shortens the QRS
C. shortens the PR interval
D. depresses the ST segment
E. prolongs the QT interval
19. Ascites is detected radiologically by
A. ultrasound
B. computed tomography (CT) scan
C. magnetic resonance imaging (MRI)
D. angiogram
E. PET scan
20. Traumatic solid organ injuries is routinely diagnosed by
A. MRI
B. ultrasound
C. fluoroscopy

D. CT scan
E. plain radiograph