Anaesthesiology MCQs 1- 5th Year PMU

All but ONE of the following are predictors of a difficult intubation. Indicate the exception

ALL BUT ONE of the following factors represent an indication for intubation in a patient who is about to undergo surgery. Indicate the exception

Which ONE of the following structures is not encountered during direct laryngoscopy?

The COMPLETE absence of a capnographic waveform immediately following endotracheal intubation may indicate ALL BUT ONE of the following. Indicate the exception

After induction of anesthesia, the anesthesiologist is unable to intubate the patient. Which ONE of the following is the most important management priority?

Advantages of a Laryngeal mask airway include ALL BUT ONE of the following. Indicate the exception

ALL BUT ONE of the following are ways to confirm endotracheal intubation. Indicate the exception

The “transfusion trigger” (the lowest allowable hemoglobin level) intra-operatively is

ALL BUT ONE of the following are early indicators of hypovolemia. Indicate the exception

The maintenance fluid requirement for an 80 kg man using the 4-2-1 rule is

Milllilitre for millilitre, which of the following provides the most intravascular volume expansion?

A patient has lost 500ml of blood during a low anterior bowel resection. His hemoglobin is 115 g/L. What is the most appropriate volume replacement?

Regarding vascular access and fluid resuscitation, which ONE of the following statements is TRUE?

A patient receives 10 units of packed red blood cells. Which ONE of the following chemistry profiles is most likely?

Which ONE of the following procedures would be associated with the most “third space" loss of fluid?

Routine preoperative hemoglobin is NOT required for

Which ONE of the following is the most important determinant of peri-operative risk?

Which of these patients is NOT at increased risk of aspiration?

The following medication should be discontinued prior to surgery and anesthesia

A patient with which ONE of the following conditions requires antibiotic prophylaxis prior to tonsillectomy?

A patient is on prednisone 30 mg daily for rheumatoid arthritis and presents for coronary bypass surgery. Which of the following best describes their peri-operative steroid requirements?

A 60-year old man for minor surgery has a BP of 170/100 mmHg in the pre-operative clinic. In retrospect, he admits that his blood pressure has been consistently high when he checks it at the drugstore. Assign an ASA class.

ALL BUT ONE of the following describes the CO2 absorber. Indicate the exception

Which ONE of the following statements regarding the peripheral nerve stimulator is true?

A patient is receiving a balanced anesthetic with volatile anesthetic gases, opioids and muscle relaxants. Which ONE of the following monitors is required to be in continuous use during the care of this patient?

ALL BUT ONE of the following interfere with accurate pulse oximetry measurements. Indicate the exception:

ALL BUT ONE of the following conditions will cause the capnograph to give a reading that is much lower than the arterial CO2. Indicate the exception

The abbreviation “MAC” stands for

Regarding awareness, ALL BUT ONE of the following statements are correct. Indicate the exception

The immediate goals of emergence include ALL BUT ONE of the following. Indicate the exception

The advantages of regional anesthesia include ALL BUT ONE of the following. Indicate the exception

Hypothermia is associated with ALL BUT ONE of the following. Indicate the exception

Adequacy of reversal of muscle relaxation can be assessed by ALL BUT ONE of the following. Indicate the exception

Tracheal intubation would be required in ALL BUT ONE of the following procedures. Indicate the exception:

Known complications related to positioning include ALL BUT ONE of the following. Indicate the exception

Regarding the comparative considerations of epidural and spinal anesthesia, which ONE of the following is CORRECT?

Early signs and symptoms of local anesthetic toxicity include ALL BUT ONE of the following. Indicate the exception

Shivering can lead to ALL BUT ONE of the following. Indicate the exception:

Which ONE of the following statements about shivering is correct?

ALL BUT ONE of the following are used as intravenous antiemetics. Indicate the exception

Which of the following is a risk factor for PONV?

Which ONE of the following is part of a rational approach to post-operative nausea and vomiting?

Which ONE of the following is least likely to be the cause of hypertension in the PACU?

Which ONE of the following is a criteria that the patient must meet prior to transfer from the post-anesthetic care unit (PACU) to the ward?

You see a patient in the preoperative assessment clinic prior to her laparotomy for colon cancer. If the patient has an epidural inserted for post-operative pain, she is likely to experience ALL BUT ONE of the following. Indicate the exception

Your patient's most recent surgery was thirty years ago after which she received "conventional" nurse-administered opioid analgesia. For her upcoming lumbar spinal decompression and instrumentation, she will be receiving PCA (patient- controlled analgesia). The comparative advantages of PCA morphine include ALL BUT ONE of the following. Indicate the exception

ALL BUT ONE of the following is a relative contraindication to post-operative epidural analgesia. Indicate the exception

All BUT ONE of the following are true regarding malignant hyperthermia (MH). Indicate the exception

Which of the following is the first sign of a malignant hyperthemic reaction?

Treatment of a malignant hyperthermia crisis includes ALL BUT ONE of the following. Indicate the exception

Maternal hypotension in the supine position during pregnancy is most often due to

ALL BUT ONE of the following represent relevant physiologic changes of pregnancy in the 40 week gestation parturient. Indicate the exception

In the obstetrical patient in her third trimester, the supine position

ALL BUT ONE of the following are part of rational fasting guidelines for pediatric patients. Indicate the exception

The narrowest portion of the neonate's airway is at the level of the

The appropriate size endotracheal tube for a 4 year old child is

ALL BUT ONE of the following represents attributes of the pediatric cardiovascular system. Indicate the exception

Which ONE of the following is an explanation for rapid desaturation during apnea that is seen in the pediatric patient?

ALL BUT ONE are features of the pediatric airway compared to the adult. Indicate the exception

The use of epidural analgesia for labour is likely to result in which ONE of the following

ALL BUT ONE of the following is a disadvantage of general anesthesia for Caesarian section. Indicate the exception

Which ONE of the following is an accurate statement regarding the use of spinal anesthesia for Caesarian section?

Nitrous oxide is contraindicated in ALL BUT ONE of the following settings. Indicate the exception

Which class of drugs is most commonly responsible for intraoperative anaphylactic (or anaphylactoid) reactions?

Other than analgesia, what is the most important clinical effect of the opioid analgesics?

Which ONE of the following describes an advantage of sevoflurane over desflurane?

Which ONE of the following best describes the reason for the rapid OFFSET of effect of the induction agents

ALL BUT ONE of the following conditions predisposes the patient to prolonged effect of non-depolarizing muscle relaxants. Indicate the exception

ALL BUT ONE of the following are contraindications to succinylcholine. Indicate the exception

Which of the following is the correct MAXIMUM safe dose of bupivacaine (plain)

ALL BUT ONE of the following describes a feature of phenylephrine. INDICATE THE EXCEPTION

ALL BUT ONE of the following are effects of the synthetic opioids (fentanyl, sufentanil and remifentanil). Indicate the exception

Which ONE of the following most closely describes the MAC of three commonly-used volatile anesthetic agents?

Which of the following opioids are most commonly administered into the intrathecal (spinal) space?

Which ONE of the following receptors is NOT targeted in the treatment or prevention of post-operative nausea and vomiting?

Which ONE of the following sets correctly describes the cholinergic effects of neostigmine?

Which of the following correctly describes an important principle in the use of ketorolac as an adjunct for post-operative pain?

What is the main advantage of the use of glycopyrrolate compared to atropine to counteract the cholinergic effects of anticholinesterase administration?

Which statement about the distribution of water in the body Is true?

Which of the following is not associated with high anion-gap metabolic acidosis

Which of the following statements about ARDS in adults is NOT correct

Which of the following drugs is of first therapeutic choice in managing anaphylactic shock?

Which of the following suggested clinical and laboratory parameters are Not part of the SOFA score for sepsis?

Which of the statements about FAST is NOT correct?

20 year old male cyclist is hit by a car. On the primary evaluation the GCS was 9 points and quickly deteriorated to a maximum of 6, but the breathing and hemodynamic status were initially stable. The patient was intubated, mechanically ventilated and mannitol infusion was started during the transport. On emergent CT scan of the head only diffuse brain oedema is found with no focal lesions of the brain parenchyma or intracranial hematomas. CT scan of the neck, chest and abdomen shows clear spine, fractures of fourth and fifth ribs on the right, no pleural fluid or air collections, intact heart and great vessels, no injuries to the abdominal organs or free fluid in the abdominal cavity. The patient is admitted in the ICU. Which of the suggested monitoring is not part of the initial management of that patient?

Generally accepted definition of coma includes a GCS score of

Augmenting O2, delivery to the tissues is undoubtedly one of the first and foremost priorities in the management of circulatory shock. Which of the following suggested measures cannot help for for that purpose?

Which drugs can be administered endotracheally during CPR if I.V. or I.0. access cannot be established? [blank_start]Adrenaline[blank_end] [blank_start]Naloxone[blank_end] [blank_start]Lidocaine[blank_end] [blank_start]Vasopressin[blank_end]

A characteristic feature of cerebral salt wasting syndrome (CSWS) that distinguishes it from the syndrome of inappropriate antidiuretic hormone secretion (SIADH) is

Which of the following statements about the acid-base disorders is false?

List Pulmonary causes of ARDS [blank_start]Aspiration[blank_end] Severe [blank_start]Pneumonia[blank_end] [blank_start]Smoke[blank_end] Inhalation [blank_start]Trauma[blank_end]

Which of the following pairs of different types of hypoxia and possible causes does not match?

Microblologic analysis of blood cultures is

Which of the following suggested compensatory responses to shock state does not increase the Frank-Starling mechanism in the heart (increased preload=increased cardiac output)

Possible disastrous complication from overly rapid correction of hyponatremia is

A 12-year old boy with unremarkable previous medical history regularly vaccinated, was hospitalised two days ago with flu-like symptoms, abdominal pain and vomiting. His condition was gradually worsening with changes in, mentation (GCS initialty was 15 now is 12), rapid and noisy breathing arterial hypotension (BP 95/50 MmHg), oliguria (after initial polyuria), hyperthermia, with 38.8°C despite the antiviral (Oseltamivir) and the symptomatic therapy that were started initially. You run a blood and urine analysis and receive the following results: arterial blood pH 7.0, PaCO2 20 mmHg. BE (-16), [HCO3-] 10 mmol/L, blood glucose 2 mmol/L, [K+] 3.4 mmol/l, [Na+] 132 mmol/L, [Cl-] 90 mmol/L, and serum creatinine 60 μmol/l, urea 3 μmol/l, 4(+) glucose and 3(+) ketones in urine What are the first therapeutic intervention you would start with in this case?

All of the following are part of the therapeutic strategy for ARDS in adults, except

Which of the following statements about cyanosis is correct?

Name four major categories of circulatory shock and give examples for every type [blank_start]Hypovolemic[blank_end] Shock- [blank_start]Hemorrhage[blank_end] [blank_start]Cardiogenic[blank_end] Shock- [blank_start]Heart[blank_end] failure [blank_start]Obstructive[blank_end] shock- [blank_start]Blockage[blank_end] of the aorta [blank_start]Distributive[blank_end] shock- [blank_start]Anaphylaxis[blank_end]