Davinci Medical Academy
Anaesthesia
1. MC Thermal disturbance in Anaesthesia - Hypothermia
2. Inhalational anesthetic with highest nephrotoxicity - Methoxyflurane
3. Most definitive method to maintain airway - ET Tube
4. Best way to maintain airway in cervical cord injury - Tracheostomy
5. MC post-operative complication of intubation - Sore throat
6. Inhalational anesthetics are made non inflammable by - addition of fluorine
7. Inhalational agent causing hyperglycemia - Chloroform
8. Inhalational agent for cardiac pt-Isoflurane
9. Severe hypotension is caused by - Halothane
10. Hyperglycemia is caused by - Ether
11. Laughing Gas - Nitrous oxide
12. Only complete anesthetic agent - Ether
13. Pin index of oxygen is - 2,5
14. Needle used for spinal anaesthesia - Tuohy’s needle
15. Agent of choice for cerebral protection - Thiopentone
16. IV agent of choice for day care surgery - Propofol
17. Inhalational agent of choice in shock pts - Cyclopropane
18. MC risk factor for spinal epidural abscess - DM
19. IV agent causing max Nausea & vomiting - Etomidate
20. Agent of choice for pre-operative sedation - Midazolam
21. DOC for shivering - Pethidine
22. MC used anesthetic technique - Spinal anesthesia
Anaesthesia
Davinci Medical Academy
23. MC source of ICU infections - Urinary catheterization
24. Last sensation lost during stages of anesthesia - Hearing
25. Anesthetic agent with anti-emetic property also - Propofol
26. Fastest Induction of Anesthesia is caused by - Cyclopropane
27. Used in Epidural anesthesia - 2% lignocaine
28. Epidural is preferred over spinal because - prolonged duration of effect.
29. Spinal epidural abscess is most commonly caused by - Staphylococcus
30. Local anesthetics act by inhibition of - Na+ channels
31. 1st priority in management of trauma patient is - Airway maintanance
32. Mechanism of action of local anesthetic is - Stabilization of membrane
33. Bupivacaine is used for spinal anesthesia in concentration of -0.5%
34. Percentage of xylocaine used in spinal anesthesia - 5%
35. Most harmful anesthetic for T2DM patient - Ether
36. Shortest acting local anesthesia -Chlorprocaine
37. Epidural space is between - Spinal dura & vertebral column
38. Pure antagonist of Morphine is -Naloxone
39. Fastest route of absorption of local anesthetic is - Epidural
40. Early & reliable indication of Air embolism during anesthesia can be obtained by
continuous monitoring of - End Tidal co2
41. Sellick’s maneuver is used to prevent - Aspiration of gastric content
42. Nasal intubation is contraindicated in - CSF Rhinorrhea
43. Mendelson’s syndrome - Aspiration of gastric contents
44. Pulse oximetry detects inaccurately in presence of- Nailpolish, methemoglobin-
emia, skin pigmentation
45. Touching a metal spoon that is sitting in a pot of boiling water - Conduction
46. Mallampatti grading is for - Inspection of oral cavity before intubation
47. Mallampatti criteria used for assesment of - Difficulty in Intubation
48. Anesthetic agent associated with Delirium & hallucination - Ketamine
49. Intra occular pressure will be increased by -Ketamine
50. Iv agent with best Analgesic agent - Ketamine
51. IV agent of choice for shock pts - Ketamine
52. IV agent of choice for pts in full stomach - Ketamine
Anaesthesia
53. IV agent of choice for Asthmatics - Ketamine
54. Dissociative anesthesia is produced by-ketamine
55. Anesthetic agent used in ICU is - Ketamine
56. Raised ICT is caused by -Ketamine
57. Dose of ketamine - 2mg/kg/iv
58. Muscle pain after anesthesia is caused by - Suxamethonium
59. Muscle relaxant increasing intra cranial pressure - Suxamethonium
60. Muscle soreness post anesthetic is caused by - Suxamethonium
61. Post-operative muscle ache is caused by - Suxamethonium
Anaesthesia
62. Shortest acting muscle relaxant - Succinyl choline
63. Bradycardia is common after injection of - Succinyl choline/propofol/atracurium
64. Neuromuscular blocking agent with shortest onset of action - Succinylcholine
65. Malignant hyperthermia is most commonly precipated by - Succinylcholine
66. Hoffman’s elimination is for - Atracurium
67. Shortest acting IV analgesic - Remifantanil
68. Muscle rigidity is caused by - Fentanyl
69. Method of choice for induction in children is by - Inhalation
70. For high pressure storage of compressed gases, cylinders are made up of - Molybdenum
steel
71. Anesthetic agent safe to use in increased intracranial pressure - Thiopentone
72. In a patient with multiple injuries, first thing to be done is - Patency of Airway
73. In Spinal anesthesia which fiber is lost first - Sympathetic.
74. Drug with ceiling effect - Buprenorphine
75. Least soluble anesthetic agent is - Desflurane
76. Inhalational agent of choice in children - Sevoflurane
77. Post spinal, Head ache is due to - CSF leak
78. Bone marrow depression is seen with - Nitrous oxide.
79. Halothane causes - Bronchodilation & Hepatitis
80. In high spinal anesthesia - Hypotension & Bradycardia
81. Spinal anesthesia should be injected into the space between - L3-L4
82. Best way to prevent hypotension during spinal anasthesia - Preloading with crystalloids
83. Hepato toxic agent - Halothane
84. Structures pierce in LP - Lig.Flavum, Duramater, Supraspinous ligament
85. Physiological dead space is decreased by - Neck flexion
Davinci Medical Academy
86. Colour of oxygen cylinder - Black & White
87. Anesthesia of choice for manual removal of placenta - GA
88. AOC for alcoholic liver failure - Isoflurane
89. AOC in renal disease - atracurium & Cis atracurium
90. Best anesthesia in status asthmaticus - Ketamine
91. In belladona poisoning antidote is - Physostigmine
92. Atropine is used in - Mushroom poisoning/Malathion poisoning/OPC
93. Longest acting local anesthetic agent - Tetracaine
94. Pudendal nerve block involves - S2S3S4
95. Pneumothorax is a complication of - Brachial plexus block
96. DOC in status epilepticus - IV Diazepam
97. Post anesthetic emesis is least common with - Propofol
98. Cardiac stabilizing anesthetic agent - Etomidate
99. Muscle twitching & deterioration occurs in – Propofol
100. Ketamine C/I in glaucoma
Anaesthesia
MCQ’s
1. The gas which produces systemic toxicity D. Laryngospasm
without causing local irritation is: Ans. B
A. Ammonia
B. Carbon monoxide 4. An anaesthetist orders a new attendent to
C. Hydrocyanic acid bring the oxygen cylinder. He will ask the
D. Sulfur dioxide attendent to identify the correct cylinder by
Ans. B following color code:
A. Black cylinder with white shoulder.
2. In a patient with fixed respiratory obstruc- B. Black cylinder with grey shoulder.
tion helium is used along with oxygen in- C. White cylinder with black shoulder.
stead of plain oxygen because: D. Grey cylinder with white shoulder.
A. It increases oxygenation Ans. A
B. It decreases turbulence
C. It decreases the dead space 5. During rapid sequence induction of Anaes-
D. It provides analgesia thesia :
Ans. B A. Sellick’s maneuver is not required.
B. Pre-oxygenation is mandatory.
3. Upper respiratory tract infection C. Suxamethonium is contraindicated.
is a common problem in children D. Patient is mechanically ventilated
All the following anesthetic compli- before endotracheal intubation.
cations can occur in children with Ans. B
respiratory infections, except:
A. Bacteremia 6. A 5 year old boy suffering from Duchenne
B. Halothane granuloma muscular dystrophy has toundergo tendon
C. Increased mucosal bleeding lengthening procedure. The most appropri-
Davinci Medical Academy
ate anaesthetic would be: A. Pancuronium
A. Induction with intravenous B. Gallamine
thiopentone and N2O & halothane for C. Atracuronium
maintenance. D. Vecuronium
B. Induction with intravenous propofol Ans. C
and N2O & oxygen for maintenance.
C. Induction with intravenous 11. A 64 year old hypertensive obese female
suxamethonium and N2O & halothane was undergoing Surgery for FRACTURE fe-
for maintenance. mur under general Anaesthesia . Intra-op-
D. Inhalation induction with inhalation eratively her end tidal carbon dioxide de-
halothane and N2O & oxygen for creased to 20 from 40 mm Hg, followed by
maintenance. hypotension and oxygen saturation of 85%.
What would be the most probable cause:
Ans. B
A. Fat embolism
B. Hypovolemia
7. A 25 year old male is undergoing incision
and drainage of abscess under general An- C. Bronchospasm
aesthesia with spontaneous respiration. D. Myocardial infarction
The most efficient anaesthetic circuit is: Ans. A
A. Mapleson A
B. Mapleson B 12. One unit of fresh blood raises the Hb% con-
C. Mapleson C centration by:
D. Mapleson D A. 0.1 gm%
Ans. A B. 1 gm%
C. 2 gm%
8. In all the following conditions neuraxial D. 2.2 gm%
blockade is absolutely contraindicated, ex- Ans. B
cept:
A. Patient refusal. 13. A 50 kg. man with severe metabolic acido-
B. Coagulopathy. sis has the following parameters: pH 7.05,
C. Severe hypovolemia. pCO2 12 mmHg, pO2 108 mmHg, HCO3 5
D. Pre-existing neurological deficits. mEq/L, base excess -30 mEq/L. The approx-
imate quantity of sodium bicarbonate that
Ans. D
he should receive in half hour is:
A. 250 mEq.
9. Interscalene approach to brachial plexus
B. 350 mEq.
block does not provide surgical Anaesthe-
sia in the area of distribution of which of the C. 500 mEq.
following nerve: D. 750 mEq.
A. Musculocutaneous. Ans. A
B. Ulnar.
C. Radial. 14. The induction agent of choice in day care
D. Median. Anaesthesia is:
Ans. B A. Sevoflurane.
B. Ketamine.
10. At the end of a balanced Anaesthesia tech- C. Propofol.
nique with non-depolarizing muscle re- D. Methohexitone.
laxant, a patient recovered spontaneously Ans. C
from the effect of muscle relaxant without
any reversal. Which is the most probable re- 15. A 38 year old man is posted for extraction of
laxant the patient had received? last molar tooth under general Anaesthesia
Anaesthesia
as a day care case. He wishes to resume his C. Methoxyflurane
work after 6 hours. Which one of the follow- D. Isoflurane
ing induction agents is preferred: Ans. D
A. Thiopentone sodium.
B. Ketamine. 21. All of the following are true except:
C. Diazepam. A. Halothane is good as an analgesic agent
D. Propofol. B. Halothane sensitises the heart to action
Ans. D of catacholamines
C. Halothane relaxes brochi & is preferred
16. During cardiopulmonary resuscitation, in- as anaesthetics
travenous calcium gluconate is indicated D. Halothane may cause liver cell necrosis
under all of the following circumstances,
Ans. A
except:
A. After 1 min. of arrest routinely.
22. All of the following agents can be given for
B. Hypocalcemia.
induction of Anaesthesia in children except:
C. Calcium channel blocker toxicity.
A. Halothane
D. Electromechanical dissociation.
B. Servoflurane
Ans. A
C. Morphine
D. Nitrous oxide
17. Induction agent that may cause adrenal cor-
Ans. C
tex suppression is:
A. Ketamine.
23. Anaesthetic agent of choice in renal failure
B. Etomidate.
is:
C. Propofol.
A. Methoxyflurane
D. Thiopentone.
B. Isoflurane
Ans. B
C. Enflurane
D. None of the above
18. All of the following agents can be given for
Ans. B
induction of Anaesthesia in children except:
A. Halothane
24. A man with alcoholic liver failure requires
B. Servoflurane
general Anaesthesia for Surgery . Anaes-
C. Morphine thetic agent of choice is:
D. Nitrous oxide A. Ether
Ans. C B. Halothane
C. Methoxyflurane
19. Anaesthetic agent of choice in renal failure D. Isoflurane
is:
Ans. D
A. Methoxyflurane
B. Isoflurane
25. All of the following are true except:
C. Enflurane
A. Halothane is good as an analgesic agent
D. None of the above
B. Halothane sensitises the heart to action
Ans. B
of catacholamines
C. Halothane relaxes brochi & is preferred
20. A man with alcoholic liver failure requires
as anaesthetics
general Anaesthesia for Surgery . Anaes-
D. Halothane may cause liver cell necrosis
thetic agent of choice is:
Ans. A
A. Ether
B. Halothane
Davinci Medical Academy
Anaesthesia
