| Post Name | Assistant Professor in Anaesthesiology- Medical Education |
|---|---|
| Question Paper Code | 043/2024/OL |
| Category Code | 343/2023 |
| Date of Test | 20 April 2024 |
| Exam Type | Online Examination |
| Total Questions | 100 |
1
All of the following nerves are blocked in an ankle block, except
Answer
C. Anterior tibial Nerve
2
Which of the following drug causes increase in amplitude of somato sensory evoked potential during intra operative monitoring ?
Answer
A. Etomidate
3
Which of the following is NOT associated with PRIS (Propofol Related Infusion Syndrome) ?
Answer
D. Hypokalemia
4
Which of the following drug is safe in patients with acute intermittent Porphyria ?
Answer
C. Propofol
5
False statement regarding blood gas partition coeļ¬cient is
Answer
D. BG partition coeļ¬cient is least for Nitrous oxide
6
Comparing Lignocaine with Prilocaine, which of the following is true ?
Answer
A. Lignocaine and prilocaine has the same potency
7
Who performed the ļ¬rst spinal anaesthesia ?
Answer
D. August Bier
8
Which artery accompanies the ilioinguinal and ilio hypogastric nerve ?
Answer
B. Deep circumļ¬ex artery
9
Under anaesthesia which is the most common method used to evaluate intra operative awareness ?
Answer
B. BIS
10
Which of the following is NOT a sign of stellate ganglion block ?
Answer
D. Bradycardia
11
Supra sternal notch compression test is done to conļ¬rm the position of
Answer
C. Proseal LMA (PLMA)
12
Volatile anesthetic agent least metabolised in body is
Answer
D. Desļ¬urane
13
A preoperative assessment should include all the following except
Answer
C. Patient knowledge of rehabilitation
14
One of the method to measure changes in the levels of consciousness during anaesthesia is
Answer
A. Auditory evoked potential
15
Recommended selection criteria for SCS (Spinal Cord Stimulator) placement in patients with chronic pain are all except
Answer
D. Nociceptive pain syndrome
16
Select wrong statement about preoxygenation
Answer
B. It prevents hypercarbia
17
Gassserian Gnaglion block is most commonly used for neuropathic pain located in which of the following nerve distribution ?
Answer
B. V Nerve
18
Who coined the term "Anaesthesia" ?
Answer
C. Oliver Vendel Homes
19
A patient on Ticlopidine is posted for hernia repair. Select the correct statement.
Answer
D. Ticlopidine is to be stopped 14 days prior to surgery
20
A 34 year old man suļ¬ered severe head injury with extensive intra cerebral bleed, he is declared brain dead and prepared for organ harvesting. His preoperative BP is 90 systolic and is on Noradrenaline support. ASA(PS) classiļ¬cation for him would be
Answer
C. Class 6
21
Minimum Alveolar concentration of an inhalational agent is decreased in the following conditions except
Answer
B. Chronic Alcoholism
22
Inhalational agent which causes primary cardiac arrest due to ventricular ļ¬brillation is
Answer
D. Chloroform
23
A patient undergoing hyperbaric oxygen therapy with 3 atmospheres develops convulsions. This is known as
Answer
A. Paul Bert eļ¬ect
24
Select the appropriate statement about Sugammadex.
Answer
B. It forms tight complexes with vecuronium
25
Modiļ¬ed Aldrete Score for discharge criteria include assessment of all except
Answer
B. Post OP nausea and vomiting
26
A size E compressed gas cylinder completely ļ¬lled with O contains how many litres of gas ?
Answer
C. 1590 L
27
Which of the following methods can be used to detect all leaks in the low-pressure system in anaesthesia machine ?
Answer
D. Negative pressure leak test
28
The measured by Capnometer is less than the arterial value measured simultaneously is due to
Answer
C. Alveolar dead space
29
Which of the following alpha-antagonist produces an irreversible blockade ?
Answer
C. Phenoxybenzamine
30
Which of the following drug should not be used in the treatment of severe bradycardia induced by an excess of beta-adrenergic receptor blockade ?
Answer
C. Dopamine
31
Concentration of lignocaine used for spinal anaesthesia is
Answer
D. 5%
32
Breathing circuit of choice for spontaneous ventilation is
Answer
A. Mapleson A
33
The law which states that for a ļ¬xed mass of gas at constant temperature, the product of pressure and volume is constant is
Answer
B. Boyle's law
34
Which of the following intravenous anaesthetic agent is associated with the highest incidence of nausea and vomiting ?
Answer
C. Etomidate
35
The pressure gauge on size E compressed cylinder containing reads 1600 psi. How long could the be delivered from the cylinder at a rate of 2L/min ?
Answer
C. 250 mins
36
The highest trace concentration of allowed in the OR atmosphere by the National Institute for Occupational Safety and Helth (NIOSH) is
Answer
C. 25 ppm
37
At high altitude the ļ¬ow of a gas through a rotameter will be
Answer
D. Greater than expected at higher ļ¬ows but accurate at low ļ¬ows
38
Mechanism of action of local anaesthetic is
Answer
B. channel inhibition
39
Granule size of soda lime in canister is
Answer
B. 4-8 mesh
40
Most cardiotoxic local anaesthetic is
Answer
B. Bupivacaine
41
Percentage loss of vital capacity in lithotomy position is
Answer
B. 18%
42
I/V induction agent which comes under classiļ¬cation of steroid derivative is
Answer
D. Althesin
43
The most important single factor controlling cerebral blood ļ¬ow
Answer
B. Arterial carbon dioxide tension
44
The half-life of carboxyhaemoglobin in a patient breathing 100%
Answer
B. 1 hour
45
The term azeotrope refers to
Answer
A. A mixture of two volatile anaesthetic agents
46
Normal intracranial pressure is
Answer
Question Cancelled
47
A patient has oxygen saturation of 96% on pulse oximetry but 88% on arterial blood gas analysis, what is the most likely cause for this discrepancy ?
Answer
C. Carboxyhaemoglobin
48
The blood gas solubility coeļ¬cient of Isoļ¬urane is
Answer
C. 1.4
49
In a cannot intubate cannot ventilate scenario the patient is oxygenated via a cricothyroidotomy. In an adult, what is the largest size of tracheostomy tube that can be inserted through the cricothyroid membrane ?
Answer
C. Size 6
50
A deep-sea SCUBA diver is treated in a hyperbaric chamber for acute decompression sickness. The improvement in symptoms is best explained by
Answer
Question Cancelled
51
The situation in which medical personnel do not provide a suļ¬cient dosage of medication thereby provoking repetative demand from the patient for analgesics during perioperative management of patient with chronic pain
Answer
B. Pseudoaddiction
52
Which is not a complication of spinal cord stimulation in failed back syndrome ?
Answer
A. Hypotension
53
Optimal timing for initiation of epidural labour analgesia
Answer
D. Maternal request for labour pain relief
54
Which nerve ļ¬bres transmit the noxious stimuli from the periferal receptors in the periferal visceral and somatic site to the dorsal horn of spinal cord ?
Answer
A. A delta and C
55
Ideal epidural catheter insertion site for upper abdominal surgeries like cholecystectomy, gastrectomy and Whipple procedure is
Answer
C. TāāTā
56
Which of the following is 'FALSE' regarding Patient Controlled Analgesia (PCA) ?
Answer
A. A lock out interval that is too short will not contribute to an increase in medication related side eļ¬ects
57
Acoustic Window used for Transcranial Doppler Monitoring of components of Code of Willis, include all except
Answer
B. External auditory meatus
58
As per the current recommendation regarding Resuscitation during haemorrhagic shock in trauma is aimed at
Answer
D. Bringing up the blood pressure to maintain deliberate hypotension by limitation of crystalloids infusion and by early transfusion of blood components
59
Goals for Late resuscitation in trauma included all except
Answer
A. Maintain systolic blood pressure less than 100 mm Hg
60
Which of the following is an INCORRECT statement in the care of a patient transported by Helicopter, following a major head trauma ?
Answer
B. Maintain Cerebral perfusion pressure below 50 mm Hg
61
During treatment of nerve agent poisoning like sarin (SARIN), with intravenous Pralidoxime, the target therapeutic blood concentration should be
Answer
C. 4 microgram/ml
62
The lethal exposure level of phosgene in humans
Answer
A. 800 ppm for 2 minutes
63
Current fasting guidelines for non-operating room anaesthesia is
Answer
C. 8 hours fasting for full meal, 6 hours fasting for light meal and 2 hours fasting for clear ļ¬uids
64
Indication for Inferior Vena Cava (IVC) ļ¬lter placement include all except
Answer
A. Allergy to antiplatelets
65
As per the American Heart Association guidelines, cardiac resynchronisation therapy is the class I indication for those patients with the following set of parameters except
Answer
A. Atrial ļ¬brillation
66
Machanism of action of antidepressents like AMITRIPTYLINE, IMIPRAMINE used in the treatment of Neuropathic pain are through
Answer
D. Norepinephrine/5-Hydroxy tryptamine receptors
67
Which ganglion neurolysis is performed in patients with unresectable pancreatic cancer ?
Answer
A. Coeliac plexus
68
Which of the following is NOT a role of social worker in palliative care team ?
Answer
A. Participates in diagnosis and treatment of the patient and their families
69
Which of the following sequence of six-step protocol for breaking bad news is correct ?
Answer
A. Setting ā Perception ā Invitation ā Knowledge ā Empathy ā Sequelae
70
Normal Brain tissue is
Answer
D. 20-25 mm Hg
71
The most commonly targetted nuclei for the treatment of movement disorders are
Answer
B. Sub thalamic nuclei
72
Most common infection in post kidney transplant patient is
Answer
B. Cyto megalo vrius
73
The diagnostic criteria of Hepato pulmonary syndrome include all except
Answer
D. more than 40 mm Hg
74
Which is the excellent marker of synthetic function of liver transplant patient in post operative period ?
Answer
A. Prothrombin time or INR
75
What is the dose of recombinant activated factor VII a in the management of severe obstetric haemorrhage ?
Answer
A. 70-90 Microgram/kg
76
A 14 year old man with a medical history of non-small cell lung cancer presents to the ED with new-onset shortness of breath. A chest Computed Tomography (CT) scan reveals a Pulmonary Embolism (PE) at the bifurcation of the right and left pulmonary arteries. The patient is initiated on parenteral anticoagulation and transferred to the medical ICU. On admission to the medical ICU, the patient develops pulseless electrical activity. He is intubated and mechanically ventilated, with recovery of spontaneous circulation after one round of chest compressions and administration of epinephrine 1 mg. Which is the next best step to evaluate and/or treat this patient's PE ?
Answer
D. Do a Transthoracic Echocardiogram (TTE)
77
Loss of 'a' wave in CVP waveform is seen in
Answer
C. Atrial ļ¬brillation
78
A 24-year-old man is admitted to the ICU for hypotension after a bee sting. After treatment and fluid resuscitation, his MAP is 62 mm Hg. A right internal jugular catheter reveals CVP 3 mm Hg, SvOā 61%, venous lactate 4.4 mmol/L and Hb 9.6 g/dL. Together with further fluid resuscitation, which agent is best to initiate?
Answer
D. Norepinephrine
79
Typically the Sterility Assurance Level (SAL) for terminal sterilization is
Answer
B. 10ā»ā¶
80
Indications for Central venous cannulation include all except
Answer
D. Continuous, beat to beat blood pressure monitoring
81
Intra operative awareness is monitored by
Answer
A. Bispectral imaging
82
Which best describes the category of Acute Respiratory Distress Syndrome (ARDS) that most beneļ¬ts from prone positioning and cisatracurium administration ?
Answer
B. Moderate to severe
83
False statement regrading Fibre Optic Bronchoscopy in a mechanically ventilated patient is
Answer
D. Has no eļ¬ect on PEEP delivered
84
A 55 year old man (weight 75 kg) is admitted to the burns ICU after sustaining a 65% total body surface area burn to the abdomen, back, and lower extremities from a house ļ¬re. He is unconscious and unable to protect his airway. His medical history is signiļ¬cant for hypertension and hyperlipidemia. He is currently receiving high-dose norepinephrine and vasopressin to maintain a MAP of 65 mm Hg. His current laboratory data show the following : sodium 130 mEq/L, potassium 5.9 mEq/L, chloride 122 mEq/L, carbon dioxide 15 mg/dL, Blood Urea Nitrogen (BUN) 10 mg/dL, and SCr 1.3 mg/dL. Which medications would be most appropriate to use for RSI ?
Answer
C. Etomidate, fentanyl, rocuronium
85
What is the best design to study the eļ¬cacy of an intervention ?
Answer
D. RCT
86
Which is the best trial design to study the prognosis of a disease ?
Answer
C. Cohort study
87
Informed consent should included all except
Answer
C. Blanket consent is legally valid
88
What is the ļ¬rst step in applying evidence based medicine concepts to answer a clinical questions ?
Answer
A. Ask a question
89
Correct statement about percutaneous tracheostomy
Answer
B. Absolute contra indication in unstable cervical spine injury
90
Which set of laboratory abnormalities best reļ¬ects those that patients in thyroid storm typically present with ?
Answer
B. Low TSH, high T3 and high T4 concentrations
91
A 33 year old man presents with ALF secondary to acetaminophen overdose. He is now 72 hours post - ingestion and is profoundly encephalopathic and unresponsive to pain on examination. An ICP monitor is placed, which shows acute elevations of 30 mm Hg. Which is most appropriate for the acute management of ICP elevations ?
Answer
B. Mannitol 0.5 mg/kg intravenously Ć 1
92
Rise in during thyroid surgery can be due to all except
Answer
A. Anaphylaxis
93
Which one of these statements is correct for desļ¬urane ?
Answer
B. It is used in a speciļ¬c vaporizer
94
All are non invasive methods for calculating cardiac output except
Answer
Question Cancelled
95
Regarding epidural blockade the wrong staement is
Answer
C. Most common organism implicated in epidural infection following needle placement is streptococcus
96
False statement regarding decontamination of ļ¬exible endoscopes.
Answer
C. Chloride related compounds are used for decontamination
97
Identify the wrong statement regarding post dural puncture headache.
Answer
D. Visual disturbance is due to the involvement of trochlear nerve
98
Regarding non invasive method for blood pressure monitoring which of the following statement is wrong ?
Answer
D. Von Reckling Housen technique can be used to measure non invasive blood pressure continuously.
99
In JVP wave form 'x' descend correlate with
Answer
C. Atrial relaxation
100
Which option best represents the two signs or symptoms that would qualify this patient for a diagnosis of acetaminophen-induced Acute Liver Failure (ALF) ?
Answer
C. Coagulopathy and encephalopathy
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