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M.C. nerve used for monitoring during anaesthesia | Ans. is 'a' i.e. Ulnar nerve Most common nerve used for monitoring during anaesthesia is ulnar nerve.Ulnar nerve supplies adductor pollicis, and this muscle is most commonly observed during perioperative period.Adductor pollicis muscle is monitored for neuromuscular blockade. If adductor pollicis is showing no activity... | 1 | Ulnar nerve | Facial nerve | Radial nerve | Median nerve | Anaesthesia | Fundamental Concepts | 04684bf0-0934-40b2-b791-e4ae7fc6e4d9 | single |
Pin code index of N2O is | PIn index provides prevention of wrong attachments of cylinders . N20 - 3 ,5 O2 - 2 , 5 C02 (Gas) - 1 ,6 . ( Liquid below 88F ) 2 , 6 ; Cyclopropane 3 , 6 . | 4 | 1,6 | 2,5 | 2,6 | 3,5 | Anaesthesia | Anaesthetic equipments | 820d98b2-28ec-4190-821f-84f776a06648 | single |
'Pityriasis Versicolor' is caused by | Pityriasis versicolor are tinea versicolor is a superficial fungal infection caused by dimorphic fungi belonging to genus Malassezia. M.globosa and M.furfur are two main species causing it. Most common site affected is upper trunk, but can also affect face and flexural areas. Clinical manifustations are in te form of h... | 1 | Malassezia furfur | Trichophyton rubrum | Aspergillus fumigatus | Nocardia versicolor | Anaesthesia | Anaesthesia of special situations | 53b8064c-a0aa-4894-bb93-8efe061cd910 | single |
Sudden decreasd end tidal CO2 in GA causes | Complications of Anaesthesia During anaesthesia: > Respiratory depression - Salivation, respiratory secretions > Cardiac arrhythmias > Fall in BP >Aspiration >Laryngospasm and >asphyxia >Awareness > Delirium and convulsion > Fire and explosion | 1 | Cardiac arrest | Pulmonary hypeension | Malignant hypehermia | Malignant extubation | Anaesthesia | Preoperative assessment and monitoring in anaesthesia | 2db1c2e5-b953-4cee-9242-a5a3d02ad2e0 | single |
A very high PEEP results in | Hypotension is due to diminished central venous blood return to the heart secondary to elevated intrathoracic pressures. | 3 | Hypertension | Hypothermia | Hypotension | Hyperthermia | Anaesthesia | null | fee5ff1b-6dbd-4a79-a223-b22fffe657c0 | single |
Best antagonist of morphine is | B i.e. Naloxone | 2 | Nalorphine | Naloxone | Buprenorphine | Pentazocine | Anaesthesia | null | 090a4816-c3f1-48ca-bc32-acf9749a2022 | single |
The bronchoscope is best sterilized with | A fiberoptic scope like bronchoscope, the flexible laryngoscope should be sterilized with 2% glutaraldehyde. | 2 | Ethylene oxide | 2% Glutaraldehyde | Betadine | Infrared radiation | Anaesthesia | Anaesthetic equipments | 5933d065-db0a-4e2d-bc71-69df5d9290aa | single |
Landmark for superior laryngeal nerve block | - Larynx is supplied by vagus- Upper larynx above vocal cord - supplied by internal branch of superior laryngeal nerve- Below vocal cord - recurrent laryngeal nerve- Feel the hyoid and try to palpate greater cornua of hyoid bone and take the needle on the side of the neck, taking the needle lateral to the greater cornu... | 4 | Angle of mandible | C7 transverse process | Cricoid cailage | Great cornua hyoid bone | Anaesthesia | JIPMER 2018 | 53127722-9677-4ea2-9656-976b7a5c620a | single |
In a typical blood gas analyser | Oxygen tension falls with hypothermia. The pH electrode directly measure pH. The standard bicarbonate measured in sample titrated to pCO2 of 5.3 kPa, which eliminates respiratory component. | 4 | Oxygen tension will be overstimulated in hypothermia | pH is a derived measurement | Standard bicarbonate can be used to indicate the respiratory component | The oxygen tension can be measured using Clarke electrode. | Anaesthesia | null | b5037b8f-8b3b-4937-849b-8c0d7a509503 | single |
The following is the anesthetic of choice in status asthamaticus | Ketamine | 3 | Thiopentone | Althesin | Ketamine | Barbiturate | Anaesthesia | null | 8e7c25fb-54fb-4999-8d6d-48a431192008 | single |
Color of nitrous oxide cylinder is | Ans. d (Blue). (Ref. Short textbook of anesthesia by Ajay Yadav, 2nd ed., 21)Colour and pressure of cylindersSr. No.Anaesthetic gasColorPressure (bar) CyclopropaneOrange52.N2OBlue543.CO2Grey504.HalothaneAmber--5.EthyleneRed--6.HeliumBrown1377.O2Black body with white shoulder1378.Entonox (50%O2+50%N2O)Blue with white sh... | 4 | Black with white shoulders | White with black shoulders | Grey | Blue | Anaesthesia | Anaesthetic Equipments | 2ac10b4f-5334-439a-a90f-39c283ec8a19 | single |
The circled part of given capnograph reflects | This is phase 3 which represents only alveolar air. | 2 | Inspiration | Alveolar air | Mixed air | Dead space air | Anaesthesia | null | afc3320f-dc16-42bc-90d4-0ba5f14e8bab | single |
Pudendal nerve block | Pudendal Nerve BlockIt is a peripheral nerve block that provides local anesthesia over S2-4 dermatomes (majority of perineum and inferior quaer of vagina)It does not block the superior bih canal so the mother is able to feel the uterine contractions(Refer: Morgan and Mikhail's Clinical Anaesthesiology, 5th edition, pg ... | 2 | S1-3 | S2-4 | S3-5 | S4,5 | Anaesthesia | All India exam | 410b0c7a-c75d-4391-a224-7b3290f350b4 | single |
The pin index code of nitrous oxide is | The Pin Index Safety System, or PISS, is a means of connecting high-pressure cylinders containing medical gases to a regulator or other utilization equipment. It uses geometric features on the valve and yoke to prevent mistaken use of the wrong gas. This system is widely used worldwide for anesthesia machines, poable o... | 3 | 2, 5 | 1, 5 | 3, 5 | 2, 6 | Anaesthesia | Fundamental concepts | 8e02ddd3-7f83-4d2d-aa1e-4da2403c621f | single |
Optimum minute ventilation is ensured by adjusting the following ventilation parameters | Minute ventilation is tidal volume multiplied by respiratory rate.so these parameters must be adjusted to maintain optimum ventilation. | 2 | PEEP and FiO2 | Tidal volume and respiratory rate | PEEP and respiratory rate | Tidal volume and PEEP | Anaesthesia | null | a10231ff-3aa3-4fb6-9021-bcb47e35d857 | single |
Local anaesthetic with maximum ionized form at physiological pH | Local anaesthetics with pKa value closest at physiological pH (7.4) will have a higher concentration of nonionized (unionized) base. Thus, the agent with pKa value away from physiological pH will have more concentration of ionized formChloroprocaine has highest pKa value, hence maximum ionized form at physiological pH.... | 4 | Lignocaine | Etidocaine | Bupivacaine | Chloroprocaine | Anaesthesia | All India exam | c10dae90-b293-4bbd-af23-abd32cec4170 | single |
Use of dexemditomidine | DexmedetomidineIt is a centrally acting a-2 adrenergic agonistIt is approved by f.D.A for sho-term (<24 hours) continuous IV sedation of adults who are tracheally intubatedIts use as an anaesthetic agent is not recommended but it is useful in patients with brain injury and ongoing sedation needs.(Refer: Morgan and Mikh... | 2 | Prolong action of LA in hypeensive patients | Sedative agent for intubated patients | Increases bioavailability of regional anaesthetic drug | Helps in reducing bispictral index of general anaesthetic drug with low potency | Anaesthesia | All India exam | 68b69fb2-ae71-4d99-974f-ae7a13e137d9 | single |
A patient on atracurium develops seizures due to accumulation of | Hoffman's degradation of atracurium produces a teiary metabolite,laudanosine , which can cross blood brain barrier and produce convulsions . | 2 | Didanosine | Laudanosine | Methylated Atracurium | Sulfated Atracurium | Anaesthesia | Muscle relaxants | 40b73a47-7f51-4376-8d64-581eda90be65 | single |
Epidural narcotic is preferred over epidural LA because it causes | C i.e. No motor paralysis | 3 | Less respiratory depression | Less dose is required | No motor paralysis | No retention of urine | Anaesthesia | null | 2b9d7d5b-69d1-456d-a217-37a956b4c34c | single |
Curare notch seen in capnograph is due to | With return of spontaneous ventilation, curare notch is seen in capnograph. | 3 | Carbon dioxide rebreathing | Bronchospasm | Spontaneous breathing | Valve malfunction | Anaesthesia | null | 7cf0a407-01b8-4a50-aa7d-bf6d33c58c25 | single |
Intracranial pressure is increased by | (C) Ketamine # KETAMINE causes an increase in all pressure viz: intracranial pressure intraocular pressure; Blood pressure> It does not cause muscle relaxation> Ketamine induces dissociative anaesthesia profound analgesia, immobility amnesia with light sleep ad feeling of dissociation from ones own body and the surroun... | 3 | Ether | Halothane | Ketamine | Thiopentone | Anaesthesia | Miscellaneous | 5defeaaf-45bb-44a1-b6e7-6157c19df3f9 | single |
Inner diameter of adult male endotracheal tube is | Internal diameter of the endotracheal tube used usually for an adult male ranges from 8.0 to 9.5 ID for an adult female ranges from 6.5 to 7.5 | 4 | 2 mm | 4 mm | 6 mm | 9 mm | Anaesthesia | Anaesthetic equipments | 3e5c59bd-8c72-44d5-b2d9-3f0bdba8d9ad | single |
Most common local anaesthetic used for intravenous regional anesthesia (Bier block). | Lidocaine is the most - frequently selected amide local anesthetic for producing this type of regional anesthesia. Lidocaine has been the drug used most frequently for intravenous regional anesthesia. Prilocaine, mepivacaine, chloroprocaine, procaine and etidocaine have also been used successfully. Intravenous regional... | 2 | Bupivacaine | Lignocaine | Prilocaine | Chloroprocaine | Anaesthesia | Regional Anesthesia | 02d1c019-862d-4660-9122-7c3be9fdca0c | single |
The following is not the differential diagnosis of an anterior mediastinal mass. | B i.e. Neurogenic tumor Neurogenic tumors (arising in posterior nerve structues) are the most common posterior mediastinal tumor but these do not occur in anterior mediastinumQ. And posterior mediastinum is the most common location for neurogenic tumors. | 2 | Teratoma | Neurogenic tumor | Thymoma | Lymphoma | Anaesthesia | null | 853d2b37-b798-43c2-9068-b0d6af805153 | single |
Commonest complication of celiac plexus block is | Celiac plexus is a sympathetic ganglion thus blocking it will always cause hypotension. The celiac plexus is the largest plexus of the sympathetic nervous system. It contains preganglionic sympathetic fibers from greater and lesser splanchnic nerves (emerge from the thoracic sympathetic ganglia, T5 to T12) as well as p... | 2 | Bradycardia | Hypotension | Seizures | Retroperitoneal hematoma | Anaesthesia | Regional Anesthesia | 47c4dc77-e3a6-4a0a-bdfb-2304dda958c4 | single |
Anaesthetic agent causing analgesia | "Ketamine is different from most other anaesthetic induction agents inthat it has significant analgesic action"(Refer: stoelting's pharmacology and physiology in anaesthetic practice, 5th edition, pg no.294) | 1 | Ketamine | Propofol | Etomidate | Thiopentone | Anaesthesia | All India exam | 3bb97968-79d9-446d-9ee5-7db914c9b60c | single |
Primary mechanism responsible for cerebral protection effect of thiopentone is | C i.e. Decreased (lowered) cerebn metabolism Barbiturates (thiopental), primarily decreases cerebral metabolismQ resulting in a dose related depression of cevebral metabolic oxygen consumption (CMR02).Reduced CMRO2 causes progressive slowing of EEG, a reduction in rate of ATP consumption, cerebral vasoconstriction (red... | 3 | GABA action, calcium channel block and free radicle removal | Increased cerebral blood flow | Decreased (lowered) cerebn metabolism | Reduces cerebral 02 demand by limiting CBF | Anaesthesia | null | 65e809f2-86cd-48d4-9f63-5ed398e1ddc5 | single |
Stages of anaesthesia were described by Guedel with | Ether | 1 | Ether | Chloroform | N20 | Halothane | Anaesthesia | null | 507230a0-5323-4180-87d7-bc57b5ab1f0a | single |
Not intravenous Anasthetic agent | D i.e. Cyclopropane | 4 | Ketamine | Thiopantone | Etomidate | Cyclopropane | Anaesthesia | null | 7f2cf9d8-4c80-4c60-a04d-a515fdbebe0c | single |
Anaesthesia of choice for manual removal of placenta | A i.e. GA Obstetric Anesthesia N20 can be given in Early pregnancy Anesthesia is dangerous in all three trimesters but comparatively 2" trimester is safestQ. Supine Hypotensive Syndrome : In late pregnancy (IIIrd Trim) circulatory depression occurs due to diminished venous return because of pressure of gravid uterus ov... | 1 | GA | Spinal | Epidural | Para Cervical | Anaesthesia | null | df8f5d0d-f1a0-44c7-beaa-2f3f58a9f420 | single |
The following anaesthetic drug causes pain on intravenous administration | Induction of anesthesia with propofol is often associated with pain on injection, apnea, hypotension, and, rarely, thrombophlebitis of the vein into which propofol is injected. Pain on injection is reduced by using a large vein, avoiding veins in the dorsum of the hand, and adding lidocaine to the propofol solution or ... | 2 | Midazolam | Propofol | Ketamine | Thiopentone sodium | Anaesthesia | General anaesthesia | 8ecb2f2e-4f2e-43be-a622-52842c4fcc28 | single |
Longest acting among muscle relaxant is | Among the given options, only doxacurium is long acting(Refer: stoelting's pharmacology and physiology in anaesthetic practice ,5th edition ,pg no.139) | 1 | Doxacurium | Rocuronium | Vecuronium | Atracurium | Anaesthesia | All India exam | fc4eb6f4-e1d1-41ff-8792-193d4fcf9e97 | single |
Stage of surgical anesthesia during ether administration is | Guedel's classification is a means of assessing of depth of general anesthesia introduced by Ahur Ernest Guedel for Ether in1937. Stage I (stage of analgesia or disorientation) Stage II (stage of excitement or delirium) Stage III (stage of surgical anesthesia) plane I to IV Stage IV: from stoppage of respiration till d... | 3 | Loss of Consciousness | failure of circulation | Regular respiration to cessation of breathing | Loss of Consciousness to beginning of regular respiration | Anaesthesia | General anaesthesia | 05efacf2-26c7-4fc5-acb0-75a922638a3b | single |
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