Anesthesia Fcps Past Paper 1

March 29, 2018 | Author: Wael Mostafa | Category: Blood Pressure, Lung, Heart, Human Anatomy, Medical Specialties



Questions Important; Following questions are courtesy of UNKNOWN visitor. He has only requested for prayers. 1.what is true about critical temperature: a. applies on mixture of gas. b. of co2 is 31c c. of oxygen is 121c d. of nitrogen is 21c e. is temperature below which pressure can keep gas liquid 2. Humidity in OT should be a.27 b.45 c.37 3. Ropivacaine is used for epidural anaesthesia instead of bupivacaine during labour,because a. it is less toxic b. no effect on fetus c. recovery is quick d. prolonged action 4. a. b. c. d. half life of pseudocholine esterase is 2 hours 1 week 3 days 12 hours 5. regarding phosphodiestease inhibitor (I can just recall there was some option regarding its inactivation of cAMP,,which I ticked..but don't remember exactly now what the other options were ) 6. a. b. c. 7. a. b. c. d. volume of distribution depends on following except age gender lipid solubility of a drug what is true about FRV volume. increased in shallow breathing nitrogen breath test can measure it it is part of minute ventilation can be measured by helium dilution metho 8.regarding coanda effect what is true a. can explain ischemia of myocardium b. do not explains vascular flow c. explains unequal distribution of air in alveoli 9. a. b. c. regarding flow of gas in a tube,directly proptional to radius pressure difference viscosity 10.flow of inhalational gases across memebrane is directly propotional to.. a. surfactant produced which one of following drug worsens angina a.causes met-Hb.diltiazem 15.vasodilator 16.analgesic. Chances of malignant hyper thermia increases b.not an anti inflammatory d.more potent analgesic than codeine e.metoprolol e.verapamil b.Mac of isoflurane is a.mac is reduced in¼ a.isosorbide dinitrate b.cervical nerves c.droperidol d. regarding paracetamol what is true¼ a.vagus nerve d. due to increased risk of prolonged muscle contractions 18.5 20.diltiazem 14. b.child with burn 6 hour back brought to ER for dressing.increases PT¼ nephrotoxic c.0.which one of following used in CCF but is not a vasodilator¼ a.metoclopramide e. hypoxia.. which one of following anti emetic has max bioavalability a. isoflurane c.hypoglossal nerve 19...propanolol d. sevoflurane .isossorbide dinitrate c.ondansteron b. which one irritates larynx.verapamil b.5 c. Family history of sibling died under GA is positive¼you are cautious regarding using succinylcholine in this patient why? a. desflurane b.0.porcholrperazine 12.1.nitoglycerine c.sensory supply of dura is by all except a.b. 22. a.2 d.drug of choice in prizmental angina a.lisinopril 13. a.nifedipine c.emia more frequently than Phanacetin 17.cyclizine c. duration of anaesthesia c. hyperkalemia c.1.nitous oxide is a .trigeminal nerve b.nimodipine d. hypoxia 11. transalveolar pressue c.3 b. nitrous oxide 23.mechanism of action ) a. c.ketamine b.can be used in asthmatic patients a. adrenaline is added to local anaesthetic to restrict its¼ . After induction of anesthesia by 10 mg/kg thiopentone. inferior vena cava b. Cause ? a. a.tributaries similar to aorta c. regarding left adrenal vein drains into¼ a.. d.profol c.commences at L5 b.isoflurane effects cardiac activity by: (options don't remember exactly. left renal vein related to bare area of liver 32. all of the following are tributaries of internal jugular vein except: a. inhibiting intracellular phospateases c.ketamine b. dec HR c.which one of following has steroid nucleus. pt is hypotonic.) d. dec contractility 26.but the main theme was how isoflurane actually suppresses cardiac activity.. sigmoid sinus b.midazolam 27.recommended for anaesthesia induction. a patient of thoracotomy wid oozing wounds b. correct statement regarding inferior vena cava ¼ a.propofol 28.d. b. diabetic patient undergoing hemicolectomy c.which one is potent bronchodilator. a. ketorolac drug of choice in¼ a. oocipital vein 25.thiopental effects on cvs: a. superior thyroid d. lingual vein c. 29. hypersensitivity b.thiopental d.exact term don't remember but it was bi. bidirectional block (something like that .. 31. decreasing AV conduction b.transient fall in bp b. 30.regarding isoflurane one correct statement. 24.lies posterior to right adrenal gland d. .CRF c.. a.patient in ot undressed.known hypertensive.prednisolone. b. a.vagus nerve. b.regarding carotid sheath.a..laminar flow what is true¼. lysosomes a.early morning . directly proportional to viscosity 38.correct statement is: a. whats true about montoux test.cardiac output c..( cant recall what they asked. regarding cvp whats true¼. a.contents are carotid artery.. reading 5cm H2o is equal to 10 mmhg 35. produced by golgi apparatus b. cardiac output to body surface area (BSA). always low in all types of shock.toxicity 34. decreases in old age 44.blood pressure 43.radiation n conduction 36.internal jugular vein b.just remember there was a question regarding it as well ) 42. has oxidases 46. transducer is¼ a .patient on htnsive drug now comes in shock . a. 47. gives clue about pulmonary edema d.hemolysis b.formed by condensation of pretracheal fascia 46.if ventillation increasd.difference of end systolic volume and end diastolic volume 45.. a. a.reaction type is type 4 41.respiratory rate d.dopexamine 48.dead space develops 37.Diagnosis? a.pulse pressure a. give accurate measurement when catheter in rt atrium c.bronchial tone circadian rhythm max at ¼a. is differance of systolic and diastolic pressures sternous exercise wats not increased¼. has hydrolases n catalases c.heat loss is by a. cardiac index is.convert one energy form into another 39.adenosine mode of action¼ a.ARF 40.heart rate b. Serum Potassium is 5. three times normal saline c. pilocarpine c. ringers lactate d.. chorda tympani. in which lung root sinks during respiration b.mac of sevoflurane with 60% N2O a. aorta.10%dextrose c.respiratory quotient is a.plasma b. b.leaves through styloid mastoid foramen..fluid of choice is¼ a.moves with one false¼.68 60.supra pleural fascia is ¼.which cranial nerve damaged a. lidocaine 51. whole blood b. d.formed by condensation of Sibson fascia 53. 0.carbondioxide produced per oxygen utilization 59. a recess in parietal pleura c. a..facial 57..replace by .road traffic accident . supplies posterior 2/3 of tongue.all are mesoderm derivative except¼ .thoracic part of sympathetic trunk supplies all except.dorsal rami of cervical spinal nerves supply .sternoclavicular c. a.subclavian vessels crosses it superiorly 54.shoulder joint 61. lungs. a.which of following joint is immoveable a.occulomotor b.. parietal pleura 58.manubrosternal b.attached to first rib c. 56. c. d. heart. quinidine b.49. passes over upper part of medial side of tympanic membrane 55.class three antiarhythmic name a.patient now having bleeding from left ear n left eye pupil dilated. .thickining of pretrachial fascia b. c.symphsis pubis d. b .10-15% blood loss.trigeminal c. a.trochlear d.pulmonary ligament is a.66-0. ringers lactate 52. normal saline 50. blood.3rd space fluid loss. has valve b.regarding internal jugular vein a.influenza d.neisseria 64.trochlear nerve 73.related to bare area of d.a patient is inducted with an inhalational agent.isoflurane b.which of following doesn't have any sensory supply a.regarding inferior vena a.pica b.lymph is drained into a. b.streptococcus b.vertebral artery d.anterior inferior cerebellar artery is a branch of a.nitrogen breath test can be used for a. d.lingual nerve is its tributary.regarding bronchopulmonary segments correct statement is a.hypoglossal nerve crosses it anteriorly.regarding right brachiocepahilc vein. 68..true regarding trachea a.hypoglossal nerve. cilliated epithelium uptil terminal bronchus 65. 66.functional unit of lung 63.he develops bronchospasm n airway irritation.has a segmental bronchus b.lies posterior to right c.desflurane .continuation of sigmoid sinus. incomplete cartilages in airway tract tubes c.don't remember exactly ) which agent is responsible for this: a.measuring dead space .lymph node 69.. 71. to pyogenic lung abcess a.thymus c.spleen b. c.commences at L5 b.. renal gland liver to aorta 70.which of following organism causes menigites sec. b. contains macrophages in alveoli b. commences at level of t4 d.filling of ventricle produces which heart sound .anatomical .62.surgical.basillar artey c.staphyllococcus c.posterior cerebral artery 72.has tributaries similar cava.h. (I think in question it was also mentioned about mac of that agent and it was < 0.occulomotor nerve.. c. right is longer than left c.vagus nerve.what is true .what is true a.1 . is vertical 67. Prilocaine d.because of hypocalcemia 79.most toxic local anaesthetic is: a.regarding ropivacaine what is true a.piperacurium is preferred over pancuronium because a.more toxic than bupivacaine is a recemic mixture are very cautious regarding second dose.low ph increases its shelf life b.what is true about viscosity? decreases on increasing temperature 85.because of hyperkalemia blocks muscarinic receptors at postsynaptic terminal blocks nicotinic receptors at autonomic ganglia have given a dose of suxamethonium in a patient . huntingtons chorea succinyl choline is contraindicated .in pregnancy respiratory rate increases which hormone is responsible for that : a.regarding ropivacaine what s true: a.bupivacaine b.which local anaesthetic causes methaemoglobinemia: a.cardiovascular stability is more blocks nicotinin receptors at post synaptic junction b.long duration of action c.renal excretion is less b.pKa is equal to that of bupivacaine 76.orifice of a tube is small.prolactin c.dimethocaine 77.halothane d.bupivacaine c.estrogen b.equally effective than bupivacaine d.what is true about amide local anaesthetics: a.lidocaine b.half life of pseudocholinesterase is: a.2 days 83.suxamethonium causes tachycardia in a patient .what is the mechanism ? a.sevoflurane 74.lidocaine d.progesterone 86..why? a.thyroid d.why ? a.less cardiotoxic u have to give another dose.density c.they are bound to albumin 75.presseure difference b.flow of gas through small orifice affected by which parameter : a.12-16 weeks b.ropivacaine c.3 hours c.pseducholine esterase is deficient .radius 84. preganglionic sympathetic supply to sublingual gland is transmitted along which cranial nerve 92.ivc b.87.cns depression how many percentage of population malignant hyperthermia chances exist? a.glucose tranports across membrane due to its concentration difference. produced by cis than atracurium c. 60% c.svc c.give rise to greater petrosal nerve b.qrs complex options don't remember 99.cell is in complete depolarization phase in : a. 80% 90.maximum map is in a.4.diffusion b. What is the condition? a) Third degree heart block b) Mobitz Type 1 c) Sinus arrhythmia d) Mobitz Type 2 94. cisatracurium d. po2 50 spO2 60% 89.dosesnot release histamine 91.nerve to tensor tympani .sec.b.All are the branches of Vagus nerve EXCEPT a) Auricular b) Lacrimal c)Pharyngeal d) Recurrent Laryngeal indicator of preload is: a.which one of following is correct : a.respiratory acidosis b.type 2 respiratory failure and compensated respiratory acidosis d.facilitated diffusion c.less conc .by decreasing av conduction c.distends intestine 93. ECG of a patient shows progressively increasing PR intervals followed by dropped beat.. tubocurare c. suxa 103..cis atrecurium is preferred over atricurium why? a.T wave 102.. Muscle relaxant that can be given to an asthmatic pt a. atracurium b.organ perfusion 96.capillaries 100.chloride ion .metabolite of atra and cis curium b.end systolic volume tranport d.bicarbonate .it is called: a.and HCO3 was 26 a.due to less production of metabolites b.pulmonary capillary wedge pressue b.all true except (exact options don't remember but I guess they were like this ) a.pCO 2 was decreasing SA and AV conduction 88.reducing cardiac out put .one case scenerio was given in which ph was 7.pulmonary artery d.metabolic alkalosis 95.ace inhibitor acts in ccf by .regarding why nitrous not used in abdominal surgeries correct statement is: a. po2 60 spO2 90% c. po2 90 spO2 1OO% b.Regarding Laudanosine. a.<50% b.ST segment d. active tranport 101.About CSF most appropriate statement is a) it is ultrafilterate of Plasma b) has more glucose than blood c) has cushioing effect d) absorbed in Choroid Plexus 98.sodium in blood is electrically balanced by .nerve to submandibular gland c. crosses blood brain barrier d.regarding intracranial part of facial nerve what is true: a.ventricular end diastolic volume c.type 1 respiratory failure and compensated respiratory acidosis c.QT interval c.
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