Anaesthesiology Year 4 Batch 4

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ANAESTHESIOLOGY : End Posting Exam – 3RD JANUARY 2018

Year 4 Batch 4

MCQ (TRUE OR FALSE)


3. Monitor ICU (izzat)
a) invasive arterial blood give access to arterial blood sample
b) NIBP low than limb below heart level
c)
d) pulse oximetry in jaundice
e)
4) Hartman solution example (dzulfa)
a)calcium
b)potassium
c)magnesium
d)acetate
e)chloride
5) PCA (effah)
a)main pressure concentration decrease therapeutic level
b)for patient autonomy
c)decrease nurse care
d)improve patient op
e)vary

6) co2/ventilation curve (emiley)


a) measure integrity of peripheral chemoreceptors
b)parallel displacement to left in presence of opiods
c)progressive change in slope with increased halogenated anest
d)linear between paco2 of 20 and 120mmhg
e)unaffected by decrease in pa02 to 60mmhg

7) Consistent w/ cardiac tamponade (Sharon)


a)loud 1st heart sound
b)kussmaul breathing
c)basal crept
d)distended jugular vein
e)pulsus parodoxus

8) In the mx of critically ill patient : (hafizah)


a)aspiration is more likely in the right lung when the patient is in the right position
b)premature ventricular contraction requires urgent tx with beta blocker
c)adrenaline is an isotope
d)sterile glove have to be worn for arterial line insertion
e)ulnar artery can be used for cannulation for invasive BP
9) immediate insertion of chest tube maybe life saving in : (ikmal)
a)CA lung
b)pulmonary embolism
c)tension pneumothorax
d)pleural effusion
e)lung abscess

OSCE 1 (razi)
Names those devices
A) FiO2 (nasal prong)
B) How to determine the size (ant laryngoscope)
C) complications (supraglottic devices)
D)indication to use (ambu bag)
E) tip of blade,placed where ?
F)size for children (endotracheal tube)

OSCE 2 (rusli)
A) identify scale shown in above diagram
B) 2 clinical use of scale significance for following no. as given in diagram
C)state other method used ina similar as above data
OSCE 3 (raihan)
a) which led of ECG is normally used in ages patient and why ?
b)ECG rhythm
c)MAP & its significance
d)maintenance of IV
e)2 reasons SPO2 99%
MEQ 1 (khairina)
22 male,mva deep laceration (left leg),T&S of leg wound (emergency),under SAB,history of GA
uneventful,BP 115/70,PR 88,T 37C
1) ASA status
2)objective of pre op visit
3)2 history not given & imp
4)mallamplati & diff intub ? (lll)
5)indiciation of metoclopramide

IV infusion with NS,3ml bupivacaine 0.5%,sitting positioning at c3-c4,sensation absent up to


umbilicus
6)why c3-c4 ?
7)inidication at subarachnoid space
8)dermatome at level of subarachnoid space
9)amount of Marcaine used

After few hours,HR:87 SPO2:99% CO2:39


10)which lead used for observation and why?
11)comment the ECG
12)clinical sign of MAP
13)calculate IV maintenance regime (weight:58kg)
14)2 reasons why SPO2 99% despite given 100% oxygen

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