ABSTRACT
Advocate has responsibility for decision making d. Survival rates following anaesthetic-related cardiac arrest are
lower than for other in-hospital arrests e. It may be temporarily modified for the perioperative period
67. Following a road-traffic accident, a man is brought to A&E with multiple trauma. He has paradoxical chest wall movements, is mumbling incomprehensibly and is not eye-opening to pain; he is also extending his limbs in response to a painful stimulus. His vital signs are heart rate 120/min, blood pressure 84/56 mmHg, respiratory rate 42/min; the following applies: a. His GCS score is 5 b. His GCS score is 6 c. Rapid sequence induction is indicated immediately d. Head and chest CT scan is indicated without delay e. Trauma X-ray series of neck, thorax and abdomen is indicated
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currents c. Delivers pulse durations of 50-250 ms d. Delivers pulse frequencies of 1-200 Hz e. Can be applied over the anterior neck
69. A 60-year-old patient undergoing an emergency laparotomy develops a thyrotoxic crisis intraoperatively; the following management options are appropriate: a. Hyperpyrexia should be treated with tepid sponging, paracetamol
or aspirin b. Ideal heart rate is less than 90/min c. Propranolol may precipitate further arrhythmias d. Dantrolene administration e. Steroids do not have a role
70. A reduction in jugular venous saturation (SjvO2) would be expected in: a. Hyperoxia b. Hypocapnia c. Increased intracranial pressure d. Brain death e. Seizures
71. Peripheral signs seen in severe aortic regurgitation include: a. Quincke’s sign b. Water hammer pulse c. Osler’s nodes d. Janeway lesions e. Traube’s sign
72. Cataracts are features of: a. Wilson’s disease b. Congenital rubella syndrome c. Toxoplasmosis d. Amiodarone usage e. Hypercalcaemia
73. The following is correct of spinal needles: a. Sprotte is a non-cutting type b. Quincke is a non-cutting type c. Whitacre has an injection hole just proximal to the tip d. Postdural puncture headache is more common with Quincke
than with Sprotte e. Greene is pencil-tipped
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to hypoxia c. The alveolar-pulmonary capillary PO2 gradient increases d. A linear relationship exists between oxygen consumption and
ventilation e. Pulmonary vascular resistance rises
75. Approximate normal lung volumes for a 70 kg man are: a. Inspiratory reserve volume: 1 L b. Residual volume: 0.5 L c. Total lung capacity: 6 L d. Vital capacity: 3 L e. Tidal volume: 2 L
76. Acupuncture: a. Needles are 27-29 G b. Is based on theories of energy flow across the body c. Involves 12 main and 8 secondary meridians d. Can involve passage of electrical currents at 100 Hz through
the needle e. Is relatively contraindicated in burns
77. The use of ultrasound for catheterization of the epidural space: a. Has improved maternal satisfaction b. Resulted in longer times for the insertion procedure in children
when done in ‘realtime’ c. Decreases the incidence of dural puncture in children d. Cannot assess the depth of the epidural space e. Reduces the number of attempts required for successful placement
78. Following a percutaneous tracheostomy on ICU, an adult patient suddenly becomes hypoxic, hypotensive with increased airway pressure; immediate management should include: a. Chest drain insertion b. Needle thoracocentesis c. Chest X-ray d. Rapid sequence induction with thiopentone and suxamethonium e. Administration of 100% oxygen and suction via the tracheostomy
tube
79. The following applies to the generic pacemaker code (NBG): a. It consists of five letters b. Position I is chamber sensed c. Position II is chamber sensed d. Position III is programmability e. Position IV describes the antitachycardia function of the
pacemaker
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division of the
b. Often occurs bilaterally c. Is more common in young females d. In 80% of cases is related to vascular compression of the gasserian
ganglion e. Is best medically treated using carbamazepine
81. Concerning abdominal wall defects: a. Exomphalos is more common in males b. The majority of neonates with exomphalos have an associated
congenital anomaly c. Surgical correction of gastroschisis should be performed as soon
after birth as possible d. Neonates with gastroschisis should undergo an echocardiogram e. Nitrous oxide should be avoided in anaesthesia for
surgical correction
82. The properties below are correctly matched with their units of measurement: a. Magnetic field strength: tesla b. Capacitance: coulomb c. Amount of substance: kilogram d. Charge: farad e. Power: watt
83. For the provision of one-lung ventilation, the use of a Univent bronchial blocker has the following advantages when compared with a double-lumen tube: a. Ease of ventilation b. Absence of a high-pressure cuff c. Use in small children d. No requirement for endotracheal tube (ETT) exchange for
postoperative ventilation e. Selective lobar blockade
84. Doxapram: a. Is presented as 20 mg/mL b. Acts centrally and peripherally c. Should be given as a bolus of 1 mg/kg d. Displaces the CO2 response curve to the right e. Can be used for postoperative shivering
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central Audit Project of the Royal College
of Anaesthetists b. Incidence of permanent injury is between 2 and 4.2 per 100 000 c. Incidence of paraplegia or death was 0.7-1.8 per 100 000 d. Only 20% of initially severe injuries resolved fully e. Most complications leading to harm occurred in obstetric practice
86. Regarding the nose: a. The floor consists of the palatine bone and the maxilla b. The paranasal sinuses and nasolacrimal duct open onto the
medial wall c. Arterial supply comprises the maxillary and mandibular arteries d. Sensation to the septum is derived from the posterior
ethmoidal nerve e. Topical anaesthesia is provided by Moffett’s solution, which
consists of 2 mL of 8% cocaine, 2 mL of 1% sodium bicarbonate and 1 mL of 1 : 1000 adrenaline
87. Concerning the Fontan circulation a. It is indicated for tricuspid and pulmonary atresia b. Conversion should be performed in the neonatal period c. Stage I consists of placing a systemic-pulmonary shunt d. Stage II consists of an anastomosis of superior vena cava to
proximal left pulmonary artery e. After stage III the inferior vena cava is directed into the
pulmonary circulation
88. Typical cerebrospinal fluid (CSF) findings for pyogenic meningitis are: a. Appearance: Turbid b. Predominant cell type: Polymorphs c. Cell count: ,500/mm3
d. Protein: .1 g/dL e. CSF : blood glucose: .60%
89. The following cylinder pressures are accurate at room temperature: a. N2O: 137 bar b. CO2: 50 bar c. Heliox: 40 bar d. Entonox: 137 bar e. O2: 137 bar
90. Statins: a. All selectively inhibit HMG-CoA reductase b. Lead to increased hepatic LDL-receptor expression c. Lower LDL levels in a dose-dependent fashion d. Are associated with development of rhabdomyolysis e. with regular plasma creatine kinase
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1a. False 1b. True 1c. True 1d. False 1e. True Exclusion criteria for paediatric day surgery include:
† post-conceptual age ,50 weeks † inadequately controlled systemic disease † uninvestigated cardiac murmur † acute infection † complex congenital heart disease † sickle cell disease † diabetes mellitus † sleep apnoea † surgical criteria: prolonged surgery, inexperienced surgeon, risk of excessive
blood loss, body cavity surgery † social criteria: lack of parental support, long journey time, no home
telephone
2a. True 2b. False 2c. True 2d. True 2e. True Ondansetron is a 5HT3 antagonist that is routinely used for antiemesis; common reactions include constipation, headache, flushing, injection-site reactions. Less commonly: hiccups, hypotension, bradycardia, chest pain, arrhythmias, movement disorders and seizures. Rarely: dizziness and transient visual disturbances. Very rarely: transient blindness.
