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WorksheetsAnaesthesia Day 2021
Total questions: 20
Worksheet time: 13mins
Ketamine :
Has local anaesthetic properties
Bind to Gaba receptor
Can cause bronchospasm
surfactant :
Produced by type I alveolar cells
Surfactant reduce pulmonary compliance
Predominantly composed of carbohydrate molecules
Greater stabilising effect on smaller alveoli
Lignocaine :
is an ester anaesthetic agent
Acts on the voltage-gated sodium channel
Class II anti-arrhythmic agent
has a pka of 8.1
Midazolam :
Binds at Gaba b receptor
Cause hyperpolarisation of the neuron through chloride ion
metabolised by cytochrome P450
is a phencycylidine derivatives
The following are catecholamines:
Dopamine
Dobutamine
Noradrenaline
Dopaxemine
High altitudes causes:
Increase concentration of 2,3-DPG
Increase renal excretion of bicarbonate
reduce pulmonary artery pressure
In third trimester pregnancy, the following are lowered:
Pao2
Pco2
Functional Residual Capacity
Lung compliance
Venous air embolism causese reduction in ETCO2 due to:
Arrhythmia
Fall in cardiac output
Reduce diffusion gas
Increased dead space
Naloxone :
is a competitive antagonist a mu-receptor only
Precipitates acute withdrawal symptoms in opiate addicts
Presented as a clear position containing 0.4mg/ml
Undergoes extra hepatic conjugation
Causes of hyperkalaemia include:
Spironolactone
Alkalosis
Digitalis Toxicity
B-agonist
Bedsides testing for detecting autonomic neuropathy include:
Valsava manouvre
Postural blood pressure measurement
Maddox wing test
Romberg’s test
Functional Residual Capacity (FRC):
Approximately 30ml/kg
Increased during anaesthesia
Decreased in pregnacy
Maybe less than closing capacity
Regards to antibiotic use in ICU:
Imipenem has better coverage for enterococcus sp that meropenem
Imipenem is effective in the treatment of MRSA infection
Clindamycin is indicated in severe sepsis due to necrotising fascitis cause by beta haemolytic streptococcus infection
Ertapenem is a drug of choice for ESBL
Regarding ventilator associated pneumonia:
Incidence can be reduced by using closed suctioning system
Multi drug resistant Acinobacter baumanii infection is best treated with colistin
Broad spectrum antibiotics is indicated in early stage of VAP
Early use of H2-receptor antagonist reduces its incidence
The following drug can be given through endotracheal tube
Adrenaline
Atropine
Lignocaine
Sodium Bicarbonate
When is the World Anaesthesia Day?
16 October
15 October
14 October
20 October
When is the birth of Anaesthesia?
16th October 1900
16th October 1846
14th October 1856
18th October 1796
Where was the first anaesthesia dose given in the world?
Edinburgh general hospital
Royal Institution London
Massachusetts general hospital
Harvard medical institution
The first anaesthetist that successfully performed anaesthesia?
William Morton
Sir Jacob Bigelow
William Wallace
Sir Edward Cullens
Ibn Sina
Which following statements are true?
Dr Corning gave the first spinal anaesthetic in 1885 in New York.
Muscle relaxation using curare was first demonstrated in humans in Montreal in 1942
Sodium thiopentone came into use in the late 1930s
Dr Henry Hickman described the use of carbon dioxide to produce loss of consciousness
