01.
A patient is receiving a balanced anesthesia with volatile anesthetic gases, opioids and
muscle relaxants. Which one of the following monitors is required to be in continuous use
during the care of this patient?
A. Temperature probe
B. Agent-specific gas monitor
C. Peripheral nerve stimulator
D. Spirometer
02. A volatile liquid is allowed to equilibrate with a mixture of gases. The resulting partial
pressure of the vapour will depend on:
A. Atmospheric pressure
B. Ambient temperature
C. The surface area of the liquid
D. The volume of liquid
03. The following medication should be discontinued prior to surgery and anesthesia:
A. Anticonvulsants
B. Thyroid replacement
C. Monoamine-oxidase inhibitors
D. Antihypertensives
04. Tracheal intubation would be required in all but one of the following procedures. Indicate
the exception:
A. Open cholecystectomy
B. Laparoscopic cholecystectomy
C. Excision of lymph node from the neck
D. Tonsillectomy
05. Hypothermia is associated with all but one of the following. Indicate the exception:
A. Post operative hypoxemia
B. Decreased platelet function
C. Myocardial ischemia
D. Increased analgesic requirements
06. Which one of the following receptors is not targeted in the treatment or prevention of
post-operative nausea and vomiting?
A. GABA
B. Histamine
C. Serotonin
D. Dopamine
07. The advantages of regional anesthesia include all but one of the following. Indicate the
exception:
A. Improved outcomes for certain procedures (e.g. thoracic surgery, Caesarean section)
B. Ability to continue technique postoperatively to provide pain relief
C. A reliable option for patients not well enough to undergo general anesthesia
D. Avoidance of systemic administration of drugs and consequent side effects
08. About the MAC we can say:
A. To high level (> 1,3 MAC) can lead to postoperative delirium
B. To low level (< 0,7 MAC) can lead to postoperative vomiting
C. The MAC is an unit for the potency of a volatile anesthetic
D. The MAC depends on the gender and the body weight of the patient
09. The following statement regarding monitoring is correct:
A. An PetCO2=30mmHg excludes rebreathing during spontaneous ventilation
B. A pulmonary capillary wedge pressure (PCWP)=13mmHg indicates over-transfusion
C. The EEG indicates depth of anaesthesia
D. Increased beat to beat variability occurs in hypervolaemia.
10. All but one of the following conditions predisposes the patient to prolonged effect of non-
depolarizing muscle relaxants. Indicate the exception:
A. Hyperkalemia
B. Hypothermia
C. Gentamycin administration
D. Myasthenia gravis
11. Which one of the following best describes the reason for the rapid offset of effect of the
induction agents?
A. Ester hydrolysis
B. Liver metabolism
C. Redistribution
D. Renal excretion
12. Which one of the following correctly describes an important principle in the use of
NSAIDs as an adjunct for post-operative pain?
A. I.V. therapy should be minimized to less than 5 days
B. NSAIDs must not be given to patients with renal insuffciency
C. Potentiation of opioid effect is a risk
D. Gastrointestinal bleeding is not a concern with the Cox1 inhibitors
13. Hypotension is least likely to occur following induction with which of the following
anesthetic agents?
A. Etomidate
B. Methohexital
C. Midazolam
D. Propofol
14. An induction dose of ketamine is most likely to have which of the following effects?
A. Analgesia
B. Attenuation of respiratory response to carbon dioxide
C. Decreased cerebral metabolic rate
D. Preservation of laryngeal reflexes
15. You see a patient in the preoperative assessment clinic prior to her laparotomy for colon
cancer. If the patient has an epidural inserted for post-operative pain, she is likely to
experience all but one of the following. Indicate the exception.
A. Reduced adrenal activation
B. Hypertension
C. Improved respiratory function
D. Excellent post-operative pain control
16. Other than analgesia, what is the most important clinical effect of the opioid analgesics?
A. Cardiac depression
B. Sedation
C. Nausea and vomiting
D. Respiratory depression
17. Appropriate management of an acute head injury includes:
A. Naloxone
B. Methylprednisolone 30mg/kg
C. Hyperventilation to a PaCO2 of 30 mmHg
D. Mannitol 2mg/kg
18. The trachea:
A. Is 1.5–2cm in diameter
B. Begins at C4 and ends at T6
C. Is supplied entirely by the bronchial arteries
D. Is lined by transitional epithelium
19. Regarding pulmonary artery catheters in a normal person:
A. The wedge pressure is about 12mmHg
B. The pulmonary artery pressure is about 20/5mmHg
C. The right ventricular pressure is about 30/0mmHg
D. The internal jugular to wedged distance is about 70cm.
20. An elderly man given atropine becomes excited and confused; appropriate treatment
includes:
A. Morphine
B. Physostigmine
C. Intubation and ventilation
D. Droperidol
Answers:
1. B 6. A 11. C 16. D
2. B 7. C 12. B 17. C
3. C 8. C 13. A 18. A
4. C 9. C 14. A 19. A
5. D 10. A 15. B 20. B
