UNIVERSITY COLLEGE OF MEDICINE, THE UNIVERSITY OF LAHORE LOWSTAKE ASSESSMENT ANESTHESIA AND PAIN MODULE FOURTH YEAR MBBS, 2018 Duration of Module December 3 to 21, 2018 0.1. A person can climb-up one flight of stairs. What will be his MET Score? Chose the correct answer a 10 bo 8 =» oO a2 *8 G2. For classification of Hypovolemia assessment, a patient has HR=120/mint + orthostatic hypotension, urine output is 20mI/hour, sensorium is normal, body fade of hypovolemia; a e. Mini Q.3. Vomiting may occur in the following situation, except; ‘a Uremia, 'b. Shock ‘e. Head injury d. Large bowel obstruction . 4 Which one is the indication for post-operative ventilation; & Laparotomy b. Abdominal distention ¢. Pneumothorax o d. Hypopertusion of GIT 2.5, Patient having METS less than 4 has the increased complications of following; {choose the best answer) a. Neurological b. Hepatic o ¢. Renal e. Resp ed Page 1 ofSQ.6. 30% intravascular volume loss is equal t a. 500m! b. 1000mI c. 2000m! d. 1500m1 e. 500m! o Q.7. A patient with di@BBHEMREOSEOee has BP 80/50, no urine output, the most suitable fluid to replace the (HSEVSIUME is ; a. Ringer lactate oO “b. Normal saline cc. Ringer solution d. 5% D/w with insulin e. Colloid Q.8, Endotracheal tube correct placement is assured by the following, choose the best one answer; a. Direct under vision intubation b. Pulse oximetry (SPO2) Oo ¢. End Tidle carbon dioxide (ETCO:) d. Bilateral Auscultation of chest a fe. Auscultation of epigastrium s.. 9. To reverse the effect of neuro-muscular blocker, the neostigmine is given in the Ee ‘a. SO micro gram / Kg f See anon ene eee Semceperne Fal dees the eninge cane und me nue carage is raceme correct for; is Operon b. Surgeon i pecon e. Analgesia it decreases the cortisone and increases insulin and increases aldosterone”, this statement is correct for; ‘a. Diabetes millites uncontrolled b. Unbearable pain c. Optimal analgesia d. Adequate sedation e. Allabove Page 2 of Surgery objective arein umber (a. 12. WHO. safes at v4 o3 a2 = F eaagyrestesesnsrtemisinervone ‘answer a ‘a. Anesthesia mac! : & pacent controled analgesia (PCA) app=r=t0s Epidural infusion equipment inthe equipment", choose the best one e nancy wale rabove au. cine veteig esa SACASTSTESISSETECETOPEC f Hyperthermia, Muscle Rigidity, Trigger by Suxamethonium ‘and volatile “anaesthetics”, this statement is correct for the disease; ‘2. Myesthenia Gravis Syndrome ‘c. Ketamine induced catatonia d. Thyrotoxicosis storm ‘e. Pheochromocytoma crisis 0.15. If hard palate, soft palate and base of uvula is visualize then according to Mallampatti it is which class; v om = @ av ew Q. 16. “High insufflation pressure, suddenly hypoxia absence breath sounds on one side of chest unequal chest expansion, previous history of COPD”, this statement diagnosis of; a._ Blunt trauma ¢. Tension pneumothorax d. Pericardial effusion e. Bilateral pleural effusion Q. 17. Regarding 02 Therapy, following statement is not correct; a, Prevent hypoxaemia b. Correct hypercarbia c. Correct hypoxia d. Indicated when arterial oxygen pressure less than 60mmHg e. When SPOzis less than 90% Page 3 of 54 & Q, 18. Normal arterial PCO: pressure is; a. 30 mmHg b. 35 mmHg ¢. 40 mmHg” oO d. 20 mmHg e. 50 mmHg Q, 19. O2 Supplement is advised to the following patients on clinical ground. Choose the best answer a. Myocardial ischemia b. Cardiogenic pulmonary oedema c. Acute lung injury d._ Cyanide poisoning Q. 20. Regarding Oxygen face mask, supply of Oxygen should be how much letter per minute; a. 10letter b. letter QO ©. Sletter d. letter fe. Bletter Q..21. Regarding intravascular plasma half life of a crystalloid solution, which statement is true; 2. 12hours b. Lhours d. 20-30 mid @. 1-2hours . 22. Blood transfusion should be done after loss of blood; a. 15-26% b. 10-20% «. 5-10% 4. 20-30% fe. Assoon as the loss started Q. 23. The most dependable and sure technique of saving airway during G/A is; a. Endotracheal tube intubation b. Laryngeal mask airway ¢. 1-Gell d. Mask ventilation e, Combitube insertion Page 4 ofSwhich is the Depolarizer muscle relaxant? a. Suxamethonium Atracurium Rocuronium Pancuronium All of the above pans Q. 25. 1/V induction agents are? (choose the correct one answer) a. Pentothal b. Propofol oO c. Ketamine d. Bupivacaine) e. A,B, &C