Anesthesia

Fourth
9\12\2023

Choose the correct answer (only 26)

Q1/ In pregnancy ,normally the blood pressure tend to be:

A)Increase
B) decrease
C) no changes
D) highly increase
Q2/Anemia that occur during pregnancy is due to:

A) decrease red blood cells

B) decrease platelet
C) increase in plasma volume compared to red blood cell
D) increase in red blood cell count
Q3/Aortocaval compression occur mainly due to:

A)Supine position

B)Lateral position

C)Semi lateral position

D)sitting position

Q4/All the following gastrointestinal changes occur in pregnancy except:

A) Aspiration
B)increase gastric acid secretion
C)decrease lower esophageal sphincter tone.
D)bleeding

Q5/Regarding respiratory system during pregnancy ,choose the wrong statement:

A) the pregnant patient has a swollen respiratory tract.

B) the pregnant women is more difficult intubation compared to the non-pregnant women.

C) smaller than usual endotracheal tube may be required for intubate pregnant women.

D)may need for pre-oxygenation with 100% O2 in pregnant undergo general anesthesia.

Q6/Neonate is the age period:

A) from birth to the first 24 hours.

B) from 1 to 30 days of life.
C) from 1 month to 12 months of age.
D) from 1 year to the onset of puberty.
Q7/All are the cause of bradycardia in pediatrics except:

A)vagal stimulation
B) hypoxia
C) Increase blood pressure.
D) Increase intracranial pressure
Q8/The correct size of an endotracheal tube in pediatrics older than one year can be approximately using
the equation:
A) Age/4 + 4.
B) Age/ 3+4.
C) Age/2 + 4.
D) Age x 2 + 4.

Q9/propofol dose in pediatrics must be:

A) increase
B) decrease
C) double the dose
D) not changed

Q10/ Fasting guidelines before general anesthesia in pediatrics(choose correct answer):

A) up to 6 hours before surgery for bottled milk

B) up to 6 hours before surgery for breast milk

C) up to 2 hours before surgery for Clear liquids

D) no solid food for 2 hours before surgery

Q11/Serum electrolyte levels and creatinine concentration should be obtained before any surgery that
carry a significant risk of:
A) Cardiac failure
B) Pulmonary dysfunction
C) Renal failure
D) Hepatic dysfunction
Q12/Poor glucose control in geriatric patients is associated with a risk of all of the following except:
A) Aspiration
B) headache
C) Infection
D) Poor wound healing
Q13/Decreasing in levels of drug-binding proteins in geriatric patients, leading to increased:
A. Free drug and drug effects
B) Plasma volume
C) Blood-brain barrier permeability
D) Metabolism of drugs

Q14/Most effective treatment for acute control of delirium in geriatric patients is:
A) Droperidol
B) Diazepam
C) Haloperidol
D) Chlorpromazine

Q15/What is the benefit of regional anesthesia in old age?

A) Decrease incidence of deep venous thrombosis
B) Decreased blood flow
C) Inadequate pain relief
D) Mainly involve spontaneous airway

Q16/Propofol cause reduction in:

A)tidal volume
B) respiratory rate
C) tidal volume and respiratory rate
D) None of the above

Q17/ Anesthesia affect gas exchange by all the following except:

A) Changes in functional residual capacity (FRC)
B) Changes in lung size
C) Hypoxic pulmonary vasoconstriction (HPV)
D) Changes in ventilation and perfusion

Q18/pneumothorax more commonly occur in all the following except:

A)noncompliant lungs

B)Acute respiratory distress syndrome

C)chronic obstructive airway disease

D)Low inspiratory pressure

Q19/ All the following can be used to prevent airway collapse and atelectasis during anesthesia except:

A) Mechanical ventilation with PEEP

B) Continuous positive airway pressure (CPAP)
C)Face mask
D) Recruitment maneuver

Q20/MAC of inhalational agent(all true except):

A) Halothane MAC 0.75%

B)Isoflurane MAC 1.20%

C)Sevoflurane MAC 2%

D)Desflurane MAC 1.3%

Q21/MAC affected by :

A) Weight
B) Hypotension

C) Duration of anesthesia

D)Gender

Q22/ Halothane:

A)Commonly used

B)cause liver damage

C)pungent odor

D)Hypertension is common

Q23/ All the following are correct about isoflurane except:

A) Reduce Cerebral Metabolic Rate of O2.

B) Increase cerebral blood flow

C) Increase ICP

D) Laryngeal relaxation

Q24/Which inhalational anesthetic may react with dry soda lime?

A)Sevoflurane &Isoflurane

B) Isoflurane &halothane

C) Sevoflurane &desflurane

D) Sevoflurane &halothane

Q25/Sevoflurane:

A) Dose-dependent uterine relaxation.

B) Skeletal muscle contraction

C) Increase intraocular pressure

D) Irritant

Q26/ Median sternotomy is used for all the following except:

A)Lobectomy

B) retrosternal goiter

C) thymus

D) anterior mediastinum
 Q27/All the following factor contribute to postoperative hypoxemia after thoracotomy except:
A) Pneumothorax.
B) good pain relief.
C) Sputum retention.
D) Atelectasis.

Q28/ Herniation of the heart:

A) Opening in right ventricle

B) the heart is displaced from the mediastinum
C) Rupture of the heart
D) Opening in right atrium

Head of Department Lecturer

Dr. Ali Jasim Alkhafaji Dr.Ahmed AL-khalidi