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136 Cards in this Set
- Front
- Back
A patient undergoing liver surgery has a venous air embolism, what is the most appropriate position to place them in: |
D |
|
Which of the following is NOT a side effect of cyclosporine |
A |
|
What is the half life of clopidogrel? |
A |
|
When administering adrenaline and atropine via ETT dose compared with IV should be |
C |
|
What splitting ratio gives a 3% concentration of isoflurane? |
C |
|
What transfusion related complication is the commonest cause of mortality |
B |
|
Which of the following is not included in the CHADS2 AF thromboembolic risk scoring system |
B |
|
What is the ratio of breaths to compressions in neonatal resuscitation |
A |
|
What is the innervation of the hard palate |
A |
|
Which of the following is suggesting of an inhaled foreign body in a child on chest x ray |
B |
|
What is the distance from the lips to the carina in an 70kg adult male in cm |
D |
|
What colour is the label for subcutaneously administered drugs |
C |
|
How much air is the maximum to that should be used to inflate a 5 LMA classic cuff |
D |
|
Where should the tip of an IABP lie |
A |
|
A 60kg female is given 50 mg of rocuronium, she is unable to be intubated, what dose of sugamadex is required to reverse the rocuronium |
C |
|
In a penetrating chest injury what part of the heart is most likely to be injured |
B |
|
What is the maximum recommended dose of Intralipid in local anesthetic toxicity (ml/kg) |
D |
|
What is a contraindication to an IABP? |
A |
|
An infant is born with meconium stained liquor and is apnoeic and floppy… your first step should be |
C |
|
Central sensitization occurs due to |
B |
|
What volume of FFP is required to increase fibrinogen level by 1g/L |
B |
|
An epidural in a healthy individual causes all EXCEPT |
A |
|
In the Revised Trauma Score includes GCS, Blood pressure and what other parameter? |
C |
|
Autologous transfusion results in less |
C |
|
After an infusion of normal saline causing isovolumetric haemodilution what occurs? |
A |
|
Bleeding in trauma has been shown to be reduced by |
A |
|
The time constant of the lung is calculated by |
A |
|
The commonest post operative complication in a patient with a # NOF is |
C |
|
In an infant, the intercristine line is at the level of |
E |
|
Which of the following is a contra-indication to a left DLT |
B |
|
What is the commonest symptomatic cardiac condition in pregnancy |
A |
|
What is the ratio of MAC awake:MAC of sevoflurance |
B |
|
Pain from the uterus during labour is transmitted via |
Answer C |
|
The features of Pierre Robin sequence include cleft palate, micrognathia and: |
A |
|
A size C oxygen cylinder that reads 5000kpa contains approximately how many litres of oxygen |
B |
|
A patient having a craniotomy has the CVP/arterial transducers at the level of the right atrium. The head is 13cm above the level of the heart. If the MAP is 80mmHg and the CVP is 5mmHg what is the cerebral perfusion pressure in mmHg |
D. |
|
After a procedure with an LMA in situ a patient complains of loss of sensation to the anterior part of the tongue. What nerve is likely damaged? |
B |
|
What statistical test would be best to evaluate the effects of ? 2 drugs in patients at ? 3 different points in time |
A |
|
A man is working with electrical appliances at home with a residual current device. If he touches the active and the neutral (was it neutral or earth) wire he will suffer |
D |
|
An infant with failure to thrive is noted to have an apical systolic murmur, weak pulses, with the femoral felt most easily. They most likely have |
B |
|
Which radiological finding is most consistent with atlantoaxial instability in a patient with rheumatoid arthritis |
A |
|
What is the most accurate method of determining fetal heart rate in a neonate |
B |
|
In acute liver failure what causes the highest risk of bleeding |
B |
|
A patient in recovery post op total hip replacement develops crushing central chest pain, ECG shows ST segment elevation (NB- no BP etc given, beta blockade was not an option). The most appropriate action is to give |
A |
|
Stellate ganglion blockade causes |
A |
|
Features of ventricular tachycardia DO NOT include |
A |
|
An inpatient becomes hyponatraemic 48 hours post op and has a seizure. The most appropriate treatment is |
C |
|
A child with 10% dehydration is likely to have |
B |
|
When stimulating the ulnar nerve with a nerve stimulator, which muscle do you see twitch? |
C |
|
When analyising a study containing a control and two test groups, the best statistical method to use is.... |
A |
|
Acromegaly due to excess of growth hormone. Why is it difficult to do a direct laryngoscopy? |
B |
|
Post CEA on ward, patient seizes. BP has been hard to control. What to do to prevent further seizures? |
A |
|
Main heat loss in anaesthetic for neonate |
B |
|
Patient with aortic stenosis, the signs indicate poor prognosis |
C |
|
Circuit disconnection during spontaneous breathing anaesthesia |
D |
|
Which drugs below does not need dose adjustment in renal failure patient |
A |
|
Fat: blood coefficient- N2O, Desflurane, Sevoflurane, Isoflurane |
D - except signs are backwards |
|
The average expected depth of insertion of an oral endotracheal tube, from the lip, in a normal newborn infant is |
C |
|
What is the average distance from the lips to carina in an average 70kg adult male? |
C |
|
Patient with severe Rheumatoid arthritis. Has C1/C2 instability. Most likely C-spine Xr finding would be |
A |
|
Which nerves need to blocked to anaesthetise the hard palate: |
B |
|
Patient complains of numbness of the anterior third of his tongue following GA with LMA. Which nerve is involved? |
D |
|
Increased risk of post-partum haemorrhage in: |
E |
|
Chest Xray findings in a child who has inhaled a foreign body: |
D |
|
Which of the following are feature of Conn’s syndrome? |
A |
|
Unequal consolidation on CXR can be caused by all except: |
A |
|
What is the mechanism of central sensitisation? |
E |
|
What is the resus dose of atropine and adrenaline when given via ETT compared to IV |
D |
|
A home handyman leaves his electricity turned on whilst fiddling with wires [repairing a power outlet]. He has a RCD. What happens if he touches the neutral and ground wires? |
A |
|
If a patient experiences parasthesia in the little finger during supraclavicular brachial plexus block, the needle is in proximity to the |
D |
|
What is the best predictor of severe bleeding in cirrhosis? |
A |
|
What is the dose of FFP required to increase fibrinogen levels by 1 g/L |
E |
|
What is the oxygen concentration in a standard bottle of heliox? |
A |
|
A C size oxygen cylinder (A size in New Zealand) reads 5000kPa. How much oxygen remains? |
B |
|
Patient undergoing partial hepatic resection develops Venous Air Embolism. Best position should be |
B |
|
What is the ratio of compressions to breaths in neonatal resus? |
A |
|
Which drug has the best evidence for reducing blood loss in trauma? |
D |
|
The pain of the first stage of labour is transmitted by:
|
C |
|
You are asked by an Obstetrician to help relax a uterus in labour and deliver for manual removal of placenta. What is a safe and effective dose of IV GTN to be delivered? |
B |
|
Middle-aged male with severe MS having general anaesthesia for repair of fractured ulna / radius. 10 minutes into the case you notice a tachyarrythmia with his HR 130 and BP 70. He is normally in sinus. What do you do? |
C |
|
The ratio of MAC to MAC Awake for sevoflurane is: |
B |
|
A lady with a Fontan’s circulation for tricuspid atresia presents for caesarian section. What is the best way of maintaining her cardiac output? |
A |
|
What is the cerebral perfusion pressure if MAP 80, CVP 5, both at the level of the RA with the tragus 13 cm above the RA? |
Probably 70mmHg |
|
What is the best way to measure neonatal heart rate during resus? |
C |
|
A term primip with meconium-stained liquor has a caesarian section. On initial assessment the neonate if pale and floppy with a heart rate of 90 bpm. Initial treatment should be: |
C |
|
The most common clinically significant valvular lesion in pregnancy is: |
A |
|
During prolonged trendelenburg positioning there is: |
D |
|
How do you calculate the inspiratory time constant for lungs |
A |
|
What is the best indicator of pending respiratory depression when using a morphine PCA |
B |
|
A 60kg 17 year old female given 50 mg rocuronium for RSI. You can’t intubate or ventilate. What is the appropriate dose of sugammadex? |
C |
|
What is the maximum dose of Intralipid during LA toxicity resus? |
C |
|
What is the immediate compensation for the dilutional anaemia when 3 litres of normal saline is given at the start of a case? |
A |
|
NEW Alcoholic patient undergoes unremarkable anaesthesia for explorative laparotomy for investigation of abdominal pain. No pathology is found. However, in recovery the following electrolyte disturbances found: |
D |
|
The plasma half-life of clopidogrel is: |
A |
|
Isoflurane vaporiser giving 3%. What is the splitting ratio? |
C |
|
The line between the iliac crests in a neonate corresponds to: |
D |
|
In a neonate the main resistance in a circle system with CO2 absorber |
D |
|
Blood flow across which of the following is used to estimate pulmonary artery pressures during echocardiography? |
A |
|
Which patient do you not put a left-sided Robert-Shaw DLT into? |
B |
|
An infant born at 32 weeks gestational age comes at 6 weeks for elective bilateral inguinal hernia repair. The parents expect to take him home that day. What do you tell them? |
D |
|
A machine with a soda lime absorber was left on overnight with oxygen running at 6 litres per minute. In the morning a desflurane vaporiser is connected. What toxic substance may be produced? |
B |
|
A post-op child being given 2.5%D + 1/2NS on the ward seizes, is intubated and ventilated and transferred to ICU. Sodium is 116. What do you do? |
B |
|
Which is not a side effect of cyclosporine? |
A |
|
New national labelling standards endorsed by ANZCA. What colour should the label on a subcutaneous ketamine infusion be? |
C |
|
Poor prognosis of AS |
A |
|
Required for diagnosis of Neuroleptic Malignant Syndrome |
C |
|
Atrial septal defect, where is the murmur heard the loadest? |
A |
|
Young infant with Failure to Thrive. Born on the 20th percentile now is on the 5th percentile. Found to have a systolic murmur, tachynpnoea with weak femoral pulse. The most likely diagnosis is |
A |
|
Myasthenia gravis, Eaton Lambert Syndrome What happens with exercise? |
B |
|
Cephalothin doesn't cover: |
E |
|
Regarding PS9 safe provision of anaesthesia for Colonoscopy: |
A |
|
You see a man in his 60s in clinic 1 week prior to laparoscopic cholecystectomy. He has dilated cardiomyopathy with an ejection fraction of 30%, but does not get dyspnoeic with normal activities of daily living. What is the most appropriate management of his heart failure? |
C |
|
Young child with WPW undergoes general anaesthesia. Intra operatively developed tachycardia. HR 220, BP 80/40. Best drug to cardiovert |
B |
|
Finding on haemophilia A patient |
C |
|
32 y/o male. Weakness distal and prox muscles, infection 10 days ago, no sensory involvement, temp 37.8, facial weakness. Cause: |
A |
|
What gestation to monitor uteroplacental flow |
B |
|
Cause of hypoxia in 1 lung ventilation? |
A |
|
Endocarditis prophylaxis |
D |
|
Area burnt in adult male - upper half of upper limb, anterior abdo, whole left leg: |
B |
|
Best position for tip of IABP is 1-2 cm: |
A |
|
VT features: |
B |
|
70 y/o postop in recovery following hip surgery. Develops severe chest pain, ST elevation. Immediate mx: |
B |
|
The muscles of the upper eyelid receive a somatic nerve |
B |
|
A line isolation monitor protects against microshock |
C |
|
The commonest initial presenting feature in anaphylaxis is |
C |
|
Following a left sided pneumonectomy, a left intercostal drain is placed and connected to an underwater drainage system. In the postoperative period: |
E |
|
Most safe side to insert subtenon block |
A |
|
Levosemendin: |
C |
|
During scoliosis surgery with monitoring of somatosensory evoked potentials, which tract are they mainly monitoring? |
A |
|
What is the major cause of death in a patient with perforation of the pharynx, oesophagus or trachea? |
C |
|
You are asked to see a 60-year-old male 2 days following a cervical laminectomy because he has new neurological symptoms in his right arm. The surgical team think these may be due to poor patient positioning. The sign that would most help differentiate a C8-T1 nerve root injury from an ulnar nerve injury is |
D |
|
An infant is anaesthetised and ventilated using an endotracheal tube and circle breathing system with CO2 absorber. The item which causes the most resistance to breathing is the |
C |
|
When stimulating the ulnar nerve with a nerve stimulator, which muscle do you see twitch? |
C |
|
In congenital diaphragmatic hernia |
A |
|
What will not increase A-a gradient |
C |
|
Wolf Parkinson White Syndrome: |
D |