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VIVA IN ANAESTHESIOLOGY
QUESTIONS AND ANSWERS
ON ABG,DRUGS,ECG,X-RAY&OTHERS
Dr.R.SELVAKUMAR
X-RAY INTERPRETATION
PREPP-16
1. HEART APPEARS BIGGER IN
A-P VIEW X-RAY.
TRUE OR FALSE
TRUE. DUE TO THE INCREASED DISTANCE
FROM THE FILM
PREPP-16
2. HOW WILL YOU KNOW THE FILM IS
TAKEN IN FULL INSPIRATION?
IF THE FILM IS TAKEN IN FULL INSPIRATION,
ANTERIOR ENDS OF LEF...
3. WHAT ARE THE STRUCTURES
WHICH CONTRIBUTE THE RIGHT
HEART BORDER OF THE CARDIAC
SHADOW IN X-RAY?
1. SVC
2. RIGHT PULMONA...
RIGHT HEART BORDER....
PREPP-16
4. HOW WILL YOU DIAGNOSE “CARDIOMEGALY”
IN CHEST X-RAY?
C-T RATIO MUST BE MORE THAN 50%
PREPP-16
CT RATIO....
PREPP-16
5. HOW MUCH FLUID IT TAKES
TO OBLITERATE THE
CARDIOPHRENIC ANGLE?
ATLEAST 150 -200 ML OF PLEURAL FLUID
PREPP-16
6. AIR BRONCHOGRAM IS GENERALLY VISIBLE IN
A.PNEMONIC CONSOLIDATION
B.PLEURAL EFFUSION
C.LUNG ATELECTASIS
PNEMONIC CONSOLI...
PREPP-16
7. IDENTIFY BOTH THE X-RAYS:
What is the difference between them?
CARDIOGENIC AND NON-CARDIOGENIC
PULMONARY OEDEMA
PREPP-16
8. IDENTIFY THE XRAY AND HOW WILL YOU
CLINICALLY CONFIRM THE DIAGNOSIS?
PNEUMOTHORAX –NEEDLE
IN 2ND INTERCOSTAL SPACE PREP...
PREPP-16
9. DIAGNOSE THIS CLINICAL CONDITION:
HAEMOPNEUMOTHORAX
PREPP-16
11. IDENTIFY THE PROBLEM
MULTIPLE RIB FRACTURES
PREPP-16
10. DIAGNOSE THIS CLINICAL CONDITION:
BILAT RIB FRACTURE
?FLAIL CHEST
PREPP-16
12. WHAT IS THE PURPOSE OF THIS CHEST X-RAY?
To confirm the ETT position
PREPP-16
13.IDENTIFY THE PROBLEM:
TRACHEAL COMPRESSION
BY THE ENLARGED THYROID
PREPP-16
MRI NECK
HOW WILL YOU
INDUCE & INTUBATE?
NEVER PARALYSE.
ELECTIVE TRACHEOSTOMY
PREPP-16
15. WHAT IS THE CLINICAL DIAGNOSIS?
MITRAL STENOSIS
PREPP-16
16. MENTION THE TYPE OF ANESTHESIA FOR
THIS COIN RETRIEVAL
A. TIVA B. G.A SPONTANEOUS C. G.A-CONTROLLED
G.A -SPON...
PREPP-16
17. METHODS OF OXYGENATION DURING THIS
F.B RETRIEVAL
APNOEIC OXYGENATION
SIDEARM VENTILATION
JET VENTILATION
PREPP-16
18. WHAT IS THE PROBLEM IN THIS PATIENT
IF HE IS POSTED FOR AN EMERGENCY
SURGERY?
PATIENT ON ANTICOAGULANTS
PREPP-16
19. WHAT IS THE PROBLEM OF GIVING
REGIONAL ANAESTHESIA FOR THIS PATIENT?
UNBLOCKED VAGUS AND UNDERSURFACE
OF DIA...
PREPP-16
20.HOW WILL YOU INTUBATE
THIS PATIENT?
INTUBATION WITHOUT NECK EXTENSION
WITH MILS
PREPP-16
II. ARTERIAL BLOOD GAS
INTERPRETATION
PREPP-16
21.WHATS THE DIFFERENCE BETWEEN
ALLEN’S AND MODIFIED ALLEN’S TEST?
The Allen's test assesses collateral circulati...
MODIFIED ALLEN’S TEST
PREPP-16
OCCLUSION OF BOTH ULNAR AND RADIAL ARTERIES
IN A BLANCHED FIST. THEN RELEASE OF ULNAR ARTER...
PREPP-16
22. EXCLUDE THE TYPE I RESPIRATORY FAILURE
FROM THE REST
1. BENZODIZEPINE POISONING
2. PNEUMONIA
3. COPD
4. HIGH ...
PREPP-16
23. FIND OUT THE NORMAL ANION GAP ACIDOSIS
AMONG THE FOLLOWING:
1. ILEOSTOMY
2. METHANOL POISONING
3. LACTIC ACID...
PREPP-16
24.FOLLOWING ARE THE SIDE EFFECTS OF
BICARB THERAPY FOR TREATING METABOLIC
ACIDOSIS:
1. INTRACELLULAR ACIDOSIS
2....
PREPP-16
25. READ THE FOLLOWING ABG REPORT
pH...7.2
paCO2...26
paO2...72
HCO3...16
BE..-10.5
FIO2...0.30 -
METABOLIC ACIDO...
PREPP-16
26. COMMENT UPON THE FOLLOWING ABG
pH...7.32
paCO2....68
paO2...65
HCO3...31.5
BE..7.1
FIO2...0.21
SaO2...95%
Chr...
PREPP-16
27. DIAGNOSE THE FOLLOWING
ACID-BASE DISORDER:
pH..7.21
pCO2...52
paO2..56
HCO3...18
BE...-4.2
FIO2...0.3
Super a...
PREPP-16
28.WHAT IS THE ABNORMALITY
IN THE FOLLOWING ABG
pH...7.41
paO2...122
paCO2...34
HCO3...23.4
BE...-0.8
FIO2..0.21
...
PREPP-16
29. WHAT IS THE IMPACT OF TOO MUCH HEPARIN
IN THE SYRINGE MEANT FOR TAKING
BLOOD SAMPLE FOR ABG?
1. SPURIOUS ALKA...
PREPP-16
30.WHAT IS THE FORMULA TO CALCULATE THE
HCO3 DOSE TO TREAT THE METABOLIC ACIDOSIS?
B.D X BODY WEIGHT X 0.3
PREPP-16
31. WHICH DRUG POISONING PRODUCES
RESPIRATORY ALKALOSIS?
ASPIRIN -SALICYLATES
PREPP-16
ELECTROCARDIOGRAPH
INTERPRETATION
PREPP-16
32. DIFFERENCES BETWEEN TWO E.C.G
TRACES:
ATRIAL PREMATURE
BEAT
VENTRICULAR
ABNORMAL P WAVE ABSENT P WAVE
NORMAL ...
PREPP-16
33. DIAGNOSE THE FOLLOWING
ARRHYTHMIA
MULTIFOCAL VENTRICULAR
EXTRA-SYSTOLES
PREPP-16
34. WHAT IS GOING ON HERE?
R ON T PHENOMENON LEADING TO V.T
PREPP-16
35. DIAGNOSE THE FOLLOWING ECG AND DRUG
OF CHOICE FOR THE TREATMENT.
ATRIAL FIBRILLATION
Dofetilide ,Flecainide ,...
PREPP-16
36. WHAT IS THE FIRST DOSE OF
DEFIBRILLATION?
120-200J IF IT IS A BIPHASIC DEFIBRILLATOR
360 J IF IT IS A MONOPHA...
PREPP-16
37.DOSE OF ADRENALINE IN ACLS-2015
1 mg EVERY 3-5 MINUTES
PREPP-16
38. DIAGNOSE THE FOLLOWING ECG:
PACEMAKER SPIKES
PREPP-16
39. ECG RECORDED AFTER INTERCOSTAL NERVE BLOCK.
WHAT COULD BE THE REASON?
BUPIVACAINE TOXICITY-I DEGREE HEART BLO...
PREPP-16
40. WHICH INHALATIONAL AGENT IS NOTORIOUS
IN CAUSING THE FOLLOWING ARRHYTHMIA?
HALOTHANE-SINUS BRADYCARDIA
PREPP-16
41. WHAT IS THE FIO2 OF
EXPIRED AIR RESUSCITATION?
14-16%
PREPP-16
42. WHAT IS THE CHEST COMPRESSION RATE
IN ACLS 2015?
100 -120 /MIN
PREPP-16
43.WHAT IS THE NEW GUIDELINE
ADDED IN ACLS-2015
Use of Social Media to Summon
Rescuers
2015 (New): It may be reas...
PREPP-16
44.WHAT IS THE DOSE OF INTERNAL CARDIAC
DEFIBRILLATION?
5 J
PREPP-16
45. WHAT ARE THE NON-PHARMACOLOGIC METHODS
OF TREATMENT OF THIS ARRHYTHMIA?
VAGAL MANOEUVRES-VALSALVA,
CAROTID SI...
PREPP-16
DRUGS
PREPP-16
46. WHAT IS THE PROBLEM OF LONG TERM
INFUSION OF PROPOFOL IN I.C.U?
PROPOFOL INFUSION SYNDROME-
Impaired mitochon...
PREPP-16
47. WHAT IS THE ACTIVE METABOLITE
OF DIAZEPAM?
DESMETHYL DIAZEPAM
PREPP-16
48. FIND OUT THE DRUG:
1. ANTAGONISTIC ACTION AT GABA A AND GABA B
2. ALSO USED TO REVERSE THE CNS DEPRESSANT
EFF...
PREPP-16
49. WHAT IS THE THERAPEUTIC RANGE
OF PLASMA LEVEL OF MAGNESIUM AND
ONE WHICH CAUSES RESPIRATORY PARALYSIS?
THERAP...
PREPP-16
50. WHICH DRUG IS ADDED TO DROPERIDOL
AND FENTANYL TO MAKE IT A COMPLETE
NEUROLEPTANAESTHESIA?
INHALATIONAL AGENT...
PREPP-16
51. NAME TWO OTHER DRUGS
WHICH ARE METABOLISED BY
PSEUDOCHOLINE ESTERASE:
MIVACURIUM
MEPIVACAINE
PREPP-16
52. WHY THE ENZYME “PEUDOCHOLINE ESTERASE”
IS NAMED SO?
• PRESENT IN THE PLASMA
• SUBSTRATE NON-SPECIFIC
PREPP-16
53. WHAT IS THE NORMAL
DIBUCAINE NUMBER?
80
PREPP-16
54. WHAT IS THE PRIME METABOLIC PATHWAY
OF ATRACURIUM?
ESTER HYDROLYSIS
PREPP-16
55. NAME ANY OTHER TWO CONDITIONS WHERE
ANTICHOLINEESTERASES ARE USED APART FROM
REVERSAL?
MYASTHENIA GRAVIS
SNAK...
PREPP-16
56. RULE THE ODD MAN OUT:
1. MEPIVACAINE
2. ETIDOCAINE
3. TETRACAINE
4. LIGNOCAINE
TETRACAINE- ESTER GROUP
PREPP-16
57. NAME THE LOCAL ANAESTHETIC DRUG
INVENTED BY DRUG RESEARCH
LABORATORY,LUCKNOW:
CENTBUCRIDINE
PREPP-16
58. WHAT IS THE pKa OF LIGNOCAINE?
7.8
PREPP-16
59. WHICH REGIONAL NERVE BLOCK
CAUSES THE HIGHEST PLASMA LEVEL
OF L.A IN A SHORTEST TIME?
INTERCOSTAL NERVE BLOCK
PREPP-16
60. WHAT ARE THE TWO TYPES OF PRIMARY
ALKALOIDS FOUND IN THE EXTRACT OF POPPY?
PHENANTHRENES
BENZYL ISOQUINOLONES
PREPP-16
61. WHICH ANAESTHETIC DRUG WAS BLAMED
FOR THE DEATH IN THE WAR CASUALITIES OF
PEARL HARBOUR?
THIOPENTONE
PREPP-16
62. ARRANGE IN ASCENDING ORDER WITH REGARDS TO
OIL:GAS PARTITION COEFFICIENT:
1. ISOFLURANE 2. DESFLURANE
3. HALO...
PREPP-16
63. COMPLETE THE STATEMENT
REGARDING ATROPINE...
HOT AS A HARE....
HOT AS A HARE
MAD AS A HEN
BLIND AS A BAT
RED ...
PREPP-16
64. WHAT IS THE DOSE OF
VASOPRESSIN IN CPR?
40 UNITS –I.V PUSH
PREPP-16
66. WHAT IS THE ADRENALINE
DOSE IN EPIDURAL TEST DOSING?
15 µg IN 3 ML OF 1.5 % LIGNOCAINE
PREPP-16
67. WHICH DRUG ACTS AS FAST AS I.M KETAMINE
IN PRODUCING SEDATION IN PAEDIATRIC CASES?
( NOT IN USE NOW...)
PARAL...
PREPP-16
68.NAME THE DRUG STORED AS A CRUDE EXTRACT
IN THIS UTENSIL:
CURARE
PREPP-16
69. DOSE OF SUGGAMADEX
2 – 4 mg / k.g
PREPP-16
pentafluoroisopropenyl fluoromethyl ether (PIFE, C4H2F6O),
COMPOUND-A
70. WHAT IS THE COMMON NAME FOR THE ABOVE
C...
PREPP-16
CAPNOGRAPH,PFT & SONOANATOMY
PREPP-16
71. IN WHICH TYPE OF CAPNOGRAM,
TIME DELAY IS MINIMAL?
MAINSTREAM CAPNOGRAM
PREPP-16
PREPP-16
72. FIND OUT THE POSSIBLE REASON FOR THIS
KIND OF TRACE..
LOWER AIRWAY OBSTRUCTION –SHARK FIN APPEARANCE
PREPP-16
HYPOVENTILATION
MALIGNANT HYPERPYREXIA
73.IDENTIFY THIS SIGNATURE CAPNOGRAM:
PREPP-16
CHECK ALL THE CAUSES FOR REBREATHING
74. HOW TO RECTIFY THE PROBLEM?
PREPP-16
ATTEMPTED SPONTANEOUS BREATH
IN A PARALYSED PATIENT-CURARE CLEFT
75. WHY THIS CLEFT APPEARS IN THE
EXPIRATORY PLA...
PREPP-16
BAIN HUMP
76. IDENTIFY THIS SIGNATURE CAPNOGRAM:
PREPP-16
 LOOSE CONNECTION BETWEEN SAMPLING LINE
AND CAPNOGRAPH
 ONE LUNG TRANSPLANT
 ETT CLOSE TO CARINA
77. WHY THERE...
PREPP-16
reverse phase 3 slope seen in
patients with emphysema.
78. IDENTIFY THE ABNORMALITY
IN THIS CAPNOGRAM:
PREPP-16
CAPNOGRAM IN A SPONTANEOUSLY
BREATHING ADULT
79. COMMENT UPON THIS CAPNOGRAM:
PREPP-16
PIG TAIL CAPNOGRAM-CRUSHED SAMPLING TUBE
80. WHAT IS THE NAME OF THIS TYPE OF
WAVEFORM AND WHAT IS THE REASON?
PREPP-16
INSPIRATORY VALVE MALFUNCTION-
EXTENDING THE ALVEOLAR PLATEAU
OF PHASE-III
81. WHAT IS THE PROBLEM HERE?
PREPP-16
82. IDENTIFY THE PROBLEM IN THIS
FLOW-VOLUME LOOP
FIXED AIRWAY OBSTRUCTION
PREPP-16
83. IDENTIFY THE PATHOLOGY
AIRWAY OBSTRUCTION DURING
FORCED EXPIRATION -ASTHMA
PREPP-16
84. IDENTIFY THE RESTRICTIVE PATTERN
INCREASED STEEPNESS IN THE FLOW CURVES
AND REDUCTION IN BOTH TLC AND FRC.
PREPP-16
85. IDENTIFY THE PROBLEM
VARIABLE EXTRA THORACIC OBSTRUCTION
PREPP-16
86. IDENTIFY THE PROBLEM IN THIS TEG
HYPERCOAGULATION STATE
PREPP-16
87. READ THIS TEG PICTURE
FIBRINOLYSIS
PREPP-16
88. DIAGNOSE THE FOLLOWING CONDITION
THROMBOCYTOPENIA
PREPP-16
89.IDENTIFY THE NERVE
FEMORAL NERVE
PREPP-16
90. WHAT TYPE OF BLOCK IS DEMONSTRATED HERE ?
TAP BLOCK
PREPP-16
91. WHAT IS BEING MEASURED HERE?
DEPTH OF SUBARACHNOID SPACE
PREPP-16
92. WHAT DO YOU MEAN BY SEASHORE SIGN?.
In M-Mode- Motionless parietal tissues over the pleural line
and granular...
PREPP-16
93. When will you get this picture?
Absence of lung sliding and loss of granular pattern-
PNEUMOTHORAX
PREPP-16
94.WHAT IS BEING CONFIRMED HERE?
ENDOTRACHEAL TUBE PLACEMENT
PREPP-16
95. READ THE ABNORMAL CVP TRACE
CONSTRICTIVE PERICARDITIS
PREPP-16
96. READ THE CVP TRACE
CANNON WAVES
MISCELLANEOUS
PREPP-16
PREPP-16
97. WHICH ANAESTHETIC DRUG
HE IS USING FOR THE HUNTING?
CURARE
PREPP-16
98.WHICH DRUG IS EXTRACTED
FROM THIS PLANT?
D-TUBOCURARINE
PREPP-16
99.WHAT ARE THE ACTIVE
ALKALOIDS IN THIS PLANT?
ATROPINE,SCOPOLAMINE
PREPP-16
100. WHICH DRUG IS INVOLVED IN THIS STORY?
MANDRAGORA PLANT -SCOPOLAMINE
PREPP-16
101. GREAT DISCOVERY STARTED FROM THIS PLANT.
WHAT IS THAT DRUG?
ERYTHROXYLON COCA- COCAINE
PREPP-16
102. WHICH DRUG IS RELATED TO
THIS BEAUTIFUL PLANT?
MORPHINE –PAPAVER SOMNIFERUM
PREPP-16
103. WHAT IS THE SPECIALITY
IN THIS SPRAY?
•ONCE IT WAS USED AS AN INDUCTION AGENT
•NOW USED AS AN CRYOANALGESIC
PREPP-16
104. TELL ME ONE INHALATIONAL AGENT
WITH A BOILING POINT MORE THAN WATER:
METHOXYFLURANE
BOILING POINT -104.8 C
O...
PREPP-16
105. STATE OF WASHINGTON USES THIS DRUG
TO EXECUTE THE DEATH SENTENCE IN A
SINGLE DOSE OF 5 gram. WHAT IS THIS DR...
PREPP-16
106.WHO IS THE MAN WHO SUGGESTED
CHLOROFORM TO SIMPSON?
DAVID WALDIE
PREPP-16
107.WHAT WAS THE TYPE OF ANAESTHESIA
GIVEN TO MAHATMA GANDHI FOR HIS
APPENDICECTOMY ON 12TH JANUARY,1925?
OPEN DR...
PREPP-16
108. WHEN AND WHERE ETHER WAS USED IN INDIA
FIRST TIME?
22nd MARCH,1847- MEDICAL COLLEGE HOSPITAL,CALCUTTA
JAI HO...
PREPP-16
PREPP-16
ALL THE BEST
dr.r.selvakumar
professor of anaesthesiology
k.a.p.viswanatham govt medical college,
trichy
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Anaesthesiology viva questions

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The questions asked in the Anaesthesiology viva examination are presented in this presentation which will be useful for the post-graduates appearing for the M.D-Anaesthesia examination.

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Anaesthesiology viva questions

  1. 1. VIVA IN ANAESTHESIOLOGY QUESTIONS AND ANSWERS ON ABG,DRUGS,ECG,X-RAY&OTHERS Dr.R.SELVAKUMAR
  2. 2. X-RAY INTERPRETATION PREPP-16
  3. 3. 1. HEART APPEARS BIGGER IN A-P VIEW X-RAY. TRUE OR FALSE TRUE. DUE TO THE INCREASED DISTANCE FROM THE FILM PREPP-16
  4. 4. 2. HOW WILL YOU KNOW THE FILM IS TAKEN IN FULL INSPIRATION? IF THE FILM IS TAKEN IN FULL INSPIRATION, ANTERIOR ENDS OF LEFT 6 RIBS ARE VISIBLE ABOVE THE LEFT DOME OF DIAPHRAGM PREPP-16
  5. 5. 3. WHAT ARE THE STRUCTURES WHICH CONTRIBUTE THE RIGHT HEART BORDER OF THE CARDIAC SHADOW IN X-RAY? 1. SVC 2. RIGHT PULMONARY ARTERY 3. RIGHT ATRIUM 4. IVC PREPP-16
  6. 6. RIGHT HEART BORDER.... PREPP-16
  7. 7. 4. HOW WILL YOU DIAGNOSE “CARDIOMEGALY” IN CHEST X-RAY? C-T RATIO MUST BE MORE THAN 50% PREPP-16
  8. 8. CT RATIO.... PREPP-16
  9. 9. 5. HOW MUCH FLUID IT TAKES TO OBLITERATE THE CARDIOPHRENIC ANGLE? ATLEAST 150 -200 ML OF PLEURAL FLUID PREPP-16
  10. 10. 6. AIR BRONCHOGRAM IS GENERALLY VISIBLE IN A.PNEMONIC CONSOLIDATION B.PLEURAL EFFUSION C.LUNG ATELECTASIS PNEMONIC CONSOLIDATION PREPP-16
  11. 11. PREPP-16
  12. 12. 7. IDENTIFY BOTH THE X-RAYS: What is the difference between them? CARDIOGENIC AND NON-CARDIOGENIC PULMONARY OEDEMA PREPP-16
  13. 13. 8. IDENTIFY THE XRAY AND HOW WILL YOU CLINICALLY CONFIRM THE DIAGNOSIS? PNEUMOTHORAX –NEEDLE IN 2ND INTERCOSTAL SPACE PREPP-16
  14. 14. PREPP-16 9. DIAGNOSE THIS CLINICAL CONDITION: HAEMOPNEUMOTHORAX
  15. 15. PREPP-16 11. IDENTIFY THE PROBLEM MULTIPLE RIB FRACTURES
  16. 16. PREPP-16 10. DIAGNOSE THIS CLINICAL CONDITION: BILAT RIB FRACTURE ?FLAIL CHEST
  17. 17. PREPP-16 12. WHAT IS THE PURPOSE OF THIS CHEST X-RAY? To confirm the ETT position
  18. 18. PREPP-16 13.IDENTIFY THE PROBLEM: TRACHEAL COMPRESSION BY THE ENLARGED THYROID
  19. 19. PREPP-16 MRI NECK HOW WILL YOU INDUCE & INTUBATE? NEVER PARALYSE. ELECTIVE TRACHEOSTOMY
  20. 20. PREPP-16 15. WHAT IS THE CLINICAL DIAGNOSIS? MITRAL STENOSIS
  21. 21. PREPP-16 16. MENTION THE TYPE OF ANESTHESIA FOR THIS COIN RETRIEVAL A. TIVA B. G.A SPONTANEOUS C. G.A-CONTROLLED G.A -SPONTANEOUS
  22. 22. PREPP-16 17. METHODS OF OXYGENATION DURING THIS F.B RETRIEVAL APNOEIC OXYGENATION SIDEARM VENTILATION JET VENTILATION
  23. 23. PREPP-16 18. WHAT IS THE PROBLEM IN THIS PATIENT IF HE IS POSTED FOR AN EMERGENCY SURGERY? PATIENT ON ANTICOAGULANTS
  24. 24. PREPP-16 19. WHAT IS THE PROBLEM OF GIVING REGIONAL ANAESTHESIA FOR THIS PATIENT? UNBLOCKED VAGUS AND UNDERSURFACE OF DIAPHRAGM NEED FOR HIGH BLOCK
  25. 25. PREPP-16 20.HOW WILL YOU INTUBATE THIS PATIENT? INTUBATION WITHOUT NECK EXTENSION WITH MILS
  26. 26. PREPP-16 II. ARTERIAL BLOOD GAS INTERPRETATION
  27. 27. PREPP-16 21.WHATS THE DIFFERENCE BETWEEN ALLEN’S AND MODIFIED ALLEN’S TEST? The Allen's test assesses collateral circulation in the hand, in 2 steps. Step 1 occludes the radial artery for several minutes and compares the hand color to the other hand. The hand is said to have sufficient collateral circulation through the ulnar artery if there is no change in color. Step 2 occludes the ulnar artery. A change in hand color means the potential for radial artery occlusion is high. That is a positive Allen's test, which contraindicates radial-artery puncture
  28. 28. MODIFIED ALLEN’S TEST PREPP-16 OCCLUSION OF BOTH ULNAR AND RADIAL ARTERIES IN A BLANCHED FIST. THEN RELEASE OF ULNAR ARTERY. FLUSHING WITHIN 15 SECONDS IS NORMAL.
  29. 29. PREPP-16 22. EXCLUDE THE TYPE I RESPIRATORY FAILURE FROM THE REST 1. BENZODIZEPINE POISONING 2. PNEUMONIA 3. COPD 4. HIGH SPINAL CORD LESION PNEUMONIA
  30. 30. PREPP-16 23. FIND OUT THE NORMAL ANION GAP ACIDOSIS AMONG THE FOLLOWING: 1. ILEOSTOMY 2. METHANOL POISONING 3. LACTIC ACIDOSIS 4. BROMIDE INTOXICATION ILEOSTOMY
  31. 31. PREPP-16 24.FOLLOWING ARE THE SIDE EFFECTS OF BICARB THERAPY FOR TREATING METABOLIC ACIDOSIS: 1. INTRACELLULAR ACIDOSIS 2. HYPEROSMOLARITY 3. ALKALOSIS 4. SHIFT OF ODC TO RIGHT SHIFT OF ODC TO THE RIGHT
  32. 32. PREPP-16 25. READ THE FOLLOWING ABG REPORT pH...7.2 paCO2...26 paO2...72 HCO3...16 BE..-10.5 FIO2...0.30 - METABOLIC ACIDOSIS WITH RESP.ALKALOSIS
  33. 33. PREPP-16 26. COMMENT UPON THE FOLLOWING ABG pH...7.32 paCO2....68 paO2...65 HCO3...31.5 BE..7.1 FIO2...0.21 SaO2...95% Chronic respiratory acidosis with Compensatory metabolic alkalosis
  34. 34. PREPP-16 27. DIAGNOSE THE FOLLOWING ACID-BASE DISORDER: pH..7.21 pCO2...52 paO2..56 HCO3...18 BE...-4.2 FIO2...0.3 Super added acute metabolic acidosis in a patient With chronic respiratory acidosis with met.alkalosis
  35. 35. PREPP-16 28.WHAT IS THE ABNORMALITY IN THE FOLLOWING ABG pH...7.41 paO2...122 paCO2...34 HCO3...23.4 BE...-0.8 FIO2..0.21 Air contamination in the blood sample
  36. 36. PREPP-16 29. WHAT IS THE IMPACT OF TOO MUCH HEPARIN IN THE SYRINGE MEANT FOR TAKING BLOOD SAMPLE FOR ABG? 1. SPURIOUS ALKALOSIS 2. INCREASED SODIUM LEVEL 3. DECREASED CALCIUM LEVEL 4. SPURIOUS ACIDOSIS INAPPROPRIATE LOW pH.
  37. 37. PREPP-16 30.WHAT IS THE FORMULA TO CALCULATE THE HCO3 DOSE TO TREAT THE METABOLIC ACIDOSIS? B.D X BODY WEIGHT X 0.3
  38. 38. PREPP-16 31. WHICH DRUG POISONING PRODUCES RESPIRATORY ALKALOSIS? ASPIRIN -SALICYLATES
  39. 39. PREPP-16 ELECTROCARDIOGRAPH INTERPRETATION
  40. 40. PREPP-16 32. DIFFERENCES BETWEEN TWO E.C.G TRACES: ATRIAL PREMATURE BEAT VENTRICULAR ABNORMAL P WAVE ABSENT P WAVE NORMAL QRS WIDE QRS NORMAL T WAVE OPPOSITE TO QRS SHORT COMPENSATORY PAUSE FULL COMPENSATORY PAUSE
  41. 41. PREPP-16 33. DIAGNOSE THE FOLLOWING ARRHYTHMIA MULTIFOCAL VENTRICULAR EXTRA-SYSTOLES
  42. 42. PREPP-16 34. WHAT IS GOING ON HERE? R ON T PHENOMENON LEADING TO V.T
  43. 43. PREPP-16 35. DIAGNOSE THE FOLLOWING ECG AND DRUG OF CHOICE FOR THE TREATMENT. ATRIAL FIBRILLATION Dofetilide ,Flecainide , Ibutilide Propafenone ,Amiodarone
  44. 44. PREPP-16 36. WHAT IS THE FIRST DOSE OF DEFIBRILLATION? 120-200J IF IT IS A BIPHASIC DEFIBRILLATOR 360 J IF IT IS A MONOPHASIC
  45. 45. PREPP-16 37.DOSE OF ADRENALINE IN ACLS-2015 1 mg EVERY 3-5 MINUTES
  46. 46. PREPP-16 38. DIAGNOSE THE FOLLOWING ECG: PACEMAKER SPIKES
  47. 47. PREPP-16 39. ECG RECORDED AFTER INTERCOSTAL NERVE BLOCK. WHAT COULD BE THE REASON? BUPIVACAINE TOXICITY-I DEGREE HEART BLOCK
  48. 48. PREPP-16 40. WHICH INHALATIONAL AGENT IS NOTORIOUS IN CAUSING THE FOLLOWING ARRHYTHMIA? HALOTHANE-SINUS BRADYCARDIA
  49. 49. PREPP-16 41. WHAT IS THE FIO2 OF EXPIRED AIR RESUSCITATION? 14-16%
  50. 50. PREPP-16 42. WHAT IS THE CHEST COMPRESSION RATE IN ACLS 2015? 100 -120 /MIN
  51. 51. PREPP-16 43.WHAT IS THE NEW GUIDELINE ADDED IN ACLS-2015 Use of Social Media to Summon Rescuers 2015 (New): It may be reasonable for communities to incorporate social media technologies that summon rescuers who are in close proximity to a victim of suspected OHCA and are willing and able to perform CPR
  52. 52. PREPP-16 44.WHAT IS THE DOSE OF INTERNAL CARDIAC DEFIBRILLATION? 5 J
  53. 53. PREPP-16 45. WHAT ARE THE NON-PHARMACOLOGIC METHODS OF TREATMENT OF THIS ARRHYTHMIA? VAGAL MANOEUVRES-VALSALVA, CAROTID SINUS MASSAGE
  54. 54. PREPP-16 DRUGS
  55. 55. PREPP-16 46. WHAT IS THE PROBLEM OF LONG TERM INFUSION OF PROPOFOL IN I.C.U? PROPOFOL INFUSION SYNDROME- Impaired mitochondrial fatty acid metabolism
  56. 56. PREPP-16 47. WHAT IS THE ACTIVE METABOLITE OF DIAZEPAM? DESMETHYL DIAZEPAM
  57. 57. PREPP-16 48. FIND OUT THE DRUG: 1. ANTAGONISTIC ACTION AT GABA A AND GABA B 2. ALSO USED TO REVERSE THE CNS DEPRESSANT EFFECT OF ALCOHOLIC INTOXICATION FLUMAZENIL
  58. 58. PREPP-16 49. WHAT IS THE THERAPEUTIC RANGE OF PLASMA LEVEL OF MAGNESIUM AND ONE WHICH CAUSES RESPIRATORY PARALYSIS? THERAPEUTIC-4 – 6 meq/l TOXIC – 20 – 25 meq/l
  59. 59. PREPP-16 50. WHICH DRUG IS ADDED TO DROPERIDOL AND FENTANYL TO MAKE IT A COMPLETE NEUROLEPTANAESTHESIA? INHALATIONAL AGENT ESPECIALLY NITROUS OXIDE
  60. 60. PREPP-16 51. NAME TWO OTHER DRUGS WHICH ARE METABOLISED BY PSEUDOCHOLINE ESTERASE: MIVACURIUM MEPIVACAINE
  61. 61. PREPP-16 52. WHY THE ENZYME “PEUDOCHOLINE ESTERASE” IS NAMED SO? • PRESENT IN THE PLASMA • SUBSTRATE NON-SPECIFIC
  62. 62. PREPP-16 53. WHAT IS THE NORMAL DIBUCAINE NUMBER? 80
  63. 63. PREPP-16 54. WHAT IS THE PRIME METABOLIC PATHWAY OF ATRACURIUM? ESTER HYDROLYSIS
  64. 64. PREPP-16 55. NAME ANY OTHER TWO CONDITIONS WHERE ANTICHOLINEESTERASES ARE USED APART FROM REVERSAL? MYASTHENIA GRAVIS SNAKE BITE
  65. 65. PREPP-16 56. RULE THE ODD MAN OUT: 1. MEPIVACAINE 2. ETIDOCAINE 3. TETRACAINE 4. LIGNOCAINE TETRACAINE- ESTER GROUP
  66. 66. PREPP-16 57. NAME THE LOCAL ANAESTHETIC DRUG INVENTED BY DRUG RESEARCH LABORATORY,LUCKNOW: CENTBUCRIDINE
  67. 67. PREPP-16 58. WHAT IS THE pKa OF LIGNOCAINE? 7.8
  68. 68. PREPP-16 59. WHICH REGIONAL NERVE BLOCK CAUSES THE HIGHEST PLASMA LEVEL OF L.A IN A SHORTEST TIME? INTERCOSTAL NERVE BLOCK
  69. 69. PREPP-16 60. WHAT ARE THE TWO TYPES OF PRIMARY ALKALOIDS FOUND IN THE EXTRACT OF POPPY? PHENANTHRENES BENZYL ISOQUINOLONES
  70. 70. PREPP-16 61. WHICH ANAESTHETIC DRUG WAS BLAMED FOR THE DEATH IN THE WAR CASUALITIES OF PEARL HARBOUR? THIOPENTONE
  71. 71. PREPP-16 62. ARRANGE IN ASCENDING ORDER WITH REGARDS TO OIL:GAS PARTITION COEFFICIENT: 1. ISOFLURANE 2. DESFLURANE 3. HALOTHANE 4. SEVOFLURANE 1. DESFLURANE - 18.7 2. SEVOFLURANE - 47 3. ISOFLURANE – 90.8 4. HALOTHANE - 224
  72. 72. PREPP-16 63. COMPLETE THE STATEMENT REGARDING ATROPINE... HOT AS A HARE.... HOT AS A HARE MAD AS A HEN BLIND AS A BAT RED AS A BEET DRY AS A BONE....
  73. 73. PREPP-16 64. WHAT IS THE DOSE OF VASOPRESSIN IN CPR? 40 UNITS –I.V PUSH
  74. 74. PREPP-16 66. WHAT IS THE ADRENALINE DOSE IN EPIDURAL TEST DOSING? 15 µg IN 3 ML OF 1.5 % LIGNOCAINE
  75. 75. PREPP-16 67. WHICH DRUG ACTS AS FAST AS I.M KETAMINE IN PRODUCING SEDATION IN PAEDIATRIC CASES? ( NOT IN USE NOW...) PARALDEHYDE
  76. 76. PREPP-16 68.NAME THE DRUG STORED AS A CRUDE EXTRACT IN THIS UTENSIL: CURARE
  77. 77. PREPP-16 69. DOSE OF SUGGAMADEX 2 – 4 mg / k.g
  78. 78. PREPP-16 pentafluoroisopropenyl fluoromethyl ether (PIFE, C4H2F6O), COMPOUND-A 70. WHAT IS THE COMMON NAME FOR THE ABOVE CHEMICAL?
  79. 79. PREPP-16 CAPNOGRAPH,PFT & SONOANATOMY
  80. 80. PREPP-16 71. IN WHICH TYPE OF CAPNOGRAM, TIME DELAY IS MINIMAL? MAINSTREAM CAPNOGRAM
  81. 81. PREPP-16
  82. 82. PREPP-16 72. FIND OUT THE POSSIBLE REASON FOR THIS KIND OF TRACE.. LOWER AIRWAY OBSTRUCTION –SHARK FIN APPEARANCE
  83. 83. PREPP-16 HYPOVENTILATION MALIGNANT HYPERPYREXIA 73.IDENTIFY THIS SIGNATURE CAPNOGRAM:
  84. 84. PREPP-16 CHECK ALL THE CAUSES FOR REBREATHING 74. HOW TO RECTIFY THE PROBLEM?
  85. 85. PREPP-16 ATTEMPTED SPONTANEOUS BREATH IN A PARALYSED PATIENT-CURARE CLEFT 75. WHY THIS CLEFT APPEARS IN THE EXPIRATORY PLATEAU?
  86. 86. PREPP-16 BAIN HUMP 76. IDENTIFY THIS SIGNATURE CAPNOGRAM:
  87. 87. PREPP-16  LOOSE CONNECTION BETWEEN SAMPLING LINE AND CAPNOGRAPH  ONE LUNG TRANSPLANT  ETT CLOSE TO CARINA 77. WHY THERE ARE TWO PEAKS?
  88. 88. PREPP-16 reverse phase 3 slope seen in patients with emphysema. 78. IDENTIFY THE ABNORMALITY IN THIS CAPNOGRAM:
  89. 89. PREPP-16 CAPNOGRAM IN A SPONTANEOUSLY BREATHING ADULT 79. COMMENT UPON THIS CAPNOGRAM:
  90. 90. PREPP-16 PIG TAIL CAPNOGRAM-CRUSHED SAMPLING TUBE 80. WHAT IS THE NAME OF THIS TYPE OF WAVEFORM AND WHAT IS THE REASON?
  91. 91. PREPP-16 INSPIRATORY VALVE MALFUNCTION- EXTENDING THE ALVEOLAR PLATEAU OF PHASE-III 81. WHAT IS THE PROBLEM HERE?
  92. 92. PREPP-16 82. IDENTIFY THE PROBLEM IN THIS FLOW-VOLUME LOOP FIXED AIRWAY OBSTRUCTION
  93. 93. PREPP-16 83. IDENTIFY THE PATHOLOGY AIRWAY OBSTRUCTION DURING FORCED EXPIRATION -ASTHMA
  94. 94. PREPP-16 84. IDENTIFY THE RESTRICTIVE PATTERN INCREASED STEEPNESS IN THE FLOW CURVES AND REDUCTION IN BOTH TLC AND FRC.
  95. 95. PREPP-16 85. IDENTIFY THE PROBLEM VARIABLE EXTRA THORACIC OBSTRUCTION
  96. 96. PREPP-16 86. IDENTIFY THE PROBLEM IN THIS TEG HYPERCOAGULATION STATE
  97. 97. PREPP-16 87. READ THIS TEG PICTURE FIBRINOLYSIS
  98. 98. PREPP-16 88. DIAGNOSE THE FOLLOWING CONDITION THROMBOCYTOPENIA
  99. 99. PREPP-16 89.IDENTIFY THE NERVE FEMORAL NERVE
  100. 100. PREPP-16 90. WHAT TYPE OF BLOCK IS DEMONSTRATED HERE ? TAP BLOCK
  101. 101. PREPP-16 91. WHAT IS BEING MEASURED HERE? DEPTH OF SUBARACHNOID SPACE
  102. 102. PREPP-16 92. WHAT DO YOU MEAN BY SEASHORE SIGN?. In M-Mode- Motionless parietal tissues over the pleural line and granular lung behind.
  103. 103. PREPP-16 93. When will you get this picture? Absence of lung sliding and loss of granular pattern- PNEUMOTHORAX
  104. 104. PREPP-16 94.WHAT IS BEING CONFIRMED HERE? ENDOTRACHEAL TUBE PLACEMENT
  105. 105. PREPP-16 95. READ THE ABNORMAL CVP TRACE CONSTRICTIVE PERICARDITIS
  106. 106. PREPP-16 96. READ THE CVP TRACE CANNON WAVES
  107. 107. MISCELLANEOUS PREPP-16
  108. 108. PREPP-16 97. WHICH ANAESTHETIC DRUG HE IS USING FOR THE HUNTING? CURARE
  109. 109. PREPP-16 98.WHICH DRUG IS EXTRACTED FROM THIS PLANT? D-TUBOCURARINE
  110. 110. PREPP-16 99.WHAT ARE THE ACTIVE ALKALOIDS IN THIS PLANT? ATROPINE,SCOPOLAMINE
  111. 111. PREPP-16 100. WHICH DRUG IS INVOLVED IN THIS STORY? MANDRAGORA PLANT -SCOPOLAMINE
  112. 112. PREPP-16 101. GREAT DISCOVERY STARTED FROM THIS PLANT. WHAT IS THAT DRUG? ERYTHROXYLON COCA- COCAINE
  113. 113. PREPP-16 102. WHICH DRUG IS RELATED TO THIS BEAUTIFUL PLANT? MORPHINE –PAPAVER SOMNIFERUM
  114. 114. PREPP-16 103. WHAT IS THE SPECIALITY IN THIS SPRAY? •ONCE IT WAS USED AS AN INDUCTION AGENT •NOW USED AS AN CRYOANALGESIC
  115. 115. PREPP-16 104. TELL ME ONE INHALATIONAL AGENT WITH A BOILING POINT MORE THAN WATER: METHOXYFLURANE BOILING POINT -104.8 C O:G PARTITION COEFFICIENT- 950
  116. 116. PREPP-16 105. STATE OF WASHINGTON USES THIS DRUG TO EXECUTE THE DEATH SENTENCE IN A SINGLE DOSE OF 5 gram. WHAT IS THIS DRUG? THIOPENTONE
  117. 117. PREPP-16 106.WHO IS THE MAN WHO SUGGESTED CHLOROFORM TO SIMPSON? DAVID WALDIE
  118. 118. PREPP-16 107.WHAT WAS THE TYPE OF ANAESTHESIA GIVEN TO MAHATMA GANDHI FOR HIS APPENDICECTOMY ON 12TH JANUARY,1925? OPEN DROP CHLOROFORM
  119. 119. PREPP-16 108. WHEN AND WHERE ETHER WAS USED IN INDIA FIRST TIME? 22nd MARCH,1847- MEDICAL COLLEGE HOSPITAL,CALCUTTA
  120. 120. JAI HO... PREPP-16
  121. 121. PREPP-16 ALL THE BEST dr.r.selvakumar professor of anaesthesiology k.a.p.viswanatham govt medical college, trichy
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The questions asked in the Anaesthesiology viva examination are presented in this presentation which will be useful for the post-graduates appearing for the M.D-Anaesthesia examination.

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