MHMS • 2022 • Paper-IV (Technical)
Inadequate nutrition in a critically intubated patient has been associated with
A)
Improved wound healing
B)
Neuromuscular improvement
C)
Prolonged dependence on ventilators and protracted length of stay
D)
Decreased morbidity and mortality.
Prolonged dependence on ventilators and protracted length of stay is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-IV (Technical)
What is the most common cause of respiratory arrest in paediatric patients?
A)
Airway Obstruction
B)
Difficult intubation
C)
Laryngospasm
D)
Bronchospasm
Airway Obstruction is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-IV (Technical)
A patient with a history of uncontrolled hypertension, diabetes, and angina who is to undergo a laparoscopic cholecystectomy, will be classified as an
A)
ASA II
B)
ASA III
C)
ASA IV
D)
ASA V
ASA II correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-IV (Technical)
ASA classification for risk stratification is validated for predicting preoperative morbidity associated with the following, except
A)
General or regional anaesthesia
B)
Conscious sedation
C)
Monitored anaesthesia care
D)
Surgical procedure
Conscious sedation is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
In adult victims of cardiac arrest, it is reasonable for rescuers to perform chest compressions at a rate of
A)
Not less than 100/min
B)
Not more than 100/min
C)
100-120/min
D)
Not less than 120/min
100-120/min correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Age associated changes in pharmacokinetics include
A)
Reduction in creatinine clearance
B)
Decreased body fat
C)
Increase body water
D)
A greater reduction in conjugation compared with oxidation
Reduction in creatinine clearance is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
The pattern of breathing in Kussmaul respiration commonly associated with diabetic ketoacidosis is
A)
Deep, laboured breathing
B)
Shallow with an extremely depressed respiratory rate
C)
Deep and rapid breaths at a rate of at least 25 breaths per minute
D)
Quick, shallow inspirations followed by regular or irregular periods of apnoea
Deep, laboured breathing correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Energy expenditures for activities such as eating, dressing, walking around the house, and dishwashing range from
A)
1 to 4 METS
B)
4 TO 10 METS
C)
5 METS
D)
10 METS
Light household ADLs like eating, dressing and dishwashing are low intensity, typically 1-4 METs, used for functional cardiac risk assessment.
MHMS • 2022 • Paper-III (Technical)
A head injury patient with a GCS of<8 or scoring U on the AVPU (Alert, responsive to Voice, responsive to Pain, Unresponsive) scale defines
A)
Severe head injury
B)
Brain death
C)
Medically induced coma
D)
Locked in syndrome
Severe head injury is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Preferred antifungals for treatment of cryptococcal meningitis in AIDS
A)
Amphotericin B, fluconazole, and flucytosine
B)
Flucytosine, itraconazole and ketoconazole
C)
Amphotericin B, itraconazole and ketoconazole
D)
Itraconazole, fluconazole, and flucytosine
Itraconazole, fluconazole, and flucytosine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The investigation of choice to exclude common pathologies such as intracranial blood, stroke or space-occupying lesions is
A)
MRI
B)
CT brain
C)
PET
D)
SPECT
CT brain is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Exchange resin is used in the treatment of
A)
Hypercalcemia
B)
Hyperkalaemia
C)
Hypernatremia
D)
Hyperphosphatemia
Hypercalcemia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Anaesthetic drug having antanalgesic effect is
A)
Barbiturate
B)
Benzodiazepines
C)
Inhalational anaesthetics
D)
Opioids
Barbiturate correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The following findings in pupillary examination indicates oculomotor nerve lesion in uncal herniation
A)
Small pupils (<2 mm)
B)
Midsize pupils (4–6 mm) unresponsive to light
C)
Maximally dilated pupils (>8 mm)
D)
Mixed and dilated pupil(s)
Maximally dilated pupils (>8 mm) is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Severe hyperpyrexia and fatal excitatory effect can be seen if MAO inhibitors are used with
A)
Morphine
B)
Meperidine
C)
Thiazide diuretics
D)
Propofol
Propofol is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Hypoxic drive is depressed by
A)
Lidocaine
B)
Atracurium besylate
C)
Succinyl choline
D)
NSAIDs
Succinyl choline correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Barbiturates depress the reticular activating system by
A)
Stimulating transmission of acetylcholine
B)
Enhancing transmission of inhibitory neurotransmitters
C)
Activation of opioid receptor
D)
Binding to cytochrome P-450
Enhancing transmission of inhibitory neurotransmitters is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Effect of benzodiazepines to the ventilatory response to CO2 is
A)
Depression
B)
Stimulation
C)
Both excitatory and depression
D)
No effect
Stimulation correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Paediatric dose of epinephrine in cardiac arrest is
A)
O.1 mg/kg to 0.2 mg/kg IV
B)
0.01 mg/kg IV
C)
0.02 mg/kg IV
D)
0.001 mg/kg IV
0.001 mg/kg IV correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Epinephrine exert its effect by
A)
Direct stimulation of BETA receptors
B)
Depression of ALPHA receptors
C)
Depression of BETA receptors
D)
Stimulation of BETA and BETA but depression of ALPHA receptors
Direct stimulation of BETA receptors is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Which drug is ultra-short acting selective BETA agonist
A)
Phentolamine
B)
Esmolol
C)
Propranolol
D)
Labetalol
Propranolol correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
All are Components of Informed Consent except
A)
Disclosure
B)
Comprehension
C)
Competence
D)
Presence of outside control
Presence of outside control is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Which is untrue in the statement ‘Anaesthesiologists can be dragged to the courts in following instances’
A)
Hypoxic brain damage leading to death during general anaesthesia
B)
For missing pre-anaesthetic evaluation and ensuring availability of proper equipment
C)
Disclosure of information
D)
Neurological deficit after neuraxial or regional anaesthesia
Hypoxic brain damage leading to death during general anaesthesia correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which of the following statement is untrue in case of death on the table
A)
A doctor can give the Death Certificate (DC) only if he is sure of the cause of death
B)
Complete all the relevant documentation and tally the notes among the consultants
C)
Clean the OT; discard all ampules used during the procedure
D)
The OT setup should never be found with expired drugs
A doctor can give the Death Certificate (DC) only if he is sure of the cause of death correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
As per Indian Penal Court an informed consent have
A)
5 essential components
B)
3essential components
C)
4 essential components
D)
6 essential components
4 essential components is the correct choice based on the standard clinical or subject-matter fact tested.
