MHMS • 2022 • Paper-III (Technical)
Antibody mediated allergic reactions to postoperative opioid can lead to all except
A)
Wheezing
B)
Flushing
C)
Tachycardia
D)
Hypertension
Wheezing is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
The drug having pure BETA agonist property is
A)
Epinephrine
B)
Dopamine
C)
Phentolamine
D)
Isoproterenol
Dopamine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Beta agonist is used in hyperkalaemia due to which effect
A)
Protecting cardiomyocytes
B)
Helps in elimination of potassium from the body
C)
Shifts potassium intracellularly
D)
Shifts potassium from intracellular compartment
Shifts potassium intracellularly correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
If a person suspected of opioid overdosing does not respond within 2 to 3 minutes after administering a dose of naloxone
A)
Do not repeat naloxone
B)
Administer a second dose of naloxone
C)
Give atropine
D)
Attempt diuresis with diuretic
Opioid overdose algorithm: if no response to naloxone 0.04-2 mg IV after 2-3 min, give second dose and continue monitoring until 10 mg.
MHMS • 2022 • Paper-III (Technical)
Clinical effects of dopamine is due to
A)
Non-selective direct and indirect adrenergic agonist
B)
BETA stimulation and ALPHA depression
C)
Decrease in myocardial contractility
D)
Decrease in peripheral resistance
Decrease in myocardial contractility correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which of the following methods can be used to detect leaks in the low pressure circuit of any contemporary anaesthesia machine?
A)
Negative pressure leak test
B)
Common gas outlet occlusion test
C)
Traditional positive pressure leak test
D)
Oxygen flush test
Traditional positive pressure leak test is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
A decrease in pH of local anaesthetic shifts equilibrium toward the ionized form
A)
Fastening onset of action
B)
Delaying onset of action
C)
Easily diffuses across nerve membrane
D)
Increases vasoconstrictor effect
Delaying onset of action is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
The most effective safe way to control postoperative pain with systemic opioid is by
A)
Subcutaneous
B)
Oral
C)
Intramuscular
D)
PCA
PCA correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Local anaesthetics produce anaesthesia by
A)
Inhibiting excitation of nerve endings
B)
Stimulation of nerve endings
C)
Increasing conduction in peripheral nerves
D)
Activating sodium channels
Increasing conduction in peripheral nerves is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
The following factors affect anaesthetic uptake with the exception of one which is
A)
Solubility in the blood
B)
Alveolar blood flow
C)
Partial pressure difference between alveolar gas and venous blood
D)
Indirect correlation with lipid solubility
Indirect correlation with lipid solubility is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Intravenous premedication with opioid just prior to induction influence induction of anaesthesia by
A)
Prevention of aspiration pneumonitis
B)
Allaying fear
C)
Preventing allergic reactions
D)
Lessening anaesthetic requirements
Preventing allergic reactions is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
First step in the Chain of Survival is:
A)
Early CPR with an emphasis on chest compressions
B)
Recognition of cardiac arrest and activation of the emergency response system
C)
Rapid defibrillation
D)
Advanced resuscitation by Emergency Medical Services and other healthcare provider
Recognition of cardiac arrest and activation of the emergency response system correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which of the following drugs is least likely to be effective for prophylaxis for postoperative nausea and vomiting?
A)
Ondansetron
B)
Scopolamine patch
C)
Aprepitant
D)
Metoclopramide
Ondansetron (5HT3), scopolamine and aprepitant (NK1) are effective PONV prophylaxis; metoclopramide has poor efficacy at standard doses.
MHMS • 2022 • Paper-III (Technical)
In susceptible individuals acute intermittent porphyria may be precipitated by
A)
Midazolam
B)
Ketamine
C)
Thiopental
D)
Fentanyl
Thiopental is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Among the currently used anaesthetics Sevoflurane has been demonstrated to have
A)
The least hepatotoxic effect
B)
The least pronounced cardiovascular effects.
C)
The most hypotensive effect
D)
The fastest onset
The fastest onset is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Conventional CPR using chest compressions and mouth-to-mouth breathing in an adult is at a ratio of
A)
30:2 compressions-to-breaths
B)
15:2 compressions-to-breaths
C)
30:4 compressions-to-breaths
D)
30:1 compressions-to-breaths
30:2 compressions-to-breaths correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
According to the ASA 2008 Recommendations, which of the following machine checks should be completed before each case?
A)
Test scavenging system function
B)
Verify that there are no leaks in the gas supply lines between the flowmeter and the common gas outlet
C)
Verify that patient suction is adequate to clear the airway
D)
Calibrate the oxygen monitor and check the low oxygen alarm
Verify that patient suction is adequate to clear the airway is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
Since fresh gas flow equal to minute ventilation is sufficient to prevent rebreathing, which of the following Mapleson circuit breathing/ventilation systems is the most efficient for spontaneous ventilation of the patient?
A)
Mapleson A
B)
Mapleson B
C)
Mapleson C
D)
Mapleson D
Mapleson B correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Effect of nondepolarizing neuromuscular blockers on Children -all are true except
A)
Hypotension with tubocurarine
B)
Hypertension with pancuronium
C)
Bradycardia with gallamine
D)
Flushing with atracurium
Bradycardia with gallamine is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
All are effect of local anaesthetics on cardiovascular system except
A)
Depression of myocardial automaticity
B)
Reduced duration of refractory period
C)
Depression of conduction velocity
D)
Increase in myocardial contractility
Depression of myocardial automaticity is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
High-quality CPR include all except
A)
Minimize interruptions in chest compressions
B)
Provide compressions of adequate rate and depth
C)
Avoid leaning on the victim between compressions
D)
Hyper-ventilation
Hyper-ventilation is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Which of the following statement is correct?
A)
The half-life is the time taken for a parameter to fall to 1/4 its original value
B)
Partial agonists act at receptor sites to cause maximal pharmacological effect at high doses
C)
Morphine and pethidine have the same potency
D)
A patient with oedema will have an increased volume of distribution of tobramycin
A patient with oedema will have an increased volume of distribution of tobramycin correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The statement not true in ISA guidelines for practising anaesthesiologists on how to maintain anaesthesia records
A)
Anaesthesia: Type of anaesthesia
B)
Airway management device
C)
Maintenance of anaesthesia
D)
Post-operative pain protocol not required
Maintenance of anaesthesia is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
If a person is unconscious from choking, symptoms may include all except
A)
Ability to speak
B)
Difficulty breathing and noisy breathing with high-pitched sounds while inhaling
C)
Weak, ineffective coughing
D)
Bluish skin colour
Ability to speak is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
High plasma protein binding
A)
Increases availability of free fraction of the drug
B)
Increases drug concentration
C)
Decreases free unbound fraction of a drug which decreases its potency
D)
Occurs in renal failure
Decreases free unbound fraction of a drug which decreases its potency is the correct choice based on the standard clinical or subject-matter fact tested.
