MHMS • 2022 • Paper-III (Technical)
A 30-year-old man has taken two bottles of liquor from the local shop. After about an hour, he develops confusion, vomiting andblurring of vision. He has been brought to the emergency department. He should be given
A)
Naloxone
B)
Diazepam
C)
Flumazenil
D)
Ethyl alcohol
Ethyl alcohol correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Antidote for paracetamol poisoning is
A)
Naloxone
B)
N-acetylcysteine (NAC)
C)
Atropine
D)
Flumazenil
N-acetylcysteine replenishes glutathione and detoxifies NAPQI, the toxic metabolite of paracetamol overdose.
MHMS • 2022 • Paper-III (Technical)
The following statement about Propofol that is true
A)
Women requires a lesser dose than men
B)
Formulation of 0.025% sodium metabisulfite is to lessen injection discomfort
C)
History of egg allergy does not contraindicate the use of propofol
D)
1% propofol in 16% polyoxyethylated castor oil is to help retard the growth of microorganism
1% propofol in 16% polyoxyethylated castor oil is to help retard the growth of microorganism correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Favourable effect of dobutamine is
A)
Decrease in left ventricular filling pressure with increase in coronary blood flow
B)
Decrease in coronary blood flow with increase in left ventricular filling Pressure
C)
Marked increase in heart rate
D)
Decrease in myocardial contractility
Decrease in left ventricular filling pressure with increase in coronary blood flow correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which statement is false of major clinical predictors of increased perioperative cardiac risk ?
A)
An acute MI documented less than 7 days previously
B)
Recent MI of more than 7 days but less than 1 month before surgery
C)
Unstable or severe angina
D)
Asymptomatic arrythmias with no underlying heart disease
Major cardiac predictors include acute MI <7d, recent MI 7-30d, unstable angina, decompensated HF, significant arrhythmias; asymptomatic arrhythmia without heart disease is minor, not major.
MHMS • 2022 • Paper-III (Technical)
In methyl alcohol poisoning, there is central nervous system depression, cardiac depression and optic nerve atrophy due to:
A)
Formaldehyde and formic acid
B)
Acetaldehyde
C)
Pyridine
D)
Acetic acid
Methanol is oxidized by alcohol dehydrogenase to formaldehyde then to formic acid, which causes severe high anion-gap acidosis and optic nerve atrophy.
MHMS • 2022 • Paper-III (Technical)
Fibreoptic intubation is contraindicated in the following patients except
A)
Who need a surgical airway (those with highly obstructing laryngeal lesions such as large tumours)
B)
With laryngeal trauma
C)
With craniofacial trauma who are actively bleeding into the oral cavity and throat
D)
Trismus
Fibreoptic intubation is indicated for trismus; bleeding, trauma and obstructing lesions often contraindicate it.
MHMS • 2022 • Paper-III (Technical)
Hyperthermia in a patient of poisoning is a pointer to all except
A)
Ecstasy
B)
Selective serotonin reuptake inhibitor
C)
Salicylates
D)
Chlorpromazine
Chlorpromazine is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
During pre-anaesthetic assessment recommended risk model which provides an estimate of mortality for patients being considered for surgical intervention is
A)
Surgical Outcome Risk Tool (SORT) and SORT-clinical judgement models
B)
APACHE Scores
C)
ASA classification
D)
Reynolds Risk Score
SORT and SORT-clinical judgement models provide mortality estimate for surgical candidates.
MHMS • 2022 • Paper-III (Technical)
Which factor does not determine the alveolar gas concentration ?
A)
Fresh gas flow rate
B)
Uptake
C)
Ventilation
D)
Concentration and second gas effect
Uptake is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Not true about fenestrated tracheostomy tube
A)
Presence of small hole or multiple holes on shaft of the tube/above the cuff
B)
The holes allow increased airflow through upper airway
C)
Air cannot move through upper airway when cuff is inflated
D)
Vocalization is possible
Presence of small hole or multiple holes on shaft of the tube/above the cuff is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Incorrect statement regarding the mechanisms of an AMBU bag is
A)
It contains a nonrebreathing valve, same as the circle system
B)
It is capable of delivery of nearly a 100% O2 concentration
C)
It allows for positive-pressure ventilation
D)
Patient valve has low resistance to both inspiration and expiration
It contains a nonrebreathing valve, same as the circle system is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
An incompetent pressure relief valve will result in which of the following?
A)
Hypoxia
B)
Barotrauma
C)
Hypoventilation
D)
A low-circuit pressure signal
Hypoxia is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Gas from an N2O compressed gas cylinder enters the anaesthesia machine through pressure regulator that reduces the pressure to
A)
45 psi
B)
60 psi
C)
30 psi
D)
15 psi
45 psi is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
The nondepolarizing neuromuscular blocker significantly metabolized by pseudocholinesterase is
A)
Cis-atracurium
B)
Pancuronium
C)
Mivacurium
D)
Pipecurium
Pancuronium correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The most potent inhaled anaesthetic is
A)
Nitrous oxide.
B)
Isoflurane
C)
Sevoflurane
D)
Enflurane
Sevoflurane correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The following drug is 99% bound to plasma proteins
A)
Diazepam
B)
Atenolol
C)
Gentamycin
D)
Lithium
Diazepam correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
What is the longest acting local anaesthetic?
A)
Ropivacaine
B)
Bupivacaine
C)
Lidocaine
D)
Prilocaine
Ropivacaine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The following are effects of non-depolarizing neuromuscular blockers except
A)
Effects potentiated by adrenaline and acetylcholine
B)
Potentiated by magnesium and hypokalaemia
C)
Slow dissociation constant at receptors
D)
Repeated tetanic bursts cause their effect to wear off
Potentiated by magnesium and hypokalaemia 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 medical gases is matched incorrectly with the standard colour of its holding canister?
A)
Air : White and Black stripes
B)
Oxygen : White
C)
Carbon Dioxide : Orange
D)
Nitrous Oxide : Blue
Carbon Dioxide : Orange is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Basic Principles of Medical Ethics ‘Autonomy ‘ means
A)
Anaesthesiologists abide by the doctrine of do no harm to their patients
B)
Do good for the patient in every situation
C)
The patient is an independent being who can make fully informed decisions regarding his/her own health care and coercion is unethical
D)
Anaesthesiologists should be fair when providing their services to surgical patients
Autonomy means respecting patient's right as independent decision-maker to make informed choices without coercion.
MHMS • 2022 • Paper-III (Technical)
Tracheostomy should be considered to reduce the risk of subglottic stenosis after an endotracheal tube has been in place for
A)
5 days after intubation
B)
Inability to wean from ventilatory support within 7 to10 days
C)
Inability to wean from ventilatory support within 2 to 3 weeks
D)
Inability to wean from ventilatory support within 8 to 10 weeks
Inability to wean from ventilatory support within 2 to 3 weeks correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which is not a major component of pharmacokinetics
A)
Bioavailability
B)
Concentration
C)
Distribution
D)
Clearance
Concentration 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 valves prevent transfilling between compressed gas cylinders?
A)
Fail-safe valve
B)
Pop-off valve
C)
Check valve
D)
Adjustable pressure-limiting valve
Fail-safe valve is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
The device on anaesthesia machines that most reliably detects delivery of hypoxic gas mixtures is which of the following?
A)
Fail-safe valve
B)
O2 analyzer
C)
Gas rotamers
D)
Disconnection alarm
O2 analyzer correctly describes the definition or characteristic asked in the question.
