MHMS • 2022 • Paper-III (Technical)
Succinylcholine is not metabolized by
A)
Acetylcholinesterase
B)
Pseudocholinesterase
C)
Plasma cholinesterase
D)
Non-specific cholinesterase
Pseudocholinesterase correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Sedatives, as premedication, must be avoided in which of the following patients?
A)
Uncontrolled hypertensive
B)
Toddler for tonsillectomy
C)
Brain tumour patients
D)
Patients with alcohol abuse
Sedative premedication depresses respiration and CO2 response, raising ICP; avoided in brain tumors, head injury or raised intracranial pressure.
MHMS • 2022 • Paper-III (Technical)
The laryngeal mask airway is used for securing the airway of a patient in all of the following conditions except
A)
In a difficult intubation
B)
In cardiopulmonary resuscitation
C)
In a child undergoing an elective/routine eye surgery
D)
ln a patient with a large tumour in the oral cavity
ln a patient with a large tumour in the oral cavity is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
The relationship between intra-alveolar pressure, surface tension and the radius of an alveolus is described by
A)
Graham’s Law
B)
Beer’s Law
C)
Bernoulli’s Law
D)
Laplace’s Law
Bernoulli’s Law correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
The following statement for which isoflurane is credited with having the slowest onset of inhalation agents is
A)
Low MAC
B)
Unique molecular structure
C)
High blood:gas coefficient
D)
High fat:blood coefficient
Unique molecular structure correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Premedication dose of atropine in children is
A)
0.002 to 0.004 mg/kg
B)
0.1 to 0.2 mg/kg
C)
0.01 to 0.02 mg/kg
D)
0.02 to 0.04 mg/kg
0.1 to 0.2 mg/kg correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Bioavailability is
A)
The difference between the amount of drug absorbed and the amount excreted
B)
The proportion of the drug in a formulation that is found in the systemic circulation
C)
The AUC relating plasma concentration of drug to time after administration
D)
Always identical with different formulations of the same drug
The proportion of the drug in a formulation that is found in the systemic circulation correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Repeated dose of which drug is responsible for cauda equina syndrome in continuous spinal anaesthesia
A)
5.0% Lidocaine
B)
0.5% Bupivacaine
C)
0.2% Ropivacaine
D)
Morphine
0.2% Ropivacaine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
What is the first choice vasopressor in septic shock
A)
Noradrenaline
B)
Vasopressin
C)
Dobutamine
D)
Adrenaline
Noradrenaline is the standard/commonest association or the most appropriate choice for this presentation.
MHMS • 2022 • Paper-III (Technical)
Lipid solubility of an anaesthetic agent with potency (1/MAC) suggests that
A)
Acute cocaine or amphetamine use increases MAC
B)
Onset of anaesthesia occurs when sufficient molecules of the anaesthetic agent have dissolved in the cell’s lipid membranes
C)
the constant increase of anaesthetic potency of n-alkanols with increasing chain length
D)
Certain conditions like pregnancy, anaemia and hypoxia increases MAC
Onset of anaesthesia occurs when sufficient molecules of the anaesthetic agent have dissolved in the cell’s lipid membranes is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Which statement is false of opioid withdrawal
A)
Nervousness, restlessness or irritability
B)
Tachycardia, hypertension
C)
runny nose, sneezing, sweating, yawning, nausea or vomiting
D)
Bradycardia , hypotension
Opioid withdrawal causes sympathetic excess with tachycardia, hypertension, diaphoresis, lacrimation, rhinorrhea and agitation; bradycardia hypotension indicates opioid effect not withdrawal.
MHMS • 2022 • Paper-III (Technical)
All of the following are treatment options for toxic alcohol poisoning except
A)
Fomepizole
B)
Hydroxy-cobalamin
C)
Thiamine
D)
Folic acid
Fomepizole, thiamine and folate aid toxic alcohol metabolism; hydroxocobalamin is antidote for cyanide, not toxic alcohols.
MHMS • 2022 • Paper-III (Technical)
A sevoflurane vaporizer will deliver an accurate concentration of an unknown volatile anaesthetic if the latter shares which property with sevoflurane
A)
Viscosity
B)
Molecular weight
C)
Oil gas partition coefficient
D)
Vapor pressure
Molecular weight is the relevant physiological, anatomical, pharmacological, or anaesthetic principle for this question.
MHMS • 2022 • Paper-III (Technical)
Metabolites of this local anaesthetic convert haemoglobin to methaemoglobin
A)
Prilocaine
B)
Lidocaine
C)
Dibucaine
D)
Ropivacaine
Prilocaine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Ethical issues in anaesthesiology can be categorised into
A)
Preoperative and postoperative
B)
Intraoperative and Postoperative
C)
Intraoperative only
D)
Preoperative, Intraoperative and Postoperative
Preoperative, Intraoperative and Postoperative correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
All of the following may reduce the MAC for nitrous oxide except
A)
Meperidine
B)
Advanced age
C)
Cocaine
D)
Ethanol
Advanced age is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Reduction of MAC of volatile anaesthetics by upto 40% is seen with
A)
Bupivacaine
B)
Lidocaine
C)
Mepivacaine
D)
Etidocaine
Bupivacaine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Which term refers to ‘do no harm’ to their patients ?
A)
Autonomy
B)
Nonmaleficence
C)
Justice
D)
Beneficence
Nonmaleficence correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Following are factors that increase anaesthetic requirements with the exception of
A)
Hyperthermia
B)
Hypernatremia
C)
Acute cocaine or amphetamine use
D)
Pregnancy
Pregnancy is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Which statement is false?
A)
An anaesthesiologist shall recognize a responsibility to participate in activities contributing to an improved community
B)
An anaesthesiologist who serves as an expert witness in a judicial proceeding shall possess the qualifications and offer testimony in conformance with the ASA “Guidelines for Expert Witness Qualifications and Testimony”
C)
An anaesthesiologist shall not engage in misconduct in research and/or publication
D)
An anaesthesiologist should need not take into account the environmental impact of their clinical management and decision making
ASA ethics expect environmental consideration; statement that anaesthesiologist need not consider it is false.
MHMS • 2022 • Paper-III (Technical)
Prior to surgery breast milk should be discontinued for
A)
6 hours
B)
4 hours
C)
8 hours
D)
2 hours
ASA fasting: breast milk empties slower than clear fluids; guideline is 4 hours before surgery, unlike 2h for clears.
MHMS • 2022 • Paper-III (Technical)
Which is not true of depolarizing neuromuscular blockers
A)
Does not cause muscular fasciculation in myasthenic humans
B)
No exhibition of tonic response by extraocular muscles
C)
Sodium channels are blocked open
D)
Antagonized by ether and halothane
Does not cause muscular fasciculation in myasthenic humans is the exception/incorrect statement; the other choices are consistent with the usual finding or principle.
MHMS • 2022 • Paper-III (Technical)
Pin index system is a safety feature adopted in anaesthesia machines to prevent
A)
Incorrect inhalation agent delivery
B)
Incorrect attachment of anaesthesia machine
C)
Incorrect attachment of anaesthesia face mask
D)
Incorrect gas cylinder attachment
Incorrect attachment of anaesthesia machine correctly describes the definition or characteristic asked in the question.
MHMS • 2022 • Paper-III (Technical)
Degradation of sevoflurane by soda lime results in the production of
A)
Compound A
B)
Compound B
C)
Compound C
D)
Compound D
Compound B is the correct choice based on the standard clinical or subject-matter fact tested.
MHMS • 2022 • Paper-III (Technical)
The pin index code of nitrous oxide is
A)
2,3
B)
1,5
C)
3,5
D)
2,6
2,3 correctly describes the definition or characteristic asked in the question.
