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t i\l\'l1.,\('lll.,l1',lll.f Alt t
()t\l/
IrSl r \' o!' sAN t (} ,!lllli:l,l ;;'Li[; ii'l Lltl?i'li"
i: I'iii;',1'isii t *'str) I I x : Y
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I
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'iL- L '
t A('ll'11 A'l Ott: '-{)!':
('lloos[: I lt t' $[:s'r
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. rr SCOR'd:
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,\tiS\\ I.ltr
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tti
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A \{crrtlrlnr l) t.)r
tl Yrtrt
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e D jhy o:,1;:,','ni:il',, rh. trrus
t) ltrctcrse thc 1)tttst''7 "' "
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Cuir - FebruatY ,l9,2001 091section c - 4.Dr. rrerissa t *ril
,lntil:,. ln , n **,}J Dalo \ l' r/
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UST F/\CULTY OF MEDICINE AND SURGERYDEPARTMENT OF ANESTHESIOLOGY
QUIZ 2 oCTOBER 4, 2007
Narne l(EYFacilitator_
fJubaruclrnoid irrjectionB. epidural injection
Sec Score
C. phrenic nerve blockD. recurrent laryngeal nerve block
Ctroose ttre best answer and write on tite blanlt provided for. Any erasureor alteration will be rnarked wrong; countersignature of proctor ls not valld.Dd not write anything along the margins.
-B--l. Blad5,r:ardia after spirral artestlresia is a result of:
A. nypotension I
B. sympathetic blockade of cardiac acceleratorC, parasyrnPathetic blockade 'D. hypoxia
_2, Z. Larrdrnark for doing caudal block:A. anterior sr-iperior iliac spine C. ischial spineB. posterior superior iliac spine D, iliac crest
ts g. Larrdrnark used for doing axillary block:A. cephalic vein , C, bracltial arte''yB. axillary artery , ' D. axillary vein
-P -a,For excision of a breast massj when the surgeon.injects the local
anestiretic along his line of"irrcision, the technique is called:A. fieid block anestlresia C. topical instillation anesthesiaB. infiltration anesthesia D. contact anesthesia
:
O 5.lr{ost comrnon complication of ceryical plexus block:
A s Landmark in doing pudendal nerve block:A. ischiat spineB. sacrospinous ligameiltr'
C, sacrococcygeal' D. sacral comua'
,.; il.,4ir'l'. ,\
mbmbrane '
B L lnjection of local anesthetic anoui 1.5 cm below and behind the mastoid-ip in deep cervical plexus block Produces a block of this branch:A. c1 B. C2 C. C3 D. C4
8. The meclranism of action of local anesthetics follows thls principle:
!" ffi1'ying increased sodium permeability of axcitable membran€B. Binding directly vrithin the intracellular portion of the voltage-gated sodium
channelC. Locaf anesthetics bind to the sodium channel in non-charged or ionized fqrm.
D, The transmission of in-rpulse is preventod when sodium permeablllty,is
increased
A g A sign of iorv-cJose toxioly to local anesthetics:
A. trentors C. cardiac arrestB resciialorv ceo:esslcn D aonea
AB
., ,',il::::::l:i:::'
-i:iidii:
D 10 rhe following local anesthetics are esters, EXCEpT:C. TetracaineD. Bupivacaine
4-:1 \viriclr of the foilowing local anesthetics has ilte shortest duration ofaction?,A. Procaine c. TetracaineB. Lidocaine D. Bupivacaine
:L-f 2. An effect of hypothermia after general anesthesia:delays emergenceemergence deliriumrJpper ainruay obstructiondyspnea
recent general aneslhesia cannotthis is due to:
nrLt 13. lf a patient who has undergoneperform a head or leg lift for fivd seeonds,
C. evidence of wound healingD, surgical bleeding controlled
I
clrronic pain,nanagernent:C. morphine sulfate
, D. NSAIDS
C. residual neuromurscular blockadeD. pain
C. bone metAstaslsD. cancer therapy
the severity of his pain by statirrg a
C, verbal rating scaleD, numerical rating scale
16. Mosl suitabtg,drug formeperidirrenalbuphine
L'tB. To mainrainadrninistered:A. only when necessary (patient c-omplainsB. only irr rhe presence of background painC, on a tirne-contingent basisD. as often as possible
isacD
u' 15. All of the follovring are rouline discharge criteria from the postAne$thesia Care Unit, EXCEPT:
c'AB
- e--r 7. Pharmacologic managpment for nociceptive lype of pain:A. morphine sulfate C. meperidineB. NSr',lDs D. oxycodone
an effective analgesic concentration the drug should be
a.t\- '19. A patient r,vith s one year hisdory
the cervical vertelrra radiating to the arm6.
of pairr) ... .,ii;.,: ri'
(pain on mov.ement) ..' ' '. ":
of breast cancer complains of pain inThe possible cause uf cancor pain ls:
A. turrnor itselfB, turnor compressing on a nerve
number from 0 to 10:A. visual analogue scaleB. r,,erhal descriprtion scale
A o.whsn a durgeon administsrs local arngfhgtig qryund the ssbaoa
dn i= going to excise, the technique ls'callBo:' : ^iidt innfillaliiifl :' ' ' : '
c. tqPi.CFl inqtillglili,. :
A. lield block t D. *fiH.f "-iil$ttg''9.
" I .,,'"B. inliltration v'. v'"'---
'
b 5. Approach of brachial plqxus block thqt enes'lh9tii
iliffiru"4ene approach r- -': -'-- ' C' hftada
D. axillary
foltonitrg locel anestlretics has thB longest duratjon of. : '.:t.
C. tehacaiqeD. ethidocaino
-A ,, \^Jhich of tho fotloruirrg btatoments is TRUE about timing of emergence i
i6rn general anesthesia?A. A patiefit alter a minor outpatient procecure is arnakensd as rapidly and
promptly as Possible.B. All mea$rres ;;;i be'dondr to ilwaken a patient afler a connplex cardiac
;;;d;iil;i6 ;,-;{iitn" tutol"al proimuure ls conect' ; r'
C. patients with increasod intracrarriol prossure require bster s\Anakoning to ' 'r' i'irestore merrtal stato. -r ^--:--D. patio*ts wit6 fuit stn,nachs rntlst not bo awakenocl to prevent aspiraiion of
gastric contents.
D 13. Vvhich of thri mltcrl,ving iS NOT associatgd with agitation'and deliiium
-D- ,1. rA/iriclr of tlroaction?A. chloroProcaineB. rrropivacaine
rnust:A. receive suPPlemental okYgen
B. recoive oPioid analgesics
uii6?En**thosia?A. hypoxemia or airwaY obstructionB. centfal an\icholinergic syndromo
C. fullbladderD. full stomach before surgery
'C. be intubated imm'eaiaelYD. undorgo incentive sPirornetry'
A .,0 Hypoxernia occurs corrrmorrty in patierrts in the pAcu so all patients
A-r5. \Mren a patient faits to P*1g-qJlT :f.*esia 6ncl remains obh'mded'
o rffiutttic approadr begins by imrngdiatbly 6nsunng:
A. onTgrenation and vsntilation i c. normalterhperattne.
B. ;6;t "lyte
balance ' D' pain-frae state"
[---)fi t6. l-typn6sis, a haightendd and foctrsed concenration, ls useful in
mataging Pain bY: A rgA. suggrestion C' erornPle '
B. sedation D' Gate's thoory
D 17 .'frueof biofoecback, EXCEPJ' '
Eh;6; tior*ution abor-rt level of muscle contraction :
B. ;i;;; i"tor*rtiun about btrrount of yood ftcnr ro an arBa
C. itut surfeca elecdromyography , .
D. ;;* eloctrical stlrnulaii.rl of nenres in{he aroa
F ,8. Drug used in tlre prqtEoncs of a nouropathic'compon"ni ln ctrronlc paln: '
AAmitrypryfini 'i G' NSAIDS
ii. ffid;azapine , D' steroids ". ,,i,r;,,: r,,i' l
D ,9. rnrorniittent rbi:oatod doses of oemerbt wiit teau to a#irn,irirfi*'bt urti
msrt'l wilh nourotoiic efruct:
c. oxyl*l1P : ' I "
ts, morphino D' nonehldinu
A ,g,[,lorvo blocl< used to relisve pains due to posl5erpetiu nouslgil'-s-
involving facial nsrve :
A, stellate ganglion blockB. celiac Plexus block
C. braclrial Planrs block
D. Cen'ical Planrs block
.r'l;r, iiii
'NIVERSI''Y oF sANT:o toMas ; I i{|
JEsslcA ll, HEoINA FACULTY OF MEDICINE & SURGERY ' ,.:i i ' lilulr lt' I l'n.trY'rl DapARTMENT olr ANESTITESIOIOGY , lil