EXAM QUESTIONS FOR CLINICAL I BATCH-

DR.T.PRABA- 2006
MCQ :
1. The objectives of preoperative evaluation for surgical
patients are,
a. Evaluation of medical conditions
b. For optimizations of medical conditions
c. Not for getting informed consent
d. To start preoperative medications
e. To plan anaesthetic management.
2. With regards to ASA reoperative scoring s!stem,
a. ASA " patients are ver! moribund patients # are not
e$pected to survive %& hours 'ith or 'ithout surger!.
b. ASA () patients are ver! health! patients 'ithout an!
medical problems.
c. *ortalit! # morbidit! rate increases in ASA () # )
patients.
d. +ommonl! used preoperative scoring s!stem.
e. ,oesn-t include factors such as age, smo.ing # alcohol
inta.e.
3. +ommon preoperative investigations are
a. Full blood count.
b. /lood urea # electrol!tes
c. /lood sugar
d. Electrocardiogram
e. Angiogram # electroencephalogram.
4. The follo'ing drugs are used as intravenous anaesthetic
induction agents.
a. Thiopentone.
b. ropofol
c. Aminoph!llin
d. Etomidate
e. 0etamine.
5. The follo'ing drugs are inhalational anaesthetic induction
agents
a. 1alothane
b. (soflurane
c. ropofol
d. Sevoflurane
e. 0etamine.
6. With regards to general anaesthesia,
a. reoperative fasting is essential
b. +an be used for an! t!pes of surger!.
c. +auses irreversible loss of consciousness commonl!.
d. Analgesia of entire bod! occurs.
e. *uscle rela$ants are al'a!s used.
The follo'ing statements are true or false # each 2uestion has &
statements.
". With regards to preoperative assessment of surgical patients,
a. Smo.ing # alcohol inta.e does not affect the outcome after
surger!.
b. reoperative assessment # preoperative optimization is ver!
essential to minimize postoperative complication.
c. Elective operation should be postphoned in patients 'ith
uncontrolled h!pertention # uncontrolled diabetes.
d. revious medical, surgical # anaesthetic histor! is ver!
essential.
%. (n preoperative management,
a. All anti h!pertensive # cardiac drugs should be continued
until da! of surger!.
b. 3ral anti4 diabetic drugs should be avoided on the morning
of surger!.
c. Asthma # chronic obstructive air'a!s diseases patients
should be admitted earl! for optimization 'ith nebulizers,
chest ph!siotheraph!, # antibiotics if an! evidence of
respirator! infection.
d. There is no need to stop smo.ing.
5. 6eneral anesthesia
a. 7apid se2uence induction is needed in high ris. patients to
avoid pulmonar! aspiration.
b. 7apid se2uence induction involves preo$!genation,
e$ternal pressure in nec..
c. No need to use in pregnant mothers # patients 'ith hiatus
hernia.
d. ulmonar! aspiration causes increased mortalit! #
morbidit!.

ANSWE7S 8
*+98
". a, b, d, e 44444444 True
c 444444444False.

%. c, d, e,444True
a, b4444444False
5. a, b, c, d44444444True.
e44444444False. 3nl! used in selective high ris. patients
# uncommon investigations.
&. a, b, d, e 444444444True
c444444444False. Aminoph!lline is a bronchodilator.
:. a, b, d444444444true
c,e444444444false
;. a, b, d444444444true
c, e4false. 6A causes reversible loss of consciousness
# muscle rela$ants are used onl! 'hen patients are
paral!zed for major cases 'ith 6A () techni2ue.
STATE*ENTS8
". b, c, d 444444444true
a44444444false
%. a,b, c444444true
d444444444false.smo.ing should be stopped.
5.a, b, d4444true
c4444false. regnant mother # hiatus hernia are at high ris.
for aspiration.

S(N6<E /EST 7ES3NSE 8
".The follo'ing scoring s!stem is used for preoperative
assessment8
a. 6lasgo' +oma Scale.
b. ASA Scoring s!stem
c. AA+1E ""
d. Acute Trauma Score
e. AA+1E """.
%. Follo'ing solid food inta.e, patients should be fasted before
surger! if possible for
a. t'o hours
b. no need to fast
c. & hours
d. 5 hours
e. ; hours
5. All of the follo'ing are common investigations before
surger! e$cept
a.Full blood count
b. +=7
c. E+6
d.Serum electrol!tes
e. Angiogram.
&. The follo'ing drugs are intravenous anaesthetic induction
agents e$cept,
a. Thiopentone
b. ropofol
c. Etomidate
d. Su$amethonium
e. 0etamine.
:. The follo'ing parameters are routinel! used in intraoperative
monitoring e$cept
a. pulse o$imeter
b. +apnograph!
c. Non invasive blood pressure
d. cardiac output
e. Electrocardiogram
;.Which of the follo'ing fluid is a colloid solution
a. Normal saline
b. 1artmanns solution
c. 6elofundin
d. ,e$trose saline
e. :> ,e$trose.
?. The best monitor for assessing ade2uate organ function in shoc.
management is
a. /lood pressure
b. urine output
c. heart rae
d. +)
e. Temperature.
@.The best method of giving morphine for post4operative pain
relieve
a. oral
b.intra4muscular
c.. intravenous bolus
d. subcutaneous
e. patient controlled analgesic pump.
A. The follo'ing drug can be given along 'ith local anaesthetics
'hen giving spinal B epidural anaesthesis for postoperative
analgesia
a. Non4steroidal analgesics
b. aracetamol
c.0etamine
d. 3pioids
e. *idazolam
"C. The follo'ing drug must be stopped preoperativel! to prevent
intra4operative e$cessive bleeding
a. Aspirin
b. ,igo$in
c. A+E inhibitor
d. Nitrates
e. Amiadarone
Ans'ers8
"4 a %4e 54e &4d :4d ;4c ?4b @4e A4d "C4a