End Posting Exam Anesthesiology 2004/2005 Group 4

1. Premedication / Pre-op visit

A. Heart failure under control is one cause to postpone surgery
B. Warfarin is stopped 1 day prior to surgery
C. Premedication is to decrease pressure on intubation
D. Chest x-ray is done in all patients > 60 year old
E. UPT should be done for all female in reproductive age
3. O.T.
A. ETT monitor by capnography only
B. PVC occur during intubation
C. Hypotension after spinal is treated by dopamine
D. Preoxygenation in 7 minutes
E. Intubation by extended head at atlanto-occipital joint

T
F (3-4D)
F
T
T

F
T
F (Ephedrine)
F
T

4. Regarding spinal anaesthesia

5. Regarding intravenous induction:
A. Etomidate is used in patient with poor cardiac reserve
B. Thiopentone can be used in bronchial asthma patien
C. Ketamine is used in psychiatric patients
D. Propofol dosage is 2 3 mg/kg
E. Sevoflurane is used in induction of children

T
F
F
T
T

6. Regarding drug used in anaesthesia

A. Midazolam induction in ICU
B. Thiopentone is used for causing coma in patients with increase ICP
C. Glycopyrrolate is used before bronchoscopy
D. Scoline emergency intubation in burn
E. Atropine can give via ETT in cardiac arrest

T
T
T
F
T

8. Post-op pain management

A. Subcutaneous morphine must be repeated every 3 minutes
F
B. PCA morphine can cause pruritis
F
C. Epidural cocktail analgesic, the dose of Fentanyl is 3 micron per ml
(2)
F
D. Stress response to pain is decrease by adequate perioperative pain management T
E. Upper abdomen incision is well managed by lumbar epidural analgesia
F
(Midthoracic T6/7, lumbar for hip surgery)
10. Transportation of critically ill patient
A. Decrease in BP can be transported
F
B. Pulse oximetry is mandatory
T
C. Patient with high ventilator setting should be reconsider T

12. In septicaemia
A. They have fever always
B. Gastric pH would give information on tissue perfusion
C. They have low systemic vascular resistance
D. They grow microbes all the time in blood
E. They need superoxygenation therapy
13. Dopamine
A. Ineffective orally
B. Increase renal blood flow in low dose
C. Is first line therapy in hypovolemic shock
D. Increase dose cause peripheral vasodilatation

F
T
T
F
T

T
T
F
F (Vasoconstriction)

14. Regarding shock

A. Anaeobic metabolism result in hypoperfusion
B. Severe blood loss lead to cardiogenic shock
C. Adrenaline is first line inotrophic in cardiogenic shock
D. Serum lactate is used as marker
E. Metabolic alkalosis is common in ABG findings

F
F
F (DOBUTAMINE)
T
F

17. Labor epidural analgesia

A. Morphine not used regularly
B. There is association between labor analgesia & abnormal labor
C. Adrenalin & LA can be used in Eisenmenger syndrome
D. Dilute mixture of LA & opiods can make impact on Stage II
E. Most commonly used lipid soluble Fentanyl
18. Physiotherapy in ICU
A. Correct positioning
T
B. Postural drainage in CCF patients needs no special technique F
C. Unilateral lung disease in adults, good lung down is used for physiotherapy
D. Percussion Increase mucociliary clearance or sputum
T
E. IPPV is a form of physiotherapy
F
19. Concerning fluid therapy
A. Oliguria can be reliably managed with a loop diuretic
B. Artificial colloid is better than natural colloid
C. Urine out
D. Hydroxy etinyl starch
E. NS replacement if gastric aspirate
20. Regarding monitoring
A. ETCO2 for ventilation
B. Bedside echo to increase inotropic
C. CVP is best for intravenous fluid

T
F
T

T
T
F
F
T

D. Pulse oximetry use ultraviolet

F (infrared)