Final FRCA MCQ’s April 2008

42) Following values are compatible with uncomplicated COPD

a) pH – 7.36
b) Po2 – 7.6
c) Pco2 -8.6
d) HCO3- 28.5
e) Be - -8.0

2) Following are true with renal tubular necrosis

a) urine Na 10mmol/l
b) urine osmolality 500 mosm/L
c) renal casts

3) Following are more common with lateral position than supine position
a) DVT
b) compartment syndrome
c)femoral nerve injury
d) lateral cutaneous nerve

4) mouth to mouth breathing is said to be successful if

a) if inspired O2 con is 14%
b) if expired CO2 con is 2%
c) MAP @ 70
d) Sats @ 90%

5) Paracetamol
a) aniline derivative
b) phenacetin is a metabolite
c) acts by inhibiting cox

6) Fetal blood
a) umbilical artery Po2 8kpa
b) umbilical vein Po2 7kpa
c) uterine artery Po2 12kpa
d) uterine vein Pco2 6.8 kpa

7) stellate ganglion block

a) ptosis
b) anhydrosis
c) blocks cervical sympathetic chain

8) Vocal cord injury

a) abduction injury more common
b) adduction injury more common
c)cords in midline in cadaver

9) recurrent laryngeal nerve

a) all muscles of vocal cords
b) cricothyroid muscle
c) inferior constrictor muscle
d) mucosa above vocal cords
10) Total Hip Replacement
a) injury to iliac artery can occur
b) reduced incidence of DVT under spinal compared to GA
c) increased incidence of blood loss under spinal compared to GA
d) increased incidence of air embolism by cementing the joint

11) Pre-op ECG is required in the fol

a) Pt on antiHTN
b) all patients over 70yrs
c) all patients over 50yrs

Using N2o during Anaesthesia

1- Pressure increase in the ETT cuff is dose related
2- If N2o stop the pressure reduce
3-Pressure can go above capillary pressure
4- Can cause necrosis
5- ?

1. FOR THE FLAP SURGERY,

A.Controlled hyperventilation will be useful for blood flow.
B.Hypothermia improves the survival of flap.
C.Blood supply is expected to improve after operation.

2.In the management of induced hypothermia,core temp. can be monitered at following

sites,
A.tympanic membrane
B.oesophagos at the level of cricoid
C rectal temp
D nasopharynx.

The following conditions have depleted intravascular volume

a)Untreated hypertension
b)Phaeochromocytoma
c)Addison's disease
d)Primary aldosteronism
e)Inappropriate secretion of antidiuretic hormone

a patient is at greater rist of the following in the lateral dequbitus position than supine:

DVT,
compartment syndrome,
femoral nerve damage,

Qs: Pre-op ECG investigation is recommended in:

a) all patients above the age of 70
b)all patients above the age of 45
c)all patients with heart disease
d)all patients with hypertension

12 y.o.boy is listed for elective surgery. His brother has died 2 years ago following
surgery under general anaesthetic. Parents said that doctors mentioned high
temperature. Preoperative tests should include:
1) muscle biopsy
2) serum sodium
3) serum creatine kinase
4) atypical cholinesterase
5) serum potassium
paracetamol
1 is aniline derivative
2 metabolised to phenacetin
3 is fully absorbed from stomach
4 is cox inhibitor
5 is excreted mostly unmetabolised

The pressure in the cuff of ETT:

A. Can increase with use of N2O
B. will decrease after stopping N2O
C. will not increase to that extent in a high vol. low pressure cuff
D. Can cause necrosis of tracheal mucosa

Hypercholestorelemia can occur with:

Biliary cirrhosis
Nehrotic syndrome
Polyarteritis nodosa
Scleroderma

Yellow flags of chronic pain:

Litigation
bullying at work
smoking
steroids
intervertebral disc prolapse

From the RCOA book:

PDA Repair
Latex allergy
Hypotension postop. Phaeochromocytoma
Alcoholic and drug pharmacokinetics

A patient presenting with post op oliguria has a diagnosis of acute tubular necrosis supported
by:
a. urinary Na concentration 10 mmol/l
b. urinary osmolality 500 mosmol/kg
c. specific gravity 1.026
d. urine output of 50 ml/hr in response to 25 mg of mannitol
e. epithelial casts in the urine.
THE FOLLOWING ARE TRUE OF FOETAL CIRCULATION

UMBILLICAL ARTERY po2 7 kpa

Umbillical vein PCO2 6.5
UTERINE ARTERY PO2 13.5 KPA
UTERINE ARTERY PCO2 5.3 KPA
UMBILLICAL VEIN P02 8 KPA

I HAVE PUT DK, DK, T ,T,T

this is question 27

section of the trigeminal ganglion will cause

a. facial paralysis
b. loss of salivation
c. ptosis
d. vasodilation of skin of face
e. corneal anaesthesia

after 6 hrs of intubation following can occur

necrosis of posterir wall larynx

necrosis of anterior wall larynx
granuloma pyriform fossa

Epiglottis necosis
tracheal stricture

capnography can be measured by

mass spectrometry
infrared absorption
raman spectrometry
photospectrometry
gas spectrometry

The PCWP reflects the LVEDP in :

A] Mitral stenosis with transvalvular pressure

gradient exceeding 15 torr
B] Myocardial infarction
C] Aortic stenosis with tranvalvular pressure gradient
of 40 torr
D] Mitral incompetence
E] Atrial septal defect

The success of cricoid pressure in a rapid sequence

induction to prevent aspiration is dependent on:

a. Complete cricoid ring

b. Absence of nasogastric tube
c. Extended neck
d. Compression of oesophagus on vertebral body
e. Preoxygenation for 5 mins

The success of cricoid pressure in a rapid sequence

induction to prevent aspiration is dependent on:

a. Complete cricoid ring

b. Absence of nasogastric tube
c. Extended neck
d. Compression of oesophagus on vertebral body
e. Preoxygenation for 5 mins

The following results from acute depletion of

extracellular volume:
1. Reduction in vasopressin
2. Increased urine specific gravity
3. Reduction in ESR
4. Increase of Atrial natriuretic peptide
5. Increased urine osmolality

Q53
Acute tubular necrosis will lead to:
1. Urinary sodium 10 mmol/l
2. Urine Osmolality 500 mosm/kg
3. Urine Gravity 1026
4. urine output 50ml/hr after 25g mannitol
5. Epithelial casts

Complex regional pain syndrome is associated with

1. hyperpathia
2. hypopathia
3. hypetrichiosis ( i am not sure of the spellings ! and even donot know what it is)
4.hyperaesthesia
5.Lymphoedoma

Sumatriptan--
1. Is an antiemetic
2.Is a 5HT receptor antagonist
3.is used in the treatment of Migraine
4. is associated with cardiovascular problems
5. crosses blood brain barrier.

sumatriptan

is a 5ht antagonist
crosses the blood brain barrier
used for treatment of nausea and vomiting.

3 mcqs on differences between pre renal and post renal failure

2 mcq on laryngeal nerve palsies

meningococcal meningitis
peak incidence of age?
focal neurological signs are common in children
treatment of shock with fluids and vasopressors

1 mcq on difference of adult and paediatric airway

1 on descending pain pathways

1 on a blood gas analysis of a copd patient

Advantages of 1.5% Glycine as an irrigation fluid in TURP are

1.Clear Vision for Surgery

2.Lesser degree of Hemolysis as compared to water as an irrigation fluid

3.No interference with Cystodiathermy

4.Isotonic to Plasma
5.Lack of intravenous absorption

apologies, have been away whilst i can....!

in a patient with a healthy heart transplant

i) resting heart rate of 50 is normal
ii) cardiovascular response to laryngoscopy is absent
iii) atropine will cause a bradycardia
iv) isoprenaline is the inotrope of choice
v) antirejection drugs should be continued preop