ANESTHESIA
Section A
1. Anesthesia Equipments and Ventilation...............................................................987
2. Inhalational Anesthetics.......................................................................................993
3. Intravenous Anesthetics.......................................................................................999
4. Local Anesthetics and Blocks.............................................................................1004
5. Neuromuscular Blockers....................................................................................1009
6. Spinal, Epidural and Caudal Anesthesia and Opioids..........................................1013
7. Preoperative Preparations and Intraoperative Management...............................1017
8. Clinical Anesthesia.............................................................................................1021
9. Anesthetic Complications and Management......................................................1027
Section B
Practice Questions.......................................................................................1032
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,
, Section A
1. ANESTHESIA EQUIPMENTS
AND VENTILATION
, 988 Jaypee’s Triple A
ANESTHESIA EQUIPMENTS AND VENTILATION (QUESTIONS)
1. Which of the following is true about anesthesia machine: c. Location of a fail-safe valve downstream from the nitrous
a. Desflurane vaporizer is heated to 39°C (AI 12) oxide supply source
b. Halothane vaporizes at 39°C Ref: Miller 7/e p679, 676
c. Rotameter is a variable pressure flow meter and variable 8. Pin index system is a safety feature adopted in anesthesia
orifice device for gases only machines to prevent: (AIIMS 03, DNB 08)
d. O2 sensor is attached to inspiratory limb at the machine a. Incorrect attachment of anesthesia machines.
end b. Incorrect attachment of anesthesia face masks.
Ref: Miller 7/e p689, 678; Morgan 5/e p61,63, 54, 67 c. Incorrect inhalational agent delivery
2. Which is the main component of sodalime in closed circuit: d. Incorrect gas cylinder attachment
a. Sodium hydroxide (AIIMS May 12) Ref: Miller 7/e p675
b. Barium hydroxide 9. The Pin index code of nitrous oxide is: (AIIMS 03, CMC 02)
c. Calcium hydroxide a. 2, 5
d. Potassium hydroxide b. 1, 5
Ref: Miller 7/e p695; Morgan 5/e p37 c. 3, 5
3. True about Boyle’s apparatus: (PGI Dec 06) d. 2, 6
a. Continuous flow machine Ref: Dorsch 5/e p7
b. Liquid anesthetic vapours not used 10. True statement regarding pin index: (PGI May 10, DNB 08)
c. Resistance very high a. Pin is present on cylinder
d. Resistance low Ref: Internet sources b. Pin is present on machine
4. True about rotameter: (DNB 09, MP 06) c. Not effective if wrong gas is filled in cylinder
a. Rotameter reading may not get affected by dirt inside the d. Pin index of air is 2, 5
tube e. Hole positions on cylinder valves
b. Rotameter reading may not get affected by static Ref: Miller 7/e p675; Morgan 5/e p14
electricity 11. Gas which is filled as liquid in cylinder is: (PGI Dec 07)
c. The height to which bobbin rises indicates the flow rate a. O2
d. A rotameter is a variable pressure flowmeter b. CO2
Ref: Miller 7/e p678 c. N2O
5. True about Wright’s spirometer is/are: d. Cyclopropane
a. Flow rates can be calculated (DNB 10, PGI Nov 11) e. Halothane
b. Gives false high values at low flow rates Ref: Dorsch 5/e p2
c. Gives false low values at high flow rates 12. An anaesthetist orders a new attendant to bring the oxygen
d. Used for calculation of expired volume cylinder. He will ask the attendant to identify the correct
e. Reads bidirectional flow cylinder by following color code: (AI 03, DNB 08)
Ref: Morgan 5/e p67 a. Black cylinders with white shoulders
6. True about anesthesia breathing circuit is: (PGI June 08) b. Black cylinders with grey shoulders
a. Cylinder is a part of high pressure system c. White cylinders with black shoulders
ANESTHESIA
b. O2 flush delivers < 35 liters d. Grey cylinder with white shoulders
c. O2 flush delivers > 35 liters Ref: Dorsch 5/e p10 Table 1.4
d. Pipelines is a part low pressure system 13. True about N2O cylinder: (PGI June 04, DNB 05)
Ref: Miller 7/e p674, 682 a. Pressure is 2200 psig
7. All of the following are safety measures to prevent the b. Blue in color
delivery of hypoxic gas mixture to the patient except: c. Gas in liquid form
(AIIMS May 08) d. Pin index 3.5
a. Location of oxygen valve after the nitrous oxide valve e. It is flammable
b. Presence of a pin index system to prevent wrong Ref: Miller 7/e p745, 675; Dorsch 5/e p10, 2, 7;
attachment of the nitrous oxide and oxygen cylnders Morgan 5/e p12 Table 2-1
Ans. 1. a. Desflurane… 2. c. Calcium hydroxide 3. a and d 4. c. The height
5. a and d 6. a and c 7. a. Location of oxygen… 8. d. Incorrect gas…
9. c. 3, 5 10. b and c 11. b, c and d 12. a. Black cylinders…
13. b, c and d
Section A
1. Anesthesia Equipments and Ventilation...............................................................987
2. Inhalational Anesthetics.......................................................................................993
3. Intravenous Anesthetics.......................................................................................999
4. Local Anesthetics and Blocks.............................................................................1004
5. Neuromuscular Blockers....................................................................................1009
6. Spinal, Epidural and Caudal Anesthesia and Opioids..........................................1013
7. Preoperative Preparations and Intraoperative Management...............................1017
8. Clinical Anesthesia.............................................................................................1021
9. Anesthetic Complications and Management......................................................1027
Section B
Practice Questions.......................................................................................1032
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
,
, Section A
1. ANESTHESIA EQUIPMENTS
AND VENTILATION
, 988 Jaypee’s Triple A
ANESTHESIA EQUIPMENTS AND VENTILATION (QUESTIONS)
1. Which of the following is true about anesthesia machine: c. Location of a fail-safe valve downstream from the nitrous
a. Desflurane vaporizer is heated to 39°C (AI 12) oxide supply source
b. Halothane vaporizes at 39°C Ref: Miller 7/e p679, 676
c. Rotameter is a variable pressure flow meter and variable 8. Pin index system is a safety feature adopted in anesthesia
orifice device for gases only machines to prevent: (AIIMS 03, DNB 08)
d. O2 sensor is attached to inspiratory limb at the machine a. Incorrect attachment of anesthesia machines.
end b. Incorrect attachment of anesthesia face masks.
Ref: Miller 7/e p689, 678; Morgan 5/e p61,63, 54, 67 c. Incorrect inhalational agent delivery
2. Which is the main component of sodalime in closed circuit: d. Incorrect gas cylinder attachment
a. Sodium hydroxide (AIIMS May 12) Ref: Miller 7/e p675
b. Barium hydroxide 9. The Pin index code of nitrous oxide is: (AIIMS 03, CMC 02)
c. Calcium hydroxide a. 2, 5
d. Potassium hydroxide b. 1, 5
Ref: Miller 7/e p695; Morgan 5/e p37 c. 3, 5
3. True about Boyle’s apparatus: (PGI Dec 06) d. 2, 6
a. Continuous flow machine Ref: Dorsch 5/e p7
b. Liquid anesthetic vapours not used 10. True statement regarding pin index: (PGI May 10, DNB 08)
c. Resistance very high a. Pin is present on cylinder
d. Resistance low Ref: Internet sources b. Pin is present on machine
4. True about rotameter: (DNB 09, MP 06) c. Not effective if wrong gas is filled in cylinder
a. Rotameter reading may not get affected by dirt inside the d. Pin index of air is 2, 5
tube e. Hole positions on cylinder valves
b. Rotameter reading may not get affected by static Ref: Miller 7/e p675; Morgan 5/e p14
electricity 11. Gas which is filled as liquid in cylinder is: (PGI Dec 07)
c. The height to which bobbin rises indicates the flow rate a. O2
d. A rotameter is a variable pressure flowmeter b. CO2
Ref: Miller 7/e p678 c. N2O
5. True about Wright’s spirometer is/are: d. Cyclopropane
a. Flow rates can be calculated (DNB 10, PGI Nov 11) e. Halothane
b. Gives false high values at low flow rates Ref: Dorsch 5/e p2
c. Gives false low values at high flow rates 12. An anaesthetist orders a new attendant to bring the oxygen
d. Used for calculation of expired volume cylinder. He will ask the attendant to identify the correct
e. Reads bidirectional flow cylinder by following color code: (AI 03, DNB 08)
Ref: Morgan 5/e p67 a. Black cylinders with white shoulders
6. True about anesthesia breathing circuit is: (PGI June 08) b. Black cylinders with grey shoulders
a. Cylinder is a part of high pressure system c. White cylinders with black shoulders
ANESTHESIA
b. O2 flush delivers < 35 liters d. Grey cylinder with white shoulders
c. O2 flush delivers > 35 liters Ref: Dorsch 5/e p10 Table 1.4
d. Pipelines is a part low pressure system 13. True about N2O cylinder: (PGI June 04, DNB 05)
Ref: Miller 7/e p674, 682 a. Pressure is 2200 psig
7. All of the following are safety measures to prevent the b. Blue in color
delivery of hypoxic gas mixture to the patient except: c. Gas in liquid form
(AIIMS May 08) d. Pin index 3.5
a. Location of oxygen valve after the nitrous oxide valve e. It is flammable
b. Presence of a pin index system to prevent wrong Ref: Miller 7/e p745, 675; Dorsch 5/e p10, 2, 7;
attachment of the nitrous oxide and oxygen cylnders Morgan 5/e p12 Table 2-1
Ans. 1. a. Desflurane… 2. c. Calcium hydroxide 3. a and d 4. c. The height
5. a and d 6. a and c 7. a. Location of oxygen… 8. d. Incorrect gas…
9. c. 3, 5 10. b and c 11. b, c and d 12. a. Black cylinders…
13. b, c and d
