Anesthesia Past Paper PDF

1.What are the signs of laryngospasm mentioned in the passage? A) Expiratory wheezing B) Decreased inspiratory efforts C.Central cyanosis D)tachycardia 2.What is the recommended management for laryngospasm during anesthesia? A) Increase stimulation and surgery B) Administer a muscle relaxant withou...

1.What are the signs of laryngospasm mentioned in the passage? A) Expiratory wheezing B) Decreased inspiratory efforts C.Central cyanosis D)tachycardia 2.What is the recommended management for laryngospasm during anesthesia? A) Increase stimulation and surgery B) Administer a muscle relaxant without intubation C.Request immediate assistance and deepen anesthesia D) Perform a gentle chin lift and apply CPAP ‫حسن عويش منشد‬ 3.What are some signs of bronchospasm mentioned in the passage? A) Increased oxygen saturation B) Decreased capnogram C) Hyperventilation D.Low oxygen saturation and change in capnogram 4. What are some possible causes of bronchospasm during the induction of anesthesia? A. Misplacement of endotracheal tube B) Pulmonary edema during successful intubation C) Hypoventilation and hypotension D) Unilateral bronchospasm 5. What drug can be considered in difficult cases of bronchospasm due to its potential to suppress tachyarrhythmias? A) Salbutamol B) Adrenaline C.Magnesium sulfate D) Atropine 6. Which of the following statements about laryngospasm is true? A) It is a rare occurrence during anesthesia. B) It is always caused by difficulty placing a breathing tube. C. It can be serious if not managed appropriately. D) Children are never at risk of laryngospasm. E) There is no effective treatment for laryngospasm. 7. Regarding the risk factors for laryngospasm. One of the following is NOT listed as a risk factor. A. A history of gastroesophageal reflux disease (GERD). B) Undergoing surgery on the esophagus or airway C) Obesity with obstructive sleep apnea D) Presence of blood or secretions in the airway E) Using an irritant anesthetic agent 8. One of the following actions is included in the initial management phase. A) Deepen anesthesia with an intravenous agent. B. Administer 100% oxygen. C) Perform immediate endotracheal intubation. D) Attempt mask ventilation with CPAP/IPPV. E) Use a muscle relaxant like suxamethonium 9. The signs and symptoms of bronchospasm include. A) Expiratory wheeze. B) Slow heart rate C) Prolonged expiration. D. A&C E) All of the above ‫حسن عويش منشد‬ 10. What are some LATER actions to take in managing bronchospasm during anesthesia? A) Begin inhaling medication like salbutamol for bronchodilation. B) Stop surgery or any, procedures that might be irritating the airway. C) Immediately perform endotracheal intubation. D. Both A&C. E) Both A&B 11. Match the medication with its use: A) Salbutamol (bronchodilator)- Deepens anesthesia. B. Adrenaline - Reverses allergic reaction (anaphylaxis) C ) Magnesium sulfate increases blood pressure D) Adrenaline-Treats high blood pressure (hypertension) E) None of the above 12. What are some risk factors for laryngospasm mentioned in the passage? A) Exposure to irritant volatile agents B) Obesinin teen annea C) Difficulty in nasal, oral, orpharyngeal surgical sites D. All of the above 13. What is the role of atropine in managing laryneosnasm, and what dose is recommended A) Relieve laryngospasm with a dose of 1.0-1.5mg/kg B.Counteract bradycardia with a dose of 0.01mg/kg C) Facilitate intubation with a dose of 4.0mg/kg IM D) Prevent post-obstructive pulmonary edema with a dose of 0.5mg/kg 14. How does bronchospasm usually manifest during anesthesia A) Inspiratorywheeze B) Prolonged inspiration C. Expiratory wheeze and increased inflation pressures during IPPV D) Audible chest sounds during auscultation 15. What is the recommended emergency management for bronchospasm during anesthesia? A) Administer bronchodilators and request a chest x-ray B. Deepen anesthesia, administer 100% oxygen, and stop stimulation and surgery C) Consider laryngospasm and administer magnesium sulfate D) Perform endotracheal tube insertion 16. What is the recommended dosage for salbutamol in the management of bronchospasm? A) 0.01 mg/kg bolus B. 0.1mg/puff C) 0.001 mg/kg/min infusion D) 1-2 g ‫حسن عويش منشد‬ 17. There is a greater risk of laryngospasm in certain subgroups of patients, including all the following except: A. Children with asthma B. Children Undergoing oesophagoscope C. Children with chest infection D. Adults Undergoing anal surgery E- Adults Undergoing regional anesthesia 18. Risk factors with serious complications for laryngospasm may include all the following except: A. Difficult intubation B. Nasal surgery C- Abdominal surgery D. Obesity with obstructive sleep apnea E. Pharyngeal surgical site 19.Regarding management of Laryngospasm, all are true except: A. Remove the cause (cease stimulation) B. Give 100% oxygen C. Try gentle chin lift/jaw thrust D- Put patient head down position E. Try mask CPAP/IPPV 20. The recommended dose of Suxamethonium to relieve laryngospasm without intubation is about: A. 1 - 1.5 mg/kg B. 4.0 mg/kg C- 0.5 mg/kg D. 2-2.5 mg/kg E. 0.01 mg/kg 21. All the following factors can induce bronchospasm during induction of anesthesia, except: A. Airway irritation B. Anaphylaxis C- Poor analgesia D. Pulmonary edema E. Aspiration of gastric contents 22. Regarding bronchospasm during emergence/recovery phase of Anesthesia, the incorrect one is: A. Pulmonary edema B. Anaphylaxis C- Misplacement of endotracheal tube D. Extubation spasm E. Aspiration 23. regarding to the signs of laryngospasm all the following are true except one? A. airway obstruction. B. Desaturation C. Bradycardia D- Wheeze E. central cyanosis. ‫حسن عويش منشد‬ 24. ------------ is considered a cause of laryngospasm A- Moving patient B. Aspiration of gastric contents C. Pulmonary edema D. Anaphylaxis E. Misplacement of endotracheal tube 25. Which of the following steps is used to treat laryngospasm? A. 100% Oxygen. B. Jaw thrust. C. Request immediate assistance..D Deepen anesthesia with an IV agent. E- All of chooses 26. Regarding emergency management of bronchospasm, the incorrect one is: A. Stop stimulation and surgery B- Stop anesthesia medication C. Exclude esophageal or bronchial intubation D. Consider vomiting or regurgitation if laryngeal mask in. E. Give adrenaline or salbutamol 27. which of the following statements about laryngospasm is true? A. It is uncommon serious airway obstruction. B. Laryngospasm nearly difficult to recognize and handled. C. It's commonly happened inadult patients. D- If managed poorly, it has the potential to cause morbidity and mortality E. There is no effective treatment for Laryngospasm. 28. Regarding Common Signs of laryngospasm, choose the incorrect one: A. Inspiratory stridor B-Tachycardia C. Tracheal tug D. Paradoxical respiratory movement E. Desaturation 29. precipitation causes of laryngospasm include all the following except: A- Deep anesthesia B. Pharyngeal secretions C. Surgical stimuli D. Airway manipulation E. Vomiting and regurgitation ‫حسن عويش منشد‬ 30. Regarding laryngospasm, all the following statements are true except: A. About 77% of cases were clinically obvious B. The cricothyroid muscle is the only tensor of the vocal cords C- In applying jaw thrust, gentle pressure should be exerted on soft tissue to overcome spasm. D. Only 20% of induction dose may be needed E. To prevent bradycardia, 0.01 mg/kg of atropine is recommended. 31. Regarding manifestation of bronchospasm during anesthesia, all the following are true except: A. Expiratory wheeze B- Prolonged inspiratory time C.Increased airway pressure during IPPV D.Increased Capnography trace E. Decreased oxygen saturation 32. Mach the medication with its use: choose the correct one: A. Atropine to manage tachycardia B. Suxamethonium to induce sedation C- Salbutamol- to manage bronchospasm D. Adrenaline- to manage hypertension E. Hydrocortisone - relief anxiety 33.It is possible to use Suxamethonium intramuscularly if intravenous access is not possible to treat laryngospasm at a dose: A. 0.5 mg/kg B. 1 mi/kg C. 1.5 mg/kg D- 4 mg/kg E-6 mg/kg 34. Regarding to the signs of severe bronchospasm fruercept one): A. silent on auscultation B.low oxygen saturation C. hypoventilation D- Decrease airway pressure E. Hypotension 35. Regarding management of Laryngospasm, all are true except A. Remove the cause (cease stimulation) B. Give 100% oxygen C. Try gentle chin lift/jaw thrust D. Try mask CPAP/IPPV E- Put patient head down position ‫حسن عويش منشد‬ 36. Regarding to the signs of laryngospasm (all true except one) A.expiratory stridor. B-Increased inspiratory efforts. C-Paradoxical chest D-central cyanosis E-Desaturation 37. All the following are used in management of severe bronchospasm except one A- Adrenaline B.Blood transfusion C-Salbutamol D-Ipratropium bromide E-IV fluid 38. Regarding to the causes of bronchospasm (all true except one): A-Anaphylaxis B-Misplacement ofendotracheal tube C. Adrenaline D-Aspiration of gastric contents E-Unknown, possibly allergy 39. Regarding to the management of laryngospasm (all true except one): A-Cease Stimulation B-Try gentle chin lift/jaw thrust C.Atracurium D-Deepen anesthesia E-Oxygen