TEST YOURSELF

MCQs
The MCQ section in Anaesthesia and intensive care medicine is designed to test
your knowledge of selected topics in this issue of the journal. The correct answers
are given at the foot of the page.
Henry GW Paw is Consultant in Anaesthesia and Intensive Care at York Hospital, and
Clinical Senior Lecturer at the Hull York Medical School, UK.

Vijayanand Nadella is a Specialty Registrar in West Yorkshire rotation, UK.

Questions

1 Analgesia in labour: induction and 4 Physiology of ageing

maintenance (pages 290e292)
(pages 266e269) Which of the following physiological changes occur in the
Which of the following drugs are used as adjuvants respiratory system with advancing age?
during labour epidural analgesia? A Functional residual capacity (FRC) increases
A Clonidine B Physiological dead space decreases
B Ketamine C Alveolarearterial oxygen gradient P (A-a) O2 decreases
C Neostigmine D The lung diffusion capacity declines
D Midazolam E Mixed venous oxygen partial pressure increases
E Tramadol
5 Hormonal control of metabolism: regulation of
2 Pre-eclampsia and the anaesthetist plasma glucose
(pages 258e261) (pages 279e283)
Which of the following are true about the management Which of the following are true about the role of kidney in
of pre-eclampsia? hypoglycemia?
A Pre-eclampsia complicates around 10% of A Glucose is produced mainly from the conversion of
pregnancies glutamine
B Low dose aspirin reduces the risk of pre-eclampsia B It is the major site for Cori’s cycle
in high risk women C Kidney contributes 50% of blood glucose via gluco-
C Severe disease is associated with an increasing neogenesis in early starvation
haematocrit D In healthy individuals recovery from hypoglycemia is
D Magnesium sulphate infusion may be started if the heavily dependent on the kidney
diastolic blood pressure is around 100 mm hg E In healthy individuals glucose production by the
E Intravenous fluids should be given at the rate of kidney is enhanced by epinephrine
atleast 5 ml/kg/h as they are intravascularly
depleted 6 Antenatal anaesthetic assessment of the pregnant
woman
3 Intrauterine foetal resuscitation (pages 255e257)
(pages 262e265) Which of the following groups of pregnant women would
Which of the following drugs can be used for tocolysis to be considered for referral to anaesthetic clinic?
reduce fetal distress? A Body mass index greater than 30
A Terbutaline B Cystic fibrosis
B Atosiban C Placenta accreta
C Glyceryl trinitrate D Spina bifida
D Misoprostol E Needle phobia
E Oxygen

Correct answers: 1 (A, B, C, D, E) 2 (B, C) 3 (A, B, C) 4 (A, D) 5 (A, E) 6 (B, C, D, E)

ANAESTHESIA AND INTENSIVE CARE MEDICINE 11:7 296 Ó 2010 Published by Elsevier Ltd.