Name__________________________________
A. Multiple choice (15pts)
1. Origins of pain control?
a. Middle East, Incas, Egyptians, Chinese
b. Egyptians, Indians, Chinese, Incas
c. Indians, Middle East, Africans, Americans
d. Chinese, Japanese, Middle East, Indians
2. Features of Local Anesthetics. Except
a. Should have quick onset of action and
cause harm
b. Should not be irritating to skin &
mucous membranes
c. Should have low systemic toxicity
c. Duration of action must be long enough
to allow desired surgery to be
completed
3. Local anesthetics have amphiphilic property.
a. They are weak bases.
b. They are strong bases.
c. They are weak acids.
d. They are strong acids.
4. This anesthetics have low potency and short
duration.
a. lidocaine, prilocaine
b. procaine, chloroprocaine
c. tetracaine, bupivacaine
d. ropivacaine, dibucaine
5. Soluble surface anesthetics.
a. cocaine, lidocaine
b. benzocaine, oxethazaine
c. procaine, chloroprocaine
d. b only.
6. Inhalational general anesthetics.
a. Butane, propane
b. Ether, halothane
c. Methane, pentane
d. Hexane, Heptane
7. Are the drugs which produce reversible loss
of all modalities of sensation and
consciousness, or simply, a drug that brings
about a reversible loss of consciousness.
Score:______________
a. Local Anesthetics
b. General Anesthetics
c. Systemic Drugs
d. Locally acting Drugs
8. It is defined as the minimum alveolar
concentration that prevents movement in
response to surgical stimulation in 50% of
subjects. Correlates with oil/gas partition
coefficient.
a. MAC
b. MBC
c. MCC
d. MDC
9. It is defined as the free plasma concentration
(at equilibrium) that produces loss of response
to surgical incision in 50% of subjects.
a. Potency of IV agent
b. Potency of an anesthetic agent
c. b only
d. c only
10. Properties that must be remembered by the
anaesthetist on the use of GA’s. Except:
a. Margin of safety: No fall in BP
b. Heart, liver and other organs: No affect
c. Can kill the patient
d. Cheap, stable and easily stored
11. Inhaled anesthetics are relatively insoluble
in blood and arc eliminated at faster rate rather
than more soluble anesthetics:
a. True
b. False
12. The standard of comparison for potency of
general anesthetic agent is:
a. Minimum alveolar concentration
b. Solubility
c. Partition coefficient
d. Maximum vapor concentration
13. This drug has both local anesthetic and c. CONDUCTION BLOCK
anthiarrhythmic properties: d. EPIDURAL ANESTHESIA
a. Halothane e. SPINAL ANESTHESIA
b. Isoflurane f. INTRAVENOUS REGIONAL ANESTHESIA
c. Desflurane
d. Lidocaine 8-13. Write the letter only.
8. Also referred as Bier’s block & used for upper
14. Contraindicated to patients with seizure limb and orthopedic procedures.
disorders: 9. Used to anaesthetize lower abdomen and
a. Isoflurane hind limbs.
b. Cocaine 10. Used to produce analgesia or anesthesia in
c. Enflurane surgical and obstetric procedures.
d. Desflurane 11. Injected around nerve trunks so thatarea
distal to injection is anesthetized and paralyzed.
15. The most serious effects of local 12. Used primarily for surgical procedures.
anesthetics: 13. Application of a local anesthetic to nose,
a. Respiratory failure mouth, throat, tracheobronchial tree,
b. Seizures esophagus.
c. Hypotension
d. Allergic reaction
a. Stage I: Stage of Analgesia
b. Stage II: Stage of Delirium and
B.
Excitement
INJECTABLE ANESTHETICS AND SURFACE
c. Stage III: Stage of Surgical anesthesia
ANESTHETICS
d. Stage IV: Medullary / respiratory
paralysis
a. Low potency, short duration
b. Intermediate potency and duration
14-20. Write the letter only.
c. High potency, long duration
14. Starts from beginning of anesthetic
d. Soluble
inhalation and lasts up to the loss of
e. Insoluble
consciousness.
15. Extends from onset of regular respiration to
1-7. Write the letter only.
cessation of spontaneous breathing. This has
1. lidocaine, prilocaine
been divided into 4 planes.
2. procaine, chloroprocaine
16. Muscles are totally flabby.
3. ropivacaine, dibucaine
17. From loss of consciousness to beginning of
4. tetracaine, bupivacaine
regular respiration.
5. benzocaine, oxethazine
18. Pain is progressively abolished during this
6. cocaine, lidocaine
stage.
7. tetracaine, benoxinate
19. Patient remains conscious, can hear and
see, and feels a dream-like state.
TECHNIQUE’S OF LOCAL ANESTHESIA
20. Reflexes and respiration remain normal.
a. SURFACE ANESTHESIA
b. INFILTRATON ANESTHESIA