1-Which of the following hypnotics is the most appropriate for Day Care surgery

?
a- Thiopental
b- Propofol
c- Ketamine
d- Diazepam
e- Lorazepam

2- Which of the following muscle relaxants undergoes hoffman metabolism ?

a- Atracurium
b- Pancuronium
c- Vecuronium
d-Succinylcholine
e- Mivacurium

3- The following drug has analgesic effect :

a- Ketamine
b- Diazepam
c- Thiopental
d- Etomidate
e- Pancuronium

4-Goals of premedication include :

a- Anxiety relief / sedation
b- Analgesia
c- Drying of airway secretion
d- Antiemetic effects
e- All of the above

: Ventricular ectopy ( Extrasysole ) can be treated with -5

A-Adrenaline
B-Lidocaine
C- Dopamine
D- Nitroglycerine
E- Atropine

6- Difficult intubation is expected in :

a- Big incisors
b- Macroglossa
c- Small mouth opening
d- Limited neck movement
e- All of the above

7- Muscle relaxant of choice used for intubation in full stomach is :

a- Succinylcholine
b- Vecuronium
c- Pancuronium
d- Diazepam
e- Halothane
Management of choice of supraventricular tachycardia with unstable -8
: hemodynamic
A- Verapamil
B- Cardioversion
C- Valsalva-maneuver
D- Carotid Massage
E- Adenosine

: Patient with controlled Diabetes Mellitus is -9

a- ASA 1
b- ASA 2
c- ASA 3
d- ASA 4
e- ASA 5

Manifestations of malignant hyperthermia may be all of the following except -10

:
a- Tachycardia
b- Hypertension
c- Hypocarbia
d- Acidosis
e –hyperkalemia

11-The following ECG changes occur with hypokalemia

a- Tall T waves
b- ST elevation
c- loss of P waves
d- Prominent U waves
e- Shortening of P-R interval

? Which gas causes dysrythmias in presence of high level of adrenaline -12

a- N2O
b- Halothane
c- Enflurane
d- Isoflurane
e- Desflurane

13- Removal of inhalational agents drugs can be achieved mainly by :

a- Kidney
b- lung
c- Liver
d- Hoffman metabolism
e- Non of the above

14-Common reasons for cancellation surgery include all of the following except
a- Cold or recent viral illness
b- Recent myocardial infarction
c- Patient not adequately fasted
d- Pregnant with pereclampsia BP 150/100
e- Electrolytes imbalance
15- Ideal properties of volatile anesthetics include all of the following except :
a- Slow induction
b- Not metabolized
c- Stable to light
d- Potent analgesia , amnesia , hypnosis
e- Not pungent

16-Absolute contraindications to spinal anesthesia include :

a-Patient refusal
b-Sepsis
c-Severe hypovolemia
d-Coagulopathy
e- All of the above

17-Advantages of central blockade over general anesthesia include :

a-Incidence of thromboembolic complications decreased
b-Pulmonary complications are less .
c-Less medication is administered.
d-No emergence time
e- All of the above

? Which of the following drugs causes fasciculation and muscle pain -18
a- Atracurium
b- Pancuronium
c- Succinylcholine
d-Vecuronium
e- Mivacurium

19 -Features of septic shock include all of the following EXCEPT :

a- Fever
b- Hypothermia
c- Bradycardia
d-Oliguria
e- Hypoxia

: Factors that decrease MAC include all of the following EXCEPT -20
a- Increased age
b- Hyperthermia
c- CNS depressants ( opioids , benzodiazepines )
d- Decreased CNS neurotransmitter
e- Acute ethanol intoxication

Advantages of the laryngeal airway mask include all of the following -21
EXCEPT
A- less tramatic
B- Incidence of aspiration is less than the endotracheal tube
C- No laryngoscope needed
D- Quick
E- May be used in emergency situation
The first step in the management of anaphylactic shock while giving a drug -22
: is
A- Give hydrocortisone
B- Remove the agent responsible for the anaphylaxis
C- Fluids
D- Intubation
E- Give adrenaline

23- The risk of DVT is increased by all of the following EXCEPT

a- Bed rest
b- Epidural anesthesia
c- Neoplastic disease
d- Obesity
e- Polycythemia

: Defibrillation ( non-synchronized ) is indicated in the treatment of-24

A- Atrial
flutter
B- Atrial fibrillation
C- Asystole
D- Ventricular fibrillation
E- Sinus tachycardia

25- The following drug can cause significant histamine release :

a- Pancuronium
b- Vecuronium
c- Suxamethonium
d- Ketamine
e- Amitryptilline

26- Which is the most common ECG finding in pulmonary embolism ?

a- Tachycardia or non-specific ST or T wave changes
b- S1 Q3 T3
c- P-Pulmonale
d- Right axis deviation
e- Atrial fibrillation

27-Malignant hyperthermia is treated specifically with :

a- Dantrolene
b- Chlorpromazine
c- Calcium
d- Volatile gases
e- Succinylcholine

28- Which statement is FALSE

Hyperventilation occurs in response to
a- Metabolic acidosis
b- High altitude
 c- Anxiety
d- Pain
e- Morphine overdose

29- Which of the following is a common cause of hypotension during anesthesia ?

a- Hypercapnia
b- Hypovolemia
c- Vecuronium
d- Pancuronium
e- Ketamine

30- Common Complications of anesthesia include all of the following except :

a- Nausea / vomiting
b- Sore throat
c- Convulsions
d- Dental injury
e- Headache

Answers
1-b
2-a
3-a
4-e
5-b
6-e
7-a
8-b
9-b
10-c
11-d
12-b
13-b
14-d
15-a
16-e
17-e
18-c
19-c
20-b
21-b
22-b
23-b
24-d
25-c
26-a
27-a
28-e
29-b
30-c