Single Best Answer MCQs in Anaesthesia.

212 Pages·2010·6.718 MB·English

by  Cyprian.

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This book comprises six sets of single best answer practice papers. Each set B
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contains 30 single best answer questions on clinical anaesthesia, pain and A
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intensive care. The scenarios are based on common peri-operative problems
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encountered during anaesthetic practice and intensive care medicine. The
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anaesthesia. These questions enable the candidates to assess their knowledge st
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and problem-solving ability. ia
This book is an ideal companion for candidates sitting postgraduate
examinations in anaesthesia and intensive care medicine. It will also be a
valuable educational resource for all trainees and practising anaesthetists.
Volume I Clinical Anaesthesia
ISBN 978-1-903378-75-5
tfm Cyprian Mendonca, Mahesh Chaudhari, Josephine James
9 781903 378755
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Single Best Answer MCQs in
ANAESTHESIA
Volume I Clinical Anaesthesia
Cyprian Mendonca, Mahesh Chaudhari, Josephine James
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Single Best Answer MCQs in Anaesthesia
tfm Publishing Limited, Castle Hill Barns, Harley, Nr Shrewsbury, SY5
6LX, UK. Tel: [phone]; Fax: [phone]
E-mail: [email protected]; Web site: www.tfmpublishing.com
Design & Typesetting: Nikki Bramhill BSc Hons Dip Law
First Edition: © September 2010
Background cover image© Comstock Inc., www.comstock.com
Paperback ISBN: 978-1-903378-75-5
E-book editions: 2013
ePub ISBN: 978-1-908986-63-4
Mobi ISBN: 978-1-908986-64-1
Web pdf ISBN: 978-1-908986-65-8
ii
The entire contents of ‘Single Best Answer MCQs in Anaesthesia’ is
copyright tfm Publishing Ltd. Apart from any fair dealing for the purposes
of research or private study, or criticism or review, as permitted under the
Copyright, Designs and Patents Act 1988, this publication may not be
reproduced, stored in a retrieval system or transmitted in any form or by
any means, electronic, digital, mechanical, photocopying, recording or
otherwise, without the prior written permission of the publisher.
Neither the authors nor the publisher can accept responsibility for any
injury or damage to persons or property occasioned through the
implementation of any ideas or use of any product described herein.
Neither can they accept any responsibility for errors, omissions or
misrepresentations, howsoever caused.
Whilst every care is taken by the authors and the publisher to ensure that
all information and data in this book are as accurate as possible at the time
of going to press, it is recommended that readers seek independent
verification of advice on drug or other product usage, surgical techniques
and clinical processes prior to their use.
The authors and publisher gratefully acknowledge the permission granted
to reproduce the copyright material where applicable in this book. Every
effort has been made to trace copyright holders and to obtain their
permission for the use of copyright material. The publisher apologizes for
any errors or omissions and would be grateful if notified of any corrections
that should be incorporated in future reprints or editions of this book.
Printed by Gutenberg Press Ltd., Gudja Road, Tarxien, PLA 19, Malta.
Tel: [phone]; Fax: [phone].
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Contents
Page
iv
Preface
iii
vi
Acknowledgements
viii
Abbreviations
1
Set 1 Questions
15
Set 1 Answers
33
Set 2 Questions
45
Set 2 Answers
65
Set 3 Questions
77
Set 3 Answers
95
Set 4 Questions
107
Set 4 Answers
129
Set 5 Questions
143
Set 5 Answers
165
Set 6 Questions
179
Set 6 Answers
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Preface
Single best answer type multiple choice questions are being introduced
into anaesthetic postgraduate examinations. They are considered to be a
iv
valuable way of assessing the trainee’s ability to apply knowledge to
clinical practice.
This book consists of six sets of single best answer practice papers.
Each set comprises 30 multiple choice questions drawn from clinical
anaesthesia, pain and intensive care medicine. Each question consists of
a stem describing a clinical scenario or problem followed by five possible
answer options. One of them is the best response for the given question.
Each question and answer is accompanied by supporting notes obtained
from peer-reviewed journal articles and anaesthesia textbooks.
The main objective of this book is to provide trainees with a series of
single best answer type questions that will prepare them for this format of
postgraduate examinations. Much emphasis has been placed on the
application of knowledge to solve common peri-operative problems
encountered during anaesthetic practice.
We hope that a thorough revision of this book will enable trainees to
improve their ability to apply knowledge to clinical practice. We believe this
book will not only be an invaluable educational resource for those who are
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preparing for postgraduate examinations, but will also be of benefit to any
practising anaesthetist.
Cyprian Mendonca MD, FRCA
Consultant Anaesthetist
University Hospitals Coventry and Warwickshire
Coventry, UK
Mahesh Chaudhari MD, FRCA, FFPMRCA
Consultant Anaesthetist
v
Worcestershire Royal Hospital
Worcester, UK
Josephine James FRCA
Consultant Anaesthetist
Heart of England Foundation Trust
Birmingham, UK
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Acknowledgements
We are grateful to Nikki Bramhill, Director, tfm publishing, for critically
reviewing the manuscript. We extend our thanks to the following who
vi contributed questions to this book:
Dr Thejas Bhari
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Thomas Billyard
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Narotham Burri
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Shefali Chaudhari
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Adrian Jennings
Specialty Registrar, Birmingham School of Anaesthesia
Dr Payal Kajekar
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Seema Quasim
Consultant Anaesthetist, University Hospital, Coventry
Dr Mohan Ranganathan
Consultant Anaesthetist, George Eliot Hospital, Nuneaton
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Dr Rajneesh Sachdeva
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Rathinavel Shanmugam
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Catherine Snaith
Specialty Registrar, Warwickshire School of Anaesthesia
Dr Joyce Yeung
Specialty Registrar, Warwickshire School of Anaesthesia
vii
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Abbreviations
Abdominal aortic aneurysm
AAA
Adrenocorticotrophic hormone
ACTH
viii Anti-diuretic hormone
ADH
Atrial fibrillation
AF
Automatic implantable cardioverter defibrillator
AICD
Advanced life support
ALS
Alanine transaminase
ALT
Acute Physiology and Chronic Health Evaluation
APACHE
Activated partial thromboplastin time
APTT
Acute respiratory distress syndrome
ARDS
American Society of Anesthesiologists
ASA
Anterior spinal artery syndrome
ASAS
Aspartate transaminase
AST
Twice a day
BD
Base excess
BE
Bezold-Jarisch reflex
BJR
Blood pressure
BP
Coronary artery bypass grafting
CABG
Community-acquired pneumonia
CAP
Cognitive behavioural therapy
CBT
Carotid endarterectomy
CEA
Creatine kinase
CK
Chloride
Cl
Central nervous system
CNS
Carbon monoxide
CO
Chronic obstructive airway disease
COAD
Carboxy-haemoglobin
COHb
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Abbreviations
Chronic obstructive pulmonary disease
COPD
Continuous positive airway pressure
CPAP
Central pontine myelinolysis
CPM
Cardiopulmonary resuscitation
CPR
Chronic post-surgical pain
CPSP
Complex regional pain syndrome
CRPS
Combined spinal epidural
CSE
Cerebrospinal fluid
CSF
Cerebral salt wasting syndrome
CSWS
Computed tomography
CT
Cerebrovascular accident
CVA
Central venous pressure
CVP
1-de-amino-8-D-arginine vasopressin ix
DDAVP
Diabetes insipidus
DI
Disseminated intravascular coagulation
DIC
Diabetic ketoacidosis
DKA
Diffusion lung capacity for carbon monoxide
DLCO
2,3-diphosphoglycerate
DPG
Deep vein thrombosis
DVT
Electrocardiogram
ECG
Electro-encephalography
EEG
Electromyography
EMG
Electromagnetic interference
EMI
Erythrocyte sedimentation rate
ESR
End-tidal CO
ETCO2 2
Fibrin degradation product
FDP
Forced expiratory volume
FEV
Fresh frozen plasma
FFP
Functional residual capacity
FRC
Forced vital capacity
FVC
General anaesthesia
GA
Gamma aminobutyric acid
GABA
Glasgow Coma Scale
GCS
Glomerular filtration rate
GFR
Growth hormone
GH
Glyceryl trinitrate
GTN
Hydrogen
H