D:Esmolol
Correct Answer: Option ®
Question31:-The reverse steal or robin hood effect is the
‘Ac Decrease in CMRO, seen with volatile anesthetics
B:-Neuroprotective effect of barbiturates
(1 in CMR seen with ketamine
D-Increase in ICP seen with succinylcholine
Correct Answer: Option ®
Question32:-Hypokalemia produces
‘AcShort PR interval
B:-Long QT interval
C:Ventricular extrasystoles
D- waves
Correct Answer: Option-C
Question33:-A patient with ASA 5 status classification during preoperative evaluation signifies
‘A-A brain dead organ donor
B:-A moribund organ donor
‏هبيع‎ moribund patient who is equally likely to die in the next 24 hours with or without surgery
D-Severe disease that is @ constant threat to life or requires intensive therapy
Correct Answer: Option-C
Question34:-The Epworth Sleepiness Scale is used to
‘AcAssess patients with OSA
B:-Assess patients with excessive day time sleep
ടട patients with excessive night-time sleep
D-Assess sedation in recovery room
Correct Answer: Option ®
Question35:-A patient with smoking history for the past 40 years is scheduled for elective inguinal herniorthaphy. He has intermittent episodes of breathlessness for which he is having
Formeterol and Budesonide MDI twice daily. His last episode of exacerbation was more than 3 months ago. On spirometric evaluation, his post bronchodilator FEV1 is 60% of predicted
land FEVL:FVC is 50%. According to the GOLD criteria for COPD severity classification, your patient has
‘AcStage Il Moderate COPD
B:-Stage Ill Severe COPD
೦-55 ۱۷ very severe COPD
Stage V Moribund COPD.
Correct Answer:- ೦೧000
Question36:-Intrinsic PEEP can be detected during mechanical ventilation intraoperatively by the following method
‘A-Capnography shows that the CO2 concentration does not plateau but is stil upsloping at the time of the next breath
B:-Direct measurement of flow may be displayed graphically by the ventilator showing that the expiratory flow has nat reached zero before initiation of the next breath
Direct measurement of the resulting PEEP by using the expiratory hold function
०-५॥ of the above
Correct Answer:- Option-D

Question37:-A 20 yr old male with no significant past history had severe bronchopneumonia and was on mechanical ventilation for 5 days is now ``
45 mm Hg, Pad: of 75 mm Hg at 80. 0.5, Pressure support is 5 and PEEP is 4 cm of 1.0. On clinical assessment RR is 18 bpm and is not showing any signs of increased work of
breathing. Which of the following is not advisable in the scenario 7

‘Ac Weaning criteria have not been met and it s preferable to improve 880, to 75 mm Hg at ‏يماع‎ 0.3
B:-SIMV until patient is breathing unassisted

Ceintermittent 7 piece trials

D-Use of decreasing levels of pressure support ventilation

Correct Answer:- ೦೧000

‘Question38:-A 63 year old male complaining of acute chest discomfort was brought to the hospital. The 12 lead ECG showed No ST segment elevation in any of the leads. Cardiac
markers were sent from the EM department and Trop T marker was significantly elevated. Which of the following is not advisable in this scenario ?

۸:860 rest, supplemental oxygen and analgesia

B:-Beta blocker therapy to be initiated