[ تخدير ] : نموذج اسئلة اختبار الهيئة الصحية ...للتخدير...

[المتمرد]

السلام عليكم ورحمة الله وبركاته ...

شفت الموضوع باحد المنتديات وانا ادور عن اسئلة التخدير وحبيت انقله للمشاركة والفايده والي عنده معلومة منــأ ولا منأأأ يطرحها .. حتى نجمع كذا معلومه للااختبار الهييئة ...

. Pulse oximetry
a. pulse oximeters measure the amount of oxygen dissolved in blood.
b. readings over 75% are normal.
c. patients with Spo2 _90% should not receive supplemental oxygen as this may depress respiratory drive.
d. is not affected by skin pigmentation.

2. The following occur commonly in the early postoperative period
a. shivering.
b. hypertension.
c. unilateral weakness.
d. hyperthermia.

3. In the event of intubation of the right main bronchus, the
following would occur within the next 10 min
a. increased requirement for volatile anaesthetic agent.
b. hypoxaemia.
c. decreased ventilatory pressures.
d. a rise in arterial CO2 tension.

4. When prescribing postoperative fluids you should
a. disregard patient’s temperature.
b. prescribe 1 litre of normal saline each day.
c. only prescribe potassium supplements for patients in renal failure.
d. repeat what was prescribed in theatre.

5. As a surgical houseman you are called to see an elderly
patient who is confused postoperatively. Which of the
following statements are true?
a. confusion in the elderly is common and can be accepted for up to 4 h
postoperatively whilst anaesthetic drugs are being metabolised.
b. hypotension is a common cause of confusion.
c. hypoxia is unlikely to be the cause.
d. you should immediately do an arterial blood gas sample.
28
6. Patient controlled analgesia devices
a. are suitable for any type of analgesic.
b. are safer than continuous infusion of opioids.
c. can be reprogrammed by patients themselves if they are not providing adequate analgesia.
d. can prevent the patient from suffering nausea and vomiting post
operatively.

7. The minimum alveolar concentration (MAC) of a volatile
anaesthetic agent
a. is the minimum vaporiser concentration setting required to know that a patient is asleep.
b. is the same for everybody, regardless of age.
c. depends on sex.
d. depends on age.

8. Nitrous oxide (N2O)
a. allows less oxygen to be administered to the patient.
b. cannot be used with intravenous anaesthetic agents.
c. is an anaesthetic agent.
d. can only be delivered by a doctor.

9. A sensible postoperative dose of morphine for a 70 kg adult after intermediate surgery would be
a. 0.1 mg IM every 4 h.
b. 1.0 mg IM every 4 h.
c. 10 mg IM every 4 h.
d. 100 mg IM every 4 h.

10. Recognised side effects of morphine are
a. nausea and vomiting.
b. hallucinations.
c. itching.
d. respiratory depression.

11. Management of a patient who has received an overdose of
morphine from a patient controlled analgesia (PCA) machine
includes
a. immediate supplemental oxygen.
b. immediate intubation and ventilation.
c. intravenous naloxone.
d. reduction of the PCA machine to continuous infusion mode.

12. Patient controlled analgesia (PCA) devices
a. can be used by all patients once they have been shown how to use them.
b. are safe for nurses to prescribe.
c. can only be used in high dependency units.
d. must always have lockout periods in them.
8
13. Patient controlled analgesia devices
a. record the amount of analgesic agent given to the patient.
b. remove the need to provide other types of analgesia postoperatively.
c. require a functioning intravenous cannula and one way valve.
d. are suitable for all types of operation.

14. Patients suspected of having a serious anaphylactic reaction to a drug
a. should be given high flow oxygen by facemask.
b. should not receive adrenaline (epinephrine) as this may cause arrhythmias.
c. should have an intravenous drip inserted and be given IV fluids.
d. may also have reactions to other totally different drugs.

15. Concerning anaphylaxis
a. patients will always have bronchospasm and wheeze.
b. adrenaline (epinephrine) is the drug of choice if hypotension is present.
c. oxygen should only be given if hypoxia has been demonstrated on a
blood gas.
d. anaphylaxis cannot occur without a rash appearing.

16. The differential diagnosis of a patient with hypotension
following induction of anaesthesia includes
a. hypovolaemia.
b. dehydration.
c. overdose of an anaesthetic agent.
d. malignant hyperpyrexia.

17. An obese patient is more likely to be
a. difficult to intubate.
b. hypoxaemic.
c. hypercarbic postoperatively.
d. hypertensive.

18. The following statements about postoperative fluid balance are correct
a. patients given large amounts of fluid in theatre will need less fluid in the postoperative phase.
b. adequate urine output is above 0.5 ml/kg/h.
c. an average sized patient needs 3 litres of water per day.
d. dextrose carries enough calories to meet daily energy equirements.

19. Normal daily requirements of electrolytes are
a. sodium 1–2 mmol/kg.
b. potassium 1–2 mmol/kg.
c. zinc 1–2 mmol/kg.
d. calcium 1–2 mmol/kg.
28
20. Regarding intravenous fluids
a. postoperative fluid pre******ions should be made in theatre for the
succeeding 3 days.
b. inadvertent intravenous injection of air will only be life hreatening in the presence of a ventricular septal defect.
c. inadvertent intravenous injection of air will only be life threatening in the presence of atrial septal defect.
d. will usually not cause problems unless more than 50 ml is injected.

21. Fluid losses during surgery can be caused by
a. blood loss.
b. hypothermia.
c. evaporation.
d. radiation.

22. Blood transfusion should be considered for a patient when
a. the patient’s Hb is less than 12 g/dl.
b. when more than 5% of the blood volume has been lost.
c. when more than 10% of the blood volume has been lost.
d. when more than 400 ml of blood has been lost.

23. The following statements about suxamethonium are correct
a. suxamethonium is metabolised in the liver.
b. suxamethonium can cause muscular pains following injection.
c. suxamethonium causes the release of intracellular potassium.
d. caution should be exercised when giving suxamethonium to pregnant women.

24. Indications for endotracheal intubation during anaesthesia include
a. alcohol intoxication.
b. HIV infection.
c. active TB.
d. small bowel obstruction.

25. The following statements concerning fluids and electrolytes are correct
a. 70% of the body mass is water in an adult male.
b. 80% of the body mass of a neonate is water.
c. potassium is largely an extracellular electrolyte.
d. calcium is largely an intracellular electrolyte.

26. Heat loss during anaesthesia is caused by
a. conduction.
b. convection.
c. evaporation.
d. decreased metabolic activity. 261
28
27. Signs of fluid overload in a patient include
a. palmar erythema.
b. gallop rhythm.
c. tachypnoea.
d. decreased central venous pressure.

28. The following devices protect the airway from soiling in an anaesthetised patient:
a. laryngeal mask airway.
b. cuffed endotracheal tube.
c. guedel airway.
d. nasogastric tube.

29. Endobronchial intubation is
a. more common in adults than children.
b. more common in men than women.
c. more common in the right main bronchus than left main bronchus.
d. more common in patients breathing spontaneously.

30. In a normal subject cardiac output is increased by
a. pyrexia.
b. increased CVP.
c. increase in heart rate.
d. increase in metabolic rate.
Answers Exam 1
1. a. F
b. F
c. F
d. T
2. a. T
b. F
c. F
d. F
3. a. T
b. T
c. F
d. T
4. a. F
b. F
c. F
d. F
28
5. a. F
b. T
c. F
d. F
6. a. F
b. T
c. F
d. F
7. a. F
b. F
c. F
d. T
8. a. F
b. F
c. T
d. F
9. a. F
b. F
c. T
d. F
10. a. T
b. T
c. T
d. T
11. a. T
b. F
c. T
d. F
12. a. T
b. F
c. F
d. T
13. a. T
b. F
c. T
d. F
14. a. T
b. F
c. T
d. T 263
28
15. a. F
b. T
c. F
d. F
16. a. T
b. T
c. T
d. F
17. a. T
b. T
c. T
d. T
18. a. F
b. T
c. T
d. F
19. a. T
b. T
c. F
d. F
20. a. F
b. F
c. F
d. F
21. a. T
b. F
c. T
d. F
22. a. F
b. F
c. T
d. F
23. a. F
b. T
c. T
d. F
24. a. T
b. F
c. F
d. T
28
25. a. T
b. T
c. F
d. F
26. a. T
b. T
c. T
d. F
27. a. F
b. T
c. T
d. F
28. a. F
b. T
c. F
d. F
29. a. T
b. F
c. T
d. F
30. a. T
b. T
c. T
d. T

[جيـــفآآرآ]

يعطيك الف عاافيهـ

ياارجل ماامعناا غير ذاا النموذج ماافيهـ الاا ذاا خريط خريط

اناا بجمع اللي عندي واطرحهاااا ارضآآآ هنيااااا

تحيااتي لك

[بنت الفيلسوف]

يعطيك العافيه ماتقصر ..، انا عندي ٣ او ٢ من النماذج مااذكر ويمكن اكثر مااذكر كم بالضبط
بس امهلوني كم يوم ونزلهم لكم ع كم معلومه للهيئه .

[الاميـــــر]

يعطيك العافيه أخوي المتمرد

بس حسب علمي ان الشباب اللي اختبروا ماجاهم شي من النماذج هذا حسب كلامهم لكن ربك يسهل

بالتوفيق للجميع

[بنت الفيلسوف]

اسمع اخوي الامير يقولك مو كل مره الامتحان يكون عن شي معين*
يعني كل الدفعات الي رح تمتحن دفعه بجيها مغلب الامتحان عن الادويه ومره مغلب الامتحان عن الغازات ومره عن لتيوب فا احنا علينا ناخد احتياطنا في كل شي والله يسهل علينا .

[الاميـــــر]

هلا أختي بنت الفيلسوف

اذا على كذا عاادي مو مشكله المشكله انهم احيان يجيبون اسئله مدري من وين مطلعينها وهذا حصل مع واحد

من اصحاابي لكن ربك يسهل ان شاء الله ونعديه كلنا

[بنت الفيلسوف]

الله يعين ياخوك

[المتمرد]

هلا بالامير وبنت الفيلسوف

حنا بنجمع اكبر عدد من هالمعلومات الطيبه وبنختبر ان جاء شي منهم قد فاهمينه ودارسينه وان ماجاء شي كان غيرنا اششطر هههه

[المتمرد]

وهاذي اسئلة مختلفة ثانيه فيها معلومات حلووه ....

You check vital signs during recovery every
15 min
10 min
5 min
30 min

All the following are true about injection of spinal anesthesia Except
Done on the sitting and supine position
Only median a broach is used
Tuohy needle is used
The needle sizes range from 20 – 29

Rabid sequence induction (used with aspiration expectancy) is characterized by
5 min of preoxygenation
No use of manual ventilation
Cricoid pressure
All of these

To prevent aortocaval compression syndrome (in C.S ) no need to:
Postpone the surgery
Pre load with 1 L of I.V fluid
Pout the patient in left lateral supine position
Use vaso pressers

All these are true about caesarean section Except
Epidural is preferable
Opioids are used with induction
There is high risk of aspiration
Halothane can cause bleeding

Witch is true regarding diabetes mellitus
Always use dextrose for intra operative I.V fluids
The insulin dose should not be taken in the day of operation
Keep level between 120 – 200 mg\dl
Hypovolaemia is preferred for them

Myocardial infarction is
Not expected in hypertensive patients
Diagnosed with nerve stimulator
A cause of surgery postponing and medical consultation
More common in pediatrics

A chilled of 6 years old should have EET with
5.5 mm internal diameter
17 cm cut length
No cuff
All of these

The anticonvulsants induction agent with possibility of laryngeal and bronchial spasm and hypotension is
Morphine
ketamine
Thiopental
Propranolol

Witch of the following is not good for the asthmatic patient
Deep anaesthesia
I.V Hydrocortisone
Ketamin
Atracurium

Witch of the following is true regarding replacement of the blood loss
Blood transfusion should start when the loss is 20 % or 1 L
When crystalloids are used the same volume should be given
Blood products are not used
Colloids have the least efficacy

The benefits of the intra operative urine output measurement are
Diuretic therapy guidance
Ensure normal renal functions
Indicator of I.V fluids adequacy
All of these

Regarding induction of anesthesia with inhalational agents witch true from the following
Used in Sellick's maneuver
Isoflorane is the agent of choice and it used in difficult intubation
Faster than induction with I.V agents
Common in adult and

The accurate intra operative fluids is calculated depending upon
Fasting hours
Daily requirement
Intra operative loss ( evaporation and bleeding )
All of these

One of the indications of muscle relaxants use is
Short operations
Hand surgery
Mechanical ventilation use
All of these

Main therapy of Scholine apnoea (Succanylcholine prolonged respiratory arrest) is
Cholinesterase inhibitors
Family history
Fresh frozen plasma
Non of these

[الاميـــــر]

هلابك أخوي المتمرد منور في ذا هههههههه

ربك يسهل ان شاء الله