Selection Exam for Diploma in Critical Care Nov 2012

1. ECG

a. Uses microelectrodes - b. 1cm is equal to 1 mV- c. Indicator of stroke volume-d. Can diagnose complete heart

block-(f,t,f,t)

2. Pulse oxymetry

a. Need to be pulesetile for accurate reading-

b. Over reads in hypothermia-c. Over reads in smokersd. Uses infrared and red light

(t,t,t,t)

3. CSF

a. Contains 2-3 monocytesb. Same conc of sugar as in plasmac. CSF in ventricles connected with

subarachnoid spaced. Blood stained in SAHe. Absorbed by coroid plexus

(f,f,t,t,f)

4. Stroke Volume

a. Increased in with venous returnb. Depends on left ventricular end

diastolic pressurec. Reduced in increased peripheral

resistance

(t,t,t)

5. Gastric emptying

a. Increased by erythromycinb. Under influence of CCKc. Reduced in pregnancy

(t,t,t)

6. Lung complience

a. Equals to elastic forces of the lungb. Increased in acute asthmac. Increased in exercise

(f,f,t)

7. Following drugs are partial agonists

a. Flumenazilb. Digoxinc. Naloxone

(f,f,f)

8. Following drugs have antiemetic action

a. Metaclopromideb. Domperidonec. Omeprazoled. Clopromazinee. Ondansetrone

(t,t,f,t,t)

9. Hormones responsible to metabolic response to trauma

a. Thyroxinb. Cort isolc. Insulind. Adrenalin

(t,t,f,t)

10. ACE inhibitors

a. Increase Bradykinineb. Causes cardiac hypertrophyc. Renal protectived. Cardio protectivee. Causes hyperkalaemia

(t,f,t,t,t)

11. Mannitol

a. Acts on distal tubuleb. Secreted by renal tubulec. Is a polypeptided. Scavengers free radicals (f,f,f,-)

12. Measurements of dispersion

a. Meanb. Standard errorc. SDd. Range

(f,t,t,t)

13. Tests of significance

a. Studnts T testb. Chi Square testc. Meta analysis

(t,t,f)

14. Metabolic acidosis

a. Diabetic ketoacidosisb. In high P CO2

c. Hyporkalaemia

(t,f,f)

15. Anti platelet drugs

a. Aspirin irreversibly inhibit COXb. Clopidogrel should be converted

to its metabolites for the activityc. Action of clopidogrel lasts less

than 3 daysd. .................... is less potent than

Aspirin(t,f,f,)

16. C / I of Suxamethonium

a. Dystopia Myotonicab. Hyperkalaemiac. Neonatesd. Liver failure

17. Digoxin

a. Has narrow therapeutic indexb. Can be given in SVTc. Not suitable for elderly d. Prolong AV conduction

(t,t,f,t)

18. DC Shock can be given to

a. Rapid atrial fibrillationb. Pulse less electrical activityc. Asystoled. Ventricula fibrillation

(t,f,f,t)

19. Following units are correctly linked

a. MRI -Teslab. DC Shock -Wattsc. USS -kilo Hzd. X Raye. Absolute temperature

(t,f,t-,k/c)

20. ACE inhibitors

a. Increase breakdown of Bradykinine

b. Causes cardiac hypertrophyc. Renal protectived. Cardio protectivee. Causes hyperkalaemia

()

21. S / I of Amiodarone

a. Hypothyroidismb. Photosensitivityc. Peripharal neuropathyd. Pumonary oedemae. Corneal deposits

(t,t,t,f,t)

22. Negative N balance

a. Acute renal failureb. Post surgicalc. Starvation

(t,t,t)

23. PEFR

a. Is measured by Spirometryb. Reduced in acute asthma

c. Has diurnal variation in normal individuals(f,t,t)

24. Cerebral Blood flow

a. Depends on ICPb. Depends in perfusion pressurec. Is 50 mL/100g/mind. Is regulated between mean

arterial pressure of 60- 160 mmHg(t, t,-,t)

25. Hyponatraemia occurs in

a. Cerebral salt losing syndromeb. SIADHc. Diabetes insipidusd. Conn’s Syndrome

(t,t,f,f)

26. Following drugs causes extrapyramidal side effects

a. Clopropamideb. Halopiridolc. Metaclopromided. Carbimazole

(t,t,t,f)

27. ABG

a. Bubbles in the syringe reduces P CO2

b. Storage in room temp Causes reduced P O2

c. Excessive heparin increase pHd. Storage in room temp increases

pH(t,t,f,f)

28. Wound healing is impaired by

a. Severe psychological stressb. Presence of granulation tissuec. NSAIDsd. Zn deficiency

(t,f,t,t)

29. Increased Triglycerides

a. Liver diseaseb. Nephrotic syndromec. Pancreatic disease

(t,t,t)

30. Increased BU

a. Dehydrationb. Acute renal failurec. Liver failure

(t,t,f)

31. Massive transfusion causes

a. Hypokalaemiab. Hypothermiac. Platelet deficiency

(f,t,t)

32. 2,3 DPG

a. Is a by -product of glycolysisb. Increased in stored bloodc. Make more O2 available in tissues

(t,f,t)

33. Intracellular Buffers

a. HPO4 2-

b. HCO3 –

c. Protiensd. Haemoglobin

(t,f,t,t)

34. T/ F

a. Anterior facial vein communicates with cavernous sinus

b. Femoral vein lies lateral to the artery

c. Valves of saphenous veins arranged to drain blood from deep to superficial

(-,f,f)

35. Anatomy of the neck

a. Internal jugular vein lies lateral to internal carotid artery

b. Vagus nerve lies between trachea and oesophagus

c. Oesophagus lies immediately anterior to prevertibral fascia

d. Sympathetic chain lies immediately posterior to carotid sheath

e. External jugular vein has competent valves(t,f,t,t,t)

36. Vagus nerve supplies

a. Tympanic membraneb. Cardiac plexusc. Oesophageal plexusd. Diaphragme. Upper eye lid

(t,t,t,f,f)

37. Dobutamine

a. Used in low output failureb. Increase peripheral vascular

resistancec. Increase mesenteric circulation

(t,f,f)

38. Morphine

a. Acts on μ recaptorsb. Causes bradycardiac. Depress myocardium directlyd. Repeated administration causes

tolerancee. Increased dose causes euphoria

(t,t,f.t,t)

39. Adrenaline

a. Simulates both alfa and beta receptors

b. In local anaesthetics the conc is 1: 20000

c. Has prolong action(t,f,f)

40. Following drugs adsorbed by dermal route

a. Atropineb. Diazepamc. Morphined. GTN

(t,f,f,t)

41. In Pulmonary hypertension

a. ‘’A” wave appear in JVPb. LBBBc. Pul. Mean arterial pressure more

than 25 mmHg(t,-,t)

42. Features of heart failure

a. Kerlies B linesb. Flat left heart borderc. Enlarged L/ atriumd. Upper lobe diversion

(t,f,f,t)

43. Features of normal ECG

a. QRS is quadriphasic in V1b. T wave is inverted in L1c. PR interval is less than 0.2 secd. QRS complex is less than 120 ms

(f,f,t,t)

44. Effects of anticholinesterase

a. Miosisb. Increased salivationc. Diarrhoead. Tachycardiae. Hypertensive crisis

(t,t,t,f,f)

45. Causes of pupillary dilatation

a. Hypothermiab. Pontine haemorrhagec. Stimulation of Symp. Systemd. During seizures

(-,f,t,t)

46. Pulmonary surfactant

a. Deficiency responsible for hyaline membrane disease of new born

b. Reduce surface tension(t,t)

47. Capnography

a. Identifies oesophageal intubationb. Useful to detect discontinuation

from ventilator(t,t)

48. Anatomy of main Bronchi

a. There are 10 total broncho pulmonary segments in each lung

b. R/ bronchus measures 2.5 cmc. R/ bronchus is related to azygos

veind. In children angles of divisions of

bronchi are exaggerated

(t,t,t,t)