Single Best Answer MCQs in Anaesthesia. PDF
Preview Single Best Answer MCQs in Anaesthesia.
SBA cover.qxd 02/07/2010 15:30 Page 1 S in g le This book comprises six sets of single best answer practice papers. Each set B e s t contains 30 single best answer questions on clinical anaesthesia, pain and A n s w intensive care. The scenarios are based on common peri-operative problems e Single Best Answer MCQs in r M encountered during anaesthetic practice and intensive care medicine. The C Q best possible answer to a given clinical scenario is substantiated by detailed s in A explanation drawn from recent review articles and textbooks in clinical n a e ANAESTHESIA anaesthesia. These questions enable the candidates to assess their knowledge st h e s 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page i Single Best Answer MCQs in ANAESTHESIA Volume I Clinical Anaesthesia Cyprian Mendonca, Mahesh Chaudhari, Josephine James Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page ii Single Best Answer MCQs in Anaesthesia tfm Publishing Limited, Castle Hill Barns, Harley, Nr Shrewsbury, SY5 6LX, UK. Tel: +44 (0)1952 510061; Fax: +44 (0)1952 510192 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: +356 21897037; Fax: +356 21800069. Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page iii 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page iv 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page v 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page vi 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page vii 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page viii 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 Prelims MCQ book_Prelims MCQ book.qxd 22-04-2013 19:17 Page ix 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
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