d. Increase glomerular filtration in the kidney
e. Depress respiration

Which of the following is classified as controlled drugs?
a. Propofol
b. Alfentanil
c. Thiopentone
d. Bupivacaine
e. Ephedrine

True and False Questions

REGARDING THE ROLE OF THE ANAESTHETIST PRE OPERATIVELY
a. The anaesthetist should discuss the patient with the intensive care team if appropriate. TRUE
b. The anaesthetist should carry out thorough assessment of the patient. TRUE
c. The anaesthetist should gain consent for the operation. FALSE (Surgeon's primary responsibility)
d. The anaesthetist should ensure that cross-matched blood is available if appropriate. TRUE
e. The anaesthetist should make a plan for intra-operative and post-operative pain relief. TRUE
WHICH OF THE FOLLOWING FACTORS INCREASE THE RISK OF RESPIRATORY COMPLICATION PERI OPERATIVELY?
a. Age > 50 years. TRUE
b. Smoking within 12 weeks of surgery. TRUE
c. History of malignancy. FALSE (Not directly a primary respiratory risk factor)
d. Chronic bronchitis. TRUE
e. Obesity. TRUE
STANDARD PRE OPERATIVE CHECKS PERFORMED IN THE ANAESTHETIC ROOM INVOLVES CHECKING
a. If the patient has any allergies. TRUE
b. Planned date of discharge from the hospital. FALSE
c. The patient's date of admission to the hospital. FALSE
d. Which ward the patient is coming from. FALSE
e. Next of kin details. FALSE
WHERE DOES PRE OXYGENATION PRODUCE THE GREATEST INCREASE IN STORED OXYGEN.
a. Anatomical dead space. FALSE
b. Arterial blood. FALSE
c. Functional Residual Capacities. TRUE
d. Tissues. FALSE
e. Venous blood. FALSE
IDENTIFY THE MONITORING THAT MUST BE ROUTINELY COMMENCED PRIOR TO A PATIENTS TRANSFER
a. Arterial blood pressure. TRUE
b. Temperature. TRUE (often done, but maybe not "routinely commenced prior to transfer" from OR to PACU in all cases, depends on local protocol)
c. Oxygen saturation. TRUE
d. Neuromuscular transmission. FALSE (Not routine for all transfers)
e. ECG. TRUE
During anaesthesia which of the following systems/parameters (among others) need continuous monitoring.
a. Inspired oxygen concentration. TRUE
b. routine use of BI spectral index analysis. FALSE (Not routine for all cases)
c. end tidal carbon dioxide concentration. TRUE
d. clinical signs of adequate circulation. TRUE
e. all of the above. FALSE (due to b)
These statements refer to monitoring
a. Monitoring prevents adverse events in the peri-operative period. TRUE
b. The introduction of routine monitoring is the main reason for the progressive reduction in anaesthesia related critical events in recent years. TRUE
c. The surgeon can continue operating when an anaesthetic working single handedly is called upon to perform a brief lifesaving procedure nearby. FALSE (Patient safety requires full attention)
d. The anaesthetic is not responsible for the provision of, maintenance, calibration and renewal of monitoring equipment. FALSE (Anaesthetist is responsible for ensuring equipment is functional)
e. The use of a vapour analyser helps to prevent awareness or over-dosing by an inhalational agent. TRUE
V