Selection

 Exam  for  Diploma   6.  Lung  complience  

in  Critical  Care  Nov  2012   a. Equals  to  elastic  forces  of  the  lung  
b. Increased  in  acute  asthma  
1.  ECG   c.  Increased  in  exercise  
(f,f,t)  
a. Uses  microelectrodes  -­‐    
b. 1cm  is  equal  to  1  mV-­‐     7.  Following  drugs  are  partial  agonists  
c. Indicator  of  stroke  volume-­‐  
a. Flumenazil  
d. Can  diagnose  complete  heart  
b. Digoxin  
block-­‐  
c. Naloxone  
(f,t,f,t)  
(f,f,f)  
2.  Pulse  oxymetry  
 8.  Following  drugs  have  antiemetic  action  
a. Need  to  be  pulesetile  for  accurate  
a. Metaclopromide  
reading-­‐  
b. Domperidone  
b. Over  reads  in  hypothermia-­‐  
c. Omeprazole  
c. Over  reads  in  smokers  
d. Clopromazine  
d. Uses  infrared  and  red  light  
e. Ondansetrone  
(t,t,t,t)  
(t,t,f,t,t)  
3.  CSF  
9.  Hormones  responsible  to  metabolic  
a. Contains  2-­‐3  monocytes   response  to  trauma  
b. Same  conc  of  sugar  as  in  plasma  
a. Thyroxin  
c. CSF  in  ventricles  connected  with  
b. Cort  isol  
subarachnoid  space  
c. Insulin  
d. Blood  stained  in  SAH  
d. Adrenalin  
e. Absorbed  by  coroid  plexus  
(t,t,f,t)  
(f,f,t,t,f)  
10.  ACE  inhibitors  
4.  Stroke  Volume  
a. Increase  Bradykinine  
a. Increased  in  with  venous  return  
b. Causes  cardiac  hypertrophy  
b. Depends  on  left  ventricular  end  
c. Renal  protective  
diastolic  pressure  
d. Cardio  protective  
c. Reduced  in  increased  peripheral  
e. Causes  hyperkalaemia  
resistance  
(t,f,t,t,t)  
(t,t,t)  
11.  Mannitol  
5.  Gastric  emptying  
a. Acts  on  distal  tubule  
a. Increased  by  erythromycin  
b. Secreted  by  renal  tubule  
b. Under  influence  of  CCK  
c. Is  a  polypeptide  
c. Reduced  in  pregnancy  
d. Scavengers  free  radicals  (f,f,f,-­‐)  
(t,t,t)  
12.  Measurements  of  dispersion     18.  DC  Shock  can  be  given  to  

a. Mean   a. Rapid  atrial  fibrillation  

b. Standard  error   b. Pulse  less  electrical  activity  
c. SD   c. Asystole  
d. Range   d. Ventricula  fibrillation  
(f,t,t,t)   (t,f,f,t)  

13.  Tests  of  significance   19.  Following  units  are  correctly  linked  

a. Studnts  T  test   a. MRI   -­‐Tesla  

b. Chi  Square  test   b. DC  Shock   -­‐Watts  
c. Meta  analysis   c. USS     -­‐kilo  Hz  
(t,t,f)   d. X  Ray  
e. Absolute  temperature  
14.  Metabolic  acidosis  
(t,f,t-­‐,k/c)  
a. Diabetic  ketoacidosis  
20.  ACE  inhibitors  
b. In  high  P  CO2  
c.  Hyporkalaemia   a. Increase  breakdown  of  
Bradykinine  
(t,f,f)  
b. Causes  cardiac  hypertrophy  
15.  Anti  platelet  drugs   c. Renal  protective  
d. Cardio  protective  
a. Aspirin  irreversibly  inhibit  COX   e. Causes  hyperkalaemia  
b. Clopidogrel  should  be  converted   ()  
to  its  metabolites  for  the  activity  
c. Action  of  clopidogrel  lasts  less   21.  S  /  I  of  Amiodarone  
than  3  days  
a. Hypothyroidism  
d. ....................  is  less  potent  than  
b. Photosensitivity  
Aspirin  
c. Peripharal    neuropathy  
(t,f,f,)   d. Pumonary  oedema  
16.  C  /  I  of  Suxamethonium   e. Corneal  deposits  
(t,t,t,f,t)  
a. Dystopia  Myotonica  
b. Hyperkalaemia   22.  Negative  N  balance  
c. Neonates  
a. Acute  renal  failure  
d. Liver  failure   b. Post  surgical  
17.  Digoxin   c. Starvation  

a. Has  narrow  therapeutic  index   (t,t,t)  

b. Can  be  given  in  SVT  
23.  PEFR  
c. Not  suitable  for  elderly    
d. Prolong  AV  conduction   a. Is  measured  by  Spirometry  
(t,t,f,t)   b. Reduced  in  acute  asthma  
 c. Has  diurnal  variation  in  normal   29.  Increased  Triglycerides    
individuals  
a. Liver  disease  
(f,t,t)  
b. Nephrotic  syndrome  
24.  Cerebral  Blood  flow   c. Pancreatic  disease  

a. Depends  on  ICP   (t,t,t)  

b. Depends  in  perfusion  pressure  
c. Is  50  mL/100g/min   30.  Increased  BU  
d. Is  regulated  between  mean   a. Dehydration  
arterial  pressure  of  60-­‐  160  mmHg   b. Acute  renal  failure  
(t,  t,-­‐,t)   c. Liver  failure  
25.  Hyponatraemia  occurs  in   (t,t,f)  

a. Cerebral  salt  losing  syndrome   31.  Massive  transfusion  causes  

b. SIADH   a. Hypokalaemia  
c. Diabetes  insipidus   b. Hypothermia  
d. Conn’s  Syndrome   c. Platelet  deficiency  
(t,t,f,f)   (f,t,t)  
26.  Following  drugs  causes  extrapyramidal   32.  2,3  DPG  
side  effects  
a. Is  a  by  -­‐product  of  glycolysis  
a. Clopropamide   b. Increased  in  stored  blood  
b. Halopiridol   c. Make  more  O2  available  in  tissues  
c. Metaclopromide   (t,f,t)  
d. Carbimazole  
(t,t,t,f)   33.  Intracellular  Buffers  

27.  ABG   a. HPO4  2-­‐  

b. HCO3  –  
a. Bubbles  in  the  syringe  reduces  P   c. Protiens  
CO2   d. Haemoglobin  
b. Storage  in  room  temp  Causes   (t,f,t,t)  
reduced  P  O2  
c. Excessive  heparin  increase  pH   34.  T/  F  
d.  Storage  in  room  temp  increases  
a. Anterior  facial  vein  communicates  
pH  
with  cavernous  sinus  
(t,t,f,f)  
b. Femoral  vein  lies  lateral  to  the  
28.  Wound  healing  is  impaired  by   artery  
c. Valves  of  saphenous  veins  
a. Severe  psychological  stress   arranged  to  drain  blood  from  
b. Presence  of  granulation  tissue   deep  to  superficial    
c. NSAIDs  
d. Zn  deficiency   (-­‐,f,f)  

(t,f,t,t)    
35.  Anatomy  of  the  neck   b. In  local  anaesthetics  the  conc  is  1:  
20000  
a. Internal  jugular  vein  lies  lateral  to  
c. Has  prolong  action  
internal  carotid  artery  
(t,f,f)  
b. Vagus  nerve  lies  between  trachea    
and  oesophagus  
c. Oesophagus  lies  immediately   40.  Following  drugs  adsorbed  by  dermal  route  
anterior  to  prevertibral  fascia  
a. Atropine  
d. Sympathetic  chain  lies  
immediately  posterior  to  carotid   b. Diazepam  
c. Morphine  
sheath  
d. GTN  
e. External  jugular  vein  has  
competent  valves   (t,f,f,t)  
(t,f,t,t,t)   41.  In  Pulmonary  hypertension  
36.  Vagus  nerve  supplies     a. ‘’A”  wave  appear  in  JVP  
b. LBBB  
a. Tympanic  membrane  
c. Pul.  Mean  arterial  pressure  more  
b. Cardiac  plexus  
c. Oesophageal  plexus   than  25  mmHg  
(t,-­‐,t)  
d. Diaphragm  
e. Upper  eye  lid    
(t,t,t,f,f)  
42.  Features  of  heart  failure  
37.  Dobutamine  
a. Kerlies  B  lines  
a. Used  in  low  output  failure   b. Flat  left  heart  border  
b. Increase  peripheral  vascular   c. Enlarged  L/  atrium  
resistance   d. Upper  lobe  diversion  
c. Increase  mesenteric  circulation   (t,f,f,t)  
(t,f,f)  
43.  Features  of  normal  ECG  
 
a. QRS  is  quadriphasic  in  V1  
38.  Morphine   b. T  wave  is  inverted  in  L1  
c. PR  interval  is  less  than  0.2  sec  
a. Acts  on  μ  recaptors  
b. Causes  bradycardia   d. QRS  complex  is  less  than  120  ms  
(f,f,t,t)  
c. Depress  myocardium  directly  
d. Repeated  administration  causes   44.  Effects  of  anticholinesterase  
tolerance  
e. Increased  dose  causes  euphoria   a. Miosis  
(t,t,f.t,t)   b. Increased  salivation  
c. Diarrhoea  
39.  Adrenaline   d. Tachycardia  
e. Hypertensive  crisis  
a. Simulates  both  alfa  and  beta  
receptors   (t,t,t,f,f)  
45.  Causes  of  pupillary  dilatation  

a. Hypothermia  
b. Pontine  haemorrhage  
c. Stimulation  of  Symp.  System  
d. 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  intubation  

b. 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  cm  
c. R/  bronchus  is  related  to  azygos  
vein  
d. In  children  angles  of  divisions  of  
bronchi  are  exaggerated    

(t,t,t,t)