Final Exam

Anaesthesiology

1) I)The CVP (Central Venous Pressure) is the hydrostatic pressure generated by the blood in

the great veins. II)It can be used as a surrogate o the right atrial pressure (mm Hg).
a) the first sentence is true, the second false

b) both sentences are true

c) both sentences are false
d) the first sentence is false, the second true

2) The pulmonary artery wedge pressure (PAWP) may be used as surrogate of the left arterial

pressure and therefore LVEDP.

a) both parts of the sentence are true

b) both parts of the sentence are false
c) first part of the sentence is true and the second is false
d) first part of the sentence is false and the second is true

3) The correct placement for Swan-Ganz catheter is

a) right atrium (atrium dexter)
b) right ventricle (ventriculus dextra)

c) pulmonary artery (A. pulmonalis dextra / sinistra)

d) left atrium (atrium sinister)

4) In case of metabolic alkalosis with rise in HCO

3

-

concentration, (physiological)

compensation occurs by:

a) hypoventilation

b) hyperventilation
c) no change in ventilation
d) loss of HCO

3

-

to normalise pH

5) Capnography is used as:

a) as indicator of adequacy of ventilation
b) a disconnection indicator
c) a indicator of correct placement of tracheal tube
d) an indicator of cardiac output

A) all answers are true

B) d is false
C) b and d are false
D) a is true

6) Tuohy needle is used to perform:

a) epidural anaesthesia

b) spinal anaesthesia
c) arterial puncture
d) central vein puncture

7) Spinal anaesthesia results from the injection of a local anaesthetic drug directly:

a) outside of dura
b) into spinal cord
c) to the nerve roots

d) into cerebrospinal fluid (subarchnoid space / cavum subarchnoidales)

8) The spinal needle can only be inserted below the second lumbar and above the first sacral

vertebrae

a) this sentence is true

b) this sentence is false
c) first part is true and second is false
d) first part is false and second is true

9) A patient with systemic disease that is a constant treat to life is – according to ASA

classification:
a) I
b) II
c) III

d) IV

10) Gastric fluid pH elevation (I) and, volume reduction (II) are some of the aims of

preoperative medication.

a) both parts (I) and (II) are true

b) both parts (I) and (II) are false
c) part (I) is true and part (II) is false
d) part (I) is false and part (II) is true

11) System of cardiac output measurement used in PiCCO or S-G catheter is:

a) thermodilution

b) dye dilution
c) both
d) none

12) Mixed venous oxygen saturation (SvO

2

) is a measure of:

a) adequacy of tissue perfusion

b) adequacy of tissue aerobic metabolism
c) adequacy of tissue anaerobic metabolism
d) of tissue metabolic acidosis

13) Contraindications of enteral feeding are:

a) intractable vomiting
b) shock
c) bowel obstruction
d) GI bleeding
A) a, b, c
B) b, c
C) a, d, c

D) a, b, c, d

14) Direct lung injury that cause ARDS are:

a) pneumonia / pneumonitis
b) aspiration
c) pulmonary contusion
d) lung transplantation
A) a, b, c
B) a, b
C) b, d

D) a, b, c, d

15) Hypoxaemia defined as p

i

O

2

/ F

i

O

2

:

a) <300 is ALI and <200 is ARDS
b) <300 is ARDS and <200 is ALI
c) <300 is ARDS and <200 is ALI in absence of left atrial hypertension (PAWP <18 mm Hg)

d) <300 is ALI and <200 is ARDS in absence of left atrial hypertension (PAWP <18 mm
Hg)

16) Type 2 of respiratory failure is defined as:

a) hypoxia without hypercapnia

b) hypoxia with hypercapnia

c) hypercapnia without hypoxia
d) none of given above

17) The recommended dose Atropine (which you give after the 2010 Guideline ONLY in severe

Bradycardia) given i. V. in adult CPR is:

a) 1 mg

b) 2 mg
c) 3 mg
d) 30 mg

18) The recommended dose of adrenaline / epinephrine given in i. V. in adult CPR is:

a) 1 mg

b) 0,1 mg / 10 kg
c) 10 mg
d) 0,5 mg

19) Indication(s) for giving calcium (Ca

2+

) during CPR (of adults) is/are:

a) hyperkalaemia
b) hypokalaemia
c) hypercalcaemia
d) overdose of calcium-channel-blocking (CCB) drugs
A) a, b, c, d
B) a, b, c
C) a, b, d

D) a,d

20) When do you give Amiodarone (3x 300 mg, max 900 mg)?

→ after 3 shocks (also given if already administered adrenaline / epinephrine 3x 1 mg
before) (you always shock VT/VF/AF/AT)

21) What is a shunt?

22) Defibrillator: Dosage of shock for adults?!

→ Monophasic: max. 360 Joules
→ Biphasic: max 150 Joules

23) How much adrenaline is given how often in ALS.

1 mg every 3-5 min

24) Atropine is no longer recommended in cardiac arrest.

Sentence is true

25) Which of these drugs (thiopental + etomidate +2 more, all iv anestehsia) have strong

analgesic effect.

None of the above.

26) What is the most serious side effect of fentanyl?

a) cardiovasc deppression on injection,
b) allergies
c) convulsions

d) respiratory deppression

27) Precordial thumb in new guidelines is de-empasized.

Sentence is true

28) What is the score used for post-operative pain

.

VAS