Q1. A 42-year-old male who had tested positive for COVID-19 and was isolated at home presents to the emergency room with difficulty breathing. The patient is conscious and responsive but has an increased breathing rate. An oxygen saturation (SpO2) measurement reveals a reading of 86%. The patient is given oxygen through a face mask equipped with a reservoir bag at a flow rate of 10 L/min. Following an hour-long trial, the SpO2 level improves to 88%. What is the subsequent course of action in managing this patient?
Q7. Which of the following post-bronchodilator pulmonary function test (PFT) results would necessitate a further assessment of lung function in a 50-year-old male patient with grade 3 American Society of Anesthesiology (ASA) status?
FEV1<0.85 and FEV1/FVC<0.8
FEV1<0.85 and FEV1/FVC<0.75
FEV1<0.85 and FEV1/FVC<0.7
FEV1<0.8 and FEV1/FVC<0.75
Ans. 3) FEV1<0.85 and FEV1/FVC<0.7
Q8. Regarding the initial setting for a patient with blunt chest trauma who has been initiated on mechanical ventilation, which of the following statements is incorrect?
Respiratory rate – 12 breaths/ min
PEEP - 5 cm H20
FiO2-100%
Tidal volume – 12ml/kg of actual BW
Ans. 4) Tidal volume – 12 ml/kg of actual BW:
Q9. Which of the following methods cannot be used to determine cardiac output?
Q10. Which of the following gases is delivered through the blue pipeline in the operation theatre?
Oxygen
Nitrous oxide
Air
Vacuum
Ans. 2) Nitrous oxide
Q11. While taking your morning stroll in the park, you come across an individual who is unconscious and lying on the ground. What would be the most appropriate course of action to take next from the given choices?
Check carotid pulse, start CPR, and call for help; Defibrillate if no pulse
Call for help, check pulse, do CPR, defibrillate if no pulse
Observe
Ignore and continue to walk
Ans. 2) Call for help, check pulse, do CPR, defibrillate if no pulse
Q12. Which of the following statements given below is incorrect regarding CPR in adults?
Q13. What should be the next course of action in managing a patient with pneumonia who is on a ventilator, weighs 50 kg, has a respiratory rate of 14 breaths per minute, a bicarbonate level of 18, a pH of 7.33, a paCO2 level of 48 mmHg, a paO2 level of 110 mmHg, a PEEP of 12 cm H2O, a tidal volume of 420 mL, and a SpO2 level of 100% with an FiO2 of 90%?
Increase PEEP
Decrease fiO2
Decrease RR
Increase tidal volume
Ans. 2) Decrease FiO2
Q14. Which of the following is the most potent local anesthetic agent?
Halothane
Isoflurane
Lidocaine
Bupivacaine
Ans. 4) Bupivacaine
Q15. A neonate is brought to the pediatric ER in acute respiratory distress. On examination, the abdomen is scaphoid. Which of the following should not be performed in this patient?
Q16. A 60-year-old male patient is undergoing laparoscopic cholecystectomy. During the surgery, a sudden decrease in etCO2 to 8 mm Hg was observed. The patient's SpO2 was 90% and peak airway pressure was 18 mm Hg. His blood pressure also dropped to 80/50 mm Hg. dWhich of the following is the most probable diagnosis?
Pneumothorax
CO2 embolism
Endobronchial intubation
Bronchospasm
Ans. 2) CO2 embolism
Q17. Which of the following corresponds to ASA grade III?
Moribund patient
Patient having systemic illness which is under control or without any functional limitations
Patient having systemic illness which is not under control or with functional limitations Patient having systemic illness which is a constant threat to life
Ans. 3) Patient having systemic illness which is not under control or with functional limitations
Q18. A child was being delivered oxygen by nasal cannula at 3L/min. What is the FiO2 being delivered?
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