IJA QUIZ # 19
KEY TO QUIZ 19 OF THE INDIAN JOURNAL OF ANAESTHESIA
Q.1 Which of
the following statements regarding explosions during surgery is true?
A) Explosions
are less likely to occur in the unprepared or obstructed colon.
B) Diathermy
use is safe with alcohol-based skin preparations. 2.
C) Increased
gaseous volume in the intestinal lumen by nitrous oxide reduces combustion
risk.
D) Routine mechanical bowel preparation (MBP) is recommended for
colon surgical patients according to the 2013 ERAS guidelines.
Ans D
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/intraperitoneal_fire_during_abdominal_surgeries_.18.aspx
Joshi, Malini Premkumar; Bhosale, Shilpushp1; Kulkarni, Atul Prabhakar2; Patkar, Shraddha3. Intraperitoneal fire during abdominal surgeries: ‘Fire in the belly’ not always a good thing!. Indian Journal of Anaesthesia 68(5):p 506-507, May 2024. | DOI: 10.4103/ija.ija_775_23
Ques 2 What is the most common adverse event associated with
inadvertent IV anaesthesia induction agent administration via high-risk
routes (eg intracerebroventricular, neuraxial etc), according to
the latest narrative review published in IJA?
A) Respiratory
depression
B) Bradycardia
C) Cauda equina syndrome.
D) CSF
aspiration
The correct
answer is C)
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/inadvertent_administration_of_intravenous.6.aspx
Patel, Santosh. Inadvertent administration of intravenous anaesthesia induction agents via the intracerebroventricular, neuraxial or peripheral nerve route – A narrative review. Indian Journal of Anaesthesia 68(5):p 439-446, May 2024. | DOI: 10.4103/ija.ija_1276_23
Ques 3 Which of the following nerves primarily innervate the sensory
branch of the shoulder joint, the muscles involved in its movement, and the
adjacent skin?
A) Axillary circumflex nerve
(ACN)
B) Subscapular nerve (SSN)
C) Radial
nerve (RN)
D) Ulnar Nerve
(UN)
Ans A)
Link- https://journals.lww.com/ijaweb/fulltext/2024/68050/efficacy_of_pulsed_radiofrequency_on_the.11.aspx
Patel, Santosh. Inadvertent administration of intravenous anaesthesia induction agents via the intracerebroventricular, neuraxial or peripheral nerve route – A narrative review. Indian Journal of Anaesthesia 68(5):p 439-446, May 2024. | DOI: 10.4103/ija.ija_1276_23
Ques 4 What is the suggested optimal quantity for
epidural saline washout in cases of epidural route barbiturate errors?
A) 10-20ml
B) 50-60ml
C) 30-45ml
D) 70-80ml
Answer: C)
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/inadvertent_administration_of_intravenous.6.aspx
Miñana, José Miguel Esparza1,2,3; Mazzinari, Guido3,4; Llopis-Calatayud, Jose Emilio5,6; Cerdá-Olmedo, Germán7. Efficacy of pulsed radiofrequency on the suprascapular and axillary-circumflex nerve for shoulder pain: A randomised controlled trial. Indian Journal of Anaesthesia 68(5):p 473-479, May 2024. | DOI: 10.4103/ija.ija_1107_23
Ques 5 Incidence of incorrect route administration
for IV induction agents may be around
A) 10 in
150,000
B) 1 in 150,000
C) 1 in
250,000
D) 10 in
250,000
Answer: B)
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/inadvertent_administration_of_intravenous.6.aspx
Patel, Santosh. Inadvertent administration of intravenous anaesthesia induction agents via the intracerebroventricular, neuraxial or peripheral nerve route – A narrative review. Indian Journal of Anaesthesia 68(5):p 439-446, May 2024. | DOI: 10.4103/ija.ija_1276_23
Ques 6 What was the primary outcome measure assessed in the study
comparing different doses of dexmedetomidine (DEX) for awake fibreoptic
nasotracheal intubation (AFONI) in patients
undergoing oromaxillofacial and oral malignancy surgeries?
A) Ramsay
sedation score (RSS)
B) Airway obstruction
score
C) Fibreoptic
intubation comfort score
D)
Vocal movement score
Answer : b)
Link : https://journals.lww.com/ijaweb/fulltext/2024/68050/evaluation_of_different_doses_of_dexmedetomidine.7.aspx
Ques 7 The reported incidence of cough after
extubation in paediatric patients is
A) 50%
B) 20
%
C) 40
%
D) 15
%
Answer : C
Link : https://journals.lww.com/ijaweb/fulltext/2024/68050/efficacy_of_endotracheal_tube_cuff_lignocaine_in.13.aspx
Arora, Sanya; Govardhane, Balasaheb T.; Srinivasan, Vanchula; Karandikar, Gayatri. Evaluation of different doses of dexmedetomidine for awake fibreoptic nasotracheal intubation in patients undergoing oromaxillofacial and oral malignancy surgeries: A randomised, double-blind study. Indian Journal of Anaesthesia 68(5):p 447-453, May 2024. | DOI: 10.4103/ija.ija_1004_23
Ques 8 : All the following statements regarding the
study ‘Comparison of genicular nerve block with adductor canal block for
postoperative pain management in patients undergoing arthroscopic knee ligament
reconstruction’ are true, Except
A)
Genicular
Nerve Block is theoretically superior as it blocks all nerves blocking the knee
joint, primarily the proximal intra-articular branches.
B)
Adductor
canal block and Genicular Nerve Block provide comparable postoperative
analgesia in patients undergoing ACL Repair.
C)
Adductor
Canal Block provides incomplete analgesia to the knee joint
D)
Genicular
nerve block is a unique block as there is no sparing of any area of the knee
joint capsule
Answer A
Link : https://journals.lww.com/ijaweb/fulltext/2024/68050/comparison_of_genicular_nerve_block_with_adductor.8.aspx
Ques 9 Which
of the following is NOT listed as a limitation of the study- Effect of
ultrasound-guided quadratus lumborum block on neuroendocrine stress response
and postoperative analgesia in paediatric patients undergoing elective open pyeloplasty?
A) Exclusion of continuous catheter technique to enhance analgesia
duration
B) Lack of blinding for the anaesthesiologist in Group GA.
C) Absence of evaluation for serum catecholamine and
cytokine levels.
D) Potential use of alternative modes of analgesia in the
control group
Answer: A)
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/effect_of_ultrasound_guided_quadratus_lumborum.10.aspx
Sujatha, Sandeep S. N.; Gupta, Kapil1; Guria, Sushil; Chhabra, Priyanka H.. Comparison of genicular nerve block with adductor canal block for postoperative pain management in patients undergoing arthroscopic knee ligament reconstruction: A randomised controlled trial. Indian Journal of Anaesthesia 68(5):p 454-459, May 2024. | DOI: 10.4103/ija.ija_994_23
Question 10 Which of the following statements about cricoid pressure is
NOT true according to recent advances?
A) Cricoid pressure is commonly used in emergency surgery
for patients with conditions like gastroparesis, pregnancy, and hiatal hernia.
B) Advanced imaging studies suggest the post-cricoid
hypopharynx as the probable target for cricoid pressure application.
C) Cricoid pressure has been scientifically validated as effective
in preventing gastric content aspiration during tracheal intubation.
D) Improper application of cricoid pressure may hinder
ventilation and compromise airway patency.
The correct answer is C)
Link https://journals.lww.com/ijaweb/fulltext/2024/68050/sellick_s_manoeuvre___an_old_song_with_new_lyrics.1.aspx
Parthasarathy, Srinivasan; Johnson, J. Edward1; Theerth, Kaushic A.2. Sellick’s manoeuvre – An old song with new lyrics. Indian Journal of Anaesthesia 68(5):p 407-408, May 2024. | DOI: 10.4103/ija.ija_334_24
