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
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)
Ques 7 The reported incidence of cough after extubation in paediatric patients is
A) 50%
B) 20 %
C) 40 %
D) 15 %
Answer : C
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
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)
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)
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
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