Wednesday, July 17, 2024

Indian Journal of Anaesthesia (IJA) WEEKLY QUIZ #28

 Indian Journal of Anaesthesia (IJA)

WEEKLY QUIZ  #28

Read Full issue at:

 July 2024 - Volume 68 - Issue 7 : Indian Journal of Anaesthesia (lww.com)

https://journals.lww.com/ijaweb/toc/2024/07000

 

Question 1 Which of the following statements regarding the use of regional anaesthesia in oncologic surgery is supported by the findings discussed in the editorial on Regional analgesia and cancer outcomes ?

A) Regional anaesthesia consistently shows a significant reduction in cancer recurrence across various cancer types.

B) The use of regional anaesthesia is associated with improved overall survival in patients undergoing lung cancer resection.

C) Studies have consistently demonstrated a survival benefit of regional anaesthesia in patients with metastatic cancer.

D) Randomised controlled trials have uniformly reported a positive effect of regional anaesthesia on recurrence-free survival and overall survival in oncologic surgeries.

Answer

Correct answer: D) Randomised controlled trials have uniformly reported a positive effect of regional anaesthesia on recurrence-free survival and overall survival in oncologic surgeries.

https://journals.lww.com/ijaweb/fulltext/2024/07000/regional_analgesia_and_cancer_outcomes__our.1.aspx

Gottumukkala, Vijaya. Regional analgesia and cancer outcomes: Our current understanding in 2024. Indian Journal of Anaesthesia 68(7):p 587-589, July 2024. | DOI: 10.4103/ija.ija_475_24

 

Question 2: Which of the following outcomes was significantly reduced in the Goal-Directed Fluid Therapy (GDFT) group compared to conventional fluid therapy in neurosurgical patients, according to the meta-analysis?

A) Neurological outcomes
B) Total intraoperative fluids administered
C) Postoperative complications
D) Intraoperative blood loss

Answer:
C) Postoperative complications

https://journals.lww.com/ijaweb/fulltext/2024/07000/intraoperative_goal_directed_fluid_therapy_in.3.aspx

Jangra, Kiran†; Gandhi, Aravind P.1,†; Mishra, Nitasha2; Shamim, Muhammad Aaqib3; Padhi, Bijaya K4. Intraoperative goal-directed fluid therapy in adult patients undergoing craniotomies under general anaesthesia: A systematic review and meta-analysis with trial sequential analysis. Indian Journal of Anaesthesia 68(7):p 592-605, July 2024. | DOI: 10.4103/ija.ija_240_24

 

Question 3: Which of the following is NOT identified as a cause of AI hallucinations in anaesthesia?

A) Insufficient or biased training data
B) Model complexity
C) Lack of explainability (black box)
D) High-quality, diverse training data

Answer:

D) High-quality, diverse training data

https://journals.lww.com/ijaweb/fulltext/2024/07000/artificial_intelligence_hallucinations_in.11.aspx

Gondode, Prakash; Duggal, Sakshi; Mahor, Vaishali. Artificial intelligence hallucinations in anaesthesia: Causes, consequences and countermeasures. Indian Journal of Anaesthesia 68(7):p 658-661, July 2024. | DOI: 10.4103/ija.ija_203_24

 

Question 4: What is a probable reason why sample size calculations are not adequately performed or reported in clinical research?

A) Lack of suitable statistical software
B) Misinterpretation of P values
C) Limited understanding of the term “effect size”
D) Insufficient access to clinical trial participants

Answer:

C) Limited understanding of the term “effect size”

https://journals.lww.com/ijaweb/fulltext/2024/07000/reviewing_research_reporting_in_randomised.12.aspx

Ganesh, Venkata; Sahni, Neeru. Reviewing research reporting in randomised controlled trials – the sample size calculation. Indian Journal of Anaesthesia 68(7):p 662-663, July 2024. | DOI: 10.4103/ija.ija_443_24

Question 5. Which of the following statements is NOT true regarding precautions taken to prevent selection bias in the double blinded study - the Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery?

 

A.    An anaesthesiologist performing the blocks participated in the study.

B.    The approach and the allocation concealment method were kept a secret for the investigator.

C.    Children were distributed randomly to the ESP and PENG groups

D.    the patients were oblivious to the approach they were given.

 

Ans : A

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_ultrasound_guided_erector_spinae.5.aspx

Mostafa, Tarek A. H.; Omara, Amany F.; Khalil, Naglaa K.. Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study. Indian Journal of Anaesthesia 68(7):p 616-622, July 2024. | DOI: 10.4103/ija.ija_867_23

 

Question 6. Incidence of Postoperative sore throat (POST) with supraglottic devices is:

 

A. 40%

B. 42%

C. 45 %

D. 50%

 

Ans : B

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_incidence_of_sore_throat_with.8.aspx

Mohan, Vidya; Rudingwa, Priya; Panneerselvam, Sakthirajan; Kuberan, Aswini; Srinivasan, Gnanasekaran; Arulprakasam, Santhosh. Comparison of incidence of sore throat with laryngeal mask airway Protector and laryngeal mask airway ProSeal: A randomised clinical trial. Indian Journal of Anaesthesia 68(7):p 637-643, July 2024. | DOI: 10.4103/ija.ija_1068_23

 

 

Question 7. Which of the following was NOT the secondary outcome in the study - Comparison of intrathecal morphine versus erector spinae block for postoperative analgesia in patients with end-stage kidney disease undergoing kidney transplantation?

 

A.    the duration of analgesia

B.    perioperative fentanyl consumption

C.    catheter-related bladder discomfort (CRBD)

D.    any procedure or drug-related complications.

 

Ans : B

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_intrathecal_morphine_versus_erector.9.aspx

Mittal, Saurabh1; Bhardwaj, Medha2; Shekhrajka, Praveenkumar3; Goyal, Vipin Kumar1. Comparison of intrathecal morphine versus erector spinae block for postoperative analgesia in patients with end-stage kidney disease undergoing kidney transplantation: A randomised clinical study. Indian Journal of Anaesthesia 68(7):p 644-650, July 2024. | DOI: 10.4103/ija.ija_271_24

 

 

Question 8. What is one of the main contributors to cancer recurrence after surgery?

 

A. Increased physical stress and pain

B. Shedding of tumour cells

C. Decreased immune function

D. High-dose radiation therapy

 

Ans B

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/regional_analgesia_and_cancer_outcomes__our.1.aspx

Gottumukkala, Vijaya. Regional analgesia and cancer outcomes: Our current understanding in 2024. Indian Journal of Anaesthesia 68(7):p 587-589, July 2024. | DOI: 10.4103/ija.ija_475_24

 

 

Question .9  What effect do local anaesthetics have on cancer tissue according to animal models?

 

A.    Promote tumor growth

B.    Inhibit tumor growth and metastasis

C.    Cause no change in tumor dynamics

D.    Increase inflammation around the tumor

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/regional_analgesia_and_cancer_outcomes__our.1.aspx

 

Gottumukkala, Vijaya. Regional analgesia and cancer outcomes: Our current understanding in 2024. Indian Journal of Anaesthesia 68(7):p 587-589, July 2024. | DOI: 10.4103/ija.ija_475_24

 

Ans : B

 

Question.10 What did Karmakar et al. report in their study on thoracic paravertebral block versus general anaesthesia?


A. Higher survival rates with paravertebral block

B. No difference in survival rates

C. Lower recurrence rates with general anaesthesia

D. Increased complications with paravertebral block

 

Ans  : B

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/regional_analgesia_and_cancer_outcomes__our.1.aspx

 

Gottumukkala, Vijaya. Regional analgesia and cancer outcomes: Our current understanding in 2024. Indian Journal of Anaesthesia 68(7):p 587-589, July 2024. | DOI: 10.4103/ija.ija_475_24

 

 

 

 

Dr. Muralidhar Thondebhavi S, Dr. Manshad Showkath, Dr. Shilpa GK Bhat, Dr. Bhavna Gupta, Dr. Tushar Chokshi IJA

 Quiz Masters

 

Dr. Rakesh Garg

Editor-in-Chief

Indian Journal of Anaesthesia

 

 

 

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