Indian Journal of Anaesthesia (IJA)

WEEKLY QUIZ #21

IJA Quiz Masters -

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

Dr. Rakesh Garg
Editor-in-Chief
Indian Journal of Anaesthesia

Q 1. Most cases of Myocardial Injury after Non Cardiac Surgery(MINS) ---------

A)Occur in the first 24 hours and has a strong association with hypotension

B) Occur in the first 30 days and has a strong association with sepsis

C) Occur in the first 3 days and has a strong association with hypotension

D) Occur in the first 3 days and has a strong association with bleeding

Ans C

https://journals.lww.com/ijaweb/fulltext/2024/06000/enhanced_monitoring_for_postoperative_hospital.1.aspx

Upadhyay, Prateek; Hicks, Megan Henley1; Khanna, Ashish K.2. Enhanced monitoring for postoperative hospital wards – Evidence to implementation. Indian Journal of Anaesthesia 68(6):p 511-513, June 2024. | DOI: 10.4103/ija.ija_360_24

Q 2. How many episodes of mean arterial pressures below 65 mmHg are missed during intermittent monitoring?

A) 50 %

B) 60 %

C) 75 %

D) 90 %

The correct answer D

https://journals.lww.com/ijaweb/fulltext/2024/06000/enhanced_monitoring_for_postoperative_hospital.1.aspx

Question 3: international observational study evaluating tracheal intubation (TI) practice in critically ill patients (INTUBE) reported that ------- % of critically ill patients develop a major peri-intubation adverse event

A) 45 %

B) 35 %

C) 65 %

D) 63.7 %

Ans A

https://journals.lww.com/ijaweb/fulltext/2024/06000/induction_agents_for_emergency_airway_management.2.aspx

Khawaja, Asad1; Karamchandani, Kunal2. Induction agents for emergency airway management in critically ill patients. Indian Journal of Anaesthesia 68(6):p 514-516, June 2024. | DOI: 10.4103/ija.ija_380_24

Question 4: A sub study of the CORTICUS trial for etomidate found an increased association with 28 day mortality and a decreased response to which molecule

A) Cortcotropin

B) Melanotropin

C) Melanocyte simulating Hormone

D) Pro Opio Melanocortin (POMC)

Answer: A

https://journals.lww.com/ijaweb/fulltext/2024/06000/induction_agents_for_emergency_airway_management.2.aspx

Question 5: What is the incidence range of postoperative neurocognitive dysfunction (PNCD)

A) 11-30%

B) 25-40%

C) 11-51%

D) 30-50%

Answer: C

https://journals.lww.com/ijaweb/fulltext/2024/06000/effect_of_prophylactic_corticosteroids_on.3.aspx

Singh, Narinder P.; Makkar, Jeetinder K.1; Goel, Nitika1; Karamchandani, Kunal2; Singh, Mandeep3; Singh, Preet M.4. Effect of prophylactic corticosteroids on postoperative neurocognitive dysfunction in the adult population: An updated systematic review, meta-analysis, and trial sequential analysis of randomised controlled trials. Indian Journal of Anaesthesia 68(6):p 517-526, June 2024. | DOI: 10.4103/ija.ija_149_24

Q6. Which drug is used in the preoperative period that is reported to attenuate Post operative Neuro Cognitive dysfunction?

A) Melatonin

B) Corticosteroids

C) Dexmeditomedine

D) Glycopyrollate

Answer : B

https://journals.lww.com/ijaweb/fulltext/2024/06000/effect_of_prophylactic_corticosteroids_on.3.aspx

Q.7 Olanzapine exerts in anti emetic action through all of the following receptors except

A) Serotonin.

B) Dopamine

C) Acetylcholine

D) Neurokinin

Answer: D

https://journals.lww.com/ijaweb/fulltext/2024/06000/olanzapine_versus_standard_antiemetic_prophylaxis.10.aspx

Deb, Binayak; Saini, Kulbhushan; Arora, Suman; Kumar, Sanjay; Soni, Shiv L.; Saini, Manu1. Olanzapine versus standard antiemetic prophylaxis for the prevention of post-discharge nausea and vomiting after propofol-based general anaesthesia: A randomised controlled trial. Indian Journal of Anaesthesia 68(6):p 566-571, June 2024. | DOI: 10.4103/ija.ija_1162_23

Q. 8 Which of the following is NOT one of the five domains assessed by the updated Cochrane risk-of-bias tool for randomized trials (ROB2)?

A) Missing outcome data

B) Randomisation process

C) Participant demographics

D) Deviations from the intended intervention

Answer C

https://journals.lww.com/ijaweb/fulltext/2024/06000/effect_of_prophylactic_corticosteroids_on.3.aspx

Q.9 Which of the following dimensions of health does the Quality of Recovery-40 (QoR-40) score evaluate?

A) Emotional state, physical fitness, social interaction, pain management

B) Emotional state, physical comfort, independence, psychological support, pain

C) Physical fitness, mental acuity, social support, emotional well-being

D) Physical comfort, cognitive function, social integration, pain relief

Answer: B)

https://journals.lww.com/ijaweb/fulltext/2024/06000/hindi_translation_and_cultural_adaptation_of_the.5.aspx

Govil, Nishith; Rathore, Rishika; Tiwari, Ajeet1; Garg, Pankaj K.1; Parag, Kumar; Mishra, Priyanka. Hindi translation and cultural adaptation of the quality of recovery score-40 (QoR-40 score): A validation study. Indian Journal of Anaesthesia 68(6):p 533-539, June 2024. | DOI: 10.4103/ija.ija_1100_23

Q.10 Which of the following statements is true regarding the use of dexmedetomidine in patients undergoing electroconvulsive therapy (ECT)?

A) A high dose of dexmedetomidine is required to reduce myalgia and fasciculations.

B) Dexmedetomidine has no effect on myalgia and fasciculations caused by succinylcholine.

C) A low dose of dexmedetomidine (0.25 µg/kg) effectively reduces myalgia and fasciculations.

D) Dexmedetomidine exacerbates myalgia and fasciculations during ECT.

The correct answer is C)

https://journals.lww.com/ijaweb/fulltext/2024/06000/dexmedetomidine_for_reducing.9.aspx

Sriramka, Bhavna; Panigrahy, Sasmita; Ramasubbu, Mathan Kumar1; Mishra, Suvendu N.2. Dexmedetomidine for reducing succinylcholine-induced myalgia in patients undergoing electroconvulsive therapy: A randomised controlled trial. Indian Journal of Anaesthesia 68(6):p 560-565, June 2024. | DOI: 10.4103/ija.ija_1159_23

Dr Rakesh Garg

Wednesday, July 17, 2024