Wednesday, July 17, 2024

Indian Journal of Anaesthesia (IJA) WEEKLY QUIZ #26

 Indian Journal of Anaesthesia (IJA)

WEEKLY QUIZ  #26

Read the Full IJA JULY issue at:

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

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

 

 

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

 

 Q1 Which of the following statements regarding the use of the abbreviation 'VAS' in medical literature is correct, based on the research by Sharma et al. and related findings?

  1. VAS is exclusively used for the Visual Analogue Scale, which measures pain on a 10-cm line from 'no pain' to 'worst imaginable pain.'
  2. VAS includes the Visual Analogue Scale, Numeric Rating Scale, and Verbal Rating Scale as described by Sharma et al.
  3. The abbreviation 'VAS' has been standardized across all medical literature with a single meaning.
  4. The Numeric Rating Scale (NRS) uses adjectives to define the intensity of pain.

Correct Option:

  1. VAS includes the Visual Analogue Scale, Numeric Rating Scale, and Verbal Rating Scale as described by Sharma et al.

Indian Journal of Anaesthesia (lww.com)

https://journals.lww.com/ijaweb/fulltext/2024/07000/pain_scores_and_abbreviations__a_case_for.16.aspx

Prateek, ; Tak, Himani1. Pain scores and abbreviations: A case for standardised medical terminologies. Indian Journal of Anaesthesia 68(7):p 668-669, July 2024. | DOI: 10.4103/ija.ija_323_24

 

Q2 In the management of a 1-year-old child with a foreign body (FB) aspiration, which of the following statements is true regarding the use of an ultrasound-guided bilateral internal laryngeal nerve (iSLN) block?

  1. The iSLN block is typically used for treating spasms and airway edema by blocking the recurrent laryngeal nerve.
  2. The iSLN block provides sensory blockade of the laryngeal mucosa above the vocal cords.
  3. The iSLN block is administered using an in-plane ultrasound-guided technique through the cricothyroid membrane.
  4. The iSLN block is primarily used to treat postoperative nausea and vomiting in pediatric patients.

Correct Option:

  1. The iSLN block provides sensory blockade of the laryngeal mucosa above the vocal cords.

https://journals.lww.com/ijaweb/fulltext/2024/07000/bilateral_internal_laryngeal_nerve_block_and.15.aspx

Kumar, Amarjeet; Sinha, Chandni; Sinha, Amit K.1; Shrey, Shruti. Bilateral internal laryngeal nerve block and lignocaine nebulisation after tracheobronchial foreign body removal to prevent airway spasm in a child-A case study. Indian Journal of Anaesthesia 68(7):p 666-668, July 2024. | DOI: 10.4103/ija.ija_217_24

 

Q3 Which of the following is NOT a role of ChatGPT in enhancing medical training simulations according to the letter to the editor in the Indian Journal of Anaesthesia?

  1. Assisting in prebriefing sessions to set learning objectives and establish psychological safety.
  2. Designing diverse and realistic patient encounters for scenario creation.
  3. Providing real-time lifelike interactions as virtual patients during simulations.
  4. Replacing human instructors in conducting entire simulation sessions independently.

Correct Option:

  1. Replacing human instructors in conducting entire simulation sessions independently.

Indian Journal of Anaesthesia (lww.com)

https://journals.lww.com/ijaweb/fulltext/2024/07000/transforming_medical_education__conversational.14.aspx

Gondode, Prakash; Garg, Neha; Duggal, Sakshi; Bairagi, Sushmita. Transforming medical education: Conversational Generative Pre-trained Transformer’s (ChatGPT) integral role in simulation zones. Indian Journal of Anaesthesia 68(7):p 664-666, July 2024. | DOI: 10.4103/ija.ija_196_24

 

Q 4What primary tool is recommended to facilitate upper gastrointestinal endoscopy (UGIE) in patients with restricted mouth opening?

  1. Paediatric mouth guard
  2. Supreme laryngeal mask airway
  3. Fibre-optic bronchoscope
  4. Doyen mouth gag retractor

Correct Option:

  1. Doyen mouth gag retractor

https://journals.lww.com/ijaweb/fulltext/2024/07000/a_novel_mouth_guard_in_endoscopy_suite_for_limited.13.aspx

Rana, Dileep Singh; Singh, Anisha; Swami, Adarsh Chandra; Atolia, Nikhil Kumar1. A novel mouth guard in endoscopy suite for limited oral access. Indian Journal of Anaesthesia 68(7):p 663-664, July 2024. | DOI: 10.4103/ija.ija_9_24

Q5 In clinical research, which of the following is NOT typically required for calculating the sample size needed to detect a clinically meaningful treatment effect?

  1. Well-defined primary outcome
  2. Target effect size
  3. Method of analysis for the primary outcome
  4. Patient demographics

Correct Option:

  1. Patient demographics

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

 

Q 6. The maximum permissible NO2 concentration in the study ‘Effect of inhaled nitric oxide on intestinal integrity in cardiopulmonary bypass and circulatory arrest simulation’ was

A. 2 ppm

B. 3 ppm

C. 5 ppm

D. 10 ppm

Answer : A

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/effect_of_inhaled_nitric_oxide_on_intestinal.6.aspx

Kamenshchikov, Nikolay O.1; Churilina, Elena A.1; Korepanov, Vyacheslav A.2; Rebrova, Tatiana Y.2; Sukhodolo, Irina V.3; Kozlov, Boris N.1. Effect of inhaled nitric oxide on intestinal integrity in cardiopulmonary bypass and circulatory arrest simulation: An experimental study. Indian Journal of Anaesthesia 68(7):p 623-630, July 2024. | DOI: 10.4103/ija.ija_1267_23

 

Q.7 which of the following statements is true regarding VAS (Visual Analogue Scale) and its usage in medical literature?

 

A.      VAS is an acronym that exclusively represents the verbal rating scale.

B.      VAS is commonly confused with NRS due to their similar numerical scale formats

C.      VAS is primarily used in clinical trials for pain management.

D.     VAS is standardized across medical literature without variability.

Answer : B

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/pain_scores_and_abbreviations__a_case_for.16.aspx

Prateek, ; Tak, Himani1. Pain scores and abbreviations: A case for standardised medical terminologies. Indian Journal of Anaesthesia 68(7):p 668-669, July 2024. | DOI: 10.4103/ija.ija_323_24

 

 

Q 8. Which feature of the LMA® Protector™ makes it advantageous in reducing the incidence of postoperative sore throat (POST) compared to traditional endotracheal tubes (ETT)?

 

A. Dual gastric channels

B. Silicone material construction

C. Inbuilt Cuff Pilot™ technology

D. Higher oropharyngeal sealing pressure (OPSP)

 

Ans : C)

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

 

Q. 9 Given below is an Ultrasound-guided internal laryngeal nerve block using out-plane technique as described by Sinha et al in the recent edition of the Indian Journal of Anaesthesia. Identify the structure marked in green

 

A. Laryngeal mucosa

B. Drug spread

C. Thyrohyoid membrane

D. air mucosal interface

 

Ans : C

Indian Journal of Anaesthesia (lww.com)

https://journals.lww.com/ijaweb/fulltext/2024/07000/bilateral_internal_laryngeal_nerve_block_and.15.aspx

Kumar, Amarjeet; Sinha, Chandni; Sinha, Amit K.1; Shrey, Shruti. Bilateral internal laryngeal nerve block and lignocaine nebulisation after tracheobronchial foreign body removal to prevent airway spasm in a child-A case study. Indian Journal of Anaesthesia 68(7):p 666-668, July 2024. | DOI: 10.4103/ija.ija_217_24

Q.10 Ease of comprehension is assessed by all of these except

 

A.     Patient Education Materials Assessment Tool

B.     Flesch Reading Ease

C.      Gunning Fog Index

D.     Flesch-Kincaid Grade Level

Ans : A

 

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

 

 

 

 

 

 

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