Saturday, December 28, 2024

Indian Journal of Anaesthesia [IJA] Quiz #53

 Indian Journal of Anaesthesia [IJA]

Quiz #53



 

QUIZ and Answer with reference to IJA Manuscripts

Question 1: Which of the following statements is true based on the study comparing the efficacy of peri-femoral artery block (P-FAB) and subcutaneous infiltration (SI) in reducing tourniquet-induced hypertension (TH) during lower-limb surgery?

A) The P-FAB group demonstrated a significant reduction in tourniquet-induced hypertension compared to the SI group.

B) The incidence of tourniquet-induced hypertension was significantly higher in the SI group compared to the P-FAB group.

C) There was no significant difference in the incidence of tourniquet-induced hypertension between the P-FAB and SI groups.

D) The P-FAB group required significantly more intravenous fentanyl than the SI group during surgery.

Correct Answer: C) There was no significant difference in the incidence of tourniquet-induced hypertension between the P-FAB and SI groups.

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/efficacy_of_local_anaesthetic_peri_femoral_artery.4.aspx

Question 2: Which of the following is NOT a primary outcome measure in the study comparing peri-femoral artery block (P-FAB) and subcutaneous infiltration (SI)?

A) Postoperative pain scores

B) Incidence of tourniquet-induced hypertension

C) Time to recovery from general anaesthesia

D) Thigh circumference changes

Answer: C

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/efficacy_of_local_anaesthetic_peri_femoral_artery.4.aspx

Question 3: What is the primary advantage of using Trial Sequential Analysis (TSA) in meta-analyses?

A) TSA reduces the sample size required for a reliable conclusion

B) TSA prevents random errors in the meta-analysis by enhancing reliability

C) TSA simplifies the statistical method for non-experienced researchers

D) TSA automatically eliminates the need for any further studies

Answer: B

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/trial_sequential_analysis__quality_improvement_for.12.aspx

Question 4: Which of the following factors most likely explains the persistence of regional oxygen saturation (rSO2) values above zero despite cerebral anoxia in brain-dead patients, as observed in the study with O3™ regional oximetry?

A. Active oxygen consumption by the brain

B. Extracerebral tissue perfusion contributing to the NIRS signal

C. The use of higher inspired oxygen (FiO2)

D. Increased hemoglobin dissociation due to acidosis

Answer: B

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/near_infrared_spectroscopy_during_organ_donation.13.aspx

 

Question 5: What role does the O3™ regional oximetry system play in monitoring patients undergoing organ donation, and how does it address NIRS accuracy challenges?

A. It improves rSO2 monitoring by using a single-wavelength system.

B. It utilizes a four-wavelength, dual-sensor technology to reduce extracerebral contamination.

C. It reduces the need for other monitoring techniques during organ donation procedures.

D. It relies on continuous oxygen delivery to the brain for accurate readings.

Answer: B

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/near_infrared_spectroscopy_during_organ_donation.13.aspx

Question 6:  Which of the following treatments was administered to the 4-year-old male post liver transplantation to improve oxygenation associated with hepatopulmonary syndrome (HPS)?

A) Methylene blue

B) Extracorporeal membrane oxygenation (ECMO)

C) Nicardipine

D) Pulmonary vascular embolization

Answer: C

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/improvement_in_oxygenation_with_a_calcium_channel.14.aspx

 

Question 7: What is the primary cause of hypoxemia in patients with hepatopulmonary syndrome (HPS) after liver transplantation?

A) Pulmonary atelectasis

B) Intracardiac shunting

C) Increased intrapulmonary shunt blood flow due to vasodilation

D) Respiratory muscle weakness

Answer: C

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/improvement_in_oxygenation_with_a_calcium_channel.14.aspx

 

Question 8: What was the sensitivity of the 5-AIR USG protocol for ETP detection?

A.     85%

B.     93%

C.      100%

D.     57%

Answer: C

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/5_point_airway__5_air__ultrasound_protocol_for.9.aspx

 

Question 9: Which muscle strength assessment scale was used in the study 

"Pericapsular nerve group (PENG) block versus supra-inguinal fascia iliaca (SIFI) block for functional outcome in patients undergoing hip surgeries – A randomised controlled study"

A.    Bromage scale

B.    Oxford muscle strength scale

C.   Numeric pain rating scale.

D.   Objective sarcopenia index

Answer: B

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/pericapsular_nerve_group__peng__block_versus.5.aspx

Question 10: Why was ropivacaine chosen for this study 

"Pericapsular nerve group (PENG) block versus supra-inguinal fascia iliaca (SIFI) block for functional outcome in patients undergoing hip surgeries – A randomised controlled study"

A.    It has a higher potency compared to bupivacaine

B.    It has a lower incidence of motor blockade.

C.   It is cheaper than other local anaesthetics.

D.   It causes prolonged sedation.

Answer: B

Read More @ https://journals.lww.com/ijaweb/fulltext/2024/12000/pericapsular_nerve_group__peng__block_versus.5.aspx

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