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.
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
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
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”
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
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
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
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
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
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
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
