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

 

 

 

 

 

 

Indian Journal of Anaesthesia (IJA) WEEKLY QUIZ #27

 Indian Journal of Anaesthesia (IJA)

WEEKLY QUIZ  #27

Read 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 best summarizes the main findings of the study comparing ChatGPT-generated patient information materials with traditional Patient Information Leaflets (PILs) from the British Pain Society (BPS) and the Faculty of Pain Medicine?

Correct Answer:

B) Traditional PILs exhibited higher readability scores and varied emotional tones, while ChatGPT-generated texts showed more positive sentiments but similar actionability and understandability scores.

https://journals.lww.com/ijaweb/fulltext/2024/07000/comparing_patient_education_tools_for_chronic_pain.7.aspx

Gondode, Prakash; Duggal, Sakshi; Garg, Neha; Sethupathy, Surrender; Asai, Omshubham1; Lohakare, Pooja2. Comparing patient education tools for chronic pain medications: Artificial intelligence chatbot versus traditional patient information leaflets. Indian Journal of Anaesthesia 68(7):p 631-636, July 2024. | DOI: 10.4103/ija.ija_204_24

 

Q2 In a randomised double-blinded clinical trial comparing the LMA® Protector™ and LMA® ProSeal™ in elective short surgical procedures, which of the following outcomes was significantly better with the LMA® Protector™?

Correct Answer:

B) Lower incidence of postoperative sore throat (POST)

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

 

Q3. Which of the following was the primary outcome measured in the study comparing the erector spinae plane block (ESPB) and the low-dose ketamine-dexmedetomidine (Ket-Dex) infusion for postoperative analgesia after breast cancer surgery?

Correct Answer:

C) Total postoperative morphine consumption (24 hours)

https://journals.lww.com/ijaweb/fulltext/2024/07000/a_randomised_comparative_study_of_erector_spinae.10.aspx

Mohasseb, Ahmed Medhat; Elebiedy, Mona G.; Mohammed, Mohammed N.. A randomised comparative study of erector spinae plane block versus low-dose ketamine-dexmedetomidine intravenous infusion as intraoperative opioid-free analgesia for modified radical mastectomy. Indian Journal of Anaesthesia 68(7):p 651-657, July 2024. | DOI: 10.4103/ija.ija_1167_23

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

 

Q4 In clinical research, which of the following is NOT typically required for sample size calculation?

Correct Answer

D. A detailed description of secondary outcomes

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. 5 Which of the following is NOT mentioned as a potential consequence of surgical interventions for solid tumors, leading to cancer recurrence ?

 

Ans : C. Suppression of hypothalamic-pituitary-adrenal axis (HPA) axis

 

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

 

 

Q. 6 Which of the following was a primary challenge associated with the early use of volatile anaesthetics (VAs) for general anaesthesia (GA)?

 

Ans : Difficulty in monitoring anaesthesia depth

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/evolution_of_low_flow_anaesthesia.2.aspx

Zilberman, Paul. Evolution of low-flow anaesthesia. Indian Journal of Anaesthesia 68(7):p 590-591, July 2024. | DOI: 10.4103/ija.ija_441_24

 

 

Q. 7 Which of the following was NOT an observation made by the systematic review and meta analysis- ‘Intraoperative goal-directed fluid therapy(GDFT) in adult patients undergoing craniotomies under general anaesthesia’ ?

 

Ans : The composition of fluids governing the osmolarity and solute content does not affect the outcome.

 

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

 

 

 

Q 8. In the infraclavicular brachial plexus block, which cord is positioned cephalad to the axillary artery (AxA)

Ans: Lateral Cord

 

Link: https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_the_classical_approach_and.4.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

 

 

 Q.9  Which amongst the following is a large language model based AI trained on a massive dataset of code and text

Ans : Bard

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/comparing_patient_education_tools_for_chronic_pain.7.aspx

Gondode, Prakash; Duggal, Sakshi; Garg, Neha; Sethupathy, Surrender; Asai, Omshubham1; Lohakare, Pooja2. Comparing patient education tools for chronic pain medications: Artificial intelligence chatbot versus traditional patient information leaflets. Indian Journal of Anaesthesia 68(7):p 631-636, July 2024. | DOI: 10.4103/ija.ija_204_24

 

Q.10 What was the significant finding regarding the time taken for insertion between LMA® Protector™ and LMA® ProSeal™ in the study " Comparison of incidence of sore throat with laryngeal mask airway Protector and laryngeal mask airway ProSeal: A randomised clinical trial" by Rudingwa et al in the recent edition of the IJA

 

Ans : LMA® Protector™ had a significantly shorter insertion time.

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

 

            

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

 

 

 

Indian Journal of Anaesthesia (IJA) WEEKLY QUIZ #29

 Indian Journal of Anaesthesia (IJA)

WEEKLY QUIZ  #29

Quiz Question 1:

Which of the following is a limitation of fascial plane blocks compared to thoracic epidurals?

A) Fascial plane blocks provide complete analgesia for all types of surgery.

B) Thoracic epidurals are easier to insert and manage postoperatively.

C) Fascial plane blocks tend to provide incomplete analgesia and inconsistent pain relief.

D) Fascial plane blocks have no risk of complications such as haematoma or pneumothorax.

Correct Answer:

C) Fascial plane blocks tend to provide incomplete analgesia and inconsistent pain relief.

https://journals.lww.com/ijaweb/fulltext/2024/08000/beyond_epidurals__embracing_the_realities_of.1.aspx

Werry, Daniel; Uppal, Vishal. Beyond epidurals: Embracing the realities of fascial plane blocks for truncal and chest wall analgesia. Indian Journal of Anaesthesia 68(8):p 671-673, August 2024. | DOI: 10.4103/ija.ija_520_24

 

Quiz Question 2

Which of the following statements about the study on AKI in obstetric ICU patients is true?

A) Serum NGAL is a reliable predictor of ICU mortality in obstetric ICU patients.

B) The incidence of AKI in the study was lower than 50%.

C) Urinary NGAL showed a strong ability to predict the onset of AKI.

D) AKI was found in over 70% of the obstetric ICU patients during their stay.

Correct Answer: D) AKI was found in over 70% of the obstetric ICU patients during their stay.

https://journals.lww.com/ijaweb/fulltext/2024/08000/acute_kidney_injury_in_critically_ill_obstetric.4.aspx

Pipil, Kartik; Tyagi, Asha; Tyagi, Surbhi; Nigam, Chanchal; Das, Shukla1. Acute kidney injury in critically ill obstetric patients: Incidence and role of neutrophil gelatinase-associated lipocalcin – A prospective observational cohort study. Indian Journal of Anaesthesia 68(8):p 680-685, August 2024. | DOI: 10.4103/ija.ija_1029_23

Quiz Question 3

Which of the following is a primary outcome measured in the study comparing ultrasound-guided pulsed radiofrequency ablation and local anaesthetics with steroids for chronic shoulder pain?

A) Shoulder Pain and Disability Index (SPADI) at three months

B) Numerical Rating Score (NRS) at three months

C) Passive Range of Motion (PROM) at twelve weeks

D) Incidence of side effects at the injection site

Correct Answer: B) Numerical Rating Score (NRS) at three months

https://journals.lww.com/ijaweb/fulltext/2024/08000/effectiveness_of_ultrasound_guided_pulsed.12.aspx

Gupta, Shiwam K.; Ghai, Babita; Makkar, Jeetinder K.; Dhiman, Deepanshu1; Chouhan, Devendra K.2. Effectiveness of ultrasound-guided pulsed radiofrequency ablation of suprascapular nerve versus local anaesthetics with steroids in patients with chronic shoulder pain: A randomised controlled trial. Indian Journal of Anaesthesia 68(8):p 731-734, August 2024. | DOI: 10.4103/ija.ija_939_23

 

Question 4:
Which of the following is the primary reason combined spinal–epidural (CSE) anaesthesia was chosen for the emergency caesarean section in a primigravida with a ruptured right sinus of Valsalva aneurysm?

Options:

A. It provides a faster onset of anaesthesia compared to general anaesthesia.
B. It avoids the myocardial depression associated with general anaesthesia.
C. It minimizes the haemodynamic effects linked with a conventional dose of spinal anaesthesia.
D. It allows for better control of preload and afterload during surgery.

Answer:
C. It minimizes the haemodynamic effects linked with a conventional dose of spinal anaesthesia.

https://journals.lww.com/ijaweb/fulltext/2024/08000/efficacy_of_combined_spinal_epidural_anaesthesia.13.aspx

Bansal, Himanti; Cyriac, Jose; Singh, Ram; Ray, Sohini. Efficacy of combined spinal–epidural anaesthesia in mitigating cardiovascular stress during emergency caesarean section in a primigravida with ruptured right sinus of Valsalva aneurysm – A case report. Indian Journal of Anaesthesia 68(8):p 735-736, August 2024. | DOI: 10.4103/ija.ija_308_24

 

Question 5: Which of the following is the main point of contention regarding the triple injection peri-sartorius (TIPS) block technique described by the authors?

 A. The need for a separate supra-sartorial injection to block the intermediate femoral cutaneous nerve (IFCN).
B. The total volume of local anaesthetic used for the procedure.
C. The overall pain scores and opioid requirements reported in the study.
D. The potential for motor block affecting early mobilisation.

Answer:
A. The need for a separate supra-sartorial injection to block the intermediate femoral cutaneous nerve (IFCN).

https://journals.lww.com/ijaweb/fulltext/2024/08000/tips_on__tips_block_.16.aspx

Jana, Shrabanti; Mistry, Tuhin; Sonawane, Kartik. Tips on ‘TIPS Block’. Indian Journal of Anaesthesia 68(8):p 740-741, August 2024. | DOI: 10.4103/ija.ija_312_24

 

Question 6: What was the rationale provided by the authors for adding a separate supra-sartorial injection to the TIPS block technique?

Options: A. To enhance the motor blockade for better postoperative analgesia.
B. To block the pain related to the surgical incision more effectively.
C. To ensure complete block of the sciatic nerve branches.
D. To minimize the volume of local anesthetic used.

Answer: B. To block the pain related to the surgical incision more effectively.

https://journals.lww.com/ijaweb/fulltext/2024/08000/essential_tips_on_tips_block___clarifications.17.aspx

Moustafa, Moustafa A.; Ahmed, Aly M. M.; Alabd, Ahmad S.. Essential tips on TIPS block – clarifications. Indian Journal of Anaesthesia 68(8):p 741-742, August 2024. | DOI: 10.4103/ija.ija_518_24

Question 7 :  When did ketamine get FDA approval after its discovery 

 

A.     1970

B.     1965

C.      1960

D.     1983

Ans : A

Link : https://journals.lww.com/ijaweb/fulltext/2024/08000/ketamine_sedation_in_critically_ill_patients_.2.aspx

Sharif, Sameer1,2,3; Prakash, Jay4; Rochwerg, Bram2,3. Ketamine sedation in critically ill patients: Past, present and future. Indian Journal of Anaesthesia 68(8):p 674-676, August 2024. | DOI: 10.4103/ija.ija_519_24

 

 

Q. 8 Which amongst the following is false regarding the Airway Triage Application Method (ATAM) 

A. The HELPET checklist is designed for active detection of complexity factors

B. The PHASE checklist is designed to exclude complexity factors and triage basic from advanced airways actively.

C. Triage with ATAM can be done within 60–90 s

D. Retrognathia is a major factor that has a low relevance regarding patient safety

Ans : D

Link: : https://journals.lww.com/ijaweb/fulltext/2024/08000/airway_triage__goodbye,_difficult_airway_.3.aspx

Huitink, Johannes M. Airway Triage: Goodbye, difficult airway!. Indian Journal of Anaesthesia 68(8):p 677-679, August 2024. | DOI: 10.4103/ija.ija_505_24

 

Q.9  Which amongst the following is false regarding biomarkers in SEPSIS

A. Procalcitonin a precursor of calcitonin is synthesised by thyroid cells and secreted by various other cells including immune cells

B. The biomarkers increase within 4 h from the start of the innate immunity cascade, peaking within 6–8 h.

C. Uncoupling protein 2 (UCP2) is present on the mitochondrial outer membrane

D. Since all cells have mitochondria, they express UCP2 in sepsis.

Ans : C

Link : https://journals.lww.com/ijaweb/fulltext/2024/08000/potential_role_of_mitochondrial_uncoupling_protein.10.aspx

Sachidananda, Roopa; Bhat, Vikram Kemmannu1; Kurjogi, Mahantesh2; Vanti, Gulam Nabi L.2; Kayara, Madhura. Potential role of mitochondrial uncoupling protein 2 as a biomarker in patients with sepsis and septic shock: A prospective observational study. Indian Journal of Anaesthesia 68(8):p 718-724, August 2024. | DOI: 10.4103/ija.ija_1181_23

 

Q.10 What is the onset time and time to peak effect for Dexmeditomedine?

A. 5 mins and 15 mins

B. 5 mins and 10 mins

C. 15 mins and 30 mins

D. 2.5 mins and 15 mins

 

Ans : A

Link : https://journals.lww.com/ijaweb/fulltext/2024/08000/comparison_of_propofol_versus_dexmedetomidine.7.aspx

Vishnoi, Gunjan; Shah, Shagun B.; Chawla, Rajiv; Bhardwaj, Manoj; Patel, Anil; Arora, Jenna. Comparison of propofol versus dexmedetomidine sedation for awake C-MAC® D-Blade video laryngoscopic nasotracheal intubation in patients with difficult airway: A randomised clinical study. Indian Journal of Anaesthesia 68(8):p 699-705, August 2024. | DOI: 10.4103/ija.ija_923_23

 


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

 

 

 

IJA Compendium - Quadratus Lumborum (QL) Blocks

  🔹  *IJA COMPENDIUM – QL Block* Planning to conduct a study related to quadratus lumborum nerve blocks or introduce it to your clinical ...