Indian Journal of Anaesthesia (IJA)
WEEKLY QUIZ #20
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. Which of the following measures is recommended to reduce the risk
of operating theatre fires during surgeries involving the colon?
A) Increasing the use of
diathermy for opening the bowel
B) Implementing routine mechanical bowel
preparation (MBP)
C) Maintaining a high
concentration of oxygen in the gut
D) Using alcohol-based
skin preparations before surgery.
Ans B)
https://journals.lww.com/ijaweb/fulltext/2024/05000/intraperitoneal_fire_during_abdominal_surgeries_.18.aspx
Joshi, Malini Premkumar;
Bhosale, Shilpushp1; Kulkarni, Atul Prabhakar2; Patkar, Shraddha3.
Intraperitoneal fire during abdominal surgeries: ‘Fire in the belly’ not always
a good thing!. Indian Journal of Anaesthesia 68(5):p 506-507, May 2024. | DOI:
10.4103/ija.ija_775_23
Question 2: What is a significant advantage of the anatomical landmark-guided
technique for external oblique intercostal plane block (EOIPB) compared to the
ultrasound-guided technique?
A) It requires less
expertise to perform
B) It is more
cost-effective
C) It ensures a uniform and
adequate spread of local anaesthetic (LA)
D) It can be performed in
patients with contraindications to ultrasound-guided techniques
The correct answer is C)
https://journals.lww.com/ijaweb/fulltext/2024/05000/external_oblique_intercostal_plane_block_.17.aspx
Mistry, Tuhin; Sharma,
Santosh K.1; Sonawane, Kartik B.. External oblique intercostal plane block:
Anatomical landmark-guided technique!. Indian Journal of Anaesthesia 68(5):p
504-505, May 2024. | DOI: 10.4103/ija.ija_172_24
Question 3: What neural structures were consistently found
near the quadratus lumborum muscle (QLM) in the cadaveric study mentioned in an
article published in latest issues of IJA?
A) Subcostal nerve
(anterolateral) and iliohypogastric nerve
B) Ilioinguinal nerve and
iliohypogastric nerve
C) Subcostal nerve
(anterolateral) and ilioinguinal nerve
D) Dorsal thoracic nerves
and ilioinguinal nerve
Ans C)
https://journals.lww.com/ijaweb/fulltext/2024/05000/nerves_in_quadratus_lumborum_planes__a_cadaveric.16.aspx
Diwan, Sandeep; Blanch,
Xavier S.1; Nair, Abhijit S.2. Nerves in quadratus lumborum planes: A cadaveric
study. Indian Journal of Anaesthesia 68(5):p 500-503, May 2024. | DOI:
10.4103/ija.ija_84_24
Question 4: What is one of the main difficulties
highlighted in the research regarding the definition of intraoperative
hypotension (IOH)?
A) Limited research on IOH
B) Consistency in defining
IOH across studies
C) Universal agreement on a
specific IOH threshold
D) Accuracy in estimating
IOH incidence in clinical settings
Answer: C)
https://journals.lww.com/ijaweb/fulltext/2024/05000/is_research_reporting_intraoperative_hypotension.15.aspx
Karim, Habib M. R.;
Bansal, Vikash. Is research reporting intraoperative hypotension apt enough?.
Indian Journal of Anaesthesia 68(5):p 496-499, May 2024. | DOI:
10.4103/ija.ija_209_24
Question 5: What method is suggested in the research as a possible approach to
defining hypotension in most cases?
A) Using mean arterial pressure
(MAP)
B) Employing systolic
blood pressure (SBP) alone
C) Considering a 20% fall
from baseline as the defining criterion
D) Using the first reading
on the operating table as the baseline
Answer: A)
https://journals.lww.com/ijaweb/fulltext/2024/05000/is_research_reporting_intraoperative_hypotension.15.aspx
Karim, Habib M. R.;
Bansal, Vikash. Is research reporting intraoperative hypotension apt enough?.
Indian Journal of Anaesthesia 68(5):p 496-499, May 2024. | DOI:
10.4103/ija.ija_209_24
Q6. What was the primary aim of the study
comparing intracuff lignocaine and intracuff air during tracheal extubation in
paediatric patients?
A)
Comparing haemodynamic changes between the two
groupsAirway obstruction score
B)
Investigating the incidence of laryngospasm
postextubation
C)
Assessing the occurrence of desaturation after
extubation
D)
Examining the difference in postextubation cough incidence
Answer : D)
https://journals.lww.com/ijaweb/fulltext/2024/05000/efficacy_of_endotracheal_tube_cuff_lignocaine_in.13.aspx
Kavyashree, M. B.; Kundra,
Pankaj; Vinayagam, Stalin. Efficacy of endotracheal tube cuff lignocaine in the
prevention of postextubation cough in children undergoing elective surgeries –
A randomised controlled trial. Indian Journal of Anaesthesia 68(5):p 486-491,
May 2024. | DOI: 10.4103/ija.ija_1013_23
Q.7 Which of the following
statements accurately describes the Clavien-Dindo classification system?
A)
It grades the severity of adverse events during
surgery based on patient age.
B)
It ranges from 1 to 5, with higher scores
indicating less severe complications.
C)
A score of 3 indicates the need for surgical intervention.
D)
A score of 4 signifies patient discharge without
further medical attention.
Answer: C
https://journals.lww.com/ijaweb/fulltext/2024/05000/perioperative_adverse_cardiac_events_in.5.aspx
Chohan, Mehak*; Liu,
Winnie1,*; Chowdhury, Tumul2. Perioperative adverse cardiac events in
maxillofacial surgery: A systematic review and meta-analysis. Indian Journal of
Anaesthesia 68(5):p 426-438, May 2024. | DOI: 10.4103/ija.ija_1206_23
Q. 8 the lowest effective
dose of IV lidocaine to prevent opioid-induced cough (OIC) during tracheal
intubation is
A)
0.5mg/kg
B)
1mg/kg
C)
1.5mg/kg
D)
2mg/kg
Answer A
https://journals.lww.com/ijaweb/fulltext/2024/05000/comparison_between_dexmedetomidine_and_lidocaine.4.aspx
Purohit, Aanchal; Kumar,
Mohan; Kumar, Niraj; Bindra, Ashish; Pathak, Sharmishtha1; Yadav, Anuradha2.
Comparison between dexmedetomidine and lidocaine for attenuation of cough
response during tracheal extubation: A systematic review and meta-analysis. Indian
Journal of Anaesthesia 68(5):p 415-425, May 2024. | DOI: 10.4103/ija.ija_790_23
Q.9 Which of the following is not a complication that is seen with
Quadratus Lumborum Block ?
A) quadriceps weakness
B) haematoma associated with allodynia.
C) hyperalgesia
D)
Constipation
Answer: D)
https://journals.lww.com/ijaweb/fulltext/2024/05000/effect_of_ultrasound_guided_quadratus_lumborum.10.aspx
Rathod, Pyarelal Ramsing;
Bhoi, Debesh; Kumar, Ajeet; Ray, Bikash Ranjan; Mohan, Virender Kumar; Kashyap,
Lokesh. Effect of ultrasound-guided quadratus lumborum block on neuroendocrine
stress response and postoperative analgesia in paediatric patients undergoing
elective open pyeloplasty – A randomised clinical trial. Indian Journal of
Anaesthesia 68(5):p 467-472, May 2024. | DOI: 10.4103/ija.ija_608_23
Q.10 Microcuff provides a
seal with a pressure of less than ----- Cm H20
A) 10
B)
15
C) 20
D) 25
The correct answer is B)
https://journals.lww.com/ijaweb/fulltext/2024/05000/efficacy_of_endotracheal_tube_cuff_lignocaine_in.13.aspx
Kavyashree, M. B.; Kundra,
Pankaj; Vinayagam, Stalin. Efficacy of endotracheal tube cuff lignocaine in the
prevention of postextubation cough in children undergoing elective surgeries –
A randomised controlled trial. Indian Journal of Anaesthesia 68(5):p 486-491,
May 2024. | DOI: 10.4103/ija.ija_1013_23
