Primary MCQs-Aug2016

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Hi all, I've noticed the admin has yet to edit the main page to allow us to submit recalled questions for the August 2016 Paper. I understand that the college is unhappy with "illicit" Blank Bank questions and as a consequence MCQs from 2017 are Pass/Fail. However to keep the dream alive for our up and coming colleagues, should you wish to contribute, please agree to remember some MCQs for the paper and post here after the exam

Please add in the questions you remembered. (If after the exam) - Otherwise if you are planning to remember some questions please put the number and place your name/mark on it as per previous years.

Recalled questions without numbers

16B-x1 Clopidogrel:

A. Acts on P2Y₁₂ receptors

B. Works in a different mechanism to ticlopidine

C.

D.

E.

16B-x2 Which is not a side effect of Amiodarone:

A. Cardiomyopathy

B.

C. Pulmonary fibrosis

D.

E. Optic neuritis

16B-x3 A question about administration of Suxamethonium after Neostigmine, Suxamathonium will have:

A. Increased duration

B. Increased potency

C.

D.

E.

16B-x4 Which of these is not a concern for anaesthesia with Nitrous Oxide

A. Methonine depletion

B. Folate metabolism

C. absorption atelectasis

D. Cardiac morbidity

E.

16B-x5 (A repeat of MB40) Sugammadex causes effective reversal of:

A. Rocuronium


B. Vecuronium


C. Rocuronium and Vecuronium

D. Rocuronium, vecuronium and pancuronium


E. None of the above

16B-x6 (A repeat of 14B-117 and 16A-119) Cephazolin

A. Is a third generation cephalosporin

B. Doesn’t penetrate the blood brain barrier so cannot be used for neurosurgery

C. Only covers gram-positive cocci

D. Is a potent bactericidal agent

E. Does not require dose adjustment in renal impairment

16B-x7 Witnessed arrest, shockable rhythum, defibrillator immediately available, choice of energy for shock for the first 3 shocks:

A. Monophasic - Combination of 200J, 300J, 360J

B. Monophasic - Combination of 200J, 300J, 360J

C. Biphasic - 200J, 200J, 200J

D. Biphasic - 200J, 200J, 360J

E. Biphasic - 200J, 360J, 360J

16B-x8 If cardiac output and oxygen consumption remains the same, which of these would lead to an increased in mixed venous O₂ tension

A. Alkalosis

B. Hypercapnea

C. ?Reduced 2,3 DPG

D. ?Hypothermia

E. None of the above

16B-x9 Rivaroxaban (poorly recalled)

A. Partial reversal with prothrombinex concentrate

B.

C.

D.

E.

16B-x10 Nitrous Oxide at 70% (Possibly a repeat of IN09

A. Uptake more than 1L in first minute

B. Increase in pneumothorax up to 500% in 10min

C.

D.

E.

Which of the following can be safely continued in the preoperative period/ which do you not need to cease?

A. Garlic

B. Ginger

C. Glucosamine

D. Ginseng

E. ?Ginko

Numbered MCQs

1. Which of the following is TRUE regarding inhalation of 70% nitrous oxide 70%?

A. More than 1l/min uptake

B. Pneumothorax increases in size by 500% by 10 minutes

C. Equilibriates in muscle tissue in 2 hours

D. Equilibriates in fat in 5 hours

E. 200ml/minute uptake after 20 minutes

2. Local anaesthesic metabolism:

A. Phase 1 de-alkylation in the liver

B. Lignocaine metabolised to inactive metabolites

C. ?

3. Which of the following is true regarding clonidine:

A. Causes tachycardia

B. Causes hypertension

C. ?

4. MAOI

5. MAOI

6. MC

7. MC

8. MC

9. Linc

10. Linc

11. Linc

12.

13.

14.

15.

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

43.

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

56.

57.

58.

59.

60.

61.

62.

63.

64.

65.

66.

67.

68.

69.

70.

71.

72.

73.

74.

75.

76.

77.

78.

79.

80.

81.

82.

83.

84.

85.

86.

87.

88.

89.

90.

91.

92.

93. West

94. West

95.

96.

97.

98. Effects of vagal stimulation:

A. increases speed of AV conduction

B Improves rate of ventricular relaxation

C Cannot recall other options

99. Muscle type nicotinic receptors:

A. Are found both pre and post synaptically

B. Have high Calcium permeability

C. Cannot recall other options

100. Ran out of time. Sorry.

101. 16B-101 Pressure within a half full Nitrous Oxide cylinder at 20C is:

A. Saturated pressure of N2O at 20C

B. Pressure is proportional to the amount remaining

C. Can't remember

D. Related to Boyle's Law

E. Related to Charles' Law

102. 16B-102 Carbon monoxide production is increased with:

A. Using Sevoflurane instead of Desflurane

B. Using dessicated soda lime

C. Using less NaOH and KOH

D. Using Baralyme

E. Increased fresh gas flows

103.

104.

105. 16B-105 What is not an effect of pethidine?

A. Miosis

B. Orthoststic hypotension

C. Myocardial depression

D. Tachycardia

E. Can't remember

106. 16B-106 (repeat) Which is mostly an excitatory neurotransmitter?

A. Glycine

B. Glutamate

C. GABA

D. Serotonin

E. Dobutamine

107. 16B-107 (repeat from 16A) A Line Isolation Monitor:

A. Interrupts the circuit if detects current leakage

B. Will protect from microshock

C. Sufficient for a body protected area

D. Sufficient for a cardiac protected area

E. Intermittently creates single fault conditions

108. 16B-108 Which are physiological antagonists?

A. Calcium and verapamil

B. Dimercaprol? And heavy metals

C. Morphine and naloxone

D. Histamine and adrenaline

E. ?warfarin and phenobarbitone

109.

110.

111.

112.

113.

114. 16B-114 During labour, the following decreases;

A. Epidural pressure

B. CSF pressure

C. Endorphin levels

D. Gastric emptying

E. ?

115.

116.

117.

118.

119.

120.

121.

122.

123.

124.

125.

126.

127.

128.

129.

130.

131. 16B-131 A neonate generates large intrathoracic pressure changes in the first few breaths. These are required because of:

A. High lung compliance

B. Low Chest wall compliance

C. Viscous resistance of bronchiolar fluid

D. LOW surface tension at viscid bronchoalveolar fluid interface

E. ?

132.

133.

134.

135. 16B-135 Zero order kinetics:

A. Same amount of the drug removed from the body per unit time

B. Same proportion of drug removed from the body per unit time

C. Is an exponential process

D. ?

E. ?

136.

137.

138.

139.

140.

141.

142.

143.

144.

145. FM

146. FM

147. FM

148. AD

149. AD

150. AD