ASSISTANT PROFESSOR IN ANAESTHESIA (NCA) – MEDICAL EDUCATION DEPARTMENT
PROVISIONAL ANSWER KEY
Question Paper Code: 52/2019/OL
Category Code: 153/2018
Exam: Assistant Professor in Anaesthesia NCA
Medium of Question: English
Date of Test 01-11-2019
Department Medical Education
Alphacode A
Question1:-The trachea begins at the level of the cricoid cartilage and extends to the carina at the level of the
A:-6th thoracic vertebra
B:-5th thoracic vertebra
C:-4th thoracic vertebra
D:-3rd thoracic vertebra
Correct Answer:- Option-B
Question2:-Sternomental distance of less than _____ cm are associated with difficult intubation
A:-16 cm
B:-15.5 cm
C:-14 cm
D:-12.5 cm
Correct Answer:- Option-D
Question3:-Which of the following is not true about preoxyenation
A:-An end tidal oxygen concentration greater than 85% maximizes apnea time
B:-Is essential in rapid sequence induction
C:-May be given by tidal volume ventilation through facemask for 3 minutes
D:-May be given by 8 vital capacity breaths over 60 seconds
Correct Answer:- Option-A
Question4:-The glossopharyngeal nerve supplies all of the following except
A:-Posterior third of the tongue
B:-Anterior surface of the epiglottis
C:-Vallecula
D:-Glottic surface of the epiglottis
Correct Answer:- Option-D
Question5:-Recovery from blockade following spinal anaesthesia occurs in the following order
A:-Motor, touch, pinprick, cold
B:-Motor, touch, cold, pinprick
C:-Cold, pinprick, touch, motor
D:-Cold, touch, pinprick, motor
Correct Answer:- Option-A
Question6:-While assessing motor blockade following central neuraxial blockade: Inability to raise extended leg and
move knee; able to move feet is a Modified Bromage scale of
A:-0
B:-1
C:-2
D:-3
Correct Answer:- Option-C
Question7:-Which of the following factors increase headache after spinal puncture?
A:-Age, younger more frequent
B:-Males > females
C:-Insertion and use of catheters for continuous spinal anaesthesia
D:-Timing of ambulation
Correct Answer:- Option-A
Question8:-Cervical plexus block provides anaesthesia in the distribution of
A:-C 2-6
B:-C 3-6
C:-C 2-4
D:-C 2-5
Correct Answer:- Option-C
Question9:-Kayak sign is seen in which of the following ultrasound guided regional block
A:-Femoral block
B:-Popliteal block
C:-Supraclavicular block
D:-Transversus abdominis plane block
Correct Answer:- Option-D
Question10:-The most troublesome complication that limits the dose of epidural fentanyl in labour analgesia is
A:-Itching
B:-Fetal bradycardia
C:-Maternal hypotension
D:-Maternal bradycardia
Correct Answer:- Option-A
Question11:-Tuffiers line joins the
A:-Posterior superior iliac spines
B:-Anterior superior iliac spines
C:-Sacral cornua
D:-Ischial tuberosities
Correct Answer:- Option-B
Question12:-Which of the following non technical skills is the glue that holds all components together
A:-Communication
B:-Team working
C:-Situation awareness
D:-Decision making
Correct Answer:- Option-A
Question13:-The boiling point of sevoflurane is
A:-50.2°C
B:-48.5°C
C:-58.6°C
D:-22.8°C
Correct Answer:- Option-C
Question14:-The following is not true about the low pressure section of the gas supply system
A:-It is the least vulnerable area of the anaesthesia machine
B:-A leak in the LPS can cause delivery of a hypoxie mixture
C:-It is located downstream all safety features except oxygen analyzer
D:-A leak can cause inadequate concentration of anaesthetic agent
Correct Answer:- Option-A
Question15:-Which of the following separates the intermediate pressure system from the low pressure system
A:-Flow meter tubes
B:-Vaporizer
C:-second stage pressure regulators
D:-Flow control valves
Correct Answer:- Option-D
Question16:-All of the following are essential components of the circle system except
A:-Inspiratory and expiratory unidirectional valves
B:-Oxygen analyzer
C:-Adjustable pressure limiting valve
D:-Canister containing carbon dioxide absorbent
Correct Answer:- Option-B
Question17:-Which of the following summarizes the relative efficiency of the mapleson systems for spontaneous ventilation
to prevent rebreathing
A:-DFE>BC>A
B:-CB>A>DFE
C:-A>DFE>CB
D:-A>CB>DFE
Correct Answer:- Option-C
Question18:-Pharyngeal function is restored to normal when adductor pollicis TOF function is
A:->0.6
B:->0.7
C:->0.8
D:->0.9
Correct Answer:- Option-D
Question19:-In the ambulatory surgical setting the most significant cause of delayed discharge is
A:-Postoperative pain
B:-Nausea and vomiting
C:-Cognitive dysfunction
D:-Hypertension
Correct Answer:- Option-A
Question20:-The most vulnerable organ to laser is
A:-Heart
B:-Eye
C:-Skin
D:-Lungs
Correct Answer:- Option-B
Question21:-Which of the following is not an exclusion criteria for robotically assisted endoscopic CABG
A:-Severe aortic and mitral valve disease
B:-Morbid obesity
C:-Severe peripheral vascular disease
D:-Ejection fraction <40%
Correct Answer:- Option-D
Question22:-Obstructive sleep apnea is defined as
A:-Episodic complete cessation of airflow during breathing for 10 seconds or longer occurring 5 or more times per hour
of sleep with decrease of at least 4% in oxygen saturation
B:-Episodic complete cessation of airflow during breathing for 15 seconds or longer occurring 5 or more times per hour
of sleep with decrease of at least 5% in oxygen saturation
C:-Episodic complete cessation of airflow during breathing for 10 seconds or longer occurring 10 or more times per
hour of sleep with decrease of at least 4% in oxygen saturation
D:-Episodic complete cessation of airflow during breathing for 15 seconds or longer occurring 10 or more times per
hour of sleep with decrease of at least 5% in oxygen saturation
Correct Answer:- Option-A
Question23:-Clinical criteria for diagnosing metabolic syndrome include the all of the following except
A:-Abdominal obesity
B:-Raised triglycerides
C:-Raised HDL cholesterol
D:-Hypertension
Correct Answer:- Option-C
Question24:-Anaesthetic drug dosing is based on ideal body weight for all the following drugs except
A:-Propofol
B:-Midazolam
C:-Vecuronium
D:-Remifentanil
Correct Answer:- Option-B
Question25:-Which of the following coagulation factors is decreased during pregnancy
A:-VII
B:-XI
C:-IX
D:-X
Correct Answer:- Option-B
Question26:-What is the change that occurs to central venous pressure during pregnancy
A:-Unchanged
B:-Increased by 5%
C:-Increased by 10%
D:-Decreased by 5%
Correct Answer:- Option-A
Question27:-The largest increase in cardiac output occurs during which phase of pregnancy
A:-Second trimester
B:-Thrid trimester
C:-First stage of labour
D:-Immediately after delivery
Correct Answer:- Option-D
Question28:-In massive obstetric haemorrhage the ratio of blood products to be transfused is 1 platelet plasmapheresis for
every _____ units of PRBCs
A:-1-2
B:-2-4
C:-4-6
D:-6-8
Correct Answer:- Option-C
Question29:-Which of the following drugs has minimal placental transfer
A:-Volatile anaesthetics
B:-Benzodiazepines
C:-Local anaesthetics
D:-Heparin
Correct Answer:- Option-D
Question30:-Which of the following is a major criteria for diagnosis for fat embolism
A:-Respiratory insufficiency
B:-Pyrexia
C:-Tachycardia
D:-Jaundice
Correct Answer:- Option-A
Question31:-Which of the following characteristics is more typical of infant airway compared to adult airway
A:-Larynx is located more caudad in the neck
B:-Smaller tongue relative to the oral cavity
C:-Narrowest portion of the trachea is at the level of the vocal cords
D:-Vocal cords have more caudad and anterior attachment
Correct Answer:- Option-D
Question32:-According to the Glasgow coma scale, spontaneous eye opening has a score of
A:-5
B:-4
C:-3
D:-2
Correct Answer:- Option-B
Question33:-All of the following are goals for early resuscitation in trauma except
A:-Maintain systolic blood pressure between 80 to 100 mm Hg
B:-Maintain platelet count more than 1,00,000 per high power field
C:-Maintain prothrombin and partial thromboplastin times within normal range
D:-Maintain normal serum ionized calcium
Correct Answer:- Option-B
Question34:-During triage in mass casualty patients that require immediate attention are triaged under which colour
A:-Green
B:-Yellow
C:-Red
D:-White
Correct Answer:- Option-C
Question35:-Which component of the triple manoeuvre to maintain airway patency is used in a polytrauma patient
A:-Head tilt
B:-Chin lift
C:-Jaw thrust
D:-All of the above
Correct Answer:- Option-C
Question36:-Treatment of choice in a patient having atrial fibrillation with ischaemic chest pain and hypotension is
A:-Cardioversion
B:-Beta Blocker
C:-Amiodarone
D:-Anticoagulation
Correct Answer:- Option-A
Question37:-Minimum time required for neurologic prognostication in post arrest cardiac care is
A:-24 hrs
B:-48 hrs
C:-72 hrs
D:-96 hrs
Correct Answer:- Option-C
Question38:-Dose of vasopressin in cardiac arrest is
A:-80 units to replace first or second dose of epinephrine
B:-40 units to replace first or second dose of epinephrine
C:-20 units to replace first or second dose of epinephrine
D:-10 units to replace first or second dose of epinephrine
Correct Answer:- Option-B
Question39:-Potentially reversible causes of cardiac arrest include
A:-Hypovolemia
B:-Hypoxia
C:-Tension pneumothorax
D:-All of the above
Correct Answer:- Option-D
Question40:-Antiarrhythymic of choice in arrhythmia resistant to defibrillation after epinephrine administration is
A:-Adenosine
B:-Amiodarone
C:-Lignocaine
D:-Magnesium
Correct Answer:- Option-B
Question41:-Elevated anion gap metabolic acidosis is caused by all the following except
A:-Rental tubular acidosis
B:-Lactic acidosis
C:-Methanol poisoning
D:-Salicylate poisoning
Correct Answer:- Option-A
Question42:-All the following are causes of metabolic acidosis except
A:-Hypovolaemia
B:-Septic Shock
C:-Severe Hypoxia
D:-Hypoalbuminemia
Correct Answer:- Option-D
Question43:-Stewart Fencl approach as Analytical tool in acid-base chemistry is a .....
A:-Descriptive approach
B:-Semi Quantitative approach
C:-Quantitative approach
D:-Qualitative approach
Correct Answer:- Option-C
Question44:-All the following are measures to monitor cerebral metabolism except
A:-Intra cerebral `PO_(2)` monitor
B:-Jugular venous oxymetry
C:-Trans-cranial Doppler
D:-Near infra-red spectroscopy (NIRS)
Correct Answer:- Option-D
Question45:-All the following are causes of increase in partial pressure of end tidal `CO_(2)` except
A:-Fever
B:-Pulmonary embolism
C:-Malignant hyperthermia
D:-Thyrotoxicosis
Correct Answer:- Option-B
Question46:-Mixed venous `O_(2)` saturation (`SvO_(2)` ) is the oxygen saturation of blood at the
A:-Proximal pulmonary artery
B:-Proximal pulmonary vein
C:-Right atrium
D:-Superior vena cava
Correct Answer:- Option-A
Question47:-Bispectral index (BIS) 80 means
A:-General Anesthesia
B:-Light/Moderate sedation
C:-Awake state
D:-Burst suppression
Correct Answer:- Option-B
Question48:-Cannon 'a' wave in cvp monitoring is seen in
A:-Atrioventricular dissociation
B:-atrial fibrillation
C:-tricuspid stenosis
D:-pericardial constriction
Correct Answer:- Option-A
Question49:-ECG changes in hyperkalemia except
A:-Tall, peaked T waves
B:-Prolonged PR interval
C:-elevation of U wave
D:-Widened QRS
Correct Answer:- Option-C
Question50:-Anaesthetic drugs that trigger malignant hyperthermia except
A:-Succinyl choline
B:-Rocuroronium
C:-sevofluorane
D:-Halothane
Correct Answer:- Option-B
Question51:-Train of four ratio fade indicates
A:-Control response
B:-Partial non depolarizing block
C:-Partial depolarizing block
D:-None of the above
Correct Answer:- Option-B
Question52:-Child torcutte Pugh classification includes except
A:-Ascites
B:-Bilirubin
C:-Albumin
D:-ALT
Correct Answer:- Option-D
Question53:-Which of the following inhalational agents is the induction agent of choice in children?
A:-Methoxyflurane
B:-Sevoflurane
C:-Desflurane
D:-Isoflurane
Correct Answer:- Option-B
Question54:-Which of the following side effect is seen with fentanyl?
A:-Chest wall rigidity
B:-Tachycardia
C:-Pain on injection
D:-Hypertension
Correct Answer:- Option-A
Question55:-Which of the following inhalational agents has the minimum blood gas solubility coefficient?
A:-Isoflurane
B:-Sevoflurane
C:-Desflurane
D:-Nitrous oxide
Correct Answer:- Option-C
Question56:-Halothane causes except
A:-Hypotension
B:-Tachycardia
C:-Broncodilatation
D:-Malignant hyperthermia
Correct Answer:- Option-B
Question57:-Which one of the following local anesthetics belongs to the ester group?
A:-Procaine
B:-Bupivacaine
C:-Lignocaine
D:-Mepivacaine
Correct Answer:- Option-A
Question58:-Induction agent of choice in hypovolemic shock
A:-Propofol
B:-Thiopental
C:-Fentanyl
D:-Ketamine
Correct Answer:- Option-D
Question59:-Compound A is related to
A:-Halothane
B:-Isofluorane
C:-Sevofluorane
D:-Ether
Correct Answer:- Option-C
Question60:-Ideal ventilatory strategy in ARDS
A:-High volume, low rate
B:-Low volume, High rate
C:-Normal volume, normal rate
D:-Normal volume, High rate
Correct Answer:- Option-B
Question61:-Loss of resistance method to identify epidural space was perfected by
A:-Fernand Cathelin
B:-Achillo F Doglliotti
C:-August Bier
D:-Leonard Corning
Correct Answer:- Option-B
Question62:-World Anesthesia day is celebrated every year on
A:-April 7
B:-December 1
C:-October 16
D:-May 26
Correct Answer:- Option-C
Question63:-Which of the following is an unpaired cartilage forming larynx
A:-Cricoid cartilage
B:-Arytenoid cartilage
C:-Corniculatecartilage
D:-Cuneiform cartilage
Correct Answer:- Option-A
Question64:-Suprascapular nerve arises from
A:-Posterior cord of brachial plexus
B:-Lower trunk of brachial plexus
C:-Upper trunk of brachial plexus
D:-Medial cord of brachial plexus
Correct Answer:- Option-C
Question65:-Anatomic dead space for a 70 kg man is approximately
A:-70 ml
B:-100 ml
C:-140 ml
D:-240 ml
Correct Answer:- Option-C
Question66:-Cerebrospinal fluid is produced from
A:-Choroid plexus
B:-Arachnoid villi
C:-Foramen Munroe
D:-Foramen Lluschka
Correct Answer:- Option-A
Question67:-The extent of sympathectomy following spinal anaesthesia is described as extending
A:-2 to 6 dermatomes above sensory block level
B:-2 to 6 dermatomes below sensory block level
C:-1 to 2 dermatomes above sensory block level
D:-1 to 2 dermatomes below sensory block level
Correct Answer:- Option-A
Question68:-Hydrolysis by plasma cholinesterases is the primary elimation route for all the following drugs except
A:-Succinylcholine
B:-Mivacurium
C:-Procaine
D:-Lignocaine
Correct Answer:- Option-D
Question69:-Which of the following drug is contraindicated in patients with porphyria
A:-Thiopentone Sodium
B:-Propofol
C:-Ketamine
D:-Midazolam
Correct Answer:- Option-A
Question70:-Megaloblastic anemia can occur in patients with prolonged exposure to
A:-Cyclopropane
B:-Nitrous Oxide
C:-Halothane
D:-Sevoflurane
Correct Answer:- Option-B
Question71:-Reversal agent for Recuronium is
A:-Naloxone
B:-Sugammadex
C:-Flumazenil
D:-Atipamezole
Correct Answer:- Option-B
Question72:-At constant temperature, the volume of a fixed amount of a perfect gas varies inversely with its pressure. This
law is known as
A:-Charles' law
B:-Gay Lussac's law
C:-Avagadro's law
D:-Boyle's law
Correct Answer:- Option-D
Question73:-Relationship between pressure within a sphere and the tension in the wall is described by
A:-Laplace's law
B:-Delton's law
C:-Poiscuille's law
D:-Fick's law
Correct Answer:- Option-A
Question74:-Following muscles are used for inspiration except
A:-Diaphragm
B:-Scalene muscles
C:-Internal intercostal muscles
D:-External intercostal muscles
Correct Answer:- Option-C
Question75:-The p50 (the partial pressure of oxygen in blood at which 50% hemoglobin is saturated with oxygen) for normal
adult hemoglobin is
A:-5 mm Hg
B:-15 mm Hg
C:-47 mm Hg
D:-27 mm Hg
Correct Answer:- Option-D
Question76:-Smoking cessation on the day before surgery results in which of the following effects
A:-Decreased postoperative respiratory complications
B:-Decreased carboxyhemoglobin concentrations
C:-Decreased need for post operative ventilation
D:-Decreased Sputum volume
Correct Answer:- Option-B
Question77:-Which of the following volatile anesthetic is the most potent depressant of the normal baroreceptor response
A:-Sevoflurane
B:-Halothane
C:-Isoflurane
D:-Desflurane
Correct Answer:- Option-B
Question78:-During liver transplantation on a 56 year old man the Thromboelastograph (TEG) tacing showed fibrinolysis.
The parameter of TEG measuring clot strength is
A:-R value
B:-Alpha angle
C:-Maximum Amplitude (MA)
D:-K Value
Correct Answer:- Option-C
Question79:-Which of the following insulin replacement therapies has the longest duration of action
A:-Insulin Lispro
B:-Resular Insulin
C:-Neutral Protamine Hagedorn (NPH)
D:-Insulin Glargine
Correct Answer:- Option-D
Question80:-What metabolic condition is most likely associated with large amounts of normal saline infusion in an otherwise
healthy patient
A:-Metabolic alkalosis
B:-Non-Anion gap metabolic acidosis
C:-High Anion gap metabolic acidosis
D:-Increased strong Iron difference
Correct Answer:- Option-B
Question81:-The motto on the seal of the ASA is
A:-Vigilance
B:-Alertness
C:-Watchfulness
D:-Compassion
Correct Answer:- Option-A
Question82:-the hallmark of parasympathetic activation is the release of
A:-Serotonin
B:-adrenaline
C:-Dopamine
D:-Acetylcholine
Correct Answer:- Option-D
Question83:-The sympathetic nervous system originates from
A:-Pons
B:-Medulla
C:-Thoracolumbar region in spinal cord
D:-Lumbosacral region in spinal cord
Correct Answer:- Option-C
Question84:-Receptor preference for Dexmedetomidine is
A:-1600:1 `prop` 2 receptors relative to `prop` 1 receptors
B:-200:1 `prop` 2 receptors relative to `prop` 1 receptors
C:-1600:1 `prop` 1 receptor relative to `prop` 2 receptors
D:-200:1 `prop` 1 receptor relative to `prop` 2 receptors
Correct Answer:- Option-A
Question85:-All of the following is true about cerebral blood flow except
A:-Receives approximately 15% of cardiac output
B:-Is approximately 50 mL/100 g/min
C:-Gray matter receives 80% and white matter receives 20% of blood flow
D:-Ketamine decreases Cerebral Metabolic Rate and cerebral blood flow
Correct Answer:- Option-D
Question86:-What percentage of `CO_(2)` is transported as bicarbonate ion in blood?
A:-5%
B:-20%
C:-75%
D:-90%
Correct Answer:- Option-D
Question87:-The greatest amount of ventricular filling occurs in which phase of diastole
A:-Isovolumic relaxation
B:-Rapid filling phase
C:-slow filling, or diastasis
D:-Final filling during atrial systole
Correct Answer:- Option-B
Question88:-In mallampathi scoring visualisation of soft palate, faucial pillars, uvula obscured by base of tongue is
A:-Grade 1
B:-Grade 2
C:-Grade 3
D:-Grade 4
Correct Answer:- Option-B
Question89:-ENIGMA trial evaluated the use of which anaesthetic agent
A:-Etomidate
B:-Nitrous oxide
C:-Isoflurane
D:-Morphine
Correct Answer:- Option-B
Question90:-All of the following are true about inhaled anaesthetic agents except
A:-Increase rate of mucous clearance
B:-Reduce tidal volume and minute ventilation
C:-Diaphragmatic function is well preserved
D:-Inspiratory rib cage muscles are depressed
Correct Answer:- Option-A
Question91:-Techniques to prevent post operative nausea and vomiting include all except
A:-Use regional anaesthesia alone
B:-Avoid use of nitrous oxide for anaesthesia maintenance
C:-Use of inhalation agent instead of propofol if general anaesthesia used
D:-Try to avoid paralysis if clinically indicated
Correct Answer:- Option-C
Question92:-Which of the following bronchial blockers have a bifurcated tip?
A:-Arndt blocker
B:-Cohen blocker
C:-EZ blocker
D:-Uniblocker
Correct Answer:- Option-C
Question93:-Haemodynamic goals in a patient with aortic stenosis include all except
A:-Sinus Rhythm
B:-Maintain heart rate
C:-Avoid increasing systemic vascular resistance
D:-Maintain venous return
Correct Answer:- Option-C
Question94:-All of the following are electrolyte imbalances seen in an infant with severe vomiting except
A:-Hyponatremia
B:-Hyperchloremia
C:-Hypokalemia
D:-Metabolic alkalosis
Correct Answer:- Option-B
Question95:-Which of the following irrigating fluids cause transient post operative visual syndrome
A:-Distilled water
B:-Glycine
C:-Sorbitol
D:-Mannitol
Correct Answer:- Option-B
Question96:-How many days must ticlopidine be stopped before administering neuraxial block?
A:-Don't stop
B:-7 days
C:-14 days
D:-21 days
Correct Answer:- Option-C
Question97:-Parkland formula for resuscitation in burns patients uses which fluid
A:-Crystalloid
B:-Colloid
C:-Crystalloid and colloid
D:-Albumin
Correct Answer:- Option-A
Question98:-Which of the following is not part of the lethal triad in a trauma patient
A:-Acidosis
B:-Coagulopathy
C:-Hypothermia
D:-Haemorrhage
Correct Answer:- Option-D
Question99:-Which of the following criteria is assessed as part of the modified Aldrete Scoring System
A:-Respiration
B:-Pain
C:-Nausea and vomitting
D:-Surgical bleeding
Correct Answer:- Option-A
Question100:-The pin index safety system for carbon dioxide is
A:-1.5
B:-2.5
C:-1.6
D:-2.6
Correct Answer:- Option-C
