Theatre Technician – Kerala Medical education Service(CAT NO 017/2019)

FINAL ANSWER KEY
Question Paper Code: 20/2020/OL
Category Code: 017/2019
Exam: Theatre Technician
Date of Test 30-11-2020
Department Kerala Medical education Service
Alphacode A
Question1:-Where does spinal cord ends ?
A:-T11 – T12
B:-L1 – L2
C:-T8 – T9
D:-L5 – S1
Correct Answer:- Option-B
Question2:-Number of spinal nerves
A:-30 pairs
B:-31 pairs
C:-35 pairs
D:-40 pairs
Correct Answer:- Option-B
Question3:-Which structure is pierced during caudal anaesthesia ?
A:-Sacroiliac ligament
B:-Supraspinal ligament
C:-Sacrococcygeal membrane
D:-Interspinous ligament
Correct Answer:- Option-C
Question4:-Formula for determining the size of the Endotracheal tube
A:-(Age/4) + 4
B:-(Age/2) + 2
C:-(Age/2) + 2.5
D:-(Age/2) + 4
Correct Answer:-Question Cancelled
Question5:-Muscle relaxant undergoing break down through Hoffmann elimination is
A:-Vecuronium
B:-Atracurium
C:-Rocuronium
D:-Mivacurium
Correct Answer:- Option-B
Question6:-Remifentanyl is metabolized in the body by
A:-Red cell nonspecific esterases
B:-Pseudo cholinesterases
C:-Anticholine esterases
D:-By diffusion only
Correct Answer:- Option-A
Question7:-Shortest acting non-depolarizing muscle relaxant is
A:-Pipecuronium
B:-Succinyl choline
C:-Cis-atracurium
D:-Mivacurium
Correct Answer:- Option-D
Question8:-Most physiological Intravenous fluid is
A:-Normal Saline
B:-Dextrose normal saline
C:-Isolyte-P
D:-Ringer Lactate
Correct Answer:- Option-D
Question9:-10 ml of available KCl preparation (Potassium Chloride) contains
A:-5 mEq Potassium
B:-10 mEq Potassium
C:-20 mEq Potassium
D:-40 mEq Potassium
Correct Answer:- Option-C
Question10:-𝑁𝑎𝐻𝐶𝑂3 (Sodium bicarbonate) is used in all the following conditions except
A:-Hypernatraemia
B:-Metabolic acidosis
C:-Hyperkalaemia
D:-Tricyclic antidepressant toxicity
Correct Answer:- Option-A
Question11:-Amount of Oxygen each gram of Hemoglobin can carry is
A:-6.5 ml
B:-3.39 ml
C:-5.2 ml
D:-1.39 ml
Correct Answer:- Option-D
Question12:-The maximum volume of air that can be exhaled following a maximal inspiration is
A:-Vital Capacity
B:-Functional residual capacity
C:-Closing capacity
D:-Total lung capacity
Correct Answer:- Option-A
Question13:-Pulse oximetry is based on which law ?
A:-Charles law
B:-Beer Lambert law
C:-Boyle’s law
D:-Coulomb’s law
Correct Answer:- Option-B
Question14:-Which of the following endotracheal tube has resistance to kinking and compression and is indicated for use in the neck, neurological procedures ?
A:-Red rubber tube
B:-Cole’s tube
C:-RAE preformed tube
D:-Spiral embedded armored tube
Correct Answer:- Option-D
Question15:-The term ‘tare weight’ is related to
A:-Reservoir bag
B:-Gas cylinder
C:-Vaporizer
D:-Breathing circuit
Correct Answer:- Option-B
Question16:-Sellick’s maneuver is used to prevent
A:-Alveolar collapse
B:-To reduce dead space
C:-To prevent aspiration of gastric contents
D:-To facilitate intubation
Correct Answer:- Option-C
Question17:-All the following drug therapies should be continued before surgery (in pre-operative fasting period) except
A:-Oral hypoglycemic
B:-Corticosteroid therapy
C:-Antihypertensive
D:-Aerosols-Bronchodilators
Correct Answer:- Option-A
Question18:-Which of the following breathing circuit requires lowest amount of fresh gas flows ?
A:-Mapleson D
B:-Mapleson A
C:-Mapleson C
D:-Mapleson F
Correct Answer:-Question Cancelled
Question19:-Which of the following inhalational agent is degraded to a nephrotoxic end product (Compound A) by alkalies (Sodium Hydroxide or Barium Hydroxide) used in circle
system ?
A:-Halothane
B:-Isoflurane
C:-Nitrous oxide
D:-Sevoflurane
Correct Answer:- Option-D
Question20:-Phenylephrine is classified under
A:-Alpha 1 agonist
B:-Beta 1 agonist
C:-Alpha 2 agonist
D:-Beta 2 agonist
Correct Answer:- Option-A
Question21:-Which of the following is not an amide group of local anaesthetics ?
A:-Bupivacaine
B:-Chlorprocaine
C:-Lidocaine
D:-Mepivacaine
Correct Answer:- Option-B
Question22:-Flumazenil is
A:-An opioid
B:-A benzodiazepine
C:-An opioid antagonist
D:-A benzodiazepine antagonist
Correct Answer:- Option-D
Question23:-As per the new “Nil by mouth” guidelines, clear fluid intake is allowed upto
A:-2 hours before surgery
B:-5 hours before surgery
C:-6 hours before surgery
D:-45 minutes before surgery
Correct Answer:- Option-A
Question24:-Which systemic symptoms are manifested first following local anaesthetic toxicity ?
A:-Central Nervous System
B:-Cardiovascular System
C:-Gastrointestinal System
D:-Urogenital System
Correct Answer:- Option-A
Question25:-Which nerve distribution is not optimally anaesthetized following Interscalene brachial plexus block ?
A:-Median
B:-Ulnar
C:-Radial
D:-Musculo cutaneous
Correct Answer:- Option-B
Question26:-Winnie’s “Three in one block” blocks all the three nerves except
A:-Femoral
B:-Sciatic
C:-Obturator
D:-Lateral femoral cutaneous
Correct Answer:- Option-B
Question27:-Normal Systemic Vascular Resistance (S.V.R.) is
A:-50 – 150 dyn.S/cm5
B:-10 – 15 dyn.S/cm5
C:-200 – 250 dyn.S/cm5
D:-900 – 1500 dyn.S/cm5
Correct Answer:- Option-D
Question28:-Majority of blood volume is distributed in the
A:-Heart
B:-Pulmonary vessels
C:-Systemic arteries
D:-Systemic veins
Correct Answer:- Option-D
Question29:-Amiodarone is an antiarrhythmic which acts by
A:-Alpha and beta receptor blockade
B:-Sodium and Calcium channel blockade
C:-Potassium channel blockade
D:-Alpha, Beta receptors, Sodium and Calcium channels blockade
Correct Answer:- Option-D
Question30:-Diaphragm is innervated by
A:-C1, C2, C3 spinal nerves
B:-C3, C4, C5 spinal nerves
C:-T1, T2, T3 spinal nerves
D:-T3, T4, T5 spinal nerves
Correct Answer:- Option-B
Question31:-Normal value of Partial pressure of Carbon dioxide in arterial blood (Pa 𝐶𝑂2 ) is
A:-35 – 45 mm Hg
B:-20 – 25 mm Hg
C:-90 – 95 mm Hg
D:-50 – 60 mm Hg
Correct Answer:- Option-A
Question32:-Crystals in the Ultrasound probe works on the principle of
A:-Piezo electric effect
B:-Raman effect
C:-Ohm’s law
D:-Gay Lussac’s law
Correct Answer:- Option-A
Question33:-Pregnant patient is desaturated relatively early during direct laryngoscopy after induction of general anaesthesia due to
A:-High vital capacity in pregnancy
B:-Decreased total capacity in pregnancy
C:-Increased residual volume in pregnancy
D:-Decreased functional residual capacity and increased metabolic rate in pregnancy
Correct Answer:- Option-D
Question34:-Normal Anion Gap acidosis is seen in
A:-Renal Tubular Acidosis
B:-Diabetic ketoacidosis
C:-Lactic Acidosis
D:-Methyl alcohol poisoning
Correct Answer:- Option-A
Question35:-Compression ventilation ratio in adult Basic Life Support algorithm is
A:-15 : 2
B:-30 : 2
C:-5 : 1
D:-3 : 1
Correct Answer:- Option-B
Question36:-The most reliable method for assessing the presence of endotracheal tube in trachea is
A:-Chest expansion on ventilation
B:-Pulse oximetry
C:-Auscultation with stethoscope
D:-Quantitative continuous wave form capnography
Correct Answer:- Option-D
Question37:-Cardioversion with synchronized electrical energy is done in all except
A:-Ventricular Fibrillation
B:-Ventricular Tachycardia with Pulse
C:-Unstable Supraventricular Tachycardia
D:-Unstable Atrial Fibrillation
Correct Answer:- Option-A
Question38:-The drug used in Asystole and Pulseless Electrical Activity is
A:-Amiodarone
B:-Adenosine
C:-Vasopressin
D:-Adrenaline
Correct Answer:- Option-D
Question39:-Compression ventilation ratio in a new born is
A:-15 : 2
B:-3 : 1
C:-5 : 1
D:-30 : 2
Correct Answer:- Option-B
Question40:-Most cardiostable induction agent is
A:-Ketamine
B:-Propofol
C:-Thiopentone sodium
D:-Etomidate
Correct Answer:- Option-D
Question41:-Which drug causes rigidity of chest on rapid administration in large doses ?
A:-Fentanyl
B:-Morphine
C:-Pethidine
D:-Ketamine
Correct Answer:- Option-A
Question42:-Dose of heparin for anticoagulation before going to cardiopulmonary bypass in On pump cardiac surgeries
A:-300 mg/Kg body weight
B:-3 mg/Kg body weight
C:-30 IU/Kg body weight
D:-10 IU/Kg body weight
Correct Answer:- Option-B
Question43:-How Intra Aortic Balloon Counter Pulsation (IABP) is protective for myocardium ?
A:-Increases preload
B:-Reduces contractility
C:-Improves coronary perfusion and reduces afterload
D:-Increases afterload
Correct Answer:- Option-C
Question44:-How long smoking should be discontinued before elective surgeries to reduce peri operative pulmonary complications ?
A:-1 – 2 weeks
B:-6 – 8 weeks
C:-2 – 3 weeks
D:-10 – 12 weeks
Correct Answer:- Option-B
Question45:-Which is the most commonly used double lumen bronchial tube nowadays ?
A:-Combitube
B:-Carlen’s
C:-White
D:-Robert-Shaw
Correct Answer:- Option-D
Question46:-Cerebral blood flow remains nearly constant between Mean Arterial Pressure of
A:-10 – 100 mmHg
B:-100 – 200 mmHg
C:-60 – 160 mmHg
D:-160 – 260 mmHg
Correct Answer:- Option-C
Question47:-Venous air embolism during neurosurgery can occur when
A:-Blood pressure is high
B:-Partial pressure of carbon dioxide is high
C:-The wound is below the level of heart
D:-The pressure within the open vein is sub-atmospheric
Correct Answer:- Option-D
Question48:-Rate of correction of sodium in severe hyponatraemia is
A:-0.5 – 1 mEq/L/hour and not more than 10 mEq/L/Day
B:-1 – 2 mEq/L/hour and not more than 18 mEq/L/Day
C:-1 mEq/L/Day
D:-20 mEq/L maximum in a day irrespective of rate of infusion
Correct Answer:- Option-A
Question49:-Which is the most important buffer system in Extra cellular fluid compartment ?
A:-Phosphate – Phosphoric acid
B:-Oxidised haemoglobin – reduced haemoglobin
C:-Proteins
D:-Bicarbonate – Carbonic acid
Correct Answer:- Option-D
Question50:-Lithotomy position is required for all of the following except
A:-Assisted Conception
B:-Laparoscopic tubectomy
C:-Endometrial tubal ligation
D:-Cervical Biopsy
Correct Answer:- Option-B
Question51:-All of the following agents should be avoided in a patient with Malignant Hyperthermia except
A:-Sevoflurane
B:-Isoflurane
C:-Succinylcholine
D:-Vecuronium
Correct Answer:- Option-D
Question52:-The following is the process that kills spores
A:-Disinfection
B:-Sterilization
C:-Decontamination
D:-Sanitize
Correct Answer:- Option-B
Question53:-The PIN safety system is designed for which purpose ?
A:-To prevent the gas hose from one gas to be connected to another
B:-To prevent the backflow of gases from one cylinder to another
C:-The prevent the placement of gas tanks onto the wrong yolk
D:-To allow the quick connection/release of gas hose to the machine
Correct Answer:- Option-C
Question54:-The Piped gas pressure should be
A:-20-25 psig
B:-30-35 psig
C:-40-45 psig
D:-50-55 psig
Correct Answer:- Option-D
Question55:-All of the following are characteristics of modern day vaporizers except
A:-Agent specific
B:-Variable bypass
C:-Temperature compensated
D:-In circuit
Correct Answer:- Option-D
Question56:-An effective anesthesia breathing system has
A:-Large reservoir
B:-Low resistance
C:-Low dead space
D:-All of the above
Correct Answer:- Option-D
Question57:-Which of the following is NOT indicative of an exhausted 𝐶𝑂2 absorbent ?
A:-Change in color of the granules
B:-Increase in temperature of the granules
C:-Moisture in the circuit
D:-Increased inspired 𝐶𝑂2
Correct Answer:- Option-B
Question58:-Which of the following ventilator modes requires patient to initiate a respiratory cycle ?
A:-Volume Control
B:-Pressure Support
C:-Pressure Control
D:-PEEP Mode
Correct Answer:- Option-B
Question59:-Function of PEEP is
A:-It prevents alveolar collapse hence improves Oxygenation
B:-It prevents backflow of ventilator gases through vaporizer
C:-It prevents breathing circuit gases through the 𝐶𝑂2 absorber
D:-Increases the airway resistance and decreases pulmonary compliance
Correct Answer:- Option-A
Question60:-A leak in oxygen flow tube may be identified with the help of
A:-Positive pressure leak test
B:-Oxygen Analyzer
C:-Negative pressure leak test
D:-All of the above
Correct Answer:- Option-C
Question61:-AHA Blood Pressure cuff recommendations for adult size is
A:-17-25 cm
B:-24-32 cm
C:-32-42 cm
D:-42-48 cm
Correct Answer:- Option-B
Question62:-The most reliable site for monitoring core temperature is
A:-Skin
B:-Oral
C:-Rectal
D:-Esophagus
Correct Answer:- Option-D
Question63:-An elevation in the baseline of 𝐶𝑂2 monitoring can be due to
A:-A faulty valve on the ventilator
B:-Inadequate inspiratory flow
C:-Exhausted 𝐶𝑂2 absorbent
D:-All of the above
Correct Answer:- Option-D
Question64:-Medications not commonly used in infusion pumps include
A:-Vasopressors
B:-Thiopentone Sodium
C:-Muscle relaxants
D:-Heparin
Correct Answer:- Option-B
Question65:-Optimum dose of defibrillation in a monophasic manual external defibrillator is
A:-Device specific
B:-120 J
C:-200 J
D:-360 J
Correct Answer:- Option-D
Question66:-Anaphylaxis can typically present as
A:-Hypotension and bronchospasm
B:-Hypotension and fever
C:-Hypertension and bronchospasm
D:-Hypertension and fever
Correct Answer:- Option-A
Question67:-Pin index of Nitrous Oxide
A:-2.5
B:-1, 5
C:-3, 5
D:-2, 6
Correct Answer:- Option-C
Question68:-The Breathing circuit of choice for Spontaneous Ventilation is
A:-Mapleson A
B:-Mapleson B
C:-Mapleson D
D:-Mapleson E
Correct Answer:- Option-A
Question69:-Which of the following device provides fixed performance oxygen therapy ?
A:-Nasal cannula
B:-Venturi Mask
C:-T piece
D:-Edenburg Mask
Correct Answer:- Option-B
Question70:-Sellick’s Maneuver is used to prevent
A:-Alveolar Collapse
B:-Laryngospasm
C:-Aspiration
D:-Bronchospasm
Correct Answer:- Option-C
Question71:-Position with least Vital Capacity in patients under General anesthesia
A:-Trendelenburg
B:-Reverse Trendelenburg
C:-Lateral
D:-Prone
Correct Answer:- Option-A
Question72:-Most common complication of a central venous catheter is
A:-Thrombosis
B:-Pneumothorax
C:-Catheter related infections
D:-Bleeding
Correct Answer:- Option-C
Question73:-During General Anesthesia, Shivering is abolished by the suppression of
A:-Cerebral cortex
B:-Medulla
C:-Hypothalamus
D:-Thalamus
Correct Answer:- Option-C
Question74:-The % of Thiopentone used for induction is
A:-0.5%
B:-1%
C:-1.5%
D:-2.5%
Correct Answer:- Option-D
Question75:-Hepatitis is commonly an adverse effect of constant exposure to
A:-Enflurane
B:-Halothane
C:-Methoxyflurane
D:-Isoflurane
Correct Answer:- Option-B
Question76:-Which of the following induction agent is suitable for day care surgery ?
A:-Diazepam
B:-Ketamine
C:-Propofol
D:-Thiopentone Sodium
Correct Answer:- Option-C
Question77:-Rate of Chest Compression in CPCR is
A:-60-70/mt
B:-80-90/mt
C:-90-95/mt
D:-100-120/mt
Correct Answer:- Option-D
Question78:-Mechanism of Action of Local Anesthetics
A:-𝐾+
Channel inhibition
B:-𝑁𝑎+
channel inhibition
C:-𝑁𝑎+
channel Activation
D:-𝐶𝑎+ + channel inhibition
Correct Answer:- Option-B
Question79:-Concentration of Lignocaine for Spinal Anaesthesia
A:-5%
B:-3%
C:-2%
D:-1%
Correct Answer:- Option-A
Question80:-Pneumothorax is a complication of
A:-Epidural block
B:-Brachial plexus block
C:-Axillary block
D:-Subarachnoid block
Correct Answer:- Option-B
Question81:-In Spinal Anaesthesia which fibres are first blocked by local anaesthetic ?
A:-Sympathetic
B:-Para sympathetic
C:-Sensory
D:-Motor
Correct Answer:- Option-A
Question82:-The granule size of sodalime in canister is
A:-6-8 mesh
B:-4-8 mesh
C:-8-10 mesh
D:-4-6 mesh
Correct Answer:- Option-B
Question83:-The ideal BIS value which prevents awareness under anesthesia is
A:-<40 B:-40-60 C:-60-70 D:-70-80 Correct Answer:- Option-B Question84:-Pulse oximeter works on the principle of A:-Absorption of infrared rays B:-Absorption of ultraviolet rays C:-Beer Lamberts law D:-Guytons law Correct Answer:- Option-C Question85:-ASA classification is done for A:-Pain score B:-Awareness score C:-Health status of patient D:-Airway score Correct Answer:- Option-C Question86:-Muscle relaxant of choice in Renal failure A:-Pancuronium B:-Vecuronium C:-Atracurium D:-Ketamine Correct Answer:- Option-C Question87:-Spinal Cord ends at which level in adults ? A:-L3-L4 B:-L1-L2 C:-L4-L5 D:-L5-L6 Correct Answer:- Option-B Question88:-ASA Standard Monitoring includes all except A:-Pulse Oximeter B:-NIBP C:-IBP D:-ECG Correct Answer:- Option-C Question89:-Amount of K+ in Ringer Lactate in mEq/L A:-2 B:-3 C:-4 D:-5 Correct Answer:- Option-C Question90:-Most cardiotoxic local anesthetic is A:-Ligenocaine B:-Bupivacaine C:-Levo Bupivacaine D:-Ropivacaine Correct Answer:- Option-B Question91:-The only Local anesthetic consistently causing vasoconstriction is A:-Prilocaine B:-Cocaine C:-Chloroprocaine D:-Tetracaine Correct Answer:- Option-B Question92:-Shortest acting local anesthetic is A:-Procaine B:-Lidocaine C:-Bupivacaine D:-Tetracaine Correct Answer:- Option-A Question93:-Which of the following is not a direct Vasodilator ? A:-Nitroprusside B:-Nicardipine C:-Nitroglycerin D:-Hydralazine Correct Answer:-Question Cancelled Question94:-The most common peri operative neuropathy involves which nerve ? A:-Ulnar B:-Median C:-Radial D:-Brachial Correct Answer:- Option-A Question95:-Which skin preparation has the highest residual activity ? A:-Chlorhexidine B:-Isopropyl Alcohol C:-Antibacterial soap D:-Iodine containing solutions Correct Answer:- Option-A Question96:-The hazards associated with the use of dessicated absorbent includes A:-Carbon monoxide formation B:-Compound A formation with sevoflurane C:-Fire within the canister D:-All of the above Correct Answer:- Option-D Question97:-An E type cylinder of oxygen has a pressure reading of 1200 psi prior to transport. How long will the 𝑂2 supply last with a flow of 8 L/min ? A:-42 min B:-68 min C:-52 min D:-72 min Correct Answer:- Option-A Question98:-Scavenging system consist of all except A:-Gas collection assembly B:-Transfer tubing C:-Fresh gas outlet D:-Scavenging interface Correct Answer:- Option-C Question99:-A sidestream gas analyser A:-Can measure only one gas B:-Uses a continuous pump C:-Should never be allowed to empty into room air D:-All of the above Correct Answer:-Question Cancelled Question100:-Indication for the use of Rigid video laryngoscopes includes all except A:-Limited neck extension B:-Emergency surgical airway requirement C:-Upper airway partial obstruction D:-Craniofacial abnormalities Correct Answer:- Option-B