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Question 1

What does 1:1000 adreanline mean?

Answer 1

It means 1mg per 1ml

Question 2

What does 1:10000 adrenaline mean?

Answer 2

Means 0.1g per ml

Question 3

What does 10% glucose mean?

Answer 3

10g in 100ml

Question 4

What does a 1% solution mean?

Answer 4

1g in 100mls.

Question 5

A % solution equates to the % in grams within 100mls.

Answer 5

…

Question 6

Management of opioid overdose?

Answer 6

Naloxone ; 400microgram bolus.

Question 7

Management of BDZ overdose

Answer 7

Flumazenil

Question 8

ABG sign of aspirin overdose?

Answer 8

Resp alkalosis

Question 9

Beta blocker reversal?

Answer 9

Glucagon

Question 10

Tricyclics reversal?

Answer 10

Bicarbonae

Question 11

Carbon monoxide reversal

Answer 11

Oxygen

Question 12

Signs of salbutamol overdose?

Answer 12

Tremor
Hypokalaemia
Agitation
Palpiations

Question 13

Signs of aspirin overdose?

Answer 13

Tinnitus, vomiting, dehydration, hyperventilation.

Question 14

Signs of BDZ overdose ?

Answer 14

Ataxia and dysarthria.

Question 15

Amphetamine OD Dx test

Answer 15

Urine toxicologyu

Question 16

Cocaine OD signs/

Answer 16

Pyrexias, convulsions, arrhythmias, MI.

Question 17

When do you stop warfarin before surgery?

Answer 17

5 days.

Question 18

When do you stop ACE I before surgery?

Answer 18

Day before surgery, risk of AKI.

Question 19

When do you stop LMWH heparin before surgery?

Answer 19

24 hours.

Question 20

When do you stop anti-platelet before surgery?

Answer 20

7 days.

Question 21

Propofol and thiopental are induction agents in anaesthesia, how do they work?

Answer 21

Work via GABA a channels.

Question 22

Name a few muscle relaxants, and how do they work?

Answer 22

Rocuronium, suxamethonium

They all work on nACH receptors.

Question 23

How do you revere recurionium?

Answer 23

Neostigamine (acetychlinestease inhibitor)

Question 24

What opiate is used in anaesthesia?

Answer 24

Fentanyl

Used to prevent physiological response to intubation and trauma

Question 25

What BDZ is used in GA?

Answer 25

Midazolam Used to make patient drowsy prior to the anaesthetic process.

Question 26

Management fo bradycardia when under GA?

Answer 26

IV atropine 500 micrograms.

Question 27

Managament of hypotension when under GA?

Answer 27

Vasopressors: Alpha and beta agonist = ephedrine. Metaraminol = alpha 1 agonist.

Question 28

Management of malignant hyperthermia?

Answer 28

Presents with acidosis and hyperkalaemia. Give IV dantrolene and actively cool

Question 29

What is mendelson syndrome in anaesthetic terms?

Answer 29

Inflammation of the lungs when under GA due to aspiration of so teach acid. Hypoxia 2-5 hours after GA. Prevent by giving pre-op ranitidine.,

Question 30

Management of laryngospasm?

Answer 30

Suxamethonium.

Question 31

How do local anaesthetics work?

Answer 31

They are Na channel antagonists that inhibit action potential propagation.

Question 32

Where should you avoid using adrenaline in the body?

Answer 32

End arteries. Finger nose ear.

Question 33

Side effect of suxamethonium?

Answer 33

Apnoeas.

Question 34

When do you give activated charcoal in paracetamol overdose?

Answer 34

If 150mg/kg has been taken in the last hour.

Question 35

4 H’s of cardiac arrest

Answer 35

Hypothermia Hypovolaemia Hypoxia Hypo/hyperkalaemia.

Question 36

4 Ts of cardiac arrest

Answer 36

Toxins. Thrombosis Tamponade. Tension pneumothorax./