(AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Difficult Airway Mangement - ANSWERS-
http://www.ebmedicine.net/media_library/aboutUs/Clinical%20Pathway%20Mana
gement%20Of%20The%20Difficult%20Airway.JPG
QUESTION 2
Position of Endotracheal tube - ANSWERS-tip should be approximately 5 cm
above the carina
QUESTION 3
CPR, Interruption of cardiac compressions - ANSWERS-Primarily - Pauses for
establishing ETT (ventillation)
Secondary - rhythm checks, shocks
END OF
PAGE 1
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
QUESTION 4
Therapeutic hypothermia and cardiac arrest - ANSWERS-only useful for VT/VF
QUESTION 5
Cardiac arrest, blood gas changes - ANSWERS-Metabolic Acidemia - Lactic
Acidosis
Respiratory Acidemia/Alkalosis - depending on ventilation
Low HCO3-
Low PaO2
Neg BE (quantify degree of MA)
Hyperkalemia (from acidosis)
Hyperglcemia (stress response)
QUESTION 6
Postobstructive pulmonary edema - ANSWERS-Obstruction then patient takes a
large breath (e.g. closed APL, patient bitting on the ETT)
END OF
PAGE 2
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
QUESTION 7
Postoperative urinary retention - ANSWERS-The risk of retention is especially
high after anorectal surgery, hernia repair, and orthopedic surgery and increases
with advancing age.
- >750 mL fluids
- Long duration of surgery
- Spinal anes with (long acting LA, high dose LA, high dose Opioids, hydrophilic
opioids like morphine)
QUESTION 8
Risk factors for PONV - ANSWERS-Patient:
- Female
- non smoker
- h/o motion sickness
Anesthesia:
- inhaled anesthestic
END OF
PAGE 3
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
-N2O
- intra and postop opioids
Surgery:
-duration > 30 min increases risk to 60%
- types (celioscopy, ENT, Neuro, breast, strabismus, laparotomy/laproscopic,
plastic surgery)
QUESTION 9
Complication of Cricoid Pressure - ANSWERS-i.e. Sellick manoeuvre
Complications:
1) N/V
2) Esophageal rupture
3) Difficult tracheal and mask intubation
4) minimal hemodynamic changes
5) complete AW obs
6) fracture of cricoid cartillage
END OF
PAGE 4
KNOWLEDGE TEST 1
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
Difficult Airway Mangement - ANSWERS-
http://www.ebmedicine.net/media_library/aboutUs/Clinical%20Pathway%20Mana
gement%20Of%20The%20Difficult%20Airway.JPG
QUESTION 2
Position of Endotracheal tube - ANSWERS-tip should be approximately 5 cm
above the carina
QUESTION 3
CPR, Interruption of cardiac compressions - ANSWERS-Primarily - Pauses for
establishing ETT (ventillation)
Secondary - rhythm checks, shocks
END OF
PAGE 1
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
QUESTION 4
Therapeutic hypothermia and cardiac arrest - ANSWERS-only useful for VT/VF
QUESTION 5
Cardiac arrest, blood gas changes - ANSWERS-Metabolic Acidemia - Lactic
Acidosis
Respiratory Acidemia/Alkalosis - depending on ventilation
Low HCO3-
Low PaO2
Neg BE (quantify degree of MA)
Hyperkalemia (from acidosis)
Hyperglcemia (stress response)
QUESTION 6
Postobstructive pulmonary edema - ANSWERS-Obstruction then patient takes a
large breath (e.g. closed APL, patient bitting on the ETT)
END OF
PAGE 2
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
QUESTION 7
Postoperative urinary retention - ANSWERS-The risk of retention is especially
high after anorectal surgery, hernia repair, and orthopedic surgery and increases
with advancing age.
- >750 mL fluids
- Long duration of surgery
- Spinal anes with (long acting LA, high dose LA, high dose Opioids, hydrophilic
opioids like morphine)
QUESTION 8
Risk factors for PONV - ANSWERS-Patient:
- Female
- non smoker
- h/o motion sickness
Anesthesia:
- inhaled anesthestic
END OF
PAGE 3
, (AKT-1) ANESTHESIA 2025
KNOWLEDGE TEST 1
-N2O
- intra and postop opioids
Surgery:
-duration > 30 min increases risk to 60%
- types (celioscopy, ENT, Neuro, breast, strabismus, laparotomy/laproscopic,
plastic surgery)
QUESTION 9
Complication of Cricoid Pressure - ANSWERS-i.e. Sellick manoeuvre
Complications:
1) N/V
2) Esophageal rupture
3) Difficult tracheal and mask intubation
4) minimal hemodynamic changes
5) complete AW obs
6) fracture of cricoid cartillage
END OF
PAGE 4
