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Clinical College of Wuhan University
Test Paper on Anesthesiology for 2016 Grade
MBBS Students
Answer Sheet
Nov.23.2020
Students ID Number Name Class 2
题目
I
II
III
IV
总分
题分
30
20
30
20
100
得分
ISingle-choice (only one answer is correct, 1 point for each questionthe total
score is 30 )
1
4
6
7
8
9
10
C
A
E
B
D
D
C
11
14
16
17
18
19
20
A
A
A
D
B
B
A
21
24
26
27
28
29
30
E
A
B
C
C
D
A
IINoun interpretation (5 points for each questionthe total score is 20)
1. MAC
MAC is a concept used to compare the strengths of anaesthetic vapours;its also defined as
the “concentration of vapour in lungs that is needed to prevent movement in 50% of subjects in
response to surgical stimulus”
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2. TIVA (Total intravenous anesthesia)
This is defined as a method of producing anaesthesia by injecting intravenous
drugs such as hypnotic agents, analgesic drugs and muscle relaxants excluding
simultaneous administration of any inhaled drugs.
3. General anesthesia
This is the induction of a state of unconsciousness with the absence of pain
sensation over the entire body, through the administration of anaesthetic drugs. It is used
in certain medical and surgical procedures.
4. Total Spinal Anesthesia
This is the type of anaesthesia which occurs when the dura is punctured during
injection and as such a large volume is injected in the subarachnoid space which is
normally marked by hypotension, bradycardia, apnea, dilated pupils and
unconsciousness.
IIIAnswer questions in brief 6 points for each questionthe total
score is 30
1. American society of anesthesiologists(ASA) grading?
I. Normal healthy individual.
II. Mild systemic disease that does not limit activity.
III. Severe systemic disease that limits activity but is not incapacitating.
IV. Incapacitating systemic disease which is constantly life threatening.
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V. Moribund, not expected to survive 24 hours with or without surgery.
2. What are the purposes of General anesthesia and list one commonly used medication
for each purpose?
Pain relief(analgesia)
Amnesia
Producing unconsciousness
Inhibiting normal body reflexes to make surgery safe and easier to perform
Relaxing body muscles of the body
Inhalation anaesthetic - Sevoflurance
Intravenous anaesthetic - Propofol
Muscle relaxants - Suxamethonium
3. What are the complications of endotracheal intubation?
Esophageal intubation
Perforation or laceration of upper esophagus, vocal cords and larynx
Laryngospasm or bronchospasm
Dental and soft tissue trauma
Dysrhythmias
Hypertention/ Hypotension
Aspiration of oral gastric contents
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4. Please list the indications of spinal anesthesia.
All surgeries which can be performed under SA can be performed under EA.
Upper abdominal surgeries, thoracic surgeries and even neck surgeries can be
performed under cervical epidural.
Controlling postoperative pain.
Painless labour.
To control chronic pain.
Blood patch for post spinal headache.
5. Please list the patient monitorings during and after anesthesia(at least 5 examples).
Blood pressure monitoring
Central venous pressure monitoring
Electrocardiography
Ventilation monitoring
Oxygen monitoring
Temperature monitoring
Neuromuscular blockade monitoring
Central nervous system monitoring
IVDiscuss the following issues10 points for each questionthe total score is 20
1. What are the steps of intubation?
i. Open patients mouth by head hypsokinesis and holding submaxilla
ii. Laryngoscope is held by left hand and let in mouth (through the laryngoscope ,
slow moving palatine, ovula and epiglottis can be seen).
iii. Raise the epiglottis and reveal glottis.
iv. Endotracheal catheter is held by right hand .
v. Endotracheal catheter is inserted into glottis.
vi. Inflate balloon
vii. Position of the tube is to be verified with auscultation
viii. Tube is fixed with adhesive
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2. What are the goals of preoperative assessment?
Identification of medical problems required further management such as
diabetes, hypertension or asthma.
Continuous evaluation of respiratory status such as difficult airway.
Assessment of risk.
Planning of safe anaesthesia care.

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得分 2nd Clinical College of Wuhan University Test Paper on Anesthesiology for 2016 Grade MBBS Students Answer Sheet 评卷人 1 Nov.23.2020 Students ID Number Name Class 2 题目 I II III IV 总分 题分 30 20 30 20 100 得分 I、Single-choice (only one answer is correct, 1 point for each question,the total score is 30 ) 1 2 3 4 5 6 7 8 9 10 C B B A E E B D D C 11 12 13 14 15 16 17 18 19 20 A E D A D A D B B A 21 22 23 24 25 26 27 28 29 30 E B D A A B C C D A II、Noun interpretation (5 points for each question,the total score is 20) 1. MAC MAC is a concept used to compare the strengths of anaesthetic vapours;its also defined as the “concentration of vapour in lungs that is needed to prevent movement in 50% of subjects in response to surgical stimulus” 2 得分 评卷人 2. TIVA (Total intravenous anesthesia) This is defined as a method of producing anaesthesia by injecting intravenous drugs such as hypnotic agents, analgesic drugs and muscle relaxants excluding simultaneous administration of any inhaled drugs. 3. General anesthesia This is the induction of a state of unconsciousness with the absence of pain sensation over the entire body, through the administration of anaesthetic drugs. It is used in certain medical and surgical procedures. 4. Total Spinal Anesthesia This is the type of anaesthesia which occurs when the dura is punctured during injection and as such a large volume is injected in the subarachnoid space which is normally marked by hypotension, bradycardia, apnea, dilated pupils and unconsciousness. III、Answer questions in brief (6 points for each question,the total score is 30) 1. American society of anesthesiologists(ASA) grading? I. Normal healthy individual. II. Mild systemic disease that does not limit activity. III. Severe systemic disease that limits activity but is not incapacitating. IV. Incapacitating systemic disease which is constantly life threatening. V. Moribund, not expected to survive 24 hours with or without surgery. 3 2. What are the purposes of General anesthesia and list one commonly used medication for each purpose? ➢ Pain relief(analgesia) ➢ Amnesia ➢ Producing unconsciousness ➢ Inhibiting normal body reflexes to make surgery safe and easier to perform ➢ Relaxing body muscles of the body ◆ Inhalation anaesthetic - Sevoflurance ◆ Intravenous anaesthetic - Propofol ◆ Muscle relaxants - Suxamethonium 3. What are the complications of endotracheal intubation? ➢ Esophageal intubation ➢ Perforation or laceration of upper esophagus, vocal cords and larynx ➢ Laryngospasm or bronchospasm ➢ Dental and soft tissue trauma ➢ Dysrhythmias ➢ Hypertention/ Hypotension ➢ Aspiration of oral gastric contents 4 得分 评卷人 4. Please list the indications of spinal anesthesia. ➢ All surgeries which can be performed under SA can be performed under EA. ➢ Upper abdominal surgeries, thoracic surgeries and even neck surgeries can be performed under cervical epidural. ➢ Controlling postoperative pain. ➢ Painless labour. ➢ To control chronic pain. ➢ Blood patch for post spinal headache. 5. Please list the patient monitorings during and after anesthesia(at least 5 examples). ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ Blood pressure monitoring Central venous pressure monitoring Electrocardiography Ventilation monitoring Oxygen monitoring Temperature monitoring Neuromuscular blockade monitoring Central nervous system monitoring IV、Discuss the following issues(10 points for each question,the total score is 20) 1. What are the steps of intubation? i. Open patients mouth by head hypsokinesis and holding submaxilla ii. Laryngoscope is held by left hand and let in mouth (through the laryngoscope , slow moving palatine, ovula and epiglottis can be seen). iii. Raise the epiglottis and reveal glottis. iv. Endotracheal catheter is held by right hand . v. Endotracheal catheter is inserted into glottis. vi. Inflate balloon vii. Position of the tube is to be verified with auscultation viii. Tube is fixed with adhesive 5 2. What are the goals of preoperative assessment? ➢ Identification of medical problems required further management such as diabetes, hypertension or asthma. ➢ Continuous evaluation of respiratory status such as difficult airway. ➢ Assessment of risk. ➢ Planning of safe anaesthesia care. Name: Description: ...
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