Patient-Controlled Analgesia Practice Questions

Question 1

Which of the following anesthetic drugs is contraindicated in chronic renal failure?

Accepted Answer

Pethidine

Answer

Atracurium

Answer

Fentanyl

Answer

Morphine

Question 2

In extraction, the best time to administer analgesics is:

Accepted Answer

Prior to the procedure

Answer

After anaesthesia has worn off

Answer

When pain is moderate to severe

Answer

Just before anaesthesia wears off

Question 3

True about epidural opioid are all except:

Accepted Answer

Function of the intestine is not affected

Answer

Act on dorsal horn substantia gelatinosa

Answer

Can cause Itching

Answer

Can cause respiratory depression

Question 4

Which opioid drug is effectively administered via the transbuccal route?

Accepted Answer

Fentanyl

Answer

Sulfentanil

Answer

Remifentanil

Answer

Alfentanil

Question 5

What are the advantages associated with the use of ketamine?

Accepted Answer

All of the above

Answer

Rapid onset of anesthesia and analgesia

Answer

Bronchodilation and preserved airway reflexes

Answer

Cardiovascular stability with minimal respiratory depression

Question 6

In the initial management of a hemodynamically unstable polytrauma patient, what is the recommended initial crystalloid bolus dose of Ringer's lactate for assessment and stabilization?

Accepted Answer

1000 ml Ringer's lactate bolus, then regulated by clinical indicators

Answer

2000 ml Ringer's lactate bolus

Answer

250 ml Ringer's lactate bolus

Answer

500 ml Ringer's lactate bolus, then regulated by clinical indicators

Question 7

All are management of PDPH except-

Accepted Answer

Stool softeners

Answer

Analgesic + caffeine

Answer

Intravenous / oral fluids

Answer

Upright position

Question 8

Which of the following pain medications requires the MOST caution in a patient with a history of opioid addiction?

Accepted Answer

Morphine

Answer

Oxycodone

Answer

Methadone

Answer

Buprenorphine

Question 9

Which of the following anaesthetic agent lacks analgesic effect?

A) N2O
B) Thiopentone  
C) Methohexitone
D) Ketamine
E) Fentanyl

Accepted Answer

Thiopentone

Answer

N2O

Answer

Methohexitone

Answer

Ketamine

Answer

Fentanyl

Question 10

A two month old infant has undergone a major surgical procedure. Regarding postoperative pain relief which one of the following is recommended:

Accepted Answer

Intravenous narcotic infusion in lower dosage

Answer

Spinal narcotics intrathecal route

Answer

Only paracetamol suppository is adequate

Answer

No medication is needed as infant does not feel pain after surgery due to immaturity of nervous system

Patient-Controlled Analgesia — MCQs

Patient-Controlled Analgesia — MCQs

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