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Question 1
Correct
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Regarding the emergency oxygen flush, which is true?
Your Answer: May lead to awareness if used inappropriately
Explanation:When the emergency oxygen flush is pressed, 100% oxygen is supplied from the common gas outlet. This gas bypasses BOTH flowmeters and vaporisers. The flow of oxygen is usually 45 l/min at a PRESSURE OF 400 kPa.
There is an increased risk of pulmonary barotrauma when the emergency flush is pressed, especially when anaesthetising paediatric patients.
The inappropriate use of the flush causes dilution of anaesthetic gases and this increases the possibility of anaesthetic awareness .
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 2
Correct
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Which is the most appropriate statement describing the function of flowmeters?
Your Answer: Constant pressure, variable orifice - Heidbrink flowmeters
Explanation:There are different models of flowmeters determined by the applied pressure and its orifice. For instance, the watersight flowmeter functions through applying variable pressure, and it has a variable orifice. In contrast, the bubble flowmeter is operated using a constant pressure and orifice. Flowmeters such as rotameters, Heidbrink and Peak have a constant pressure but variable orifice. On the other hand, flowmeters including a simple pressure gauge, water depression, and pneumotachograph have a constant orifice but variable pressure.
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 3
Correct
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Which of the following statements is TRUE regarding an epidural set?
Your Answer: 19G Tuohy needles have 0.5 cm markings
Explanation:A paediatric 19G Tuohy catheter is available that is 5cm in length and has 0.5cm markings
18G Tuohy catheters are generally 9 to 10cm to hub
Distal end of catheter is angled (15 to 30 degrees) and closed to avoid puncturing the dura
Epidural mesh are usually 0.2 microns and are used to filter bacteria and viruses to ensure sterility of procedure
Transparent catheters are 90cm long with diameters depending on gauge size. It has 1cm graduations from 5 to 20cm to ensure they have been inserted amply and removed completely. Distal end is smooth which can be open or closed (with lateral openings)
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 4
Correct
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Which of the following is true regarding a laryngoscope?
Your Answer: The Wisconsin and Seward are examples of straight blade laryngoscopes
Explanation:Direct laryngoscopy are performed using laryngoscopes and they can be classed according to the shape of the blade as curved or straight.
Miller, Soper, Wisconsin and Seward are examples of straight blade laryngoscopes. Straight blades are commonly used for intubating neonates and infants but can be used in adults too.
The tip of the miller blade is advanced over the epiglottis to the tracheal entrance then lifted in order to view the vocal cords.
The RIGHT-SIDED Macintosh blade is used in adults while the left-sided blade may be used in conditions that make intubation with standard blade difficult e.g. facial deformities.
The McCoy laryngoscope is based on the STANDARD MACINTOSH blade not Robertshaw’s. It has a lever operated hinged tip, which improves the view during laryngoscopy.
Polio blade is mounted at an angle of 120-135 degrees to the handle. Originally designed for use during the polio epidemic in intubation patients within iron lung ventilators, it is now useful in patients with conditions like breast hypertrophy, barrel chest, and restricted neck mobility.
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 5
Correct
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From the following electromagnetic waves, which one has the shortest wavelength?
Your Answer: X rays
Explanation:Electromagnetic waves are categorized according to their frequency or equivalently according to their wavelength. Visible light makes up a small part of the full electromagnetic spectrum.
Electromagnetic waves with shorter wavelengths and higher frequencies include ultraviolet light, X-rays, and gamma rays. Electromagnetic waves with longer wavelengths and lower frequencies include infrared light, microwaves, and radio and televisions waves.
Different electromagnetic waves according to their wavelength from shorter to longer are X-rays, ultraviolet radiations, visible light, infrared radiation, radio waves. X-ray among electromagnetic waves has the shortest wavelength and higher frequency with wavelengths ranging from 10*-8 to 10* -12 and corresponding frequencies.
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 6
Correct
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Which statement most accurately describes the action of increasing the gain in ultrasound imaging?
Your Answer: Amplifies the returning signal
Explanation:A higher frequency ultrasound comes with a better resolution of the digital image. Ultrasound with a frequency of 15 MHz is best used in imaging of superficial organs such as the thyroid gland, muscles, tendons and breasts whereas deep organs are better imaged using a lower frequency of 2-7MHz because of its ability for deeper penetration but lower resolution. These low frequency probes are also used to diagnose ascites, pleural effusions or can be used in echocardiography.
The US probe emits and then absorbs a reflected wave. Similar to brightness control, increasing the gain will amplify the return signal which is then attenuated by the tissue. This increases the signal to noise ratio.
A high frame rate, which basically means the number of times an image is updated onto the screen per second, improves the resolution of a moving 3D image which has become more accurate as the computing power has increased.Widening of the image field can be obtained by altering the penetration depth which is obtained by changing the frequency of the US beam
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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