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Question 1
Incorrect
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This vertebrae can be easily differentiated from the rest because of its prominent spinous process.
Your Answer: T12
Correct Answer: C7
Explanation:The spinous process is the part of a vertebrae that is directed posteriorly.
Typical cervical vertebra have spinous processes that are small and bifid, except for C7, which has a long and prominent spinous process.
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This question is part of the following fields:
- Anatomy
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Question 2
Incorrect
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Which of the following antihypertensive drugs is an alpha-blocker?
Your Answer: Alpha methyldopa
Correct Answer: Doxazosin
Explanation:Doxazosin is selective alpha 1 blocker (it causes less tachycardia than a non-selective alpha-blocker) and is the drug of choice for a patient with hypertension and benign hyperplasia of the prostate (BHP).
The major adverse effect of an alpha-blocker is first-dose hypotension.
Atenolol and Labetalol are beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.
Clonidine is an α2A-adrenergic agonist used to treat high blood pressure, ADHD, drug withdrawal (alcohol, opioids, or nicotine), menopausal flushing, diarrhea, spasticity, and certain pain conditions.
Methyldopa is a centrally-acting alpha-2 adrenergic agonist used to manage hypertension alone or in combination with hydrochlorothiazide, and to treat hypertensive crises.
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This question is part of the following fields:
- Pharmacology
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Question 3
Incorrect
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From the following statements, which is true of humidification?
Your Answer: Heat and moisture exchanger (HME) can achieve up to 100% relative humidity
Correct Answer: Ultrasonic humidifier can achieve greater than 100% relative humidity
Explanation:Increasing temperature increases the amount of water vapour contained in air; for example, at 20°C, air contains about 17 g/m3, and at 37°C, air contains about 44 g/m3. The wet and dry bulb hygrometer, like the hair hygrometer, measures relative humidity.
Under normal operating conditions, Heat and moisture exchangers (HMEs) allows relative humidity of up to 70% to be achieved. Mucus can impair their performance, and they should not be used for longer than 24 hours.
Hot water bath humidifiers might cause scalding, condensed water in the tubing can interfere with gas flow, and there is a danger of infection.
The ultrasonic humidifier operates at roughly 2 MHz and may attain relative humidity levels much above 100%.
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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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The tip of a pulmonary artery flotation catheter becomes wedged when threaded through the chambers of the heart and the pulmonary artery.
Which of the following options best describes the sequence of pressures measured at the catheter's tip during its passage through a normal patient's pulmonary artery?Your Answer: 0-12 mmHg, 2-25 mmHg, 12-25 mmHg and 8-12 mmHg
Explanation:The tricuspid valve allows the tip of a pulmonary artery catheter to pass through the right atrium and into the right ventricle.
The balloon will be inflated before crossing the pulmonary valve and entering the pulmonary artery, where it will eventually wedge or occlude the artery, providing an indirect measure of left atrial pressure.
0-12 mmHg in the right atrium
2-25 mmHg in the right ventricle
12-25 mmHg in the pulmonary artery
8-12 mmHg is the occlusion pressure -
This question is part of the following fields:
- Physiology And Biochemistry
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Question 5
Incorrect
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In reference to confounding variables, which among the given is not true?
Your Answer: Confounding factors are factors associated with both the exposure the outcome
Correct Answer: In the analytic stage of a study confounding can be controlled for by randomisation
Explanation:Randomisation can be used to provide control over the confounding variables during the design stage of a study however during analytical stage a technique called stratification is used for controlling confounding variables. Since the question asks for the information that is factually incorrect.
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This question is part of the following fields:
- Statistical Methods
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Question 6
Correct
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Dinamap is an automated blood pressure monitoring device. Which of these statements best fit its properties?
Your Answer: The cuff should be positioned at the same level as the heart
Explanation:Dinamap continuously measures the systolic, diastolic and mean arterial pressure along with pulse rate, thereby providing a continuous monitoring of the blood pressure using the osscillitonometric principle of measurement.
The device loses accuracy towards the extremes of BP and is more accurate with systolic compared with diastolic pressure. In arrhythmias such as AF, the devices are also inaccurate due to the major fluctuations associated with the individual pulse pressure variations.
The manual BP device is still the gold standard for BP measurement and monitoring.
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This question is part of the following fields:
- Anaesthesia Related Apparatus
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Question 7
Incorrect
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If the speed of an ultrasound in soft tissue is 1540 meters per second, what is the estimated wavelength produced if the frequency of a generated ultrasound is 10 megahertz?
Your Answer: 0.15 metre
Correct Answer: 0.15 millimetre
Explanation:Wavelength can be computed as follows:
Wavelength = velocity/frequency
In the given problem, the values stated are:
Frequency = 10 x 10^6
Velocity = 1540 meters per secondWavelength = 1540/(10×10^6)
Wavelength = 1540/10,000,000 meters
Wavelength = 0.15 millimetres -
This question is part of the following fields:
- Clinical Measurement
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Question 8
Incorrect
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Post thyroidectomy, a 50-year-old male singer noticed some hoarseness in his voice. Now, he presents to his general physician as it has been the same for the past few weeks.
A complication is noted in the post-thyroidectomy report regarding an injury to the external laryngeal nerve.
Which muscle has been affected due to loss of innervation by the damaged nerve, and whose improper functioning can lead to hoarseness in the patient's voice?Your Answer: Vocalis
Correct Answer: Cricothyroid
Explanation:All of the muscles of the larynx are innervated by the recurrent laryngeal nerve, except the cricothyroid muscle.
Cricothyroid muscle is located deep in the anterior neck, between the cricoid and thyroid cartilage and is innervated by the external laryngeal nerve. Any injury to this muscle can cause paralysis and lead to hoarseness. When cricothyroid muscle contracts, it leads to tightening, stretching and thinning of the vocal folds. This produces higher-pitched sounds during vocalization.
A patient experiencing hoarseness due to possible injury to the external laryngeal nerve should be reassured that the hoarseness will resolve in time due to increased compensation from the other muscles.
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This question is part of the following fields:
- Anatomy
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Question 9
Incorrect
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An adult and a 7-year-old child are anatomically and physiologically very different.
Which of the following physiological characteristics of a 5-year-old most closely resembles those of a healthy adult?Your Answer: Minute ventilation (mL/kg/minute)
Correct Answer: Dead space ratio
Explanation:Whatever the age, the dead space ratio is 0.3. It’s the dead space (Vd) to tidal volume ratio (Vt).
The glottis is the narrowest point of the upper airway in an adult, while the cricoid ring is the narrowest point in a child.
A child’s airway resistance is much higher than an adult’s. The resistance to airflow increases as the diameter of a paediatric airway shrinks. The radius (r) to the power of 4 is inversely proportional to airway resistance (r4). As a result, paediatric patients are more susceptible to changes in airflow caused by a small reduction in airway diameter, such as caused by oedema.
The compliance of a newborn’s lungs is very low (5 mL/cmH2O), but it gradually improves as lung size and elasticity grow. Lung compliance in an adult is 200 mL/cmH2O.
In children, minute ventilation (mL/kg/minute) is much higher.
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This question is part of the following fields:
- Pathophysiology
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Question 10
Incorrect
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Which of the following nerves is responsible for relaying sensory information from the laryngeal mucosa?
Your Answer:
Correct Answer: Laryngeal branches of the vagus
Explanation:Sensory innervation of the larynx is controlled by branches of the vagus nerve.
The internal and external bifurcations of the superior laryngeal nerve is responsible for sensory innervation of the aspect of the larynx superior to the vocal cords, while the recurrent laryngeal nerve is responsible for sensory innervation of the intrinsic musculature of the larynx except for the cricothyroid muscle.
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This question is part of the following fields:
- Anatomy
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