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Question 1
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Many of the processes we deal with in anaesthesia are exponential.
What is the underlying mathematical principle of an exponential process?Your Answer: The rate of change of x is dependent on the magnitude of x
Explanation:The magnitude of x determines the rate of change of x. First-order drug kinetics is a good example. Most drugs’ plasma levels are controlled by an exponential process. The rate of change in drug metabolism is proportional to the current plasma concentration (so-called non-linear kinetics).
A tear-away function is just one type of exponential relationship (y = ex), in which e is Euler’s number, x is the power, and e is the base. Natural logarithms rely on Euler’s number.
Euler’s number is a mathematical constant, not a mathematical principle. It’s referred to as an irrational number. This is a number that cannot be expressed as a simple fraction or a ratio.
A line or curve that acts as the limit of another line or curve is known as an asymptote. A washout exponential curve, for example, where the value y represents the plasma concentration of a drug in a single compartment model against time on the x axis. This descending curve approaches but never touches the x axis. This curve is asymptotic to the x axis, which is the curve’s asymptote. An asymptote isn’t just a characteristic of exponential curves.
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This question is part of the following fields:
- Basic Physics
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Question 2
Incorrect
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A patient admitted to the hospital is on oxygen via a venturi mask.
The air entrainment ratio is 1:9 i.e. 1 litre of 100% oxygen from the source entrains 9 litres of air from the atmosphere). The flow rate of 100% oxygen is 6L/minute.
Based on the given data which of the following value approximates the oxygen concentration delivered to the patient?Your Answer:
Correct Answer: 28%
Explanation:The formula for calculating air: oxygen entrainment ratio is given as :
100% − FiO2 = air/oxygen entrainment ratio
Since FiO2 − 21% and the entrainment ratio is already known. Substituting the values in the equation: x = FiO2.100 − x = 9
x − 21
100 − x = 9(x − 21)
100 − x = 9x − 189
10x = 289
x = 289/10
x = 28.9% -
This question is part of the following fields:
- Basic Physics
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Question 3
Incorrect
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The whole water content of the body is calculated by multiplying body mass with 0.6. This water is diffused into distinct compartments.
Which fluid compartment can be measured indirectly?Your Answer:
Correct Answer: Intracellular volume
Explanation:The total body water content of a 70kg man is (70 × 0.6) = 42 litres. For a woman, the calculation is (70 × 0.55) = 38.5 litres.
For a man, it is subdivided into:
Extracellular fluid (ECF) = 14L (1/3)
Intracellular fluid (ICF) = 28L (2/3).The ECF volume is further divided into:
Interstitial fluid = 10.5 litres
Plasma = 3 litres
Transcellular fluid (CSF/synovial fluid) = 0.5 litres.Directly measured fluid compartments:
Heavy water (deuterium) can be used to measure total body water content, which is freely distributed.
Albumin labelled with a radioactive isotope or using a dye called Evans blue can be used to measure Plasma volume . They do not diffuse into red blood cells.
Radiolabelled (Cr-51) red blood cells can be used to measure total erythrocyte volume.
Inulin as the tracer can be used to measure ECF volume as it circulate freely in the interstitial and plasma volumes.Indirectly measured fluid compartments:
Total blood volume can be calculated with the level of haematocrit and the volume of total circulating red blood cells.
ICF volume can be calculated by subtracting ECF volume from total blood volume. -
This question is part of the following fields:
- Basic Physics
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Question 4
Incorrect
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Question 5
Incorrect
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Fixed performance devices like high air flow oxygen enrichment (HAFOE) masks have large volumes of air entrained into a flow of 100% oxygen.
The term that best describes the physics behind air entrainment is?Your Answer:
Correct Answer: Bernoulli's principle
Explanation:Bernoulli’s principle states that as the speed of a moving fluid increases, there is a simultaneously decrease in static pressure or a decrease in the fluid’s potential energy.
This is seen in the simultaneous increase in speed and kinetic energy and fall in pressure that causes entrainment of large volumes of air into a flow of 100% oxygen in the nozzle of HAFOE masks.The reduction in fluid pressure that happens when a fluid flows through a constriction in a tube is the Venturi effect.
When a flow of gas or liquid attaches itself to a nearby surface and remains attached even when the surface curves away from the initial direction of flow, this is the Coanda effect.
The branch of engineering and technology that is concerned with the building of devices that use the flow and pressure of a fluid for functions usually performed by electronic devices is Fluidics . Fluidic logic is used to power some ventilators.
The branch of engineering that utilises pressurised gases is Pneumatics.
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This question is part of the following fields:
- Basic Physics
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Question 6
Incorrect
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General anaesthesia is administered to a patient in a hospital in Lhasa which is one of the highest cities in the world (at 11,975 feet). An Anaesthetic rotameter is normally calibrated at 20 C and 1 bar pressure and is known to be underread at altitude. The temperature of the theatre was 10 C.
Which one of the following physical properties is responsible for the rotameter inaccuracy in these conditions?Your Answer:
Correct Answer: Density of the gas
Explanation:Since the gas is less dense at higher altitudes, the density of a gas influences flows when passing through the orifice. Due to this reason, for a given flow rate, the bobbin will not be forced as far up the rotameter tube.
At higher altitudes, the volume of a fixed mass of gas increases, and therefore the molecules of gas are widely spaced resulting in a decrease in density with an increase in altitude.
Viscosity is simply termed as friction of gas. The viscosity of a gas is important only at low flow rates when the flow characteristic of the gas is laminar.
Charle’s law stated that the volume occupied by a fixed amount of gas is directly proportional to its absolute temperature (T) provided the pressure remains constant.
Boyle’s law for a fixed amount of gas at constant temperature, the pressure (P) and volume (V) are inversely proportional.
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This question is part of the following fields:
- Basic Physics
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Question 7
Incorrect
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Very small SI units are easily expressed using mathematical prefixes.
One femtolitre is equal to which of the following volumes?Your Answer:
Correct Answer: 0.000, 000, 000, 000, 001 L
Explanation:Small measurement units are denoted by the following SI mathematical prefixes:
1 deci = 0.1
1 milli = 0.001
1 micro = 0.000001
1 nano = 0.000000001
1 pico = 0.000000000001
1 femto = 0.000000000000001 (used to measure red blood cell volume)
1 atto = 0.000000000000000001 -
This question is part of the following fields:
- Basic Physics
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Question 8
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Question 9
Incorrect
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The child-Pugh scoring system can be used, if risk classifying a patient with chronic liver disorder earlier to anaesthesia.
Which one is the best combination of clinical signs and examinations used within the Child-Pugh scoring system?Your Answer:
Correct Answer: Ascites, grade of encephalopathy, albumin, bilirubin and INR
Explanation:In the Child-Pugh classification system, the following 5 components are determined or calculated in order:
Ascites
Grade of encephalopathy
Serum bilirubin (?mol/L)
Serum Albumin (g/L)
Prothrombin time or INR
Raised liver enzymes are not the component of the classification system.
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This question is part of the following fields:
- Basic Physics
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Question 10
Incorrect
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At a pH of 7, pure water has an hydrogen ion concentration of?
Your Answer:
Correct Answer: 100 nanomol/L
Explanation:pH is the negative log to the base 10 of hydrogen ion concentration:
So, what power produces the answer?
pH = – log10 [H+]
Making [H+] the subject:
[H+] = 10-pH
Substituting, [H+] = 10-7
One nanomole = 1 x 10-9 or 0.000000001
10-7 = 1x 0.0000001 or 10 x 0.00000001 or 100 x 0.000000001
100 nanomole
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This question is part of the following fields:
- Basic Physics
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