Last 5 Years PYQs of INI-CET Anesthesia

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Q1. A 42-year-old male who had tested positive for COVID-19 and was isolated at home presents to the emergency room with difficulty breathing. The patient is conscious and responsive but has an increased breathing rate. An oxygen saturation (SpO2) measurement reveals a reading of 86%. The patient is given oxygen through a face mask equipped with a reservoir bag at a flow rate of 10 L/min. Following an hour-long trial, the SpO2 level improves to 88%. What is the subsequent course of action in managing this patient?

1. Increase flow rate to 15 L/min
2. High-flow nasal cannula oxygen therapy
3. Endotracheal intubation
4. No specific intervention necessary

Ans. 2) High–flow nasal cannula oxygen therapy

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Q2. What is the most frequent reason for hospital admission following daycare surgery?

1. Respiratory distress
2. Post-surgical pain
3. Postoperative nausea and vomiting
4. Bleeding

Ans. 3) Postoperative nausea and vomiting

Q3. In neuromuscular monitoring, what is the frequency at which tetanic stimulation is typically applied?

1. 0.2 Hz
2. 2 Hz
3. 20 Hz
4. 50 Hz

Ans. 4) 50 Hz

Q.4 What is the maximum rate of oxygen flow that can be maintained using a traditional oxygen mask?

1. 5 L/min
2. 15 L/min
3. 10 L/min
4. 20 L/min

Ans. 3) 10 L/min

Q.5 Which of the following can be used for induction of anesthesia, maintenance and can be safely used in endotracheal intubation?

1. Halothane
2. Desflurane
3. Sevoflurane
4. Isoflurane

Ans. 3) Sevoflurane

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Q6. During resuscitation, a patient received a 20% intralipid injection. What could have been the most probable diagnosis?

1. Local anaesthesia toxicity
2. Asphyxia due to drowning
3. Electrocution
4. Pulseless electrical activity

Ans. 1) Local Anaesthesia Toxicity

Q7. Which of the following post-bronchodilator pulmonary function test (PFT) results would necessitate a further assessment of lung function in a 50-year-old male patient with grade 3 American Society of Anesthesiology (ASA) status?

1. FEV1<0.85 and FEV1/FVC<0.8
2. FEV1<0.85 and FEV1/FVC<0.75
3. FEV1<0.85 and FEV1/FVC<0.7
4. FEV1<0.8 and FEV1/FVC<0.75

Ans. 3) FEV1<0.85 and FEV1/FVC<0.7

Q8. Regarding the initial setting for a patient with blunt chest trauma who has been initiated on mechanical ventilation, which of the following statements is incorrect?

1. Respiratory rate – 12 breaths/ min
2. PEEP - 5 cm H₂0
3. FiO₂-100%
4. Tidal volume – 12ml/kg of actual BW

Ans. 4) Tidal volume – 12 ml/kg of actual BW:

Q9. Which of the following methods cannot be used to determine cardiac output?

1. Thermal dilution technique
2. Capnography
3. Esophageal doppler
4. Echocardiography

Ans. 2) Capnography

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Q10. Which of the following gases is delivered through the blue pipeline in the operation theatre?

1. Oxygen
2. Nitrous oxide
3. Air
4. Vacuum

Ans. 2) Nitrous oxide

Q11. While taking your morning stroll in the park, you come across an individual who is unconscious and lying on the ground. What would be the most appropriate course of action to take next from the given choices?

1. Check carotid pulse, start CPR, and call for help; Defibrillate if no pulse
2. Call for help, check pulse, do CPR, defibrillate if no pulse
3. Observe
4. Ignore and continue to walk​

 Ans. 2) Call for help, check pulse, do CPR, defibrillate if no pulse

Q12. Which of the following statements given below is incorrect regarding CPR in adults?

1. Depth of chest compression up to 5-6 cm
2. Allow adequate chest recoil
3. Ventilation: 22-25 breaths/ min
4. Chest compression rate 100-120/min

Ans. 3) Ventilation: 22-25 breaths/ min

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Q13. What should be the next course of action in managing a patient with pneumonia who is on a ventilator, weighs 50 kg, has a respiratory rate of 14 breaths per minute, a bicarbonate level of 18, a pH of 7.33, a paCO₂ level of 48 mmHg, a paO₂ level of 110 mmHg, a PEEP of 12 cm H₂O, a tidal volume of 420 mL, and a SpO₂ level of 100% with an FiO₂ of 90%?

1. Increase PEEP
2. Decrease fiO₂
3. Decrease RR
4. Increase tidal volume

Ans. 2) Decrease FiO2

Q14. Which of the following is the most potent local anesthetic agent?

1. Halothane
2. Isoflurane
3. Lidocaine
4. Bupivacaine

Ans. 4) Bupivacaine

Q15. A neonate is brought to the pediatric ER in acute respiratory distress. On examination, the abdomen is scaphoid. Which of the following should not be performed in this patient?

1. PPV
2. Bag and mask ventilation
3. Oxygen therapy
4. Intubation

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Q16. A 60-year-old male patient is undergoing laparoscopic cholecystectomy. During the surgery, a sudden decrease in etCO2 to 8 mm Hg was observed. The patient's SpO2 was 90% and peak airway pressure was 18 mm Hg. His blood pressure also dropped to 80/50 mm Hg. dWhich of the following is the most probable diagnosis?

1. Pneumothorax
2. CO2 embolism
3. Endobronchial intubation
4. Bronchospasm

Ans. 2) CO₂ embolism

Q17. Which of the following corresponds to ASA grade III?

1. Moribund patient
2. Patient having systemic illness which is under control or without any functional limitations
3. Patient having systemic illness which is not under control or with functional limitations
   Patient having systemic illness which is a constant threat to life

Ans. 3) Patient having systemic illness which is not under control or with functional limitations

Q18. A child was being delivered oxygen by nasal cannula at 3L/min. What is the FiO2 being delivered?

1. 24%
2. 30%
3. 44%
4. 40%

Ans. 2) 30%

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Q19. Steps of intubation sequence are:

a. Flexion of lower cervical spine and extension of Atlanto-occipital joint

b. Inflate cuff of endotracheal tube

c. Introduce a laryngoscope from the right side of mouth

d. Confirm the position of tube

1. a, b, c,
2. a, b, d, c
3. b, a, c, d
4. a, c, b, d

Ans. 4) a, c, b, d:Is the correct sequenc

Ans. 2) Bag and Mask Ventilation

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