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General anesthetics. Ethyl alcohol



1. A woman of 22 years had been admitted to the obstetric clinic for delivery. Labor activity was satisfactory, but accompanied by severe pain. Choose a general anesthetic for labour pain relief, without suppressing labor activity.

A.*Nitrous oxide

B. Ether

C. Thiopentalum-natrium

D. Phthorotanum (halothane)

E. Hexenalum (hexobarbital)

2. In the orthopedic clinic the patient with a recent, uncomplicated dislocation of the shoulder joint was delivered. Choose a general anesthetic with fast, but short-term action for out-patient reposition of dislocation of shoulder joint.

A.*Ketamine

B. Natrii oxybutyras (oxybate sodium)

C. Ether

D. Phthorotanum (halothane)

E. Hexenalum (hexobarbital)

3. For treatment of patient suffered from chronic alcoholism the doctor has administered Teturamum (disulfiram) in combination with small doses of ethanol. What mechanism of action has the given drug?

A. *Oppression of activity of an enzyme acetaldehyde oxidase

B. Rising of activity of an enzyme alcohol dehydrogenase

C. Blockade of dopamine receptors

D. Excitation of the emetic center

E. Blockade of central cholinoceptors

4. A sudden sharp decrease of blood pressure arose in a patient who was being operated under general anesthesia. The doctor introduced adrenaline, after that fibrillation of heart ventricles developed. Indicate the general anesthetic which was used and with adrenaline might cause this complication.

A *Phthorotanum (halothane)

B. Nitric oxide

C. Ether

D. Thiopentalum-natrium

E. Hexenalum (hexobarbital)

5. A patient was admitted to a neurosurgical department with a skull trauma. Due to progressive arising of neurological signs, the diagnosis of brain edema was made. Indicate general anesthetic which is also used as the drug for brain hypoxia.

A.*Natrium oxybutyras (oxybate sodium)

B. Ether

C. Ketamine

D. Propanidid

E. Phthorotanum (halothane)

6. Indicate the general anesthetic which causes long and expressed stage of excitement.

A.*Ether

B. Phthorotanum (halothane)

C. Nitric oxide

D. Natrii oxybutyras (oxybate sodium)

E Hexenalum (hexobarbital)

7. Indicate the emetic agent directly exciting vomiting centre which is used in treatment of chronic alcoholism.

A.*Apomorphine

B. Thermopsis grass infusion

C. Ipecacuanha root infusion

D. Copper sulfate

E. Zinc sulfate

8. To anaesthetize the manipulation related to burn surface treatment, a patient was intravenously injected a short-acting general anesthetic. A minute later, the patient showed increase of blood pressure, tachycardia, and increase of skeletal muscles tonicity and presence of reflexes. After awakening the patient had disorientation and visual hallucinations. What medication was introduced to the patient?

A.*Ketamine

B. Thiopental sodium

C. Nitrous oxide

D. Diethyl ether

E. Sombrevin (Propanidid)

9. A patient was delivered to the surgical department in connection with acute appendicitis. A drug for general anaesthesia with expressed stage of excitement was used by the doctor. Determine this drug.

A. *Ether

B. Nitrous oxide

C. Phthorotanum (halothane)

D. Hexenalum (hexobarbital)

E. Natrii oxybutyras (oxybate sodium)

10. General anesthesia with usage of volatile fluid was made to the patient during operation on the organs of abdominal cavity. Surgical anaesthesia appeared in 5 minutes after the beginning of inhalation with non significant stage of excitement. Arterial hypotension and cardiac arrhythmia developed during operation. There was fast awakening after general anesthesia without depres­sion. Indicate the drug that was used for general anesthesia.

A. *Phthorotanum (halothane)

В. Nitrous oxide

C. Ether

D. Natrii oxybutyras (oxybate sodium)

E. Hexenalum (hexobarbital)

11. Acute affection of the liver (hepatitis) appeared after the repeated introduction of this drug for general anesthesia. What drug can cause this pathology?

A. *Phthorotanum (halothane)

B. Nitrous oxide

C. Thiopental natrium

D. Propanidid

E. Ether

12. Expressed bradycardia with endangered arrest of the heart was developed during phthorotanum (halothane) anesthesia. What drug should be used to normalize the heart rate for continuation of the operation?

A. *Atropine

B. Coffeinum

C. Adrenaline

D. Camphor

E. Isadrmum (isoprenaline)

13. An anaesthesiologist decided to introduce solution of thiopental natrium intravenously to the 55-years-old patient for general anesthesia before gastric resection. Indicate the dangerous side effect of thiopental natrium.

A. *Breathing standstill

B. Expressed stage of excitement

C. Drug tolerance

D. Increased of blood pressure

E. Drug dependence

14. A doctor administered thiopen­tal natrium to a patient with a fracture of mandibular for analgesia during operation. What is the principal of anaesthetic action of this drug?

A. *Impairment of interneuronal impulse transmission in CNS

B. Interaction with opioid receptors

C. Blockade of peripheral receptors

D. Change of emotional attitude to pain

E. Inhibition of synthesis of prostaglandins

15.Thiopental natrium was introduced to the patient for the initial general anaesthesia that caused the development of laryngospasm and hypersalivation. Select a drug for the prevention of unwanted effects.

A. *Atropine sulfate

B. Adrenaline hydrochloride

C. Proserine

D. Alloxim

E. Pirroxane

16. The patient suffers from cerebral trauma that caused brain edema and hypoxic convulsions. Determine the drug possessing anticonvulsive action.

A. *Natrii oxybutyras (oxybate sodium)

B. Anapriline (propranololJ

C. Corasole

D. Piracetam

E. Cordiamintlm (nikethamide)

17. Dentist extracted the tooth in a patient under general anaesthesia. He used a drug with ultrashort anaes­thetic action. Indicate this drug.

A. *Ketamine

В. Predione

C. Thiopental natrium

D. Phthorotanum (haiothanej

E. Nitrous oxide

18. General anesthetic with ultra short action (5 minutes) was introduced to a patient intravenously for analgesia of biopsy. It caused muscular twitching, insignificant decreased of blood pressure, stop of breathing for short period of time. Determine this drug.

A. *Propanidid

В Natrii oxybutiyas (oxybate sodium)

C. Predion

D. Ketamlne

E. Phthorotanum (halothane)

19. Propanidid is used very often in dentistry practice. Determine the contraindication for use of this drug.

A. *Shock

B. Reposition of jaw-bone fragments

C. Reposition of dislocations of jaw

D. Taking out the stitches

E. Dissection of pulp cavity

20. The patient used solution of ethyl alcohol for warming after supercooling. How does ethyl alcohol influence upon thermoregulation?

A. *Increases heat emission

В. Decreases heat emission

C. Increases heat production

D. Decreases heat production

E. Decreases heat production and heat emission

21. Teturam (disulfiram) was administered to the patient at the narcological department of psychiatric hospital. Determine the indication for use of this drug.

A. .*Chronic alcoholism

В. Acute poisoning by ethyl alcohol

C. Drug addiction

D. Acute poisoning by morphine

E. Alcohol psychosis

22. In what concentration is ethyl alcohol used for antimicrobial processing of skin:

A. *70%

B. 15%

C. 60%

D. 40%

E. 96%

23. This drug for general anesthesia exerts stronger action upon the liver and can affect the kidneys; it is used as the main component for combined anesthesia. Phtor iones are formed from this drug in the process of biotransformation. Determine this drug.

A. *Phthorotanum (halothane)

В. Ether

C. Chlorethyl

D. Enflurane

E Chloroform

24. Expressed bradycardia, reduc­ing of blood pressure appeared during phthorotanum anesthesia. What drug is contraindicated to normalize the blood pressure and the heart rate for continuation of the operation.

A. *Adrenaline (epinephrine)

B. Atropine

C. Mesatonum (phenylephrfne)

D. Coffeinum(caffeine)

E. Proserine (neostigmine)

 




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