Intravenous anesthesia techniques MCQs – Anesthesia

By: Prof. Dr. Fazal Rehman Shamil | Last updated: September 13, 2024

• What is the primary goal of intravenous (IV) anesthesia?
  a) To induce and maintain general anesthesia quickly
  b) To provide local anesthesia
  c) To monitor vital signs
  d) To deliver inhalational anestheticsAnswer: a) To induce and maintain general anesthesia quickly
• Which intravenous anesthetic agent is commonly used for induction of anesthesia due to its rapid onset and short duration?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) MidazolamAnswer: a) Propofol
• Which intravenous anesthetic is known for its dissociative properties and analgesic effects?
  a) Ketamine
  b) Etomidate
  c) Thiopental
  d) FentanylAnswer: a) Ketamine
• What is a common side effect of the intravenous anesthetic agent thiopental?
  a) Respiratory depression
  b) Increased heart rate
  c) Hypotension
  d) NauseaAnswer: a) Respiratory depression
• Which intravenous anesthetic agent is preferred for its minimal cardiovascular effects?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Etomidate
• Which IV anesthetic is often used as a premedication for its anxiolytic effects?
  a) Midazolam
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Midazolam
• What is the primary use of fentanyl in intravenous anesthesia?
  a) As an opioid analgesic
  b) As a hypnotic agent
  c) As an induction agent
  d) As a muscle relaxantAnswer: a) As an opioid analgesic
• Which intravenous anesthetic agent is known for its potential to cause adrenal suppression with prolonged use?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Etomidate
• What is the typical effect of propofol on blood pressure?
  a) It may cause hypotension
  b) It raises blood pressure
  c) It has no effect on blood pressure
  d) It causes hypertensionAnswer: a) It may cause hypotension
• Which intravenous anesthetic agent is used for its rapid induction and recovery profile in outpatient procedures?
  a) Propofol
  b) Ketamine
  c) Etomidate
  d) MidazolamAnswer: a) Propofol
• What is the primary mechanism of action for propofol?
  a) Enhancement of GABAergic neurotransmission
  b) NMDA receptor antagonism
  c) Opioid receptor agonism
  d) Inhibition of serotonin reuptakeAnswer: a) Enhancement of GABAergic neurotransmission
• Which intravenous anesthetic agent should be used with caution in patients with a history of cardiovascular disease?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) EtomidateAnswer: a) Propofol
• What is the primary advantage of using ketamine as an intravenous anesthetic agent?
  a) It provides analgesia and amnesia
  b) It causes minimal cardiovascular depression
  c) It has a very short duration of action
  d) It has no respiratory effectsAnswer: a) It provides analgesia and amnesia
• Which intravenous anesthetic agent is commonly used for induction and is known for its rapid clearance from the body?
  a) Propofol
  b) Etomidate
  c) Ketamine
  d) MidazolamAnswer: a) Propofol
• Which intravenous anesthetic agent can cause hallucinations and vivid dreams during recovery?
  a) Ketamine
  b) Propofol
  c) Thiopental
  d) EtomidateAnswer: a) Ketamine
• Which intravenous anesthetic agent is known for its minimal effect on the cardiovascular system?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Etomidate
• What is the primary indication for the use of etomidate in intravenous anesthesia?
  a) Induction of anesthesia in hemodynamically unstable patients
  b) Analgesia during surgery
  c) Muscle relaxation
  d) Long-term sedationAnswer: a) Induction of anesthesia in hemodynamically unstable patients
• Which intravenous anesthetic agent is associated with pain on injection?
  a) Propofol
  b) Etomidate
  c) Ketamine
  d) ThiopentalAnswer: a) Propofol
• What is a common contraindication for the use of ketamine?
  a) Psychotic disorders
  b) Cardiovascular disease
  c) Hepatic impairment
  d) Renal impairmentAnswer: a) Psychotic disorders
• What is the main advantage of using midazolam in intravenous anesthesia?
  a) Its anxiolytic and amnesic properties
  b) Its rapid onset of action
  c) Its minimal cardiovascular effects
  d) Its potent analgesic effectsAnswer: a) Its anxiolytic and amnesic properties
• Which intravenous anesthetic agent is commonly used in combination with other agents for balanced anesthesia?
  a) Propofol
  b) Ketamine
  c) Etomidate
  d) MidazolamAnswer: a) Propofol
• Which intravenous anesthetic agent is primarily metabolized in the liver?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) MidazolamAnswer: a) Propofol
• What is a potential complication of using thiopental in intravenous anesthesia?
  a) Respiratory depression
  b) Cardiac arrhythmias
  c) Hepatic toxicity
  d) HypoglycemiaAnswer: a) Respiratory depression
• Which intravenous anesthetic agent has a high potential for abuse due to its euphoric effects?
  a) Ketamine
  b) Propofol
  c) Etomidate
  d) ThiopentalAnswer: a) Ketamine
• Which intravenous anesthetic agent is known to cause minimal changes in blood pressure and heart rate?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Etomidate
• What is the primary effect of intravenous anesthesia with ketamine?
  a) Dissociative anesthesia
  b) Hypnotic sedation
  c) Muscle relaxation
  d) AnalgesiaAnswer: a) Dissociative anesthesia
• What is a common adverse effect of propofol administration?
  a) Hypotension
  b) Tachycardia
  c) Hyperthermia
  d) AgitationAnswer: a) Hypotension
• Which intravenous anesthetic agent is used for its potent antiemetic properties?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) EtomidateAnswer: a) Propofol
• What is a characteristic feature of etomidate compared to other intravenous anesthetics?
  a) Minimal cardiovascular effects
  b) Long duration of action
  c) High incidence of nausea
  d) Significant respiratory depressionAnswer: a) Minimal cardiovascular effects
• Which intravenous anesthetic agent is typically used for sedation and procedural anesthesia in a variety of clinical settings?
  a) Midazolam
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Midazolam
• What is the primary use of fentanyl in intravenous anesthesia?
  a) Pain relief
  b) Induction of anesthesia
  c) Sedation
  d) Muscle relaxationAnswer: a) Pain relief
• Which intravenous anesthetic agent is preferred for induction in patients with a high risk of cardiovascular instability?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Etomidate
• Which intravenous anesthetic agent can cause transient excitatory effects or hallucinations during recovery?
  a) Ketamine
  b) Propofol
  c) Midazolam
  d) EtomidateAnswer: a) Ketamine
• What is a common method of administering intravenous anesthesia for short procedures?
  a) Bolus injection
  b) Continuous infusion
  c) Intermittent bolus
  d) Inhalational inductionAnswer: a) Bolus injection
• Which intravenous anesthetic agent is known for its rapid onset and very short duration of action?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) EtomidateAnswer: a) Propofol
• Which intravenous anesthetic agent can be associated with myoclonus or involuntary muscle movements?
  a) Ketamine
  b) Propofol
  c) Etomidate
  d) MidazolamAnswer: a) Ketamine
• Which intravenous anesthetic is least likely to cause respiratory depression?
  a) Midazolam
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Midazolam
• What is a key safety consideration when administering propofol?
  a) Monitoring for hypotension
  b) Ensuring adequate analgesia
  c) Avoiding over-sedation
  d) Checking for allergic reactionsAnswer: a) Monitoring for hypotension
• Which intravenous anesthetic agent is used for its minimal cardiovascular effects and does not typically alter heart rate or blood pressure significantly?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) MidazolamAnswer: a) Etomidate
• Which intravenous anesthetic agent is used primarily for sedation and is also effective as an antiemetic?
  a) Propofol
  b) Ketamine
  c) Thiopental
  d) EtomidateAnswer: a) Propofol
• What is a common side effect of ketamine administration?
  a) Hallucinations
  b) Bradycardia
  c) Hyperthermia
  d) HypotensionAnswer: a) Hallucinations
• Which intravenous anesthetic agent should be avoided in patients with a history of seizures?
  a) Ketamine
  b) Propofol
  c) Etomidate
  d) ThiopentalAnswer: a) Ketamine
• What is a primary concern when using etomidate in a surgical setting?
  a) Adrenal suppression
  b) Cardiovascular instability
  c) Respiratory depression
  d) Allergic reactionsAnswer: a) Adrenal suppression
• Which intravenous anesthetic agent is least likely to cause nausea and vomiting?
  a) Propofol
  b) Ketamine
  c) Etomidate
  d) MidazolamAnswer: a) Propofol
• What is the typical induction dose of propofol for a healthy adult?
  a) 1.5-2.5 mg/kg
  b) 5-10 mg/kg
  c) 0.5-1.0 mg/kg
  d) 2.0-3.0 mg/kgAnswer: a) 1.5-2.5 mg/kg
• Which intravenous anesthetic agent is known for causing pain on injection due to its lipid formulation?
  a) Propofol
  b) Thiopental
  c) Ketamine
  d) EtomidateAnswer: a) Propofol
• What is the primary mechanism of action of ketamine?
  a) NMDA receptor antagonism
  b) GABA receptor enhancement
  c) Opioid receptor activation
  d) Serotonin reuptake inhibitionAnswer: a) NMDA receptor antagonism
• Which intravenous anesthetic agent is considered the best choice for patients with cardiovascular instability?
  a) Etomidate
  b) Propofol
  c) Ketamine
  d) MidazolamAnswer: a) Etomidate
• Which intravenous anesthetic agent is associated with a high incidence of allergic reactions?
  a) Propofol
  b) Ketamine
  c) Etomidate
  d) ThiopentalAnswer: a) Propofol
• Which intravenous anesthetic agent is used primarily for its sedative and anxiolytic effects in the preoperative setting?
  a) Midazolam
  b) Propofol
  c) Ketamine
  d) ThiopentalAnswer: a) Midazolam

Topic-wise Anesthesia MCQs

1. Anesthesiology MCQs
2. Anesthesia Basics:
   • Levels of sedation and anesthesia MCQs
   • Stages of anesthesia MCQs
3. Anesthesia Agents MCQs:
   • Inhaled anesthetics MCQs
   • Intravenous anesthetics MCQs
   • Neuromuscular blocking agents MCQs
   • Local anesthetics MCQs
4. Airway Management:
   • Endotracheal intubation MCQs – Anesthesia
   • Supraglottic airway devices MCQs – Anesthesia
   • Video laryngoscopy MCQs – Anesthesia
   • Difficult airway management MCQs – Anesthesia
5. Anesthesia Monitoring MCQs – Anesthesia:
   • Hemodynamic monitoring MCQs – Anesthesia
   • Pulse oximetry MCQs – Anesthesia
   • Capnography MCQs – Anesthesia
   • Temperature monitoring MCQs – Anesthesia
6. Regional Anesthesia MCQs :
   • Epidural anesthesia MCQs
   • Spinal anesthesia MCQs
   • Peripheral nerve blocks MCQs
7. Patient Assessment and Optimization:
   • Pre-operative assessment MCQs – Anesthesia
   • Patient history and physical examination MCQs – Anesthesia
   • Risk assessment and optimization MCQs – Anesthesia
8. Anesthesia Delivery Systems MCQs:
   • Inhalation anesthesia machines MCQs – Anesthesia
   • Intravenous anesthesia techniques MCQs – Anesthesia
9. Pediatric Anesthesia MCQs :
   • Considerations for anesthesia in pediatric patients MCQs – Anesthesia
   • Pediatric airway management MCQs – Anesthesia
   • Pediatric drug dosages MCQs – Anesthesia
10. Obstetric Anesthesia MCQs – Anesthesia:
    • Anesthesia for labor and delivery MCQs
    • Epidural analgesia in obstetrics MCQs – Anesthesia
    • Anesthetic considerations for cesarean section
11. Anesthesia Complications and Emergencies MCQs:
    • Malignant hyperthermia MCQs – Anesthesia
    • Anaphylaxis MCQs – Anesthesia
    • Cardiac arrest during anesthesia MCQs – Anesthesia
12. Post-Anesthesia Care MCQs:
    • Recovery room management MCQs – Anesthesia
    • Pain management strategies MCQs – Anesthesia
    • Post-operative complications related to anesthesia MCQs
13. Geriatric Anesthesia:
    • Considerations for anesthesia in elderly patients MCQs – Anesthesia
    • Geriatric pharmacology MCQs – Anesthesia
    • Management of common comorbidities MCQs – Anesthesia
14. Ethics and Professionalism in Anesthesia MCQs:
    • Informed consent MCQs – Anesthesia
    • Patient autonomy MCQs – Anesthesia
    • Professional conduct and communication MCQs – Anesthesia
15. Simulation and Skills Training MCQs :
    • Hands-on training in airway management and procedures MCQs – Anesthesia
    • Simulation exercises for crisis management MCQs – Anesthesia