1. What is the most important consideration when managing a hypertensive patient undergoing anesthesia?
- A) Ensure tight blood pressure control during the entire surgery
- B) Avoid anesthetic agents that increase heart rate
- C) Prevent significant blood pressure fluctuations
- D) Allow for moderate hypotension to reduce bleeding
Answer: C
2. Which medication is commonly used to manage perioperative hypertension?
- A) Epinephrine
- B) Labetalol
- C) Atropine
- D) Propofol
Answer: B
3. In patients with ischemic heart disease, which of the following is the best method to minimize myocardial oxygen demand during anesthesia?
- A) Increase heart rate
- B) Increase preload
- C) Maintain normotension and avoid tachycardia
- D) Use high-dose opioids
Answer: C
4. Which is the preferred anesthetic approach for a patient with chronic obstructive pulmonary disease (COPD)?
- A) Regional anesthesia
- B) General anesthesia with volatile agents
- C) Total intravenous anesthesia (TIVA)
- D) Spinal anesthesia
Answer: A
5. What is the key risk when providing anesthesia to a patient with diabetes?
- A) Hypoglycemia during surgery
- B) Hypertension
- C) Hyperkalemia
- D) Dehydration
Answer: A
6. For patients with asthma, which of the following anesthetic agents is least likely to cause bronchospasm?
- A) Desflurane
- B) Sevoflurane
- C) Isoflurane
- D) Nitrous oxide
Answer: B
7. In managing a patient with chronic kidney disease, what is the main anesthetic concern?
- A) Hypovolemia
- B) Electrolyte imbalance, especially hyperkalemia
- C) Respiratory depression
- D) Anemia
Answer: B
8. Which of the following is a concern when providing anesthesia to a patient with liver cirrhosis?
- A) Hypothermia
- B) Coagulopathy and altered drug metabolism
- C) Hypertension
- D) Hyperthyroidism
Answer: B
9. For a patient on long-term corticosteroids undergoing surgery, which of the following should be administered perioperatively?
- A) Dexamethasone
- B) Hydrocortisone
- C) Methylprednisolone
- D) No additional steroids are needed
Answer: B
10. In patients with heart failure, how should anesthetics be managed?
- A) Minimize preload and afterload
- B) Increase preload to maintain cardiac output
- C) Use inhalational agents to improve myocardial contractility
- D) Avoid vasopressors at all costs
Answer: A
11. What is the major concern for anesthesia in patients with obesity?
- A) Hypertension
- B) Airway management and ventilation difficulties
- C) Hypoglycemia
- D) Hypokalemia
Answer: B
12. For a patient with a history of stroke, what is the primary anesthetic concern?
- A) Hypertension
- B) Cerebral perfusion pressure maintenance
- C) Hyperglycemia
- D) Increased risk of bleeding
Answer: B
13. What is the preferred anesthetic for patients with myasthenia gravis?
- A) General anesthesia with muscle relaxants
- B) Local anesthesia
- C) Avoid muscle relaxants and use TIVA
- D) Spinal anesthesia
Answer: C
14. Which of the following is most critical in managing a patient with obstructive sleep apnea (OSA) during anesthesia?
- A) Avoiding opioid use
- B) Maintaining muscle relaxation
- C) Monitoring oxygen saturation closely and avoiding sedatives
- D) Use of volatile anesthetics
Answer: C
15. In a diabetic patient undergoing surgery, which of the following should be avoided to prevent hyperglycemia?
- A) Steroids
- B) Insulin
- C) IV fluids
- D) Opioids
Answer: A
16. Which anesthetic agent is contraindicated in patients with malignant hyperthermia susceptibility?
- A) Propofol
- B) Sevoflurane
- C) Succinylcholine
- D) Nitrous oxide
Answer: C
17. In patients with renal impairment, which of the following should be monitored closely during anesthesia?
- A) Blood sugar levels
- B) Fluid balance and electrolytes
- C) Blood pressure
- D) Oxygen saturation
Answer: B
18. For a patient with chronic alcoholism, what is the major concern during anesthesia?
- A) Hypotension
- B) Delirium tremens and altered drug metabolism
- C) Hypoglycemia
- D) Bradycardia
Answer: B
19. In patients with thyroid disorders, what is the primary anesthetic concern?
- A) Hyperglycemia
- B) Hypothermia
- C) Cardiovascular instability
- D) Hypertension
Answer: C
20. What is the primary anesthetic concern for a patient with Parkinson’s disease?
- A) Bradycardia
- B) Exacerbation of muscle rigidity
- C) Increased risk of aspiration
- D) Hypertension
Answer: B
21. Which medication is best avoided in patients with pheochromocytoma during anesthesia?
- A) Epinephrine
- B) Atropine
- C) Labetalol
- D) Ketamine
Answer: A
22. In patients with chronic heart failure, which of the following is the primary goal of anesthetic management?
- A) Increase cardiac preload
- B) Avoid significant fluid shifts
- C) Use high-dose inhalational agents
- D) Maintain tachycardia
Answer: B
23. Which is the preferred anesthetic agent for a patient with liver failure?
- A) Isoflurane
- B) Propofol
- C) Sevoflurane
- D) Halothane
Answer: B
24. Which anesthetic complication is most common in diabetic patients?
- A) Hypotension
- B) Hypoglycemia
- C) Hyperkalemia
- D) Respiratory depression
Answer: B
25. Which anesthetic technique is most beneficial for a patient with a history of GERD?
- A) General anesthesia with muscle relaxation
- B) Use of rapid-sequence induction to prevent aspiration
- C) Regional anesthesia
- D) Avoid using muscle relaxants
Answer: B
26. What is the primary anesthetic concern for a patient with severe aortic stenosis?
- A) Tachycardia
- B) Hypotension
- C) Fluid overload
- D) Hypertension
Answer: B
27. Which of the following is an absolute contraindication to spinal anesthesia?
- A) Hypertension
- B) Severe hypovolemia
- C) Asthma
- D) Diabetes
Answer: B
28. In patients with morbid obesity, which of the following is the most appropriate induction technique?
- A) Rapid-sequence induction
- B) Inhalation induction
- C) Use of sedatives
- D) Avoid pre-oxygenation
Answer: A
29. What is the best method to prevent perioperative myocardial ischemia in a patient with coronary artery disease?
- A) Use of high-dose inhalation agents
- B) Avoid tachycardia and maintain normotension
- C) Increase oxygen concentration
- D) Avoid premedication
Answer: B
30. In a patient with chronic renal failure, what should be avoided during anesthesia?
- A) Use of volatile anesthetics
- B) High doses of potassium-containing fluids
- C) Opioid use
- D) Nitrous oxide
Answer: B
Topic-wise Anesthesia MCQs
- Anesthesiology MCQs
- Anesthesia Basics:
- Anesthesia Agents MCQs:
- Airway Management:
- Anesthesia Monitoring MCQs – Anesthesia:
- Regional Anesthesia MCQs :
- Patient Assessment and Optimization:
- Anesthesia Delivery Systems MCQs:
- Pediatric Anesthesia MCQs :
- Obstetric Anesthesia MCQs – Anesthesia:
- Anesthesia Complications and Emergencies MCQs:
- Post-Anesthesia Care MCQs:
- Geriatric Anesthesia:
- Ethics and Professionalism in Anesthesia MCQs:
- Simulation and Skills Training MCQs :