General Anaesthesia
Anaesthesiology · Topic 4
Source: NMC CBME Curriculum 2024 · Volume III · Anaesthesiology · Topic 4 · combined PDF page 453
Practice questions
- A multidisciplinary team is developing a pathway for adults with severe learning disabilities who require extensive dental treatment under general anaesthesia. Which approach most closely reflects the clinical guideline for special care dentistry?
- When interpreting recommendations for general anaesthesia in adult special care dentistry, which statement about the evidence base is most accurate?
- A hospital is organizing an environmental-impact review of its general anaesthesia practice. Which set of domains matches the 2023 guideline’s structure?
- A recommendation about the environmental impact of an anaesthetic practice cannot be fully assessed using GRADE. What does the guideline report about such recommendations?
- In the umbrella review of caesarean-delivery general anaesthesia, which evidence-supported statement describes short-acting induction opioids?
- A review comparing propofol with thiopental for induction of obstetric general anaesthesia reported which combination of findings?
- For obstetric general anaesthesia, which finding supports rocuronium as an alternative to suxamethonium for tracheal intubation?
- Which group of drugs was identified as attenuating the maternal haemodynamic response to laryngoscopy in the obstetric GA induction review?
- A clinician applies the obstetric induction review to a patient undergoing emergency caesarean delivery with a high-risk pregnancy. Which interpretation is most appropriate?
- In the systematic review of women aged 65 years or older undergoing primary breast cancer surgery, which outcomes were lower or shorter overall with locoregional techniques than with GA?
- What is the principal limitation when interpreting the breast-surgery review’s comparison of locoregional techniques with GA in women aged 65 years or older?
- In adults older than 60 years undergoing surgery under GA, which biomarker finding had low-certainty evidence of association with postoperative delirium?
- Which statement best summarizes the systematic review’s conclusions about NfL and GFAP as markers of postoperative cognitive disorder (POCD)?
- Compared with clinician-directed manual control, BIS-guided closed-loop hypnotic delivery most clearly changed which depth-of-anaesthesia measure in the meta-analysis?
- A meta-analysis of BIS-guided closed-loop systems found a statistically significant reduction in time with BIS below 40. What happened to time with BIS above 60?
- Which recovery and resource-use pattern was reported for closed-loop versus manual hypnotic delivery?
- What was the primary outcome used to compare BIS-guided closed-loop systems with clinician-directed manual control in the meta-analysis?
- For imaging-guided minimally invasive parathyroidectomy, which comparison between locoregional and general anaesthesia was supported by the meta-analysis?
- Which postoperative advantage was associated with locoregional anaesthesia for minimally invasive parathyroidectomy in the systematic review?
- What is the most appropriate conclusion about adopting locoregional anaesthesia for minimally invasive parathyroidectomy?
- A patient asks about the reported effect of perioperative TEAS on sleep after surgery under GA. Which response is consistent with the meta-analysis?
- In addition to sleep-quality measures, which outcome did the TEAS meta-analysis report as improved?
- Which postoperative adverse responses were reported as less frequent with perioperative TEAS in the meta-analysis?