2010 - AHA ECC Adult Chain of Survival

The links in the 2010 AHA ECC Adult Chain of Survival are as follows:
1.  Immediate recognition of cardiac arrest and activation of the emergency response system
2.  Early CPR with an emphasis on chest compressions
3. Rapid defibrillation
4. Effective advanced life support
5. Integrated post–cardiac arrest care

MCQ 19:

A fifth link in the AHA ECC Adult Chain of Survival in 2010 guidelines is:
a) Early CPR

b) Post Cardiac arrest care

c) Rapid defibrillation

d) Effective advanced life support


Ans:  b) Post Cardiac arrest care


Click here to know more about 2010 AHA Adult chain of survival
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MCQ 18

The Adult BLS Sequence recommended as per 2010 AHA Guidelines for CPR is:

a) Airway – Breathing – Circulation


b) Breathing – Airway – Circulation


c) Circulation – Airway – Breathing

d) Circulation – Breathing – Airway

Ans: c) Circulation – Airway – Breathing

MCQ 17:

Mechanism of Action of Dopexamine is:
(a)- Stimulation of Beta 1 adrenergic and Dopamine receptors
(b)- Stimulation of Beta 2 adrenergic and Dopamine receptors
(c)- Inhibition of Beta 1 adrenergic receptors and Stimulation of Dopamine receptors
(d)- Inhibition of Beta 2 adrenergic receptors and Stimulation of Dopamine receptors



Ans: (b) - Stimulation of Beta 2 adrenergic and Dopamine receptors

FNB APTITUDE TEST / INTERVIEW

Hi Guys,

Congratulations to everyone who have cleared the theory. To prepare for the Aptitude Test, read:

- Guidelines

- Classifications

- Gradings of Diseases

- ARDS / Nutrition

Wish you all good luck!

MCQs from Dr. Satrajit

MCQ 27: A patient on mechanical ventilator in the ICU needs an urgent CT scan. Which of the following is of least importance regarding transportation of this patient out of ICU for a CT scan ?

(a) Check the position of the endotracheal tube and fix it securely
(b) Talk to the personnel in the CT scan department that they are ready to accept the patient there
( c) Attach all routine monitors including pulse oximeter, ECG etc
(d) Monitor the EtCO2 levels

 

MCQ 28: Regarding aerosolized drug delivery what should be the optimum size of drug particles/droplets ?
(a) < 2 microns
(b) 2-5 microns
(c) 5-10 microns
(d) > 10 microns

More MCQs

Thanks Satrajit.

MCQ 26: Which of the following carries the highest mortality rate?
(a) Cardiac failure
(b) Hepatic failure
(C) Renal failure

More FNBE 2010 MCQs from Dr. Akhil (updated…)

MCQ 18: A patient present to em department with bloody diarhoea P-124, Bp-80mm systolic. all abdominal signs are absent. xray abdomen shows thum print sign. the diagnosis is
1. bowel ischemia
2. diverticulitis
3. angiodysplasia
4. IBD
answer is bowel ischemia

MCQ 19: Treatment for aspirin induced asthma?
a. Cromolyn
b. Leukotriene inhibitor
c. corticosteroids

MCQ 20:  Normal creatinine clearance 
a. < 20                                                                            b. 20-40                                                                             c. 40-60                                                                             d. 90-125

MCQ 21: oligive syndrome:

(options ????)

MCQ 22: insertion of IABP is Contraindicated in
a. Severe end stage cardiac disease
b. severe AR
c. Severe MR
d. coagulopathy

MCQ 23: HATRICK!
All the following drugs are dialysable except:
a – Salicylate
b – Sertaline
c - Ethylene Glycol
d – Methanol

MCQ 24: pulse oximetry gives false reading with
a. flourescein dye
b. HbF
c. HbS
d. methylene blue

MCQ 25: diagnosis of hemothorax?
a. Hct>20%
b. Hct>30%
c. Hct>40%
d. Hct>45%

MCQs FNBE 2010

Thanks Dr. Nikhil for the MCQs

MCQ 14: All cause decreased anion gap except
a. hypoalbunemia
b. lithium ingestion
c. paraproteinemia
d. hyperparathyroidism

MCQ 15:  Hyperbaric oxygen is treatment of choice in
a. decompression sickness
b. ischemic skin grafts
c. osteoradionecrosis
d. burns

MCQ 16: all seen in hypomagnesemia except
a. weakness, lethargy
b. muscle spasms
c. hypotension
d. seizures

MCQ 17: Patient with ST elevation MI all of the following to be given except
a. beta blockers
b. Alteplase
c. LMWH
d. Glucose potassium insulin infusion

Few more FNBE 2010 MCQs from Dr. Vidyesh

MCQ 8: Digoxin causes all EXCEPT

a. SINUS BRADYCARDIA

b. AV BLOCK

c. ATRIAL TACHY

d. VENTRICULAR TACHY

 

MCQ 9:  Heparin is C/I in

a. PREGNANT WITH ASTHMA

b. SAH STATUS

c.-------------------

d.------------------------

 

MCQ 10: Most harmful cutaneous reaction is

a. Type A

b. TYPE B

c. TYPE C

d. TYPE D

 

MCQ 11: Bilateral Pulmonary infiltrates, Diarrhoea, cutaneous rash-

a. LEGIONELLA

b. MYCOPLASMA

c. CLOXIELLA BUNETTI

d. HISTOPLASMA

 

MCQ 12: Chest expansion measures:

a. TLC

b. VC

c. IRC

d. IC

 

MCQ 13: TRIS buffer is:

a. NA BICARB

b. CRBI CARB

c. TROMETHAMINE

d. --------------

More MCQs in FNBE 2010

Dr. Akhil Taneja wrote:

Crazing paving on hrct is seen in?

a. pulmonary alveolar peoteinosis
b. pnuemocystic carinii
c. broncholaveolar ca
d. sarcoidosis

Answer is: A

A pattern of coexistent septal lines and ground-glass that is sharply demarcated from normal lung is known as "crazy-paving."

Differential diagnosis:
Alveolar proteinosis is most likely but lipoid pneumonia, bronchioloalveolar carcinoma, and pneumocystis pneumonia should also be considered.
What were the options, Akhil??
Plz post more mcqs. Thanks.

MCQs asked in FNBE 2010

Dr Vidyesh has sent these MCQs

MCQ 1:

A pt developed acute onset of quqdripqresis, k was 2.0 meq/l , bp was 140/106, no abdominal stiae, what is the diagnosis?
a.    Cushings
b.    Conns
c.    Licorice
d.    Barter syndrome

 

MCQ 2:

Coagulopathy of trauma is associated with

a. Normthermia

b. Met acidosis

c. Met alkalosis

d. normocalcemia

 

MCQ 3: Mounier-Kuhn syndrome is associated with

1. absence of cartilage in trachea and bronchi

2. bronchectasis

3. presence of elastic fbers

4. -------------

 

MCQ 4:  All is true about type II pneumocytes

1. Lamellar bodies

2. At the corner of alveoli

3. Limited ability to replicate

4. Cubodal in shape

 

MCQ 5: Dynamic function test of liver

1. Indocyanine green excreation

2. Albumin

3. PT

4. SGOT/SGPT

 

MCQ 6: WHY PT WITH COPD DETERIORATES WITH O2

1.LOSS OF HYPOXIC DRIVE

2.V/Q MISMATCH

3. Bohr effect

4. haldane effect

 

MCQ 7: MOST COMMAN CAUSE OF PULMONARY OSTEOARTROPATHY

1.BRONCIECTASIS

2.LUNG NEOPLASM

3. INTERSTITIAL LUNG DISEASE

4.CHD

 

Please post your answers and references.

And also try n recollect n post as many MCQs as u can.

Or mail to fnbcriticare@gmail.com

Please post the FNB enterance MCQs

Hi friends,

How was the exam? Please post the MCQs asked in the FNB Entrance test, in the comment box below. Please help the future aspirants of FNB :)

Thanks

Vaughan Williams Classification of Anti-arrythmic Drugs

Class	Action	Drugs	Caution
Ia	Sodium channel inhibition: prolong repolarization	Quinidine, procainamide, disopyramide	myocardial infarction, congestive heart failure, renal disease
Ib	Sodium channel inhibition: shorten repolarization	Lidocaine	Proarrhythmias
Ic	Sodium channel inhibition: no effect on repolarization but reduce conductivity	Flecainide, propafenone	Structural heart disease, myocardial infarction, congestive heart failure
II	B-Adrenergic inhibition	Timolol, esmolol, atenolol, bisoprolol	Acute heart failure, bronchospasm
III	Potassium channel inhibition: prolong repolarization	Amiodarone, sotalol	Renal disease, pulmonary disease
IV	Calcium channel inhibition	Verapamil, diltiazem	Not in conjunction with B-blockers
Misc	Na-K ATPase inhibition: potentiate parasympathetic response	Digoxin	Renal disease, hypokalemia

Types of Antibiotics:

Concentration-dependent activity of antibiotics: Rate of kill is related to peak concentration above breakpoint,

eg: Aminoglycosides, fluoroquinolones, amphotericin B and metronidazole

Time-dependent activity: Kill rates related to the length of time concentrations are sustained above breakpoint MIC.

eg: Penicillins, cephalosporins, macrolides, carbapenems, clindamycin, linezolid and glycopeptides