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Paper I — 2014 March (2010 Scheme) — Q4

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Paper I
2014 March (2010 Scheme) · 40 marks · 120 min

Question

Sevoflurane

Q43 marksShort Notes

Answer

Sevoflurane is a halogenated inhalational general anaesthetic.

Properties

  • Low blood-gas solubility → rapid, smooth induction and recovery
  • Pleasant, non-pungent odour — well suited for inhalational induction, especially in children
  • Moderate potency

Effects

  • Mild myocardial depression, less arrhythmogenic than halothane (does not sensitize the heart to catecholamines to the same degree)
  • Bronchodilator
  • Minimal airway irritation

Adverse effects

  • Can be degraded by soda lime to Compound A (nephrotoxic in animal studies; clinical significance in humans debated) — avoided with low fresh gas flows for prolonged periods
  • Postoperative shivering, nausea/vomiting
  • Malignant hyperthermia (rare, as with other halogenated agents)

Widely used for both induction (especially paediatric) and maintenance of anaesthesia due to its favourable safety and recovery profile.

  1. 1General Anaesthetics

Other Years Asked

  1. 1Classify general anaesthetics. Write the mechanism of action, uses and adverse effects of Halothane. Enumerate four drugs used as pre-anaesthetic medication with its rationale for use. Discuss the management of Morphine poisoning. (4+3+6+2)2024 June (Supplementary) (2019 Scheme)Essay · 15 marks
  2. 2Compare Inhalational and intravenous general anesthetics (4+4)2024 March (Supplementary) (2019 Scheme)Short Essay · 8 marks
  3. 3A middle aged man posted for Appendisectomy was given an injection by the ward nurse before being shifted to the operation theatre. Patient developed dryness of mouth, difficulty in swallowing and severe thirst.  What is the drug that was injected  Why the drug was given pre-operatively  What are the other drugs which are given pre-operatively (1+2+3)2020 February (Supplementary) (2010 Scheme)Essay · 6 marks
  4. 4Classify general anaesthetics - four groups with two examples. Add a brief note on pre anaesthetic medication (4+2)2025 March (Supplementary (SAY)) (2019 Scheme)Short Essay · 6 marks
  5. 5Propofol.2023 January (Supplementary) (2019 Scheme)Short Answer · 4 marks
  6. 6Enumerate four objectives of preanesthetic medications along with the drugs used for achieving the same.2024 December (Supplementary) (2019 Scheme)Short Answer · 4 marks
  7. 7Halothane2022 May (Supplementary) (2010 Scheme)Short Note · 3 marks
  8. 8Pre-anaesthetic medication2022 October (Supplementary) (2010 Scheme)Short Note · 3 marks
  9. 9Propofol2018 February (2010 Scheme)Short Note · 3 marks
  10. 10Propofol2017 February (2010 Scheme)Short Note · 3 marks
  11. 11Halothane2015 February (2010 Scheme)Short Note · 3 marks
  12. 12Propofol.2017 August (Supplementary) (2010 Scheme)Short Note · 3 marks
  13. 13Halothane2013 April (2010 Scheme)Short Note · 3 marks
  14. 14Propofol2014 September (Supplementary) (2010 Scheme)Short Note · 3 marks
  15. 15Pre anesthetic medication2018 July (Supplementary) (2010 Scheme)Short Note · 3 marks
  16. 16Pre-anesthetic medication2014 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  17. 17Intravenous general anesthetics2015 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  18. 18Two intravenous and two inhalational anaesthetics2013 September (Supplementary) (2010 Scheme)Short Answer · 1 mark
  19. 19Pre- anesthetic medication2017 August (Supplementary) (2010 Scheme)Short Answer · 1 mark
  20. 20Ketamine2021 December (Supplementary) (2010 Scheme)Short Answer · 1 mark
  21. 21Pre anaesthetic medications2024 March (Supplementary) (2010 Scheme)Short Answer · 0.3 marks
  22. 22General anaesthetics used for induction2022 July (Supplementary) (2019 Scheme)Short Answer · 0.2 marks

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