Paper I — 2022 October (Supplementary) (2010 Scheme) — Q7

Paper I

2022 October (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Pre-anaesthetic medication

Q73 marksShort Notes★✓

Answer

Pre-anesthetic medication (premedication) is given before general anesthesia to make induction smoother and safer.

Objectives and drug groups used:

• Anxiolysis — Benzodiazepines (Diazepam, Midazolam)
• Reduce secretions and vagal reflexes — Anticholinergics (Glycopyrrolate, Atropine)
• Analgesia — Opioids (Morphine, Fentanyl)
• Antiemetic prophylaxis — Ondansetron, Metoclopramide
• Reduce anesthetic requirement — sedatives/opioids allow a lower dose of the general anesthetic itself

Overall benefits: reduced anxiety, decreased anesthetic dose requirement, smoother induction/emergence, reduced secretions and vagally-mediated bradycardia, and antiemetic/analgesic cover extending into the immediate post-operative period.

Related Concepts

1. 1General Anaesthetics

Other Years Asked

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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. 7Sevoflurane2014 March (2010 Scheme)Short Note · 3 marks
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10. 10Propofol2017 February (2010 Scheme)Short Note · 3 marks
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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
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