The respiratory pattern of a patient sustaining an acute C5 spinal cord injury is characterised by?

Q 125 The respiratory pattern of a patient sustaining an acute C5 spinal cord injury is characterised by ?

A. a rapid respiratory rate

B. arterial hypoxaemia

C. chest wall immobility

D. preservation of the inspiratory force

Q 126 Von Hippel-Lindau disease is associated with ?

A. increased risk of malignant hyperthermia

B. meningiomas

C. peripheral neuropathy

D. pheochromocytomas

Q 127 An INCORRECT statement regarding the autonomic nervous system is that ?

A. autonomic dysfunction is a predictor for worse long term survival after myocardial infarction

B. heart rate responses are primarily mediated through the sympathetic nervous system

C. inhalation anaesthetics all impair autonomic reflex responses

D. autonomic dysfunction is a predictor for haemodynamic instability following anaesthetic induction

Q 128 The incidence of an intra-cranial aneurysm is increased by each of the following EXCEPT ?

A. Ehlers-Danlos syndrome

B. type 2 diabetes mellitus

C. neurofibromatosis

D. positive family history of intra-cranial aneurysms

Q 129 In patients suffering from multiple sclerosis it is better to avoid the use of ?

A. epidural lignocaine

B. neostigmine

C. pancuronium

D. suxamethonium

Q 130 Cauda equina syndrome ?

A. involves large sensory fibres
initially

B. is not associated with back pain

C. results from compression of nerve roots

D. results in loss of sensation confined to the foot

Q 131 A patient with a head injury who has eye opening to speech, no verbal responses and withdrawal motor responses would have a Glasgow Coma Scale score of ?

A. 4
B. 5
C. 6
D. 8

Q 132 The percentage of diabetic patients with autonomic neuropathy is reported to be ?

A. <5%

B. 10 - 20%

C. 20 - 40%

D. 60 - 80%

Q 133 A 25 year old man has a subarachnoid haemorrhage. Two hours later a CXR shows patchy perihilar infiltrates.

Possible diagnoses include ?

  1. Early bronchopneumonia

  2. Aspiration

  3. ARDS

  4. Pulmonary oedema

Q 134 Clinical features of autonomic neuropathy include all of the following EXCEPT ?

A. increased risk of gastro-oesophageal reflux

B. postural hypotension

C. pronounced sinus arrhythmia

D. resting tachycardia