European Diploma in Anaesthesia and intensive care ‘EDAIC’ MCQ and answer. FREE UPLOADS BY WWW.TARGETEDAIC.COM (97)

The section, European Diploma in Anaesthesia and intensive care ‘EDAIC’ MCQ and answer, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.

Question: Identify the r]true statements

1. Chest Xray is mandatory for all COPD patients
2. FEV 1 of less than 80% is classified as mild COPD
3. Preoperative wheezing warrants aggressive treatment
4.  General anaesthesia and endotracheal intubation are associated with increased morbidity.
5. Interscalene block is contraindicated

Answers:

1. 1. False
   2. False
   3. True
   4. True
   5. False

• Chest X-ray is a useful and commonly asked investigation in COPD patients. However, it is not mandatory and should be asked on a case-to-case basis (NICE guidelines)
• COPD severity grading
  • Stage I (mild) – FEV1 80% or greater of predicted.
  • Stage II (moderate) – FEV1 50-79% of predicted.
  • Stage III (severe) – FEV1 30-49% of predicted.
  • Stage IV (very severe) – FEV1 less than 30% of predicted or FEV.
• Preoperative findings like wheezing demand active bronchodilator therapy that may include steroid therapy.
• General anaesthesia in the setting of pre-existing COPD increases the peri-op morbidity including the incidence PPCs
• Interscalene block is contraindicated only in the setting of severe COPD with poor reserve as it can block the phrenic nerve and exacerbate respiratory insufficiency.

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‘EDAIC MCQ (Multiple Choice Question) and answer’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.