Welcome to your Neuroanaesthesia Quizz

1. 
Which of the following is the most significant risk of using nitrous oxide in neuroanaesthesia?

2. 
Which of the following agents is most likely to reduce the cerebral metabolic rate of oxygen (CMRO2) in neuroanaesthesia?

3. 
In patients with increased intracranial pressure (ICP), which anaesthetic technique is most appropriate for maintaining stable haemodynamics and reducing ICP?

4. 
What is the primary effect of deepening anaesthesia during neurosurgery on intracranial pressure (ICP)?

5. 
Which of the following is the most appropriate anaesthetic agent for use in a patient undergoing surgery for a glioma with significant mass effect?

6. 
Which of the following monitoring techniques is the most useful for assessing cerebral oxygenation during neuroanaesthesia?

7. 
During brain surgery, what is the most common cause of intraoperative hypotension in neuroanaesthesia?

8. 
What is the recommended target range for cerebral perfusion pressure (CPP) during neurosurgery?

9. 
Which of the following drugs is commonly used in neuroanaesthesia to decrease cerebral blood flow (CBF) and reduce intracranial pressure (ICP) by inducing vasoconstriction?

10. 
In a patient undergoing brain surgery, the use of which anaesthetic agent is most likely to increase intracranial pressure (ICP)?

11. 
Which of the following is a significant disadvantage of using ketamine in neuroanaesthesia?

12. 
In the management of neuroanaesthesia, which of the following actions is most likely to decrease the risk of intraoperative awareness during neurosurgery?

13. 
During a craniotomy, which monitoring technique is the most effective in assessing the risk of neurological injury due to ischemia?

14. 
Which of the following factors contributes most to the maintenance of adequate cerebral oxygenation during neuroanaesthesia?

15. 
What is the most appropriate anaesthetic technique in a patient with a brain tumor who requires awake craniotomy?

16. 
Which of the following anaesthetic agents has the least impact on cerebral blood flow (CBF) and intracranial pressure (ICP)?

17. 
In patients undergoing neurosurgery, which of the following is the most important consideration when managing the depth of anaesthesia?

18. 
Which of the following agents is most effective in controlling intraoperative seizure activity during neurosurgery?

19. 
Which of the following is the most significant disadvantage of using volatile anaesthetics in patients with brain tumours?

20. 
Which of the following anaesthetic agents is most beneficial in providing neuroprotection during neurosurgery?

21. 
Which of the following is the most appropriate anaesthetic agent for patients undergoing spinal cord surgery in terms of minimizing spinal cord ischemia?

22. 
Which of the following is a key consideration when using neuromuscular blockers in neuroanaesthesia?

23. 
During intracranial surgery, which of the following would most likely contribute to a decrease in cerebral perfusion pressure (CPP)?

24. 
What is the most effective strategy for preventing postoperative cognitive dysfunction (POCD) in older patients undergoing neurosurgery?

25. 
During neurosurgery, which of the following is the most appropriate technique for ensuring optimal cerebral oxygenation during periods of reduced blood flow?

26. 
Which of the following monitoring techniques is best for detecting early signs of cerebral ischemia during surgery?

27. 
In patients with a history of previous stroke, which anaesthetic agent is most likely to reduce the risk of perioperative neurological deficits during neurosurgery?

28. 
What is the best management for a patient with raised intracranial pressure (ICP) undergoing neurosurgery?

29. 
Which of the following factors most significantly affects the choice of anaesthesia technique in patients with large brain tumors undergoing surgery?

30. 
Which of the following anaesthetic techniques is preferred during awake craniotomy for functional brain mapping?

31. 
Which of the following is the most important consideration when positioning a patient for a craniotomy to avoid nerve injury?

32. 
Which of the following positioning techniques is most commonly used for a posterior fossa craniotomy?

33. 
When performing a lumbar puncture in a patient undergoing spine surgery, which of the following is the most important anaesthetic consideration?

34. 
During the administration of a spinal block for a lumbar disc surgery, which of the following is the most likely complication?

35. 
What is the purpose of intraoperative neuromonitoring (IONM) during spinal surgery?

36. 
Which of the following intraoperative neuromonitoring techniques is most commonly used to monitor spinal cord integrity during surgery?

37. 
Which of the following is the primary role of motor-evoked potentials (MEPs) in neuroanaesthesia during spinal surgery?

38. 
Which of the following is a contraindication to the use of neuromuscular blocking agents during intraoperative neuromonitoring?

39. 
Which of the following statements is true regarding the use of brainstem auditory-evoked potentials (BAEPs) in neuroanaesthesia?

40. 
Which of the following monitoring modalities is most useful for detecting ischemia during vascular neurosurgery?

41. 
Which of the following is a potential complication of prone positioning during spinal surgery?

42. 
Which of the following best describes the mechanism of action of the epidural block used for spinal surgeries?

43. 
Which of the following is the main advantage of using regional anaesthesia (e.g., epidural or spinal anaesthesia) in neurosurgical procedures?

44. 
During intraoperative neuromonitoring (IONM), a sudden loss of signal in somatosensory-evoked potentials (SSEPs) is observed. Which of the following is the most likely cause?

45. 
In patients undergoing craniotomy, which of the following anaesthetic agents is most likely to increase cerebral blood flow (CBF) and intracranial pressure (ICP)?

46. 
What is the primary mechanism of action of dexmedetomidine in neuroanaesthesia?

47. 
Which of the following anaesthetic agents has the least effect on cerebral metabolic rate of oxygen (CMRO2)?

48. 
Which of the following positioning techniques is most likely to lead to a reduction in intracranial pressure (ICP) during neurosurgery?

49. 
In a patient undergoing a craniotomy with an established epidural catheter, which of the following is the most common complication of epidural anaesthesia?

50. 
Which of the following is a contraindication for using a cervical epidural block in neuroanaesthesia?

51. 
Which of the following is an expected effect of a high-dose fentanyl bolus during neurosurgery?

52. 
Which of the following is the most appropriate anaesthetic management strategy for a patient with a brain tumor undergoing craniotomy and an anticipated significant blood loss?

53. 
Which of the following neuroprotective strategies is most beneficial when administering general anaesthesia in patients with traumatic brain injury (TBI)?

54. 
What is the primary purpose of intraoperative cerebral oximetry monitoring in neuroanaesthesia?

55. 
Which of the following anaesthetic agents is most likely to reduce intraoperative cerebral metabolic rate of oxygen (CMRO2) during neurosurgery?

56. 
Which of the following conditions is most likely to be associated with the need for hyperventilation during neurosurgery?

57. 
During neurosurgery, a patient develops significant hypotension despite appropriate fluid resuscitation. Which of the following is the most likely cause?

58. 
Which of the following is the primary purpose of intraoperative motor evoked potential (MEP) monitoring during neuroanaesthesia for spinal cord surgery?

59. 
What is the best anaesthetic management approach for a patient undergoing a cerebral aneurysm clipping with a known sensitivity to volatile anaesthetics?

60. 
In a patient undergoing neurospinal surgery in the prone position, what is the most important consideration to prevent neurological injury?

61. 
Which of the following is the most important factor in preventing intraoperative awareness in neurosurgery patients under general anaesthesia?

62. 
During surgery on a brainstem tumor, sudden bradycardia and hypotension are noted. Which of the following is the most likely cause?

63. 
Which anaesthetic technique is most commonly used during awake craniotomy for resection of a brain tumor in an eloquent area?

64. 
Which of the following intraoperative monitoring techniques is most likely to detect early signs of cerebral ischemia during neurosurgery?

65. 
In a patient undergoing neurosurgery for a pituitary tumor, what is the most important factor in preventing post-operative visual disturbances?

66. 
During an awake craniotomy, a patient starts experiencing seizures upon stimulation of the motor cortex. The anaesthetist’s immediate action should be:

67. 
Which of the following is the most likely effect of hypothermia during neurosurgery?

68. 
. During neurosurgical procedures, which anaesthetic agent is most likely to reduce the incidence of postoperative nausea and vomiting (PONV)?

69. 
What is the most appropriate anaesthetic agent for a patient undergoing neurosurgery with an allergy to nitrous oxide?

70. 
Which of the following is a contraindication for using ketamine as an anaesthetic agent during neurosurgery?

71. 
In patients undergoing neurospinal surgery, which of the following is most likely to cause a significant reduction in cerebral perfusion pressure (CPP)?

72. 
During neuroanaesthesia, which of the following anaesthetic agents has the most profound effect on decreasing intracranial pressure (ICP)?

73. 
Which of the following is a major risk of using nitrous oxide in a patient with a known pneumothorax during neuroanaesthesia?

74. 
Which of the following positioning considerations is most important to avoid pressure on the brachial plexus during neurosurgery?

75. 
What is the primary goal of using intraoperative transcranial Doppler (TCD) monitoring during neuroanaesthesia?

76. 
Which of the following is the most significant advantage of using sevoflurane over isoflurane in neurosurgical patients?

77. 
In a patient undergoing craniotomy for brain tumor resection, which of the following factors is most critical to prevent intraoperative brain swelling?

78. 
Which of the following is the most common cause of intraoperative visual disturbances during neurosurgery?

79. 
What is the primary function of intraoperative somatosensory evoked potentials (SSEPs) during neuroanaesthesia?

80. 
Which of the following is a major complication of the sitting position during neurosurgery?

81. 
Which of the following is the most significant factor contributing to a prolonged recovery from anaesthesia after deep brain stimulation (DBS) surgery?

82. 
In a patient undergoing intracranial surgery with a significant risk of venous air embolism, which of the following anaesthetic agents is most appropriate?

83. 
During an awake craniotomy for motor cortex mapping, which of the following would be the most appropriate anaesthetic management strategy to avoid intraoperative seizures?

84. 
In neuroanaesthesia, which of the following anaesthetic agents has the least impact on cerebral autoregulation?

85. 
Which of the following is the most important consideration when using intraoperative motor evoked potentials (MEPs) during neurosurgery?

86. 
What is the primary goal of using intraoperative electroencephalography (EEG) in neuroanaesthesia during surgeries on the brain?

87. 
During neurospinal surgery in the prone position, which of the following is the most important to avoid while positioning the patient?

88. 
Which of the following changes is most commonly seen in cerebral autoregulation in response to increased intra-abdominal pressure during neurosurgery?

89. 
What is the best anaesthetic strategy to minimize the risk of intraoperative blood pressure fluctuations during craniotomy for tumor resection?

90. 
During intracranial aneurysm clipping, which of the following is most effective in managing the risk of intraoperative rupture of the aneurysm?

91. 
Which of the following is the most appropriate method to manage postoperative headache after a craniotomy?

92. 
In neuroanaesthesia, when is the use of remifentanil most advantageous?

93. 
Which of the following is the most important factor in preventing airway obstruction in a patient undergoing awake craniotomy?

94. 
When using intraoperative cerebral oximetry during neuroanaesthesia, which of the following is the most common cause of a decrease in oxygen saturation readings?

95. 
Which of the following is a significant advantage of using sevoflurane over desflurane during neuroanaesthesia?

96. 
What is the primary benefit of using dexmedetomidine in neuroanaesthesia?

97. 
Which of the following anaesthetic agents has the most significant effect on maintaining the blood-brain barrier integrity during neurosurgery?

98. 
During neurosurgery, what is the most important factor in preventing venous air embolism (VAE)?

99. 
What is the main advantage of using awake fibreoptic intubation in patients undergoing brain surgery?

100. 
Which anaesthetic agent is most associated with a reduction in intracranial pressure (ICP) during neurosurgery?