4 MCQs in Anesthesia for NEET PG
A 58-year-old man with chronic kidney disease (eGFR 28 mL/min/1.73 m²) undergoes elective abdominal surgery under general anesthesia. Intraoperatively, he receives vecuronium 0.1 mg/kg for intubation. At the end of the 2-hour procedure, train-of-four (TOF) monitoring shows 1 out of 4 twitches present. The surgeon requests immediate closure. Which is the most appropriate next step?
A 42-year-old woman with myasthenia gravis (MG) undergoes laparoscopic cholecystectomy. Anesthesia is induced with propofol and remifentanil; succinylcholine is avoided. Rocuronium 0.6 mg/kg is given for intubation. Intraoperatively, train-of-four monitoring shows progressive fade (TOF ratio 0.4 at 90 minutes). The surgeon requests one more 15-minute interval for hemostasis. What is the most appropriate management?
Which of the following neuromuscular blocking agents has the shortest duration of action and is metabolized by plasma cholinesterase?
Which neuromuscular monitoring modality measures the force of thumb adduction in response to ulnar nerve stimulation and is considered the gold standard for assessing neuromuscular blockade depth?
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