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ICAR AIEEA Veterinary Anaesthesiology & Analgesia: practice questions

ICAR AIEEA (PG): Master's entrance, Veterinary Science and Animal Sciences · India · NTA for ICAR

Original practice questions written to the published syllabus · not past papers
7worked here, free
25written to this exam in this subject
11syllabus units

What this subject covers

Safe sedation and anaesthesia across species: premedication, local and regional blocks, injectable and inhalant anaesthesia, monitoring, emergencies and pain management.

In the exams: BCSE anaesthesia 20-23 items; ECFVG / NEB CPE anaesthesia section (about 4 h, pass/fail); AVE Anaesthesia OSCE; EAEVE Day One competences

What ICAR AIEEA asks from it

ICAR AIEEA (PG) — Veterinary Science, Surgery & Radiology

Recall: cornual nerve origin and landmarks in cattle and goats; proximal versus distal paravertebral sites and signs; epidural sites and volumes; classification of local anaesthetics; alpha-2 agonists and antagonists; Guedel's stages; eyeball rotation; breathing systems and blood:gas partition coefficients.

Where the 25 questions fall

How our questions for ICAR AIEEA spread across the units of Veterinary Anaesthesiology & Analgesia. Difficulty: 18 easy, 4 medium, 3 hard.

Paravertebral block4
Pre-anaesthetic medication3
Cornual nerve block3
Epidural anaesthesia3
Injectable anaesthesia3
Inhalant anaesthesia3
Species-specific anaesthetic protocols2
Anaesthetic monitoring1
Anaesthetic emergencies1
Pain scoring1
Multimodal analgesia1

7 practice questions, worked

Choose an answer, then open the working. Each explanation says why the right answer is right and why the others are not.

1 · Pre-anaesthetic medication · easy

Which drug reverses the sedation produced by medetomidine?

  1. Atipamezole
  2. Flumazenil (benzodiazepine antagonist)
  3. Naloxone
  4. Neostigmine
Answer and working

A. Atipamezole

Atipamezole is a selective alpha-2 antagonist. Flumazenil antagonises benzodiazepines, naloxone antagonises opioids, and neostigmine reverses non-depolarising neuromuscular blockers.

2 · Cornual nerve block · medium

A cornual block in a heifer produced no analgesia. On review, the needle had been advanced about 4 cm. What is the most likely reason for failure?

  1. The drug was deposited too deep, beyond the superficially placed cornual nerve
  2. Lidocaine is inactivated by the high pH of the frontal sinus mucosa in heifers
  3. The volume was too small because the cornual block needs at least 60 mL of drug
  4. The cornual nerve lies inside the frontal sinus and cannot be reached by needle
Answer and working

A. The drug was deposited too deep, beyond the superficially placed cornual nerve

The cornual nerve is superficial, under skin and a thin frontalis layer, so the needle needs only about 1 cm; a deep injection misses it. Lidocaine is not inactivated by sinus mucosa, textbook volumes are around 5 to 10 mL, and the nerve lies outside the sinus.

3 · Paravertebral block · easy

Which pairing of technique and alternative name is correct for paravertebral anaesthesia in cattle?

  1. Proximal technique: Magda or Cakala, also called Cornell
  2. Distal technique: Farquharson or Hall, also called Cambridge
  3. Proximal technique: Farquharson or Hall, also called Cambridge
  4. Distal technique: inverted L block along the last rib
Answer and working

C. Proximal technique: Farquharson or Hall, also called Cambridge

The proximal technique is associated with Farquharson and Hall (Cambridge), and the distal technique with Magda and Cakala (Cornell). The inverted L is a separate field block, not a paravertebral technique.

4 · Epidural anaesthesia · easy

At which site is a caudal epidural most commonly given in adult cattle?

  1. The lumbosacral space between L6 and S1
  2. The atlanto-occipital space
  3. The thoracolumbar space (T13-L1)
  4. The first intercoccygeal space (Co1-Co2)
Answer and working

D. The first intercoccygeal space (Co1-Co2)

The first intercoccygeal space, or the sacrococcygeal space, is found by pumping the tail and feeling the first moveable joint. The lumbosacral site is used for high epidurals in small ruminants and pigs and routinely in dogs and cats; the atlanto-occipital site is for cerebrospinal fluid collection.

5 · Injectable anaesthesia · easy

What are the three components of the equine 'triple drip' used for short total intravenous anaesthesia?

  1. Propofol, fentanyl and midazolam
  2. Thiopental, atropine and acepromazine
  3. Halothane, oxygen and nitrous oxide
  4. Guaifenesin, ketamine and xylazine
Answer and working

D. Guaifenesin, ketamine and xylazine

Triple drip combines a centrally acting muscle relaxant (guaifenesin), a dissociative (ketamine) and an alpha-2 agonist (xylazine or another), infused for procedures of up to about an hour. The other combinations are not the equine triple drip, and halothane is an inhalant.

6 · Anaesthetic emergencies · hard

A horse under inhalant anaesthesia is hypotensive with poor contractility. Which drug is commonly infused to improve cardiac contractility?

  1. Acepromazine
  2. Dobutamine
  3. Furosemide
  4. Propranolol
Answer and working

B. Dobutamine

Dobutamine is a predominantly beta-1 adrenergic agonist that increases contractility and cardiac output and is widely used to support blood pressure in anaesthetised horses. Acepromazine causes vasodilation, furosemide reduces volume and propranolol lowers contractility.

7 · Paravertebral block · hard

Why may some operators include the third lumbar nerve (L3) in a paravertebral block for a flank incision in cattle, and what is the risk?

  1. To block the vagus nerve, at the risk of severe bradycardia and cardiac arrest
  2. To anaesthetise the udder, at the risk of losing milk let-down for that lactation
  3. To extend analgesia caudally, risking weakness of that side's pelvic limb
  4. To block the phrenic nerve, at the risk of diaphragmatic paralysis and apnoea
Answer and working

C. To extend analgesia caudally, risking weakness of that side's pelvic limb

L3 contributes to the caudal flank; blocking it helps with caudally extended incisions, but because lumbar nerves also contribute to the femoral nerve, pelvic-limb weakness on the blocked side may follow. The vagus and phrenic nerves are not near the lumbar transverse processes, and L3 does not supply the udder.

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Read the subject

Veterinary Anaesthesiology & AnalgesiaThe full study manual, free ICAR AIEEAFormat, sections and how it has changed

More ICAR AIEEA practice

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Veterinary Anaesthesiology & Analgesia for other exams

ENADE · BrazilNational Veterinary Examination · JapanAustralasian Veterinary Examination, formerly the National Veterinary Examination · Australia / New ZealandBCSE · USA / CanadaNAVLE · USA / CanadaRCVS Statutory Membership Examination · UK

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