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Module 16 · Anaesthesia Blueprints

Critical events and resuscitation: exam notes and MCQs

Prepare critical events and resuscitation for postgraduate anaesthesia examinations with structured notes, exam-style questions and referenced explanations from standard textbooks and current guidelines.

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Exam notes in this module

Malignant hyperthermia and perioperative anaphylaxis
Recognition, pathophysiology and stepwise crisis management.
Major trauma and damage-control resuscitation
Primary survey, haemorrhage control, permissive hypotension, blood products, TXA, and anaesthesia for the injured patient.
Blood transfusion and component therapy
Components, storage, doses, compatibility, massive transfusion and complications — patient blood management in practice.

Sample questions

Q1. Initial dose of dantrolene in malignant hyperthermia is:

  1. 1 mg/kg
  2. 2.5 mg/kg
  3. 5 mg/kg
  4. 10 mg/kg
Show answer

Answer B: 2.5 mg/kg

Dantrolene 2.5 mg/kg IV, repeated until signs resolve (commonly up to 10 mg/kg). Stop triggers, hyperventilate with 100% oxygen and cool actively.

Exam style: DHA

Q2. Initial intramuscular adrenaline dose for adult anaphylaxis is:

  1. 0.1 mg
  2. 0.5 mg (1:1000)
  3. 1 mg
  4. 5 mg
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Answer B: 0.5 mg (1:1000)

Give 0.5 mg (0.5 mL of 1:1000) IM into the anterolateral thigh, repeat every 5 min as needed. IV adrenaline is for titrated infusion in monitored settings.

Exam style: DHA

Q3. Which drug is safe in a patient susceptible to malignant hyperthermia?

  1. Succinylcholine
  2. Sevoflurane
  3. Desflurane
  4. Rocuronium
Show answer

Answer D: Rocuronium

All volatile agents and succinylcholine are MH triggers. Non-depolarising relaxants, propofol, opioids, ketamine, N₂O, benzodiazepines and local anaesthetics are safe. Treatment: stop triggers, hyperventilate with 100% O₂, dantrolene 2.5 mg/kg IV repeated up to 10 mg/kg, active cooling.

Exam style: AIIMS INI-SS

Study the whole module

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