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Multiple Choice Questions
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| Serotonin and anaesthesia |
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- 1. Serotonin (5-HT):
- Is produced from tryptophan.
- Is found in platelets and mast cells.
- Has only 3 receptor subtypes.
- Acts at both the chemoreceptor trigger zone and the vomiting centre.
- Is devoid of effect on the heart.
- 2. Selective Serotonin-Reuptake Inhibitors (SSRIs):
- The mechanism of serotonin syndrome is overstimulation of central 5-HT receptors.
- Must always be stopped in the perioperative period.
- Are safe in combination with high doses of tricyclic antidepressants.
- Hyperreflexia and clonus are manifestations of CNS toxicity.
- Neuroleptic malignant syndrome is a consequence of overdose.
- 3. 5-HT receptor agonists and antagonists:
- 5-HT3 antagonists must always be given as sole agents for PONV.
- Triptans are 5-HT1 receptor agonists.
- Triptans are indicated for the prodromal phase of migraine.
- 5-HT4 agonism has anti-anginal utility.
- Ketanserin is a 5-HT2 receptor antagonist.
- 4. In pre-eclampsia:
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- Is produced from tryptophan.
| Echocardiography in intensive care |
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| Sedation in the intensive care unit |
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| Analgesia for primary hip and knee arthroplasty: the role of regional anaesthesia |
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| Cardiac troponins: their use and relevance in anaesthesia and critical care medicine |
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| Long QT syndrome |
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| Fetal surgery and anaesthetic implications |
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