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Primary FRCA OSCE-SOE exam January 2012 Coventry collection ...

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<strong>Primary</strong> <strong>FRCA</strong> <strong>OSCE</strong>-<strong>SOE</strong> <strong>exam</strong> <strong>January</strong> <strong>2012</strong><br />

<strong>SOE</strong> set 19<br />

Physics 1. fluid warming system types inc level one 2. light waves and mechanism of<br />

fibreoptics. 3. Electrode potentials eg EEG, differences and how they work<br />

Clinical: 12 y o boy who mum says fell from a swing 15 hours ago. Penicillin allergy.<br />

Closed # radius for MUA+-.. How would you assess? How would you do the<br />

anaesthetic? Incident: laryngospasm under LMA and how to manage / differential<br />

Pharm: 1. Propofol including pharmacokinetics. 2. Type I and II errors, sample sizes,<br />

bias. 3. Drugs for asthma and mechanisms<br />

Physiology: 1. Fetal circulation. 2. Curves for CO2 versus MV in both awake and<br />

ventilated patients (ie reciprocal axes). 3. Functions of the heart; CO determinants;<br />

what happens if the atria were removed?<br />

<strong>SOE</strong> set 20<br />

Pharmacology<br />

- Isoflurane vs Sevoflurane<br />

- Pharmacogenetics<br />

- Digoxin<br />

Physiology<br />

- Vomiting<br />

- Cardiology: formation of the BP trace, and PV relationships<br />

- Buffers<br />

Clinical<br />

- Emergency laparotomy of 65 yo male, previous PE 6/12 ago (warfarinised), but<br />

otherwise fit and well.<br />

- INR now 5.8, ARF<br />

- Describe your immediate concerns<br />

- How would you proceed?<br />

- Discussion of pre-, peri-, post-operative management<br />

Physics & Measurement<br />

- Electrical Safety<br />

- Transducers<br />

- Scavenging<br />

<strong>SOE</strong> set 21<br />

Physiology<br />

1) Heat loss and control: Where is heat regulation controlled in body. What happens<br />

when you are too hot and what happens when you are too cold? What does a dog<br />

do?!<br />

2) Cardiac pressure vs time curve: Left ventricle, aorta and ECG on it. What is<br />

isovolumetric contraction. Starlings Law.<br />

<strong>Coventry</strong> <strong>collection</strong>: Many thanks to the candidates from <strong>January</strong> <strong>2012</strong><br />

Course<br />

14

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