Primary FRCA OSCE-SOE exam January 2012 Coventry collection ...
Primary FRCA OSCE-SOE exam January 2012 Coventry collection ...
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 31<br />
1. Physiology – Action potentials of ventricular contractile muscle and pacemaker<br />
cells, ion channels associated with both, effect of adrenaline on the curves.<br />
2. Pharmacology: Sux apnoea, dibucaine number, genetic changes for SUX apnoea,<br />
management of SUX apnoea, classification of antihypertensives, mech of<br />
action of ACE inhibitors, rennin-angiotensin-aldosterone system<br />
3. Physics: venturi and applications, methods of temp measurement<br />
Clinical: 36 yr lady for lap cholecystectomy, nausea and vomiting with previous<br />
gynaecological surgery, mouth opening 2 fingers<br />
<strong>SOE</strong> set 32<br />
Clinical: 25 year Diabetic coming for Appendicectomy. Temp 38.5 deg celcius, Blood<br />
glucose 25mmol/L. Pain abdomen and vomiting. Questions: Management, Intraop<br />
management following optimization; Critical incident: delayed reversal.<br />
Physics: 1. Dead space - measurement etc.<br />
2. Electricity - resistor, capacitor, defibrillator.<br />
3. Vacuum and suction.<br />
Physio: 1. Effect of breathing 100% O2 for 5 mins - details. Hyperbaric chamber.<br />
Pharma: 1. Ketamine.<br />
2. Receptors.<br />
3. Anti-anginal drugs.<br />
<strong>SOE</strong> set 33<br />
Pharmacology Viva<br />
Physiochemical differences between Sevoflurane and Isoflurane (wanted a<br />
table), some details about desflurane also wanted<br />
Digoxin-where and when used, structure (I didn’t know this but seemed OK<br />
when said digitalis derivative), how it worked and dose.<br />
Pharmacogenetics-I mentioned stuff about fast and slow acetylator status but<br />
they wanted MH and sux apnoea<br />
Physiology<br />
Vomiting-neurotransmittors, structures involved, how vomiting occurs<br />
Buffers and hendersson haselbalch equation<br />
Arterial waveform and how differs aorta vs radius<br />
Cardiac pres volume loop<br />
Clinical<br />
65 year old, warfarinied for previous PE (6 months ago), admitted for laprotomy<br />
for perforated viscus, INR of 5.8, AKI<br />
Causes of high INR<br />
Pre-op resuscitation and fluid resuscitation<br />
‘how long would need to be on ITU for optimisation’<br />
How would you anaesthetise<br />
Causes of intra-op hypoxia and tachycardia<br />
<strong>Coventry</strong> <strong>collection</strong>: Many thanks to the candidates from <strong>January</strong> <strong>2012</strong><br />
Course<br />
22
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