Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
University Hospitals Coventry & Warwickshire NHS trust18) JVP measurement:actual method,demonstare hep<strong>at</strong>o jugular reflex.Wh<strong>at</strong> heppnes <strong>at</strong> a wave, and v wave.Conditions with increased JVPConditions with large a waves, Large v W#SET 9Clinical - 60 yr old lady for emergency retinal detachment surgery. PMH asthma onsalbutamol and steroids. Viva went on assessment of asthma on history, then investig<strong>at</strong>ionsand anaesthetic management and effects of steroids. Fisnished in 10 min. So he asked aboutPONV. Causes and management.Physics - Measurement of Dead space. Specifically asked about how do we measure volumeon the graph of N2 conc versus volume graph and to mark exact percentage of N2 on Y axis.Next he showed 2 LMA in a bag and asked which on I was happy to use. One had thestripedautoclave indic<strong>at</strong>or strip. Then the Viva went on decontamin<strong>at</strong>ion, disinfectants, sterilis<strong>at</strong>ionasked about percentages of chlorhexidine and about pasteauris<strong>at</strong>ion.Third question was on blood warmers and wh<strong>at</strong> properties would you like the giving set tohave.Pharma - local anaesthetics - about differences of amides and esters, mechanism of action,toxicity of bupivacaine and lignocaine. factors causing variability in drug response.physiological and genetics their effects on pharmacokinetics from there. about sux apnea. lastquestion was antacids. types and mechanism of action.Physio - control of bre<strong>at</strong>hing straight forward. showed the box concept of receptors,modul<strong>at</strong>ors and effectors.adrenergic receptors. all about them. and last was nausea and vomitting. again asked to drawthe box concept.OSCE - X-ray of pulmonary angiogram -Xray 2 was LVH I think anyways.History follow on for lt hemicolectomy and was on warfarin.history 2 was Afrocarribean for TAH. Came to his country 5 yrs back and hadrheum<strong>at</strong>ic fever in childhood. and no sickle cell trait.Equipment was temp monitor and Epidural set.An<strong>at</strong>omy of Arm. mainly ACF and wrist and al the blocks.Examin<strong>at</strong>ion of Airway.Technical skills Management of airway.Sim man - MH and New onset AF.resus st<strong>at</strong>ion ALS rpotocol.surface an<strong>at</strong>omy of axillary block.CVP line, waves and last question was 4 clinical ways of knowing th<strong>at</strong> tip is in thecorrect position. I said about Xray, CT. but He said clinical. Don't know wh<strong>at</strong> he expected.cant remember the last two st<strong>at</strong>ions.18
Change language