Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...
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University Hospitals Coventry & Warwickshire NHS trust9 Resus: Ruptured ectopic / PEA / only lma available / fluids / ALS / output returnedon giving lots of blood / where take – the<strong>at</strong>re then ITU10 Pulse oximetry / oxyhaemoglobin curve / discuss actual PaO2 numbers <strong>at</strong> differents<strong>at</strong>s / how does pulse oxeter work /wh<strong>at</strong> are wavelengths used / when is pulseoximetry inaccur<strong>at</strong>e / wh<strong>at</strong> is the difference of pulse oximetry to lab oximeter11 Simman – CICV following RSI / needle cricothyroidotomy12 Xray – MVR globular heart / pul htn / need prophylactic ABX13 Eye – skull an<strong>at</strong>omy / contents of cribriform pl<strong>at</strong>e/superior orbital fissure/optic canal /how long optic nerve / innerv<strong>at</strong>ion to eyeball / show how would do a peribulbar block14 History – counsel man whos op is cancelled due to emergency list15 History – take a history – woman elective ENT op / asthm<strong>at</strong>ic / 1 st GA / mum hadPONV scared this will occur16 Difficult intub<strong>at</strong>ion discussion / who intub<strong>at</strong>e and confirm intub<strong>at</strong>ion / discuss nervesupply to larynx / talk through difficult intub<strong>at</strong>ion techniques / wh<strong>at</strong> grade is thisphoto / grade 3/17 Needle stick injury and management18 Rib and 1 st rib muscle <strong>at</strong>tachments-vessels-brachial plexus/chest clinical landmarks /apex be<strong>at</strong> / decompression of pneumothorax / chest drainVIVAS:<strong>SOE</strong>1: Pharm/Physio• Sevo and desflurane differences (wh<strong>at</strong> group/halogen<strong>at</strong>ed ethers/drewstructures/svp/og/bg/mac)• Blood gas coefficient /draw diagram• Differences in SVP and vaporisers/plenum vs tec6• Drugs used in cardiac arrest: discuss adrenaline/vasopressin/ Amiodarone/• Pharmacokinetics / exponential/dose time graph/log dose time/ measurement vd, C0/Equ<strong>at</strong>ion for the line / wh<strong>at</strong> is T1/2 / wh<strong>at</strong> is time constant/ wh<strong>at</strong> is e / howmeasurement clearance /• Starlings forces in capillary / lung /kidney• Hormones produced by thyroid gland/calcitonin/T3 and T4 production• Ventil<strong>at</strong>ion and perfusion / areas of lung / diagram /• Dead space / fowlers method /bohr equ<strong>at</strong>ion<strong>SOE</strong>2: Clin/physics• Burns / management of burns airway/effects of smoke inhal<strong>at</strong>ion/effects ofsmoking/effects of alcohol on body and in anaesthetics / effects of CO and hyperbarico2 /• Can’t intub<strong>at</strong>e / can’t ventil<strong>at</strong>e wh<strong>at</strong> would do• Describe grading system• Venturi masks/how work/explain bernouilli principle and coanda effect/clinicalsitu<strong>at</strong>ions of coanda (ventil<strong>at</strong>ors/MI) / entrainment / entrainment r<strong>at</strong>io• Humidity; definitions of absolute and rel<strong>at</strong>ive/importance/ways of measuring/describewet and dry bulb hygrometer/hair hygrometer/HME filter how work• PZ electric crystals and USS• Discuss mass spectrometer / IR analysis of conc of gases /28
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