Primary FRCA SOE October 2008 - MEDICAL EDUCATION at ...

University Hospitals Coventry & Warwickshire NHS trust16. Procedure –Lumbar epidural. Demonstate where you perform on an actor. Questionson technique, complications, appropriate level for total knee replacement.Demonstrate how to connect end of catheter to filter hub and what to check.17. Safety – needlesticks – what do you do when it occurs, who do you tell, what do youtell patient, consenting for blood tests, incidence of HIV infection after needlestick,what is the reduction if PEP given.Clinical12 year old boy, black, with painful testis. Surgeon wants to operate straight away.Discussion about RSI, sickle testing, precautions, post op pain management. Criticalincident – laryngospasm after extubation.Physics1. How do you calculate time of oxygen left in cylinder for transfers. Explain gaslaws, critical temp etc. Talk through isotherm graph for N2O2. ECG as a biological signal, voltage levels. Role of amplifiers, how to filterinterference, isolating capacitors, impedance of capacitors3. Types of needles, Hagen-poiseuille and flow, advantages of pencil point spinalneedlePhysiology1. CO2 dissociation curve. Label arterial and venous lines and appropriate values in bothaxis, How is CO2 carried in body. Haldane effect. Carbonic anhydrase.2. Name eg of genetic polymorphism in physiology. Sickle cell discussion. Explaingenotype and phenotype, alleles, autosomal recessive inheritance3. Starling curve and cardiac cycle.Pharmacology1. Reversal agents. Classification and mechanism of anticholinesterases, side effects.Why given with anti-muscarinics. Sugmmadex and role, side effects and how to giveetc.2. Effect of liver disease on drug pharmacokinetics. Discussion and egs of drugs affectedby change in protein binding, metabolism and volume of distribution.3. Classify anti-arrhythmics and more detail about amiodarone and side effects.36