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 trust60 yr old for emergency retinal detachment surgery, known asthm<strong>at</strong>ic for years. Onbronchodil<strong>at</strong>ors- preassessment: wh<strong>at</strong> questions for asthma-how would you anaesthetize her, wh<strong>at</strong> to avoid-in recovery develops resp depression, wh<strong>at</strong> would you do? Asked about cause of respdepression specific to retinal detachment surgery.Physics1. Dead space-definitions, explain Fowler’s method for an<strong>at</strong>omical, derive Bohr equ<strong>at</strong>ion2. Fluid warmers- why need to warm fluid- ideal characteristics of fluid warmer- shown photos of different kinds eg: coaxial, w<strong>at</strong>er immersion, hot pl<strong>at</strong>e warmer- differences between them, narrow bore vs wide bore (leading to questions abt flow)3. Cleaning, disinfection, sterlis<strong>at</strong>ion-definitions, methods and markers used to tell if sterlis<strong>at</strong>ion completeOSCE1. Collapse on ward with asystole,-no sim man, shown asystole ECG rhythm, asked wh<strong>at</strong> you would do2. History taking-young lady for hysteroscopy for painful periods, recently migr<strong>at</strong>ed from Zimbabwe, drycough for months3. Simman 1-MH, tachy + high EtCO24. Radiology 1-pulm venogram5. Follow on history taking-70 yr old for left hemi, severe PR bleed causing MI previously, on warfarin for AF, OA ofknees taking brufen,6. Ditto7. Radiology 2-CXR cardiomegaly8. Equipment-Epidurals shown set, talk about wh<strong>at</strong> would do if could not thread c<strong>at</strong>heter9. Equipment6
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