Primary FRCA exam January 2010

Primary FRCA exam January 20108. Rib anatomy – 1 st rib and a thoracic rib. Demonstrate where subclavian a, v,& brachial plexus cross. Neurovasc bundle. To demonstrate how you woulddo a IC block. On a real person, show site of carina, needle decompression &IC chest drain insertion9. Peripheral arterial and venous examination, BP,10. Sim man – Broad complex tachycardia with pulse. Compromised thereforedefib. Amiodarone.11. Rhythm strip – sinus brady – management, risks of asystole12. History taking (observed) – lap steri … pretty standard, not entirely sure whatI was meant to discover!13. Explaining to a patient with a URTI for a knee op that he should be postponed14. Sim man – Assess CVS system and take BP. Comment on likely diagnosisand investigations. Why regional may be inappropriate15. CXR – RUL collapse16. LMA insertion and questions about appropriatenessSet 8OSCE 11/1/101. History – 35 year old lady for lap. Sterilisation. Recent hx night sweats and weightloss.2. Simman – feel pulses, NIBP, auscultate heart – systolic murmur, questions on aorticstenosis3. Xray – postop cxr collapse RUL questions on management postop.(someone elsethought it was aspiration)4. LMA – check equipment, insert on manikin, questions about contraindications andsafety5. Anatomy – cross section of neck at C6, label diagram, route of EJV6. History taking and follow-on –young fit man for dental extraction, broken nose so onenostril patent only, allergy to penicillin, fhx anaesthetic problems7. Radiology – CT 3D reconstruction of trauma to head and face. Questions onmanagement of head injury.8. Equipment – humidifiers. Picture of hot water bath humidifiers, pros cons other typesof humidifier.9. CO2 electrode – picture with labels, ways of measuring CO2 how is it transported inthe blood.10. Caudal block in child – sacral anatomy, max dose local, show technique, what criteriafor going home.11. Communication – patient for day case op with bad cold, cough and fever. Discussplan, pt having trouble getting time off work. Didn’t shout, actually quite compliant.12. Chest drains – 2 underwater seal chest drain bottles, what are the parts, where do theyconnect, how full, what height from pt, problems with transport.13. Resus – pulsed VT but low BP, already intubated. Better after 1 shock synch.14. Exam – Assess pts pulses, BP and JVP.15. CVP line insertion – pictures of ultrasound views, questions of how deep, how toknow in correct place, where is correct place, why head down11