Primary FRCA exam January 2010

Primary FRCA exam January 2010He seemed uninterested and huffed and puffed a bit andwas frustrated when I skirted around any issues by sayingI would discuss with a senior anaesthetist in repsonse tosome of his question yet still gave me a good mark at theend!He wanted a description of each category of section andwhen I was not clear enough made me clarify what thedifference was between 2 and 3. I said I would discusswith tsurgeon but that this was a category 1 section andtherefore would need a RSI. He wanted to know whatequipment I would need and then what clinical changesoccur in pregnancy eg difficult intubation. What is theincidence of difficult intubation in the pregnantpopulation compared to non pregnant and why I thought thismay be. What I could do about this and differentlarynogscope blades and handles. He wanted percentageswhen discussing changes eg FRC and blood volumes. Wediscussed aortocaval compression and left sided tilt andas I took a while to remember this he hinted and was finewhen I mentioned it.When the RSI occurred it is was a grade 4 view and hewanted to know what I would do. We went throught the DASand he then basically wanted me to make a decision whetherto wake the patient up or continue.PHYSICS1. What is dead space? How can it be measured and Iexplained and drew Fowlers method/ graph and then theywanted me to derive the Bohr equation. Why is itimportant in clinical practice.2. Define a vacuum? Why is it important in clinicalpractice? What is the difference between suction andscavenging? What are the components? They wanted valuestoo. Could I draw the components?3. Heat loss in theatre. what is important. they showed mea diagram of a person lying on a table with arrows forradiation, conduction, evaporation and respiration andconvection.29