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Primary FRCA exam January 2010

Primary FRCA exam January 2010

Primary FRCA exam January 2010

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<strong>Primary</strong> <strong>FRCA</strong> <strong>exam</strong> <strong>January</strong> <strong>2010</strong>how far below the pt, if lifted what would happen - I saidit would flow back into pt but they seemed to want more??2) 2 photos of neck as if looking through US probe -?side, ?vessels, ?causes of increased/decreased size ofvessels or intrathoracic/cerebral volume.3) Explained to pt unwell with fever decisions re electivearthroscopy - I went down line of not in best interests,but identified that he would lose his job soon if couldn'tgo to work. Said could consider WCC/CXR and if ok considerproceeding under spinal as long as pt acknowledged riskand discussed with consultant/surgeon.4) Simman - feel pulse, manual BP, auscultate heart,identify AS, describe implications.5) Hx for lap chole.6) Hot water bath picture - asked what %relative humidityit would provide, advantages and disadvantages, few moredetails.7&8) Hx for wisdom teeth & follow on - general things infit young man but lost points as didn't know his job, hehad had previous GAs with no probs but his sister ahd hada reaction which I didn't have time to go into and theywanted more details on despite him being a bit evasive?Last question they wanted to know what could obstruct hisairway after? I just listed stuff and clearly wasn'tsaying what she wanted - I wonder if it was throat pack??I had said bld, foreign bodies, collpased airway etc etc.9) 2x xrays - one looked ok?? One generally abit shadowy,nothing obvious. Details were that pt was post-op forcolitis and had lower than normal sats during ob but wasnow fine. Asked if he should have antibiotics and whetherhe had aspirated but there was nothing in the history tosay there was any periop problems so I just guessed thatit was some CXR finding that happens with people withcolitis and answered accordingly, no idea.10) 3D facial #'s - questions whether should go straightto neuro unit, is ICP 'invaluable', what #'s they were - Ithink it was through one of the orbits.11) Fake sacrum - question re anatomy, how to go aboutcaudal block & demonstrate, how far to go into space.12) Pick size of LMA for mannikin, demonstrate insertion,balloon, hom many mls it needs etc. Talk about31

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