Primary FRCA exam January 2010

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Primary FRCA exam January 2010complications other than pregnancy/full stomach.13) 2 pictures - pick one that can we use to measuregases. I picked what I recognised as the CO2 electrode(speaking to someone after he thought one was CO2electrode and the other was all O2, CO2 and pH as part ofABG machine so both were ok as long as you could answerquestions on whichever you chose). Question: what does the2 electrodes with the electrolyte in between form? Whatother methods can we use to measure CO2?14) Pick 1st rib out of selection on table, answer 1st ribanatomy but they asked about all the bits that are not thelabelled bits in my book. Also anatomy of it and where youwould find bifurc of trachea and aorta on an actor on thebed and some other related question that I can't remember.15) Simman - pt on table by your junior colleague, walkin, pt goes into VT - compromised, they seemed to want usto ignore A&B, went straight for DC cardioversion and hestabilised, then reassessed. What tests would you doafter?16) Bradycardia post op - many questions on causes,management, wanted adrenaline infusion with doses.17) Asked to examine periph pulses on an actor then domanual BP, asked about Korotkoffs sounds and which to takeas diastolic BP.18) ? - sorry.Vivas:Pharmacology:Asked how NDMRs work.Isomers: was fairly standard other than they wanted me totalk more about thio in that context.Anti-emetics: again was ok but wanted to know more aboutwhere each receptor was and about their crossover ie.cyclizine being H1 and muscarinic antagonist.Physiology:Starlings forces/CO/add L atrium trace and aortic trace toLV trace on cardiac cycle.32
Primary FRCA exam January 2010Control of UO - I started with kidney itself, talked aboutADH & other hormones.Buffers - what is one? How can we classify - I talkedabout open & closed systems, we then talked aboutdifferent ones and so they suggested that I reclassifywhat I said into intracellular & extracellular based onwhat I said. Finally they moved onto 'what are buffertitration curves' and I think we may have been headingtowards drawing one but I was saved by the bell.FRCA Primary OSCE/VIVA Exam Sitting January 2010VIVAPharmacology:Comapare cardiovascular effects of isoflurane and enfluraneHeparinsTransdermal drugsPhysiology:V/Q and West ZonesCell membrane structure, membrane potentials, Nernst Equation, transportmechanisms.Pulmonary vascular resistanceClinical:Inflammatory bowel patient with current illness for panproctocolectomy.o Discussion re: anaesthetic considerations, RSI, steroids (role), analgesia,immunosuppressant medications.o Epidural – assessment, management, top-up.o IV resuscitation post-op.Physics:Different needles33
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Primary FRCA exam January 2010

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