Primary FRCA exam January 2010

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Primary FRCA exam January 2010a. Mapelson Fi. Check system and identify problem16. Measurementa. DINAMAPi. BP measurement, Calculated vs observed readings, Cuff sizingNot included in mark scheme:17. Hx from patienta. Eye operationi. Local anaesthetic optionsii. CVS/RS co-morbidities18. Report history taking to ConsultantPhysics:Asked all sorts of facts about cylinders, what is therange of sizes, the colours of all the different gases,the volume of cylinders of different sizes containing thisgas/that gas and the pressures etc etc. Otherdistinguising features. I only knew abit about nitrous andoxygen in size E and they wanted much more than this.Pressure: wanted all different units of measurement andwhat they all are when equivalent to 1 bar. What is aNewton, how could it be calculated from cubic metres etc??Cardiac output monitoring: just got started and classifiedinto invasive/semi-invasive/non-invasive and we ran out oftime.Clinical:Given paragraph about 15yr old with known asthma, needingappendicectomy, questions relating to optimisation,questions need to ask and why. Difficulty ventilatingperi-op, differentials, what to do? Thought i was ok butthey looked very quizzical when I said that we could givenebulised salb via the catheter mount which is somethingI'd just read so I don't know why and I also mentioned IVso? Then we moved onto management of anaphylaxis.36
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Primary FRCA exam January 2010

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