Primary FRCA exam January 2010

Primary FRCA exam January 2010-Critical incident: high spinal - tube, cancel the surgery, go to ITU (was what they wanted tohear!)Physics SOE1. Blood pressure measurement (focussed on non-invasive)2. Lasers3. Fibreoptic scopeOSCE1. Humidification (wet/dry bulb hydrometer: MoA, definitions, dangers ofoverhumidification)2. Central line: internal jugular anatomy and landmarks, discuss technique and complications3. Electrical safety. Symbols. Circuit diagram, asked to comment on (difficult station!)4. Communication skills. Needle phobia, consent for sickle screen.5. Resus 1: tracheostomy change6. Resus 2: obstetric emergency: local anaesthetic toxicity7. Spinal cord anatomy8. History: TAH (fibroids), anaemia, previous PE/PONV9. History: Lap chole, GORD, FHx sux apnoea10. Cranial nerves III-XII11. CXR - inhalation of foreign body12. C-spine - patient for appendicectomy, looked like Ank Spond, questions about heart blockand aortic regurgitation13. Giving set/Flow: flow rates through various cannulae, how to improve flow etc.14. Airway anatomy/difficult intubation: how to improve a Grade III view, laryngeal nervesupply, methods to detected oesophageal intubation15. SVT16. Capnography (abnormal traces, calibration)17. Ankle block: distribution of nerve supply, demonstrated on modelSet 4Phys/pharmCO2 dissociation curveStress response to surgeryReceptors and neuromuscular transmissionPhysics/ clinicalNon invasive BP measurement- how does DINAMAP work?Picture of Bronchoscope- what parts, how does it work? How do you clean it?Safety and Lasers4