Primary FRCA exam January 2010

Primary FRCA exam January 2010OSCECaudal blockAnatomy C6 levelBroad complex tachy and defibAnatomy of thorax and ribsHumidificationCO2 electrodeChest drains- what the different bits are forBradycardia and managementSet 5SOE Pharmacology/PhysiologyPHARM1)IV Inductions agents, list what we use, structure of thio and differences between oxy andthio barbiturates, keto/enol transformation, side effects of thio,2)Pharmacokinetics of IV infusions, time to reach steady state, distribution half lives, contextsensitive half times, talked about remi Vs propofol3)Digoxin, mechanism of action, negative chronotropy vs positive ionotropy, uses in AFib,narrow therapeutic index ED50:LD50, treatment of overdosePHYS1)CO2 carriage in the blood, draw the graph (everyone else got given the graph to label, I hadto draw but did it VERY badly), draw the red cell, carbamino compounds, haldane effect andchloride shift2)Surgical stress response, neuroendocrine, hypothalamo-pituitary axis, glucagons andinsulin, nitrogen balance3)Neuromuscular junction, Ach nicotinic receptor, draw it, other receptors, G protein withexamples of each type, intracellular steroid receptors, how they work, gene regulationSOE Clinical/PhysicsCLINICAL54 year old obese man with hypertension on diuretics for inguinal hernia repair. BP165/105mmHg on admission. Night before operation. Called to ward by nurse because of BP.5