Primary FRCA exam January 2010

Primary FRCA exam January 2010Heimlich manoeuvre dangerousBronchoscopy indicatedChest drain indicated4)Cross section of spinal cord. Very hard. Knew id got some wrong as told later what theywere! Whats blood supply to the cord. Where does ant spinal artery arise. What happens inant spinal artery occlusion.5)Given grade 3 layngoscopy picture. How could you improve the view. Clinical ways toknow of oesophageal intubation NOT capnography. Capnography traces from bain/circle andrebeathing.6) and 7)History from 42 y old with menorrhagia for TAH. Had previous GA as a child. AlsoGA Csection with post op DVT and PE 12 yrs ago. Also had migraines and took aspirinPRN. Taking iron tablets. Smoker. Cap to front tooth. No allergies. On the follow on stationwas asked why she was having TAH and menorrhagia was not the answer! So i don’t knowbecause she told me it was for heavy periods. Also asked what else she did for migraines???8)IV cannulae and maximal rates of flow. Differences between pink and grey. Not the colour.Wanted 4 differences. IV giving sets how to improve the flow.can you entrain air through thegiving port?9)Humidity. Different pictures of humifiers. What can achieve 100% humidity in the trachea.What is humidity absolute/relative.10)IJ cannulation landmark technique. Seldinger technique. Angle you go inat.complications. post op care i.e., chest xray.11)ankle block. Anantomy of nerves. How to block each nerve and doses of LA.course ofsaphenous nerve in the leg.12)cranial nerve exam excluding optic nerve.nothing difficult here13)electricity (very hard!!) picture of patient attached to lots of monitoring in theatre andquestions about equipotential earths and mains frequency etc I just didn’t understand really.Then asked to pick 2 electrical symbols from about 30 on a laminated sheet and say whatthey were which was fine.14)Resus SIMman. Obstetric PEA arrest. Just had epidural top up now unresponsive. DDhigh spinal and IV LA. Was IV LA. ALS algorithm then asked questions on intralipid. Alsowhat else can be given???15)SVT management. Rhythm strip given of SVT. Drugs. Vagal manoeuvres. Joules used forcardioversion and how many times.then what other drugs?? I had already said amiodarone soIm not sure if this is what she wanted again?16)capnography. How does it work. What clinical info does it give you (3 things). Signs ofcardiac arrest, disconnection, COPD. Very straightforward.17)radiology. Lateral C spine. Think it was ank spond. 10 TF questionsAll cervical intervertebral disc spaces visible (C7 T1 was there so I said yes)Obvious osteophyte formationSigns of fusionCricoid pressure may fracture this neck7