Primary FRCA OSCE January 2012

Primary FRCA OSCE-SOE exam January 201212. Base of skull- Trigeminal - origin and pathway , each branch - foramen - supply .Facial nerve - supply .sup orbital fissure.13. Epidural Cather set- damaged - would u use it ? Why not ? How do u check the set - each component -why filter ? What is the pore size - 0.2-2micrometer. Indications , contraindications,complications . Air vs saline technique - adv / disadvantage.14. Sim man - 39 weeks pregnant, had epidural bolus 10 ml, now not responding. ,bradycardia - hypotension PEA arrest . Resuscitation. Left lat table tilt -to start /manual mobilisation of uterus . Causes . It was total spinal. How to treat.15. Difficult airway - picture of grade 3 laryngoscopy - what is the grade ? DAS -guideline . How many attempts in emergency ? How to optimise view ? Etc16. Spinal cord cross section -name ascending tracts - what do they carry , bloodsupply , origins of ant spinal artery , clinical presentation what will happen if antspinal artery is blocked ?OSCE set 111. CXR of a globular looking heart, history suggestive of failure / MR / AF.2. CXR with questions essentially leaning on a diagnosis of coarctation3. Critical incident: 100 kg patient in ITU, grade IV intubation, trache done 2 daysago after 8 day stay with pneumonia. He is desaturating. [There are nolaryngoscopes!]4. Anatomy of the diaphragm5. Anatomy of the spinal cord6. History: 78 year old lady for a THR. History of previous work up for a murmur butrecent orthopnoea and PND. Also neck OA.7. History: TAH for a 42 year old. Anaemic. History of PONV, awareness of beingintubated and stay in ITU for PE8. Communication skills: risks of regional block for LSCS9. Resusc station – managing the defibrillator10. Resusc station – essentially talking through the algorithm, no manikin11. PCA giving set: its valves, safety mechanisms..12. Electrical safety station – including earthing and equipotentiality13. Respiratory examination station14. Monoaural stethoscope and its uses15. Tension pneumothorax scenario and how to put in a chest drain16. Equipment: rotameter17. Set of RSI instruments, all of which seemed to have a fault to identify and thenquestions regarding what else you need for an RSI18. Rest station!Coventry collection: Many thanks to the candidates from January 2012Course10