Primary FRCA OSCE January 2012

Primary FRCA OSCE-SOE exam January 201217. Equipment station – check an arterial line and transducer set up. Bag notpressurised, 5% dextrose used as flush, air bubbles in line, wrong type of tubing, IVcannula with injection port instead of arterial cannula.OSCE set 241, Miller vs Mackintosh blades, 4 differences between the 2 and which causesmore vagal stimulation2, Saggital section of the larynx and name structures3, Hx from patient with previous hysterectomy and prior ITU admission-notrache but some renal failure monitored for a year after4, blood filter vs ?platelet filter and pore sozesWhy can’t none bloof filter be used for bloodHMEF-why can’t child sized be used for baby or adult5, Airway assessment including c-spine x-ray and Wilson score6, Hx-think I missed the point seemed to be dental extraction-sister had muscleaches following anaesthetic. No suggestion of MH or sux apnoea-overheard himtalking about a previous nose fracture with the person behind me7, USS image of CVC-wanted frequency of USS and which side of the neck theimage was of8, Radiology-2 year old child , at kids party with left lung white out. Questions of?haemothorax, Heimlich dangerous ? fractured humerus (epiphyseal growthplate), needs bronchoscopy9, radiology- lateral chest x ray with hiatus hernia. ?diaphragm elevated andNGT needed. Patient for ENT panendoscopy for ?malignant lesion. Cricoidpressure contraindicated?10, SIM man-intraop ST depression, gave GTN and then needed meteraminolcauseson intra-op hypotension11, Parasymp innnervation of the heart-detailed course of the vagus includingnuclei and coronary angiogram-what supplies the RV, posterior part of the heartand what supplies the AV node and consequences of infarction. Infarction andECG leads.12, Landmark insertion of the CVC and complications13, VT algorithm and SIM man14, Assess level of consciousness and GCS score, HI injury patient, Actor withGCS of 13, wanted us to say that we’d put the c-spine collar on and use the pentorch on the table.15, Temperature-what is temperature, what is in a temperature probe thatdetects temperature, principle of infra red radiation, and what kind of radiation16, further resus, broad complex tachycardia wanted both chemical andpharmacological management and how often would shockCoventry collection: Many thanks to the candidates from January 2012Course18