Primary FRCA OSCE January 2012

Primary FRCA OSCE-SOE exam January 20127. Communication ;pt on methadone concerned about pain relief after surgery8. Af : ECG and discussion9 . Cxr. : tubular heart , upper lobe blood diversion. Some one with 2 mth.h/o sob10. X-ray neck and upper chest : patient with thyroid nodule and on propronalol ;tracheal deviation , iv access in foot.11. Cvs examination12.sim man , asthmatic patient intubated ventilated : airway pressure high, tracheadeviated , I treated as pneumothorax13.history for arthritis patient coming for jt surgery of hand , had RA14. Intraosseous needle insertion15. Electrical safety (toughest ) earthing how to reduce etc, identify 2 symbols , wt ifone of the ECG electrode is mis connected16. Capnography and various traces : didn't go very well17: Base of skull and asked about tri geminal and facial18 rest stationOSCE set 7Anatomy of spinal cord, hemisection and anterior cord syndromeAnatomy of diaphragm- nerve supply muscles of respiration, attachments andopenings.Electrical symbols, microshock and earthPca lineMono auricular stethoscopeRotametersCheck equipment for RSI- lots of blockages and leaking cuff, asked what elserequiredECG strip asystoleXray coartation aortaSim shockable resusSim dislodged trache, difficult intubation, laryngoscopes had no bulb no needle cricor quick trache, cicv.Resp examComm - anaesthetic options for c sectionHistory- Elective TAH previous awareness and post op PE. AnaemicHistory- elective THR. Arthritis, cardiac hx murmur, oedema PND orthopnoeaExplain needle thoracocentesis and formal chest drainOSCE set 8lots of resus algorithms, difficult airway management - at least four stations on thistwo histories seemed straight forward, actors very forthcomingcomm station tough - had to discuss option for elective csection; didn't really come toany conclusion, ran out of time and wasn't sure what they wantedanatomy: diaphragmantomy: spinal cord cross section, tractsCoventry collection: Many thanks to the candidates from January 2012Course7