FCAI Final April 2019

Set 1

SOE-1

A middle aged woman with obesity, hypertension and adjuvant chemotherapy for breast cancer complicated with axillary DVT presents for MAC & Mammoplasty.

Obesity & its problems
THRIVE
HPT - definition, cut off point for cases, antihypertensives
Rivaroxaban
Choice of anaesthesia
Pecs block
LAST treatment

SOE-2

House burn, draw ODC, alveolar gas equation, A-a gradient and causes of its widening. Hemoglobinopathies
Tracheostomy, indication, advantages, complication, compare percut vs surgical
HIV, cerebral toxoplasmosis and treatment, antivirals and complication.

SOE-3

Trauma - cxr on pneumothorax, hemothorax, approach
Acromegaly, symptoms, transphenoidal approach, problem post op - they wanted to talk about hypertension post op
Preeclampsia, hellp syndrome, treatment
Arthroscopy, explain femoral and sciatic block

Set 2

SOE -1

A diabetic smoker with diabetes, hypertension, IHD, obesity, presents with an acute severe headache.

SAH, initial assessment and resuscitation, grading, mortality rates
Issues regarding sedation for CT in such a patient (or nothing at all...)
Monro-Kellie doctrine definition & ICP pressure volume curve
Obesity and OSA, airway concerns
Double antiplatelets on DES in the periop period
BP management pre, induction and intraop
SGLT-2 inhibitors and other OHA's
NSM (neurogenic stunned myocardium) and effects on intervention
The ISAT study
Issues regarding interhospital transfer
Medical management of intracranial hypertension
Hyponatremia - CSW vs SIADH
Mortality of rupture
BP management in the OT

SOE-1 and SOE-2 Combined

HPAA axis, RAA axis, the JGA
Malnutrition and complications in the critically ill, assessment, biochem markers, replacement strategies, Harris-Benedict equation, indirect calorimetry, immunonutrition
Pulse oximetry, odc curve, cyanide toxicity, methaemoglobina, CO toxicity
Esophageal doppler, limitation, contraindication, interpretation of eosophageal doppler
Ultrasound, principle, frequency ranges of various probes, doppler effect, equation
Interscalene block & sonoanatomy of neck
Obesity, osa
Trigeminal neuralgia
Pheochromocytoma
Serotonin syndrome vs neuroleptic malignant syndrome
Posterior pituitary hormones and their production, perioperative steroid use, angiotensin II
Maternal hemorrhage - diagnosis, labs, management, MTP, hemostatic procedures, WOMAN trial

Set 3

All SOE’s Combined

Failed back syndrome, management
Bronchiolitis, pathophysiology, diagnosis
Pregnancy with tetralogy of fallot (corrective surgery done in childhood) explain physiology, anaesthetic management
Myasthenia gravis going for upper limb surgery, question on ms relaxant and reversal. Anaesthetic management
Lower limb surgery post op pain management. Ankle block, LA toxicity
Foot drop. Which nerves are affected, Risk factor, causes, investigation and management
Trauma patient road traffic accident with hypotension and tachycardia differential diagnosis. Blood result: coagulopathy, differential diagnosis, management
Stroke patient from nursing home admitted icu for pneumonia. BP crashed. What are the likely pathogens, choice of antibiotics, antibiotic classification
Brainstem death testing. Ancillary testing
Guillian barre syndrome, differential diagnosis, treatment
Defibrillator, principle. AED vs conventional defibrillator