FCAI SAQ 2019
1. Parkinsonism and it’s clinical features.
Pharmacological agents and it’s group used to treat parkinson disease.
A patient is planned for hemiathroplasty, what are your perioperative anaesthetic management.
What is your choice of anaesthesia and what are the pro & cons?
2. A 74 year old lady presented with slurring of speech and weakness of upper extremities.
A diagnosis of ischaemic stroke was made.
What are the criteria of National Institute of Health Stroke Scale to determine severity of stroke?
What are the immediate management and it’s pro and cons?
The neurosurgeons decided for decompressive hemicraniectomy.
What are the reasons for this and outline the management in ICU post operatively.
3. A child with trisomy 21 was seen in the pre operative assessment clinic and you detected a systolic murmur which was previously not present.
How do you determine the significance of murmur?
What are the common congenital heard disease in this population?
What are your airway concerns for pt with down syndrome?
4. A 24 year old man presented with bilateral mandible fracture, claimed to be assaulted in a night club.
What are your concerns regarding this case?
What are the reasons for emergent surgery?
What are your perioperative anaesthetic management?
5. A lady presented with ruptured membranes to the labor room in active labor.
She was started on pitocin infusion and developed strong contractions.
1 hour later, she complained of breathlessness and appeared cyanotic and had a cardiac arrest.
What is the most likely diagnosis and why? What is your differential diagnosis? What is your management?
6. Define ICU delirium.
Types of delirium and how do you differentiate them?
What are the drugs common used for delirium and it’s group?
What are the possible consequences for delirium?
7. What are the criteria for diagnosing persistent post surgical pain?
How common is persistent post surgical pain and the common surgeries leading to it?
What are the mechanism of PPSP?
How can you reduce PPSP perioperatively?
8. What are the composition of a drug eluting stent (DES) and it’s mechanism of action?
Compare and contrast what antiplatets are required after DES insertion, types & group of commonly use antiplatet and their mechanism of action, minimum period of antiplatet after insertion of a bare metal stent and drug eluting stent.
A patient presented for inguinal herniotomy under GA. Intraoperative you noticed ST depression.
What is the most likely diagnosis and your management?
9. HOCM.
What are the presenting signs and symptoms?
What patients are considered high risk?
What are the treatment available for HOCM?
What are your perioperative management to reduce morbidity?
What are your intraoperative hemodynamic aims?
10. A lady is planned for surgery for thoracoabdominal adenocarcinoma.
What are the clinical features ?
What are the investigations you will order and what are the expected abnormalities?
What are your perioperative management to reduce morbidity?
What would you explain to your patient when asked about complications of thoracic epidural ( not side effects ) for post op analgesia?