MCAI OSCE 31st Jan 2024 (Malaysia)
1. Lower examination, nerve distribution, motor and sensory, dermatomes
2. Chest drain and labelling (Atrium express system)
3. Anterior abdominal wall anatomy
4. MRI
5. TURBT and pulmonary edema
6. Stimulation station, VF, ACLS
7. SDH, EDH
8. 3D picture of Mapleson circuit, identify and labelling
9. Mitral stenosis, pulmonary wedge pressure
10. PDPH
11. Post op analegesia
12. ECG – AF with LBBB
13. Intra-operative mx – Patient ongoing surgery, cardiac monitor shows NSTEMI with hypertension, tachycardic and tachypnic, what you do
14. Mallampati and airway assessment
31st Jan 2024 MCAI SOE (Malaysia)
1. Osmolality vs Osmolarity – define, calculation, how to measure, what determine osmolality
2. ODC – how body transport O2, Henry Law, Double Bohr effect
3. Trauma – How to measure ICP, when to consider measurement of ICP, how to maintain ICP, define pressure, shunt, how to measure pressure
4. NDMR – how to classify NDMR, compare and contrast trachium and rocuronium, MOA of DMR and NDMR, if reverse DMR with neostigmine, what will happen
5. NSAID – MOA, classify, why COX 2 is contraindicated in patient with cardiac issues, contraindication, side effects
6. Phase 1 metabolism
7. Measurement of gas – Raman spectrometry, Quartz crystals, mass spectrometry, infrared, principle of each
8. Liver – anatomy, function, bile acid component and function, bilirubin, causes of jaundice, blood supply, venous drainage
9. Shunt – VQ mismatch, define shunt, dead space, West zone of lung, effect of lateral position on lung ventilation and perfusion
10. Vaporiser – draw components in plenum vaporiser, ideal function of vaporisers, bimetallic strips, how to overcome backpressure
11. Diuretics – classify with example, can give frusemide in DI patient? Indication of loop diuretics
12. Ultrasound – Type of probes, frequency, ultrasound mode and uses, Doppler’s effect, when to use colour doppler, uses of ultrasound in ICU (clinical), which probe and mode to use when doing ECHO