ANAKAYUB's Notes

 MCAI OSCE / VIVA 2016

VIVA

1. Thyroid hormone synthesis / anatomy
2. Brainstem & Brain death
3. CO2 effects on CBF
4. CO regulation & monitoring
5. PONV
6. Cox inhibitor, NSAIDs
7. Antiepileptics
8. BDZ
9. Echo

VIVA 1A

1. Inotropes, CO/MAP/HR/ PCWP/SVR
2. Neg inotropes
3. Catecholamines
4. PDE inhibitors, calcium sensitizers
5. Digoxin
6. Capnography and it’s principles, main VS side stream
7. Collision broadening, infrared spectroscopy
8. Dose response curve, therapeutic index , ED50 ED 95

VIVA 1B

1. Classification of hemostasis disorders
2. Normal levels of coagulation factors,  coagulation cascade
3. INR, PT, Warfarin, DIVC, Hemophiila  
4. Dead space, Fowler method, Bohr equation
5. Hypovolemic shock, classification, compensation
6. Adh, Vasopressin vasoconstriction, Baroreceptors reflexes
7. Brain death test, differentiate csf from clear fluid   
8. DAS guidelines  
9. Nitrous oxide
10. GA machine check

VIVA 2A

1. Drug metabolism, hepatic metabolism
2. Drug inducers inhibitors interactions
3. Antiarrhythmics, inotropes
4. Diuretics
5. Defibrillation, Capacitor, Current resistance capacitance, Circuit, defibrillation vs cardioversion

VIVA 2B

1. Hypothermia, post op shivering, heat loss and management
2. Factors affecting cardiac output: preload afterload contractility
3. Frank starling curve,  measurement, Fink principle
4. Echo - Stoke volume, VTI
5.  Iron deficiency anemia
6. Urine formation, Counter-current mechanism, electrolyte disorder management

OSCE 1

1. Communication - Suxamethonium apnoea
2. Ecg -MI
3. Anatomy of diaphragm
4. Aspiration
5. Oxygen cylinder / O2 flush / CGO / safety
6. Ankle block
7. CCR interpretation - endobronchial intubation
8. Data interpretation: Pulmonary function test - obstructive
9. RSI
10. Hyperthyroidism n anaesthesia

OSCE 2

1. Humidity / HME / Humidification / Optimal droplet size
2. Arterial cannulation / Allen test / complications, optimal damping/flushing
3. DM and peri-operative management
4. ECG - normal ecg / Segments / LVH criteria
5.  Pneumoperitoneum, peritoneum management
6. Brachial plexus anatomy
7. High spinal
8. Respiratory acidosis, opioid overdose
9. Difficult airway features
10. Counselling for tooth damage perioperatively  
11.  Lumbosacral plexus

OSCE 3

1. CPR algorithm - VF, PEA
2. ECG interpretation - AF, paced rhythm
3. Airway examination
4. Scenario - tension pneumothorax
5. Preop assessment for ESRF
6. Skull anatomy
7. Difficult airway and intubation scenario
8. Epidural counselling
9. Jehovah witness counselling
10. Claustrophobia to mask (RSI)
11. Cervical injury
12. Metabolic alkalosis
13. Air embolism
14. Ct brain interpretation
15. Antigastric medications
16. Pharmacokinetic differences between the elderly and young
17. Vomiting physiology
18. Vaporizers
19. Cardiac output
20. Urine formation
21. Homeostasis
22. Nerve conduction
23. NSTEMI
24. Neuromuscular blockage monitoring
25. Inotropes (molecular difference between different adrenoceptors)