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Basic sciences CRQs

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This section of the curriculum covers a huge area of anaesthetics including anatomy, applied clinical pharmacology, applied physiology/biochemistry, physics/clinical measurement,and statistical basis of clinical trial management. Effecively most of the primary knowledge!!! However we have altered it into the CRQ format for the new Final FRCA exam.

Question 6 (March 2019)

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A 77-year-old man is scheduled for laser surgery to a laryngeal tumour

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a) What does the term LASER stand for (1 mark)

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b) What different types of laser can be used for surgery (3 marks)

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c) Name 5 ways the risk of an airway fire can be minimised (5 marks)

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d) Name 6 measures you would take to protect staff when a laser is in use (6 marks)

 

e) What anaesthetic techniques can be used to allow a tubeless filed for laryngeal surgery (5 marks)

Question 6 (September 2018)

 

A recent meta-analysis of Mallampati scoring of the airway found that it had a sensitivity of 60% and specificty of 70%

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a) Briefly define the terms of systematic review (1 mark) and meta-analysis (1 mark)

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b) Explain what is meant by sensitivity (2 marks) andspecificity (2 marks) of Mallampati scoring of the airway in this meta-analysis. 

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c) What other information do you require and how would you calculate the positive predictive value for Mallampati scoring (2 marks)

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d) Rank the levels of scientific proof used to grade medical evidence (4 marks)

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e) List 8 factors that help to ensure a high-quality conclusion from a meta-analysis (8 marks)

Question 7 (March 2018)

 

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a) Name 3 physiologica factors that determine the rate of fall in arterial oxygen saturation in an apnoeic patient (3 marks)

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b) List 4 patient groups most likely to show a rapid fall in arterial oxygen saturations when apnoeic (4 marks)

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c) List 8 ways in which alveolar oxygenation, prior to intubation,may be optimised during rapid sequence induction (8 marks)

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d) How can the effectiveness of alveolar oxygenation be meausred? (1 mark)

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e) Name 4 possible  respiratory complications of prologned delivery of 100% oxygen (4 marks)

Question 11

 

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a) List 7 indications for total intravenous anaesthesia (TIVA) (3 marks)

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b) What are the 3 main components of a target-controlled infusion (TCI) system? (3 marks)

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c) Outline 4 potential technical problems with TIVA (4 marks)

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d) How might each of the aboe technical problems be prevented? (4 marks)

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e) Name 2 potental patient complications with this technique (2 marks)

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