Search our site 
 
Advanced Search
 
Home | Exam dates | Contact us | About us | Testimonials |
 
 

map
You are in Home >> Exams >> Primary FRCA >> OSCE and SOE

Primary OSCE 29

Created: 24/11/2005

 
1. History taking
You are presented with a patient undergoing inguinal hernia repair, with ischaemic heart disease, who now has angina at rest.

2. Data interpretation
You are shown an observation chart from a female patient on the ward, post-cholecystectomy. She has an increasing temperature and pulse rate, and decreasing blood pressure.

3. Trauma
Assess a trauma patient (played by an actor). Conduct a primary and secondary survey, and resuscitation.

4. Case scenario
You are called to the ward, where a woman has collapsed. The nurses have commenced cardiopulmonary resuscitation and connected her to the ECG monitor. This shows sinus rhythm at a rate of 60 bpm. Describe the causes and management of pulseless electrical activity. What are the 4Hs & 4Ts?

5. Equipment
You are shown an old hot water bath humidifier and asked questions on humidification, importance of this equipment, safety etc.

6. Pressure measurement
Discuss non-invasive blood pressure measurement, oscillometry, measurement of mean arterial pressure, time cycle, maximum rate of measurement and potential nerve damage.

7. Equipment
You are shown a picture of a TEC5 plenum vaporiser.
- How is it different to a draw-over vaporiser?
- Discuss the use of vaporisers inside the circle versus vaporisers out of the circle.
- What is the latent heat of vaporisation?
- What is temperature compensation?
- How is the concentration and partial pressure of the volatile affected by altitude?

8. History taking
A patient is due to undergo a septoplasty. He/she has obstructive sleep apnoea and is on nasal continuous positive airway pressure. The patient has symptomatic gastro-oesophageal reflux and is a smoker.

9. Chest X-ray
You are shown the chest X-ray of a female patient who works as a cleaner, smokes 40 cigarettes/day and is unwell, with a productive cough. The X-ray appears to show that she has bronchopneumonia. Does she need to be admitted to the intensive care unit? Should she be given nitric oxide etc?

10. Equipment
What is an intraosseous needle?
- Demonstrate the insertion points and insert the needle into a manikin.
- How are fluids administered?
- What are the contraindications and complications of using this type of needle?

11. ECG
You are shown the ECG of a 50-year-old woman, who is a long-distance runner. She has sinus bradycardia (34 bpm).
- Does she have Wolf–Parkinson–White syndrome?
- Does she need perioperative pacing?

12. Simulator manikin
Insert a laryngeal mask airway into the manekin. Describe the contraindications, number of uses and cleaning of this equipment.

13. Anatomy and function of the nerves
You are shown a diagram of the brachial plexus, with numbered points. You are then shown pictures of patients in various positions.
- Indicate which points could be injured.
- Which nerve is damaged by the blood pressure cuff?
- Describe how you would test the sensation of the radial and ulnar nerves.
- Describe how you would test ulnar nerve motor function.

14. Skills
Demonstrate an ankle block.

15. Anatomy of the larynx
Identify the structures and describe the nerve and artery supply.

16. Communication
Obtain consent from a Jehovah’s Witness for administering an anaesthetic. The patient in question is undergoing a hysterectomy for menorrhagia, and her haemoglobin level is 90 g/L. Give the patient the consent form and discuss the various options.

17. Simulator manikin
You are asked to assess and resuscitate a trauma patient. The patient has a falling blood pressure and a rising heart rat

ArticleDate:20051124
SiteSection: Article
 
   
    
                                            
  Posting rules

     To view or add comments you must be a registered user and login  




Login Status  

You are not currently logged in.
UK/Ireland Registration
Overseas Registration

  Forgot your password?


Latest Discussion
HugeDomains.com - AnesthesiaUsa.com is for sale (Anesthesia Usa)

Hundreds of thousands of premium domains

Questions? We're here to help! Call today:

1-303-893-0552

AnesthesiaUsa.com is for sale

Buy Now: $2095
  • Take Immediate ownership
  • Transfer the domain to the Registrar of your choosing
OR
Finance This Domain: $2095 12 monthly payments of $175
  • 12 monthly payments, only $174.58 per month
  • Start using the domain today See details

Talk to a domain expert: 1-303-893-0552

Hurry - once it's sold this opportunity will be gone!

Besides being memorable, .com domains are unique: This is the one and only .com name of it's kind. Other extensions usually just drive traffic to their .com counterparts. To learn more about premium .com domain valuations, watch the video below:

Turbocharge your Web site. Watch our video to learn how.

Improves Your Web Presence

Get noticed online with a great domain name

73% of all domains registered on the Web are .coms. The reason is simple: .com is the where most of Web traffic happens. Owning a premium .com gives you great benefits including better SEO, name recognition, and providing your site with a sense of authority.

Here's What Others Are Saying

Since 2005, we've helped thousands of people get the perfect domain name
  • My very first experience with Hugedomains.com, they assisted me in a very professional manner. The agent was knowledgeable and helpful. It was easy as 1-2-3. I was very impressed. "You cannot make a second 'first impression' ". - Ray A., Gasrun.com, 4/11/2017
  • Fast and safe - LiJuan Wu, GulunKungFu.com, 4/6/2017
  • In the film industry, having an online presence is a must and HugeDomains made it incredibly easy to acquire my domain at an affordable price! - Michael B., PaulBryant.com, 4/3/2017
  • More testimonials

AnesthesiaUsa.com

Own this domain today

Our Price: $2,095 (USD)

Questions?
Speak with a domain specialist!
Call us: 1-303-893-0552 M-F 9am - 5pm MST
Other Domains You Might Like

© 2017 HugeDomains.com. All rights reserved.

 






 
All rights reserved © 2017. Designed by AnaesthesiaUK.

{Site map} {Site disclaimer} {Privacy Policy} {Terms and conditions}

 Like us on Facebook 

vp