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 Viva 1 (Clinical)

Created: 7/9/2004
 

 An 80-year-old man presents with an acute abdomen for an emergency laparotomy. He is in atrial fibrillation at a rate of 80 bpm and has not passed urine for 8 hours. He is also mildly breathless.

QUESTIONS

1. How would you optimise the patient for surgery?
2. How would you assess his volume status?
3. Discuss fluid management, differential diagnoses and cardiac assessment.
4. How would you anaesthetise him?

 During surgery, the patient develops frequent ectopics, becomes compromised and subsequently progresses to ventricular tachycardia (VT).

QUESTIONS

1. How would you treat this emergency situation?

 The patient then develops ventricular fibrillation (VF).


QUESTIONS

1. How would you treat this situation now?
2. How is blood loss assessed?
3. How do you manage different severities of haemorrhage?


ArticleDate:20040907
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?








 
All rights reserved © 2017. Designed by AnaesthesiaUK.

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

 Like us on Facebook 

vp