THE ROYAL COLLEGE OF ANAESTHETISTS
DIPLOMA OF FELLOW OF THE ROYAL COLLEGE OF ANAESTHETISTS
5th November 1996
SECTION A (Book A)
1. How would you manage a case of accidental intra-arterial injection of thiopentone in the upper limb?
2. Summarise the causes, effects and prevention of aspiration pneumonitis.
3. List the likely causes of collapse in the dental chair of a patient undergoing a procedure under local anaesthetic without sedation, with notes on the presenting signs and symptoms. Briefly state what first-aid measures can be undertaken in each case.
4. What particular problems may occur during lower abdominal surgery in a patient who suffered a traumatic transection of the spinal cord at C6 four weeks previously? Briefly indicate how you would avoid or prevent the problems you describe.
5. Describe how you would carry out an axillary brachial plexus block
6. What is your choice of anaesthesia for pericardectomy in constrictive pericarditis? Give reasons for your choice.
SECTION B (Book B)
7. A 40-year old man is admitted with an acute head injury. List the indications for intubation, ventilation and referral to a neurosurgical unit.
8. Make a simple drawing, with labels, to show the trachea, main and segmental bronchi.
9. Outline your management of an adult patient brought into the A & E department in status asthmaticus.
10. List, with a brief statement on the effectiveness of each one, the means available for detecting awareness during anaesthesia.
11. What are the advantages and disadvantages of intravenous patient controlled analgesia for postoperative pain control?
12. A 60-year old man is referred to you with reflex sympathetic dystrophy following an injury at the elbow 6 months earlier. Outline the treatment.