THE ROYAL COLLEGE OF ANAESTHETISTS
DIPLOMA OF FELLOW OF THE ROYAL COLLEGE OF ANAESTHETISTS
Tuesday 15th May 2001
9.30am to 12.30pm
CANDIDATES ARE REQUIRED TO ANSWER ALL TWELVE QUESTIONS:
Questions numbered ONE TO SIX must be answered in Book A . (Blue)
Questions numbered SEVEN TO TWELVE must be answered in Book B. (Pink)
Candidates must attempt all twelve questions or they will fail the examination.
Candidates are informed that one of the Examiners is present during the time allowed for the paper, for consultation in case any question should not appear clear. Candidates are advised to spend approximately the same amount of time on each question and ensure that the important issues are included in their answers
SECTION A (Book A - Blue)
1. Describe the diagnosis and management of venous thromboembolism.
2. Outline the anaesthetic management of an adult patient who requires surgery for a strangulated inguinal hernia. He suffers from obstructive sleep apnoea.
3. Outline the early management of a one year old child with 25% burns caused by scalding.
4. How would you recognise that a patient has regurgitated during an anaesthetic administered using a laryngeal mask airway? How would you manage the problem?
5. What is an appropriate intervertebral space at which to insert a spinal needle to administer a subarachnoid anaesthetic for a Caesarean section? Give your reasons and describe how you would locate the space.
6. Outline the methods of estimation of arterial pCO2 and their limitations.
SECTION B (Book B - Pink)
7. What are the therapeutic uses of magnesium and how does it work?
8. What are the possible causes of intraoperative myocardial ischaemia in a 65 year old male undergoing major intra-abdominal surgery? Outline how the incidence of these may be minimised.
9. How can ultrasound be useful in anaesthesia and intensive care medicine?
10. When obtaining consent for an epidural for a primigravida in labour, what complications do you mention? Quote their incidence if known. What can be done to reduce the likelihood of these problems?
11. Describe the criteria and tests for brain stem death. Briefly indicate the neurological basis for each test.
12. How would you provide optimal pain relief for a 60 year old man undergoing shoulder replacement?