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

Primary OSCE 1

Created: 15/7/2004
1. Equipment

- Check Arterial line set-up
- Assess faults: (findings: no pressure on bag, 5% dextrose in bag, unable to flush transducer, venous cannula attached, inappropriate tubing)

2. Anatomy

Ankle block
- Which nerves? Describe the course and distribution of tibial, saphenous, superficial peroneal
- How much LA is needed?
- Toxic dose  of lidocaine, prilocaine and bupivacaine?

3. Counselling

Jehovah's Witness, Hb 9.2 for total abdominal hysterectomy for menorrhagia, asked to get her to sign consent form for surgery without blood products
- Patient brought up subject of erythropoietin and bypass, outline response 

4. Equipment  

- Urinary catheter with transducer attached for measuring core temperature
- Methods of measuring temperature, difference between thermistor + thermocouple
- Which metals are used in a thermocouple?
- Shown four different graphs of resistance v potential difference: identify graphs for thermistor and thermocouple

5. Resuscitation

Drowning victim, has pulse but not breathing, started to breath after 10 breaths given
- Fill in gaps in asystole protocol 

6. Chest X-ray 

- 10 T/F questions 

7. Data analysis

- Sequential arterial blood gas results and observations for 21 year old with asthma
- 10 T/F questions 

8. Examination

- Cranial nerves 3- 12 (normal actor)

9. Anatomy

i) Antecubital fossa (ACF)
- identify on model biceps tendon, brachial A, radial N
- what is the name of aponeurosis in ACF?
- which vein would you choose for a long line?
- where might a line stick?
ii) Wrist
- identify positions of radial, ulnar and median nerves
- demonstrate Allen's test
- shown adult and paediatric plates, which is suitable for an adult and why?
- shown picture of a patient connected to diathermy and touching metal pole; is this dangerous? Why?
- discuss cutting and coagulation waveforms
- shown diagram of two circuits, one with isolating transformer; which would you rather be attached to and why?
- why does diathermy not cause ventricular fibrilation? 

11. History

48 year-old-male for bilateral varicose vein surgery. He is an asthmatic, severe attack in the past precipitated by propranolol for an unknown arrhythmia. 

12. Machine check

- Check circle only
- Assess faults (findings: not attached to fresh gas flow, expiratory valve stuck in open position?  What would this cause?)

13. Data 

- Spirometry trace of patient for transurethral resection of the prostate, showing chronic obstructive pulmonary disease picture
- 10 T/F questions 

14. History

40-year-old female for laparoscopic cholecystectomy; no problems found 

15. Equipment

- Demonstrate use, safe use with intermittent positive pressure ventilation
- How should it be cleaned? (hint: a closer look at the LMA reveals the word “autoclave”!)  

16. Statistics

- 10 T/F questions on normal distribution / mean / mode / median / SD / SEM / confidence intervals

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