ANZCA Final Exam Resources
ANZCA Final Exam Resources

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59
IT_RT 1.1
Outline a systematic approach to identifying the cause and describe the initial management of the following, when occurring in association with anaesthesia or sedation:
Dyspnoea
Hypoxia
Hypocapnoea/hypocarbia
Hypercapnoea/hypercarbia
Tachycardia
Bradycardia
Hypotension
Hypertension
High airway pressures
Oliguria/anuria
Failure to wake from anaesthesia (also refer to the General anaesthesia and sedation clinical fundamental)
IT_RT 1.2
Outline the clinical features and describe the initial management of patients with the following life threatening conditions:
Cardiac arrest
Respiratory arrest
Shock
Hypovolaemic
Distributive
Cardiogenic
Obstructive
Cardiac tamponade
Acute myocardial ischaemia
Acute pulmonary oedema
Aortic dissection
Arrhythmias causing haemodynamic compromise
Aspiration of gastric contents
Severe bronchospasm
Tension pneumothorax
Massive haemoptysis
Coma
Raised intra-cranial pressure
Prolonged seizures
Local anaesthetic toxicity (also refer to the Regional and local anaesthesia clinical fundamental and the endorsed AAGBI Safety Guideline Management of Severe Local Anaesthetic Toxicity)
Anaphylaxis
Malignant hyperthermia
Pulmonary embolism
Gas embolism
Coagulopathy in association with surgery or trauma
Hyper/hypokalemia
IT_RT 1.3
Outline the personnel, equipment and drugs available for crisis management in anaesthetising locations
IT_RT 1.4
Describe the primary survey of the trauma patient
IT_RT 1.5
Describe techniques for the immobilisation of patients with spinal injuries during transport and transfer
BT_RT 1.24
Outline the clinical signs that may differentiate the causes of shock
BT_RT 1.25
Outline initial investigations of the shocked patient
BT_RT 1.26
Outline the likely changes in blood gas analysis in the shocked patient
BT_RT 1.27
Outline the use of indicators of tissue oxygenation (base deficit, lactate, mixed venous oxygen saturation) in resuscitation
BT_RT 1.28
Correlate clinical signs of hypovolaemic shock with estimates of volume loss
BT_RT 1.29
Outline how the clinical signs of hypovolaemic shock may be altered by anaesthesia, sedation and current medication
BT_RT 1.30
Outline how the clinical signs of shock may be altered by age
BT_RT 1.31
Outline an approach to volume replacement in shock due to:
Haemorrhage
Loss of fluid and electrolytes
BT_RT 1.32
Outline the indications for the use of vasopressors and/or inotropes in the management of shock
BT_RT 1.33
Outline strategies to prevent and manage complications of massive transfusion
BT_RT 1.34
Outline the diagnosis and management of major transfusion reactions
BT_RT 1.35
Outline an approach to obtaining vascular access in the shocked patient
BT_RT 1.36
Describe drainage of the pericardial space
BT_RT 1.37
Describe how to program an external pacemaker
BT_RT 1.40
Outline methods to treat life threatening hypoxaemia
BT_RT 1.41
Describe the management of severe asthma
BT_RT 1.42
Describe the diagnosis and management of pneumothorax
BT_RT 1.43
Describe the technique of emergency drainage of tension pneumothorax
BT_RT 1.44
Describe insertion of an intercostal catheter
BT_RT 1.45
Outline the causes of coma and an approach to the initial assessment and management of the comatose patient
BT_RT 1.46
Describe the Glasgow Coma Scale
BT_RT 1.47
Describe the management of prolonged seizures and status epilepticus
BT_RT 1.48
Outline the causes of acute spinal cord dysfunction and an approach to the initial assessment and management of the patient with acute spinal cord dysfunction
BT_RT 1.49
Describe clinical situations likely to result in and outline the initial management of:
Hyper/hypokalemia
Hyponatremia and hypo-osmolality
Hypernatremia
Hyper/hypoglycemia
Hyper/hypocalcemia
Hyper/hypomagnesemia
Metabolic acidosis
BT_RT 1.50
Outline the steps to take in the event of:
An operating room fire
Electrical power failure in the operating suite
BT_RT 1.51
Describe the likely presentation of and steps to take in the event of:
Failure of pipeline gas supply
Anaesthesia machine and ventilator malfunction
Breathing circuit malfunctions such as stuck valves and massive leaks
BT_RT 1.52
Outline appropriate preparation of equipment and personnel prior to the arrival of the trauma patient in the hospital
BT_RT 1.53
Outline features of the patient’s history that are indicative of injury severity
BT_RT 1.54
Identify contraindications to urinary catheters and nasogastric tubes during trauma resuscitation
BT_RT 1.55
Describe indications for a definitive airway in the trauma patient
BT_RT 1.56
Describe strategies to prevent hypothermia in the trauma patient
BT_RT 1.57
Describe infection control techniques in the trauma setting
BT_RT 1.58
Outline the initial steps in local disaster management protocols for their institution
AT_RT 1.1
Where the following problems occur in association with anaesthesia and sedation, the trainee will be able to:
Discuss potential causes and their relative frequency
Evaluate severity, potential consequences and the need for treatment
Select treatment appropriate to the severity of the condition
Describe the clinical evaluation and both the initial and definitive management
Problems:
Dyspnoea
Hypoxia
Hypocapnoea/hypocarbia
Hypercapnoea/hypercarbia
Tachycardia
Bradycardia
Hypotension
Hypertension
High airway pressures
Oliguria/anuria
Failure to wake from anaesthesia (also refer to the General anaesthesia and sedation clinical fundamental)
Tension pneumothorax
Massive haemoptysis
Local anaesthetic toxicity (also refer to the Regional and local anaesthesia clinical fundamental and the endorsed AAGBI Safety Guideline Management of Severe Local Anaesthetic Toxicity)
Malignant hyperthermia
Gas embolism
Fat embolism
Raised intracranial pressure
Coagulopathy in association with surgery or trauma
AT_RT 1.2
Describe the clinical features and resuscitative management of patients with:
Ischaemic and haemorrhagic stroke
Prolonged seizures
Rhabdomyolysis
Pulmonary embolism
Haematemesis and melaena
Thyroid storm
Addisonian crisis
Diabetic ketoacidosis
Hyperosmolar, hyperglycaemic state
Hypo-osmolar states
Severe electrolyte disturbances
Severe acid base disturbance
Acute drug intoxication
AT_RT 1.3
Discuss the effects of age, body mass index (BMI) and concurrent medication on the presentation and management of patients with severe multi-trauma
AT_RT 1.4
Discuss the differential diagnosis of shock in the trauma patient
AT_RT 1.5
Discuss pain management in the multi-trauma patient
AT_RT 1.6
Describe the role of diagnostic ultrasound in the initial assessment of the trauma patient
AT_RT 1.7
Discuss the diagnosis and management of life-threatening haemorrhage in the multi-trauma patient and in particular haemorrhage due to:
Chest trauma
Abdominal trauma
Pelvic trauma
Major vascular injury
AT_RT 1.8
Outline the indications for emergency resuscitative thoracotomy
AT_RT 1.9
Discuss the diagnosis and management of cardiac tamponade in the trauma patient
AT_RT 1.10
Discuss the differential diagnosis of hypoxia in the trauma patient
AT_RT 1.11
Discuss the initial diagnosis and management of:
Pneumothorax
Flail chest
Pulmonary contusion
Traumatic aortic disruption
Tracheobronchial injury
AT_RT 1.12
Discuss the initial assessment and management of:
Acute traumatic brain injury
Unstable spinal injury including clearing the cervical spine
Acute spinal cord injury and ‘neurogenic’ shock
AT_RT 1.13
Describe the rationale for and methods of immobilisation of:
Pelvic fractures
Long bone fractures
AT_RT 1.14
Describe problems associated with crush injury
AT_RT 1.15
Describe the clinical features and outline the management of compartment syndrome
AT_RT 1.16
Describe the initial assessment and management of the patient with severe burn injury including:
Fluid management
Pain management
Inhalational injury (also refer to the Airway management clinical fundamental)
Carbon monoxide poisoning
AT_RT 1.17
Describe the initial assessment and management of the patient who has experienced:
Electrocution
Drowning and near drowning
Envenomation
Severe hypothermia
AT_RT 1.18
Outline the process for arranging a patient transfer
AT_RT 1.19
Discuss requirements for the safe transfer of critically ill patients (also refer to the Safety and quality in anaesthetic practice clinical fundamental and professional document PS52: Guidelines for Transport of Critically Ill Patients)
AT_RT 1.20
Contrast the challenges, difficulties and limitations of transferring patients by road or air
AT_RT 2.3
Interpret imaging relevant to the primary survey
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