ANZCA Final Exam Resources
Past Questions

icon picker
Medical Vivas

Past Medical Vivas
0
Exam
Title
Opening Question
Mean Score
Pass Rate
2023.1
2
Viva 1
You are in the Preadmission Assessment Clinic.
A 40-year-old woman with trisomy 21 (Down Syndrome) presents to the clinic with her mother for assessment prior to an elective left hemithyroidectomy.
Past Medical History
Trisomy 21
Left eye surgery under GA (2020)
Multinodular goitre
Hypothyroidism
Medications
Cholecalciferol 25mcg daily
Levothyroxine 150 mcg daily
Pantoprazole 40 mg daily
What medical conditions commonly associated with trisomy 21 would you enquire about?
Open
6.1
82.0%
Viva 2
You are reviewing a 68-year-old man in the preadmission clinic. He is scheduled to undergo a laparoscopic cholecystectomy for recurrent cholecystitis and a recent episode of cholangitis requiring hospital admission.
Medications:
aclidinium/formoterol (eformoterol) 340/12 mcg inhaled twice daily
amlodipine 5 mg daily
candesartan/hydrochlorothiazide 32/12.5 mg daily
cholecalciferol 25 mcg daily
paracetamol 1 g four times daily
salbutamol 200 mcg inhaled 4 times a day as required
What features of his history will allow you to assess the severity and stability of his chronic obstructive pulmonary disease?
Open
6.3
86.0%
2022.2
4
Viva 1
You are asked to assess a 60 year old woman with cirrhosis in the preadmission clinic prior to her booked gastroscopy and colonoscopy next week.
Medications:
Bisoprolol 2.5mg bd
Thyroxine 100microg mane
Vildagliptin 50mg daily
Furosemide 40mg mane
Spironolactone 25mg mane
Lactulose 30mL daily
Rifaximin 550mg bd
What will you ask on history? In particular, what information will help you assess the stability and severity of this patient’s disease?
Investigations included:
Biochemistry
Haematology
Coagulation tests
Open
6.5
87.5%
Viva 2
A 59 year-old woman presents to your Pre-anaesthetic Assessment Clinic prior to an elective hemicolectomy for bowel cancer. She has a chronic lung condition.
Her long-term medications are:
Atorvastatin 20 mg once daily
Azithromycin 250 mg once daily
Darbepoetin 80 mg weekly
Escitalopram 10 mg daily
Lercanidipine 10 mg daily
Prednisolone 5 mg daily
Sulfamethoxazole 800 mg /trimethoprim 160 mg 3 times weekly
Based on her medications, what lung conditions would you be considering? Investigations included:
ABG
PFTs
Biochemistry
FBC
Fe studies
Open
6.3
87.5%
Viva 3
You are asked to assess a 55 year old man with end-stage renal failure who currently uses peritoneal dialysis. You are seeing him in the pre-admission clinic prior to day surgery for dental extractions next week.
Medications:
Novorapid insulin 6U with breakfast, 8U with dinner
Gliclazide modified release 60mg bd
Linagliptin 5mg mane
Paracetamol 1g qid
Darbepoetin 40 mcg fortnightly
Frusemide 250mg mane
Metoprolol 25mg mane
Pravastatin 10mg daily
Aspirin 100mg mane
Kidney vital vitamin – 1 mane
Lanthanum carbonate (phosphate binder) – 1 tds
What will you ask on history to assess the stability and severity of his renal disease? Investigations included:
FBC
Fe studies
Biochemistry
ECG
Echocardiogram report
Cardiac angiogram report
Dipyridamole stress echo report
Open
5.9
83.6%
Viva 4
You are in the preadmission clinic reviewing a 25-year-old man who has been scheduled for an open repair of a large right inguinal hernia in eight weeks’ time. Your hospital has an intensive care unit but there is no facility for cardiac surgery. He was born with Tetralogy of Fallot (TOF) which consisted of:
Ventricular septal defect (VSD)
Right ventricular (RV) outflow tract obstruction (RVOTO)
RV hypertrophy (RVH)
An overriding aorta and a hypoplastic left pulmonary artery.
At 3 months of age he had a Blalock shunt as a temporary measure (supplying blood to the hypoplastic pulmonary artery) and at 3 years of age his TOF was fully repaired. He takes no regular medications. He works part-time at the local supermarket and sometimes gets short of breath on exertion.
What would you ask on history to assess his cardiac disease and suitability for surgery?
Open
5.3
64.2%

Want to print your doc?
This is not the way.
Try clicking the ⋯ next to your doc name or using a keyboard shortcut (
CtrlP
) instead.