ANZCA Final Exam Resources
Past Questions

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SAQs

Past SAQs
2
Exam
Title
Stem
Categories
Pass Rate
Status
Model Answer
2023.2
15
Question 1
Evaluate the use of long-acting opioids in the treatment of acute pain.
Open
Pain Medicine
51.1%
Not Started
Question 2
Describe a perioperative pathway for hip replacement surgery with an expected in-hospital length of stay of less than 24 hours.
Open
Perioperative Medicine
SSU: Orthopaedic Surgery
60.0%
Not Started
Question 3
Discuss the management of a patient with life-threatening haemorrhage from major pelvic trauma.
Open
Resuscitation Trauma and Crisis Management
SSU: Orthopaedic Surgery
63.9%
Not Started
Question 4
Evaluate the usage of the pulmonary artery catheter in anaesthesia.
Open
Perioperative Medicine
SSU: Cardiac Surgery and Interventional Cardiology
62.2%
Not Started
Question 5

Open
Not Started
Question 6

Open
Not Started
Question 7

Open
Not Started
Question 8

Open
Not Started
Question 9

Open
Not Started
Question 10

Open
Not Started
Question 11

Open
Not Started
Question 12

Open
Not Started
Question 13

Open
Not Started
Question 14

Open
Not Started
Question 15

Open
Not Started
2023.1
15
Question 1
List the branches of the coronary arteries and the myocardial territories and structures they supply. Outline the ECG leads that correspond to the blood supply. Describe the ECG changes in a NSTEMI.
Open
SSU: Cardiac Surgery and Interventional Cardiology
Perioperative Medicine
48.9%
Complete
Question 2
Outline the immediate management of an unconscious trauma patient in the ED who has a suspected cervical spine injury.
Open
Resuscitation Trauma and Crisis Management
65.5%
Not Started
Question 3
A 30 yo pt is scheduled for laser resection of a subglottic mass to relieve mild stridor. Justify your intraoperative anaesthetic management of this case.
Open
SSU: Head and Neck ENT Dental Surgery and ECT
74.0%
Not Started
Question 4
Discuss the periop management of a previously well pt presenting for transsphenoidal resection of a non-secretory pituitary macroadenoma.
Open
SSU: Neurosurgery and Neuroradiology
25.6%
Incomplete
Question 5
An 82 yo patient is booked for excision of a floor of mouth squamous cell carcinoma and neck dissection, with a radial forearm free flap reconstruction. Discuss the issues relevant to the intraop anaesthetic management for this procedure.
Open
SSU: Head and Neck ENT Dental Surgery and ECT
Perioperative Medicine
62.8%
Not Started
Question 6
Discuss the implications of anticoagulation as well as an appropriate anticoagulant management strategy for a 25 yo with a mechanical valve for the duration of pregnancy, delivery and the postpartum period.
Open
SSU: Obstetric Anaesthesia and Analgesia
43.9%
Incomplete
Question 7
Describe your technique to provide caudal epidural analgesia for an infant weighing 10kg undergoing hypospadias surgery.
Open
Regional and Local Anaesthesia
SSU: Paediatric Anaesthesia
43.9%
Not Started
Question 8
A 56 yo patient with a phaeochromocytoma is scheduled for a lap adrenalectomy. Justify your preop investigations for this patient (30%).
Discuss your goals for preop optimization and how to achieve them (70%).
Open
Perioperative Medicine
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
78.9%
Complete
Question 9
Justify strategies used to mitigate postop delirium in an elderly patient requiring hip fracture fixation.
Open
SSU: Orthopaedic Surgery
General Anaesthesia and Sedation
65.9%
Complete
Question 10
Describe the innervation relevant to the stages of labour (30%). Evaluate the regional analgesia options for each stage (70%).
Open
SSU: Obstetric Anaesthesia and Analgesia
60.1%
Complete
Question 11
Outline the major considerations for organ donation after circulatory death (DCD).
Open
SSU: Intensive Care
51.6%
Incomplete
Question 12
Outline the circumstances where the dosing of paracetamol requires modification (50%). Describe the management principles of paracetamol toxicity (50%).
Open
Resuscitation Trauma and Crisis Management
Pain Medicine
56.1%
Complete
Question 13
Data regarding the conduct and outcomes of anaesthesia are now widely collected eg National Anaesthesia Clinical Outcomes Registry (NACOR). Outline the benefits and the potential errors that can occur when using this data for research.
Open
Safety and Quality in Anaesthetic Practice
44.4%
Not Started
Question 14
Discuss the preoperative elements of an Enhanced Recovery After Surgery (ERAS) program for a patient requiring major colorectal surgery.
Open
Perioperative Medicine
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
62.3%
Complete
Question 15
Identify the axes A and B (with units), and the points labelled C through H on the following spirometry loop:
image.png
Outline how these spirometry parameters change in:
Chronic obstructive pulmonary disease
Idiopathic pulmonary fibrosis
Extrathoracic tracheal obstruction
Open
Perioperative Medicine
75.8%
Complete
2022.2
15
Question 1
Evaluate the methods for detection of myocardial ischaemia in the anaesthetised patient.

Open
General Anaesthesia and Sedation
SSU: Cardiac Surgery and Interventional Cardiology
45.3%
Complete
Question 2
Discuss the intraoperative and postoperative pain management of a trauma patient who requires a semi- elective below knee amputation for an isolated injury.
Open
General Anaesthesia and Sedation
Pain Medicine
SSU: Vascular Surgery and Interventional Radiology
77.3%
Complete
Question 3
Discuss the perioperative management of a patient requiring clot retrieval for an acute ischaemic stroke.
Open
SSU: Neurosurgery and Neuroradiology
33.3%
Complete
Question 4
You are asked to review a 32-year-old G1P1 woman complaining of right leg weakness the day after an instrumental vaginal birth of a 4.2 kg baby under epidural analgesia.
Describe your assessment of the patient and management of the likely differential diagnoses.
Open
SSU: Obstetric Anaesthesia and Analgesia
80.7%
Complete
Question 5
A 56-year-old male with haemophilia A is scheduled to undergo a total knee replacement. Describe the pathogenesis of haemophilia A and its complications. (50%) Discuss how the presence of haemophilia A influences your perioperative management of this patient. (50%)
Open
Perioperative Medicine
60.0%
Complete
Question 6
Justify the ongoing clinical use of nitrous oxide and ENTONOX. (50%)
Discuss how the environmental impact of their use can be minimised. (50%)
Open
Safety and Quality in Anaesthetic Practice
ANZCA Roles in Practice
55.3%
Complete
Question 7
Describe the anatomy relevant to performing an adductor canal block. (50%) Outline the indications, limitations, and technique of performing an adductor canal block. (50%)
Open
Regional and Local Anaesthesia
72.0%
Complete
Question 8
A patient presenting for surgery has a DDDR pacemaker. a) Explain the NASPE/BPEG Generic (NBG) pacemaker classification system. b) Describe the assessment and preoperative management of this DDDR device.
*NASPE/BPEG - North American Society of Pacing and Electrophysiology/British Pacing and Electrophysiology Group.
Open
Perioperative Medicine
SSU: Cardiac Surgery and Interventional Cardiology
73.3%
Complete
Question 9
Discuss the intraoperative considerations for a patient undergoing a pneumonectomy.
Open
SSU: Thoracic Surgery
34.7%
Not Started
Question 10
Discuss the use of ultrasound during the initial presentation of a patient with major trauma.
Open
Resuscitation Trauma and Crisis Management
62.7%
Not Started
Question 11
A 75-year-old man presents with an acute dissection of the descending thoracic aorta. His blood pressure measures 190/110 mmHg. Justify your plan for his preoperative blood pressure management. (30%) Describe the potential complications of thoracic endovascular aortic repair (TEVAR) and how you would mitigate them. (70%)
Open
SSU: Vascular Surgery and Interventional Radiology
37.3%
Not Started
Question 12
Discuss the advantages and disadvantages of the use of neuromuscular blocking drugs in a patient admitted to the intensive care unit.
Open
SSU: Intensive Care
48.0%
Not Started
Question 13
Compare the algorithms for advanced life support of adults and term newborns and explain the rationale for the differences.
Open
Resuscitation Trauma and Crisis Management
SSU: Paediatric Anaesthesia
74.7%
Complete
Question 14
A patient has undergone an eight-hour elective cervical spine fusion involving both anterior and posterior approaches. Outline your approach to the extubation of this patient.
Open
SSU: Neurosurgery and Neuroradiology
56.0%
Not Started
Question 15
The following is the venous blood gas (VBG) result of a five-week-old infant with pyloric stenosis.
Interpret this VBG. Describe your preoperative resuscitation and justify your criteria for proceeding to surgery.
Open
SSU: Paediatric Anaesthesia
70.7%
Not Started
2022.1
15
Question 1
Describe your preoperative assessment of a patient with oesophageal cancer scheduled for an oesophagectomy and justify your strategy to optimise them before surgery.
Open
Perioperative Medicine
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
64.1%
Complete
Question 2
Outline your management of a patient with chronic daily headache.
Open
Perioperative Medicine
79.0%
Not Started
Question 3
The following are the arterial blood gas (ABG) results of a patient with chronic liver disease:
Interpret this ABG.
List the causes of hypoxia in patients with chronic liver disease.
Describe how you would differentiate between the causes of hypoxia in patients with chronic liver disease.
Open
Perioperative Medicine
SSU: Intensive Care
31.3%
Not Started
Question 4
Describe the factors that ensure the safety and quality of a ward-based postoperative epidural analgesia service.
Open
Safety and Quality in Anaesthetic Practice
45.6%
Not Started
Question 5
Describe a technique for front of neck access to the airway in a ‘Can’t Intubate, Can’t Oxygenate’ situation. (50%)
Outline the potential complications and limitations of this technique. (50%)
Open
Airway Management
86.7%
Not Started
Question 6
A patient with primary pulmonary hypertension is scheduled for laparoscopic bowel resection.
Their current medication is bosentan PO 125mg bd.
Discuss how their condition influences your perioperative management.
Open
Perioperative Medicine
54.9%
Not Started
Question 7
An 80-year-old man is in the post anaesthesia care unit (PACU) following a transurethral resection of prostate under spinal anaesthesia.
He is restless, saturating poorly on air and refusing to keep an oxygen mask on. List the likely differential diagnoses and describe your management.
Open
Perioperative Medicine
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
37.9%
Not Started
Question 8
image.png
Identify the points labelled A to F on this intra-aortic balloon pump (IABP) pressure-time trace at the commencement of 1:2 augmentation. (30%)
Outline the aims of IABP placement and discuss the underlying physiological principles. (70%)
Open
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
49.7%
Not Started
Question 9
Discuss how pregnancy influences your perioperative management of a patient at 25 weeks gestation scheduled for laparoscopic appendicectomy.
Open
SSU: Obstetric Anaesthesia and Analgesia
49.7%
Not Started
Question 10
Describe your response to a formal complaint made by a patient about you to your head of department.
Open
Safety and Quality in Anaesthetic Practice
83.6%
Not Started
Question 11
Discuss the perioperative management of a patient on haemodialysis who is to undergo a renal transplant.
Open
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
39.0%
Not Started
Question 12
A patient with Type 1 diabetes mellitus is scheduled for laparoscopic cholecystectomy.
Outline your perioperative management of their diabetes.
Open
Perioperative Medicine
33.3%
Not Started
Question 13
Describe the sensory and motor innervation of the airway relevant for topicalisation for an awake nasal fibreoptic intubation.
Open
Airway Management
37.9%
Not Started
Question 14
Discuss the safety precautions and equipment requirements for providing anaesthesia in the MRI suite.
Open
Safety and Quality in Anaesthetic Practice
41.0%
Not Started
Question 15
Justify your perioperative management plan of a six-year-old child with a penetrating eye injury.
Open
SSU: Ophthalmic Procedures
SSU: Paediatric Anaesthesia
43.1%
Not Started
2021.2
15
Question 1
Define the terms ‘train-of-four’ (TOF) and ‘double burst stimulation’ (DBS) with respect to a peripheral nerve stimulator (PNS). (30%)
Evaluate the use of a quantitative peripheral nerve stimulator when using neuromuscular blocking agents in anaesthetic practice. (70%)
Open
General Anaesthesia and Sedation
Safety and Quality in Anaesthetic Practice
64.9%
Not Started
Question 2
A patient is admitted to hospital following a diagnosis of intrauterine fetal death (IUFD) at 35 weeks gestation. Discuss your considerations for the anaesthetic management of her labour and delivery.
Open
General Anaesthesia and Sedation
SSU: Obstetric Anaesthesia and Analgesia
59.1%
Not Started
Question 3
You have just intubated a patient who has respiratory failure due to severe bacterial pneumonia. They remain hypoxaemic with an SpO2 of 82%.
Describe your immediate actions and justify your strategies to improve oxygenation whilst awaiting the patient’s retrieval to a tertiary centre.
Open
Resuscitation Trauma and Crisis Management
83.6%
Not Started
Question 4
Describe the clinical presentation of venous carbon dioxide embolism during laparoscopic surgery and outline your management.
Open
General Anaesthesia and Sedation
Resuscitation Trauma and Crisis Management
64.3%
Not Started
Question 5
Justify your strategies for managing severely elevated intracranial pressure.
Open
SSU: Neurosurgery and Neuroradiology
Resuscitation Trauma and Crisis Management
86.5%
Complete
Question 6
Discuss the perioperative strategies you would use to mitigate the risks of prolonged surgery in the prone position.
Open
General Anaesthesia and Sedation
Safety and Quality in Anaesthetic Practice
55.6%
Not Started
Question 7
An adult is brought to your district hospital after a house fire. They have sustained burns to 75% of their total body surface area (TBSA).
Discuss your management prior to their transfer to a Burns Unit.
Open
Resuscitation Trauma and Crisis Management
SSU: Plastic Reconstructive and Burns Surgery
59.6%
Complete
Question 8
Discuss how a diagnosis of Addison’s disease would influence your perioperative management of a patient who requires an urgent laparotomy for bowel obstruction.
Open
Perioperative Medicine
General Anaesthesia and Sedation
49.1%
Not Started
Question 9
Describe the elements of informed consent for anaesthesia. (50%)
Discuss the informed consent process in the context of the following clinical situations: (50%)
A 20-year-old primigravida in late first stage of labour requests epidural analgesia.
A 15-year-old is scheduled for posterior spinal instrumentation for severe idiopathic scoliosis.
Open
Perioperative Medicine
ANZCA Roles in Practice
63.2%
Not Started
Question 10
A 60-year-old patient is scheduled for stenting of a tracheobronchial mass. Outline your perioperative management.
Open
SSU: Head and Neck ENT Dental Surgery and ECT
59.1%
Incomplete
Question 11
A 14-year-old with severe autism is rescheduled for dental surgery. The operation was previously abandoned due to their poor cooperation with the team.
Justify your perioperative management plan.
Open
General Anaesthesia and Sedation
SSU: Paediatric Anaesthesia
70.2%
Not Started
Question 12
Describe the nerve supply to the breast. (30%)
Describe an appropriate regional technique to provide perioperative analgesia for a patient undergoing a total mastectomy and justify your choice. (70%)
Open
Regional and Local Anaesthesia
73.7%
Not Started
Question 13
A 55-year-old patient with atrial fibrillation (AF) requires general anaesthesia in the cardiac catheter laboratory for electrophysiological (EP) study and catheter ablation.
Discuss the principles of remote location anaesthesia relevant to this case.
Open
SSU: Cardiac Surgery and Interventional Cardiology
53.8%
Not Started
Question 14
Discuss the principles of damage control resuscitation in severe trauma.
Open
Resuscitation Trauma and Crisis Management
73.1%
Not Started
Question 15
Outline the clinical features, differential diagnoses, and management of serotonin syndrome in the perioperative period.
Open
Perioperative Medicine
Resuscitation Trauma and Crisis Management
SSU: Intensive Care
70.2%
Complete
2021.1
15
Question 1
Outline the anatomy relevant to performing a brachial plexus block using the axillary approach. (70%)
Describe the limitations of this block when used for upper limb surgery. (30%)
Open
Regional and Local Anaesthesia
58.2%
Not Started
Question 2
Explain your strategies to minimise the risk of hypoxia during induction, maintenance and emergence from anaesthesia in a morbidly obese patient undergoing a laparoscopic total hysterectomy.

Open
General Anaesthesia and Sedation
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
Airway Management
72.4%
Not Started
Question 3
In a large clinical trial, patients were randomised into two groups to study the impact of bispectral index (BISTM) monitoring on the incidence of awareness.
The table below shows the results.
Data analysis found that the statistical difference in the incidence of awareness had a p value of 0.022.
The study reported that BIS-guided anaesthesia reduced the risk of awareness by 82% (95% confidence interval 17-98%) with an odds ratio of 0.2 and a number needed to treat of 140.
Define the following terms and explain their meaning in relation to this study:
p value
risk reduction
confidence interval
odds ratio
number needed to treat

Open
Safety and Quality in Anaesthetic Practice
85.2%
Not Started
Question 4
A 24-year-old woman requires urgent manual removal of placenta due to ongoing bleeding following a vaginal delivery (estimated blood loss 1500ml).
Outline your initial management prior to her arrival in theatre. (50%)
Discuss the options available for managing persistent uterine atony in theatre. (50%)
Open
General Anaesthesia and Sedation
Perioperative Medicine
Resuscitation Trauma and Crisis Management
SSU: Obstetric Anaesthesia and Analgesia
69.4%
Complete
Question 5
This is the standard 12-lead electrocardiogram (ECG) of a 56-year-old man in the post-anaesthesia care unit (PACU) two hours after an emergency laparotomy for bowel obstruction.
He is complaining of shortness of breath, abdominal pain and has a blood pressure of 160/110mmHg.
image.png
He has a history of hypertension controlled with atenolol and hydrochlorothiazide. The preoperative ECG is missing. The anaesthetic assessment only notes that it showed sinus rhythm.
Considering all the clinical information, interpret this ECG and outline the appropriate management of this patient in PACU.
Open
General Anaesthesia and Sedation
Perioperative Medicine
Resuscitation Trauma and Crisis Management
SSU: Cardiac Surgery and Interventional Cardiology
66.8%
Not Started
Question 6
You will be anaesthetising a 63-year-old man with severe Parkinson’s disease who is booked for an inguinal hernia repair.
Discuss the issues that are relevant to providing perioperative care for this patient.
Open
Perioperative Medicine
56.4%
Not Started
Question 7
Your department has exceeded its drug budget for the last financial year.
You have been asked to develop a departmental policy document for the rational use of sugammadex.
Discuss the issues to be considered.
Open
Safety and Quality in Anaesthetic Practice
27.6%
Not Started
Question 8
A patient takes a 60mg slow-release morphine tablet twice daily for chronic low back pain. They have been appropriately investigated and there is no surgically treatable pathology.
In relation to this patient
List the risks of long-term opioid therapy. (30%)
Justify the appropriate treatment of chronic low back pain. (70%)
Open
Pain Medicine
85.7%
Not Started
Question 9
Evaluate the equipment available for the delivery of oxygen to postoperative patients on a general surgical ward.

Open
Airway Management
86.2%
Not Started
Question 10
List the signs of malignant hyperthermia. (30%)
Outline the immediate management of a patient where malignant hyperthermia is suspected. (70%)
Open
General Anaesthesia and Sedation
Resuscitation Trauma and Crisis Management
67.3%
Not Started
Question 11
Discuss the issues relevant to the perioperative care of a seven-year-old child with Down Syndrome who has sustained a supracondylar fracture of the humerus.

Open
SSU: Orthopaedic Surgery
SSU: Paediatric Anaesthesia
64.3%
Not Started
Question 12
A patient presents on the day of surgery with a blood pressure of 180/110mmHg.
Justify your decision to proceed with or postpone surgery for this patient.
Open
Perioperative Medicine
25.5%
Not Started
Question 13
A 77-year-old patient is admitted to hospital with a fractured neck of femur requiring total hip arthroplasty. Physical examination on admission reveals signs of congestive cardiac failure.
Outline how congestive cardiac failure influences the perioperative risk for this patient. (30%)
Discuss how the finding of congestive cardiac failure influences your perioperative management of this patient. (70%)
Open
Perioperative Medicine
SSU: Orthopaedic Surgery
84.2%
Not Started
Question 14
Discuss the options for anticoagulation management in the perioperative period for a patient taking warfarin for atrial fibrillation who requires a laparotomy for ischaemic bowel.

Open
Perioperative Medicine
Resuscitation Trauma and Crisis Management
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
53.6%
Not Started
Question 15
Evaluate the use of five (5) of the following additives that may be combined with local anaesthetics for neural blockade.
adrenaline
clonidine
dexamethasone
glucose
hyaluronidase
midazolam
morphine
neostigmine
sodium bicarbonate
Open
Regional and Local Anaesthesia
67.3%
Not Started
2020.2
15
Question 1
You are asked to assess and anaesthetise a 54-year-old patient for a laparoscopic cholecystectomy. They received a heart transplant ten years ago.
Discuss the issues relevant for this patient.
Open
General Anaesthesia and Sedation
Perioperative Medicine
61.6%
Not Started
Question 2
A 75-year-old man is scheduled for elective endovascular repair of a thoraco-abdominal aortic aneurysm.
List the potential complications of this procedure in this patient and discuss your strategies to mitigate these complications.
Open
SSU: Vascular Surgery and Interventional Radiology
63.6%
Not Started
Question 3
A young adult male is assaulted and sustains a maxillary fracture. He is scheduled for an open reduction and internal fixation (ORIF) of the maxillary fracture on the emergency list.
Outline the relevant anaesthetic considerations.
Open
SSU: Head and Neck ENT Dental Surgery and ECT
Resuscitation Trauma and Crisis Management
21.2%
Not Started
Question 4
Justify your choice and dosing of drugs when providing anaesthesia for electroconvulsive therapy (ECT).
Open
SSU: Head and Neck ENT Dental Surgery and ECT
58.6%
Not Started
Question 5
A patient with chronic liver disease requires gastroscopy for investigation of chronic anaemia.
A preoperative arterial blood gas (ABG) on room air demonstrates:
Interpret this ABG and list possible causes of hypoxia in this patient. (50%)
Justify your anaesthetic technique for gastroscopy in this patient. (50%)
Open
General Anaesthesia and Sedation
Perioperative Medicine
47.5%
Not Started
Question 6
A 30-year-old woman at full term collapses in early labour and is unresponsive.
List the most likely causes of her collapse. (30%)
A presumptive diagnosis of amniotic fluid embolism is made. Describe the immediate and ongoing management of this patient. (70%)
Open
Resuscitation Trauma and Crisis Management
SSU: Obstetric Anaesthesia and Analgesia
59.6%
Not Started
Question 7
An infant born at 30 weeks gestation is booked for repair of bilateral inguinal herniae at 46 weeks post-conceptual age.
Discuss the important issues when providing perioperative care for this infant.
Open
SSU: Paediatric Anaesthesia
63.6%
Not Started
Question 8
A patient with type 2 diabetes mellitus requires urgent lower limb arterial bypass surgery. Their medications include dapagliflozin (a sodium-glucose cotransporter 2 inhibitor).
Outline your specific concerns and management of this patient for this procedure
Open
Perioperative Medicine
50.5%
Not Started
Question 9
A patient with myasthenia gravis presents for emergency laparotomy for small bowel obstruction.
Discuss your perioperative management of this patient including your choice of anaesthetic.
Open
General Anaesthesia and Sedation
Perioperative Medicine
60.6%
Not Started
Question 10
Outline the anatomical relations of the internal jugular veins highlighting how the left internal jugular vein differs from the right. (70%)
Describe how the anatomy relates to complications that may arise at the time of central venous cannulation. (30%)
Open
General Anaesthesia and Sedation
32.3%
Not Started
Question 11
Discuss the perioperative implications for a patient known to use methamphetamine.
Open
Perioperative Medicine
35.4%
Not Started
Question 12
For the following devices, describe the design features that ensure the safe delivery of oxygen during anaesthesia:
cylinders
pipeline oxygen delivery systems
anaesthesia machines
Open
Safety and Quality in Anaesthetic Practice
53.5%
Not Started
Question 13
You have been asked to formulate guidelines for your department on managing fatigue.
List the hazards associated with fatigue in the practice of clinical anaesthesia. (30%)
Outline your guidelines and discuss the potential consequences of their implementation. (70%)
Open
Safety and Quality in Anaesthetic Practice
38.4%
Not Started
Question 14
This is the standard 12-lead electrocardiogram (ECG) of a 68-year-old man in the post-anaesthesia care unit (PACU) following a revision total hip replacement.
image.png
He has a history of hypertension controlled with candesartan and hydrochlorothiazide. His preoperative ECG showed sinus rhythm with a rate of 82 per minute.
Interpret this ECG and provide differential diagnoses.
List the likely causes of the rhythm disturbance in this patient.
Outline the appropriate immediate management.
Open
Resuscitation Trauma and Crisis Management
70.7%
Not Started
Question 15
Describe the cross-sectional anatomy of the femoral triangle and identify where local anaesthetic would be placed for a
femoral nerve block
fascia iliaca block
Describe the strengths and weaknesses of these two blocks for the provision of analgesia during surgery for repair of a fractured neck of femur.
Open
Regional and Local Anaesthesia
33.3%
Not Started
2020.1
15
Question 1
You are asked to anaesthetise a two-year-old child for an eight-hour craniotomy. The child is susceptible to developing malignant hyperthermia.
Outine your strategies for obtaining intravenous access in this child. (50%)
Discuss the issues of using a total intravenous technique in this situation. (50%)
Open
SSU: Paediatric Anaesthesia
39.9%
Not Started
Question 2
Describe the anatomy of the orbit in relation to performing a peribulbar block for cataract surgery.

Open
Regional and Local Anaesthesia
SSU: Ophthalmic Procedures
71.6%
Not Started
Question 3
Discuss the consequences of perioperative hypothermia
Open
General Anaesthesia and Sedation
48.6%
Not Started
Question 4
The Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM) and the Surgical Outcome Risk Tool (SORT) are examples of risk scoring systems used for predicting post-operative morbidity and mortality.
Evaluate the strengths and weaknesses of these types of risk scoring systems in clinical practice.
Open
Perioperative Medicine
72.1%
Not Started
Question 5
A 36-year-old with a history of opioid dependence is booked for spinal surgery. The patient is no longer on opioids and is maintained on 50mg of oral naltrexone daily.
Discuss the implications of the history of opioid dependence and current naltrexone treatment for the provision of effective analgesia, including an analgesia plan upon hospital discharge.
Open
Pain Medicine
SSU: Neurosurgery and Neuroradiology
49.2%
Not Started
Question 6
A patient is due to have intramedullary reaming and nailing of a pathological fracture of the femur secondary to metastatic renal cell carcinoma.
Outline the key issues this case presents. (50%)
Describe how you would manage these issues. (50%)
Open
SSU: Orthopaedic Surgery
Perioperative Medicine
45.9%
Not Started
Question 7
You are concerned about the possibility of substance abuse by a consultant colleague.
Describe the signs that are suggestive of substance abuse in a colleague. (50%)
Outline the steps that should be followed if this is suspected. (50%)
Open
ANZCA Roles in Practice
Safety and Quality in Anaesthetic Practice
47.5%
Not Started
Question 8
A 60-year-old lung cancer patient is planned to undergo an open thoracotomy, involving possible rib resection.
List the regional techniques available for post-operative pain management and justify your choice of regional technique for this patient. (50%)
Outline your management plan if pain is still present at the operative site 14 days later. (50%)
Open
Regional and Local Anaesthesia
SSU: Thoracic Surgery
72.1%
Not Started
Question 9
A patient with an implantable cardioverter defibrillator pacemaker is scheduled for a left mastectomy.
Discuss how the presence of this device affects your management of this patient.
Open
Perioperative Medicine
79.2%
Not Started
Question 10
Outline your peri-operative management of a patient with mitral stenosis scheduled for a laparoscopic inguinal hernia repair.
Open
Perioperative Medicine
SSU: General Surgical Urological Gynaecological and Endoscopic Procedures
78.1%
Not Started
Question 11
A patient with diabetes mellitus presents fasted on today’s list for elective ileo-femoral bypass surgery.
His biochemistry results from this morning are as follows:
Interpret these results.
List the most likely differential diagnoses.
Justify any additional information you require in order to make your diagnosis.
Open
Perioperative Medicine
32.8%
Not Started
Question 12
Evaluate the use of cerebral oximetry monitoring in non-cardiac surgery.
Open
Safety and Quality in Anaesthetic Practice
51.4%
Not Started
Question 13
Evaluate the use of available neuromuscular blocking agents when performing a rapid sequence induction.
Open
General Anaesthesia and Sedation
42.6%
Not Started
Question 14
A 22-year-old primigravida at 31 weeks gestation is admitted to hospital with a diagnosis of severe pre-eclampsia. Her blood pressure is 180/115 mmHg.
Describe the symptoms and signs she may have due to her pre-eclampsia. (50%)
Outline the appropriate immediate management of this patient. (50%)
Open
SSU: Obstetric Anaesthesia and Analgesia
61.7%
Not Started
Question 15
Discuss the anaesthetic considerations for an adult patient with rheumatoid arthritis presenting for wrist surgery.
Open
Perioperative Medicine
61.2%
Not Started
2019.2
15
Question 1
Describe the rationale for the use of deep hypothermic circulatory arrest and outline the pathophysiological consequences of this technique.
Open
SSU: Cardiac Surgery and Interventional Cardiology
44.3%
Not Started
Question 2
Evaluate the options for managing a confirmed postdural puncture headache in an obstetric patient.
Open
SSU: Obstetric Anaesthesia and Analgesia
78.6%