Blue Book 2023 Flashcards
“Discuss the impact of perioperative anxiety in paediatric population. Discuss perioperative strategies to reduce perioperative anxiety in children
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Lists the sources of hazards associated with conducting anaesthesia in digital subtraction angiography (DSA) suite and outline methods to reduce risks with radiation exposure
Outline the advantages and disadvantages of digital scholarship
“A patient is prescribed 50mg/day oral naltrexone as part of a comprehensive treatment program for alcohol dependence.
How would this affect your analgesic management plan in the following scenarios?
a. They are scheduled for an elective total knee arthroplasty (50%) b. They are scheduled for an emergency femoral IM nail following an MVA (50%)"
“You are reviewing a patient in PAC prior to elective unilateral inguinal hernia repair. They tell you they have Haemophilia.
What further information would you like to know?
How will this affect your anaesthetic management plan?”
“How do you risk stratify patients with mitral stenosis in the obstetrics context? (30%)
Discuss the pre-operative considerations for a woman pregnant in her first trimester, who’s diagnosed with moderate mitral stenosis. (70%)
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“Describe the ways in which heparin prevents coagulation and formation of a stable clot (40%).
A 80kg male has received 200 units / kg of heparin and now needs reversal 1.5 hours later. Justify the dose of protamine you would administer (60%).
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“You delayed a patient’s Ivor-Lewis procedure for 5 weeks of prehabilitation.
The patient returns today, having found out that the mass has metastasised.
Are you solely responsible for the medicolegal implications? How would you approach this situation?
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“Describe the consequences of intra-operative hypotension? (50%)
What are the downside of using vasopressors to treat hypotension secondary to traumatic bleeding. (50%)
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“What are the key considerations when designing a cognitive aid for your local massive transfusion protocol to be displayed in theatre? (40%)
What information would you include? (60%)
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A patient on your list for a laparoscopic cholecystectomy admits to using semaglutide for weight loss with their last dose 3 days ago. Evaluate the use of gastric ultrasound in determining patient risk of aspiration.
Compare and contrast the indications, contraindications, complications and outcomes of resuscitative endovascular balloon occlusion of the aorta (REBOA) and resuscitative thoracotomy.
Discuss the relationship between anaesthetic incidence reporting systems and safety culture within an organisation.
Discuss the features of an ideal perioperative risk stratification tool. Evaluate the routine use of your choice of commonly used risk prediction tool.