SAQ 2022.2

Question 1

SAQ Evaluate the methods for detection of myocardial ischaemia in the anaesthetised patient. Pass rate 45.3%

Question 2

SAQ Discuss the intraoperative and postoperative pain management of a trauma patient who requires a semi-elective below knee amputation for an isolated injury. Pass rate 77.3%

Question 3

SAQ Discuss the perioperative management of a patient requiring clot retrieval for an acute ischaemic stroke. Pass rate 33.3%

Question 4

SAQ 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. Pass rate 80.7%

Question 5

SAQ 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%) Pass rate 60.0%

Question 6

SAQ Justify the ongoing clinical use of nitrous oxide and ENTONOX. (50%) Discuss how the environmental impact of their use can be minimised. (50%) Pass rate 55.3%

Question 7

SAQ Describe the anatomy relevant to performing an adductor canal block. (50%) Outline the indications

Answer 7

limitations

Question 8

SAQ 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. Pass rate 73.3%

Question 9

SAQ Discuss the intraoperative considerations for a patient undergoing a pneumonectomy. Pass rate 34.7%

Question 10

SAQ Discuss the use of ultrasound during the initial presentation of a patient with major trauma. Pass rate 62.7%

Question 11

SAQ 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%) Pass rate 37.3%

Question 12

SAQ Discuss the advantages and disadvantages of the use of neuromuscular blocking drugs in a patient admitted to the intensive care unit. Pass rate 48.0%

Question 13

SAQ Compare the algorithms for advanced life support of adults and term newborns and explain the rationale for the differences. Pass rate 74.7%

Question 14

SAQ 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. Pass rate 56.0%

Question 15

SAQ The following is the venous blood gas (VBG) result of a five-week-old infant with pyloric stenosis.
Parameter Result Reference Range
pH 7.50 7.32-7.42
pCO2 50 38-52 mmHg
HCO3 38 19-25 mmol/l
Base excess +5 -3 − +3
Sodium 129 136-145 mmol/l
Potassium 3.6 4.0-6.2 mmol/l
Chloride 92 100-110 mmol/l
Interpret this VBG.
Describe your preoperative resuscitation and justify your criteria for proceeding to surgery. PR 70.7%