SAQ 2024.1

Question 1

SAQ You are asked to review a healthy 20-year-old patient for severe post-operative pain in a stand-alone day surgery unit. Describe your assessment and justify your management.

Question 2

SAQ Describe both the surface anatomy and anatomical relations of the internal jugular vein relevant to central venous cannulation.

Question 3

SAQ Describe the mechanism of action of tranexamic acid and evaluate its use in obstetric anaesthesia practice.

Question 4

SAQ Discuss the strategies you would use to mitigate the risk of a fire in the operating room. (50%) Outline the steps to take in the event of fire in the operating room. (50%)

Question 5

SAQ Discuss the preoperative assessment and risk stratification of an adult patient with a repaired congenital cardiac lesion

Answer 5

scheduled for an elective laparoscopic cholecystectomy.

Question 6

SAQ Evaluate the use of a processed electroencephalogram (EEG) as a routine monitor during general anaesthesia.

Question 7

SAQ Discuss the anaesthetic considerations for a patient requiring cerebral aneurysm coiling. (pass rate 13%!)

Question 8

SAQ List the risk factors for the development of a bronchopleural fistula. (30%) Justify your airway management plan for a bronchopleural fistula repair. (70%)

Question 9

SAQ Discuss your perioperative analgesic management plan for a 20 kg four-year-old child undergoing elective adenotonsillectomy.

Question 10

SAQ Evaluate the practice of deliberately-induced intraoperative hypotension

Question 11

SAQ Discuss the anaesthetic considerations for a patient with myotonic dystrophy presenting for an emergency laparotomy

Question 12

SAQ Outline the physiological changes associated with carotid artery clamping and unclamping during carotid endarterectomy. (50%) Outline intra-operative protection strategies to minimise harm from these manoeuvres. (50%) (Pass rate 27%)

Question 13

SAQ Discuss the requirement for, and potential barriers to, open disclosure in the following intraoperative scenarios: A) drug administration error B) vagally-induced asystole necessitating a brief episode of chest compressions

Question 14

SAQ List the limitations of awake fibreoptic intubation. (30%) Discuss the options for securing the airway following unsuccessful awake fibreoptic intubation for an adult presenting with acute epiglottitis. (70%)

Question 15

SAQ Describe the assessment and management of a patient with a suspected pneumothorax in the post anaesthesia care unit (PACU) following a paravertebral block for a mastectomy. (Pass rate 47%)