FCAI SOE 5th Dec 2023
SOE1
1. Rheumatoid arthritis with atlantoaxial subluxation
- rheumatoid nodules picture for identification
- extraarticular manifestation
- medication
- cervical xray interpretation
- conduct of anaesthesia
2. Acromegaly patient for transphenoidal op
- picture of acromegaly guy and describe the anomalies
- systemic manifestation
- why difficult airway
- investigation
3. MACE
- what is included in MACE
- risk stratification
- incidence rate
4. Mechanical valve with af for bridging of warfarin
- CXR showing a sternotomy wiring with 2 heart valves (what type of mechanical heart valve is that)
- indications for bridging
- how to bridge
- how to restart
5. 5yo Child with murmur
- assessment, wat to look for
- to proceed or not
- when to cancel and investigate
- periop management
6. CKD
- KDIGO component
- HD indication
SOE2
1. Svt for dccv in ccu
- interpret ECG
- indication for synch cardioversion
- sedation vs GA in ccu, how to give, pros and cons
2. Peripheral nerve injury post regional block
- classification
- what will increase the incidence of injury
3. Paediatric cancer pain for thigh condrosarcoma
- choice of analgesia
- caudal block
4. Pheochromocytoma
- how to optimize pre-op
- perioperative management
5. Strabismus surgery in paeds
- what to prepare for induction
- oculocardiac reflex
- TIVA in paeds
- PONV meds for paeds and antiemetic rescue
6. PDPH
- characteristic
- differentials
- management
- epidural blood patch procedure
- how to follow up post blood patch and what to do if failed x2
SOE3
1. DKA
- blood gas and investigation interpretation
- hyponatremia, sodium correction formula
- dka management
2. Leaking AAA in stem cell transplant patient
- how to optimize periop
- massive transfusion protocol and its complications
- blood collection and storage
- how does platelet produced n stored
3. Elderly preop assessment
- risk stratification
- frailty score
- post op delirium, POCD and why elderlies are susceptible to it
- altered physiology in depth (CVS, lung mechanics, CNS)
4. Obese
- suggamadex dose based on TOF (wat weight to use)
- TOF monitoring in depth (physics session)
5. IJV and subclavian anatomy, CVL landmark, complications, management (needle n chest drain, how to perform)
6. Status epilepticus management, including drugs and doses
- thiopentone coma
Special thanks to Lim WY, Kwong HS et. al.