MCAI OSCE & VIVA 14th Nov 2023
VIVA
Pharmacology
- Draw a table with prop/ket/tiopen. Show the effects on CMRo2/CBF/ Cerebral venous flow.
- Anti-epileptic
- Anti-glycaemic
- Pharma genomics – down the line of MH, Sux aponia
- Art lines – physics of frequency, Wheatstone bridge draw and equation
Physio
- Circle of will
- Neuro – all the usual questions MAP-ICP-neuro protection
- Gastro – anatomy and endocrine of stomach.
- V/Q matching
- Questions on the safety mechanism of an anaesthesia machine
- Oxygen tanks and VIE- shows a picture of a VIE. Whats this? Explain how it works.
- Pic of an NPA. Whats this and how its used.
OSCE
1. LASER
2. VF- ACLS
3. ECG- LBBB
4. Eye Exam
5. Brachial plexus block
6. A toxic – Sim- management
7. Comm station- PCA, post op. N+V and still in pain.
8. CXR of H. Hernia. Outline the management – elective lap. Chole.
9. CABG. Failed intubation. C&L 4. Emergency Fibreoptic rescue. Fast forward 4 days…. Plan to extubate in ICU. Discuss management
10. Comms – Hx on a BMI 41 for elective case.
11. Sim, elective TURP. While in the induction room. Fast Afib. Describe the management.
12. Humidity – HME and types of devices.
13. CT B- Standard Extra Dural + subdural. Outline management
14. Graph of the red and IR pulse ox machine. Usual, what’s the range, isosbestic points.
15. Anatomy – Neck drawing. Label the parts. Then questions on CICO and eFONA.
16. ABG and Spirometry data analysis
17. Rest
18. ?
Special thanks to Nazirah, Shalini G. et. al.