FCAI Final Dec 2024
SOE-1
1. Trisomy 21 (specific airway concerns and how to address them, ETT tube size and why? Induction technique, CPET picture, heart panels, parameters, equipment, purpose, AT definition, AT criteria for heart, lung and other surgeries, had heart surgery[did not specify which heart defects] when 05 years old, what significance in history, exam and investigation to do?)
2. OLV (total lung lobes, which lobe right and left has highest effect on post operative dyspnoe, risk assessment, PPO DLCO, FEV1 % and value in volume, PPO formula)
3. Simaglutide (what class of drug, MOA, purpose, Perioperative risk and how long to stop before surgery, whether to cancel surgery or to proceed?)
4. ERAS (definition, purpose, perioperative steps)
5. HTN (178/105 atenolol, NICE classification of HTN, optimization of BP, proceed or cancel, how to assess end organ damage, physiological components that make BP)
6. AAA >6.5 elective repair (risk factors, causes, how to asses risk assessment, investigation, perioperative mx, post op complications)
SOE-2
1. Carotid Endarterectmy (indications, perioperative mx, recent stroke <10days, medications, role of statins, Anaesthesia options, what preop assessment important, GALA trial, post op complications)
2. Non accidental injury child/Strabismus surgery (non-accidental injuries, types/classification, steps to follow, whom to inform, child protective services, risks in Strabismus surgery, sensory supply of eye, other divisions of trigeminal nerve, perioperative concerns, analgesia)
3. EVAR MRI (definition of non-operaring room anaesthesia, examples of NORA, radiation hazards, equipments, drugs, staff, protective equipment, type of CA common due to exposure, radiation to eyes complication, personal radiation dosimetry reading significant)
4. Subtenon Block (picture of Eye anatomy, cataract surgery blocks, subtenon Block, show in picture where to give subtenon, how to check efficacy of block, hyaluronidase in Block, purpose)
5. Pregnant lady collapsed in labor room( differentials, Amniotic Fluid embolism, pathophysiology, proposed theories, systemic sign and symptoms, immediate mx, CPR difference)
6. Post shingles pain (diagnosis, type of pain in post hermetic neuralgia, risk factors, pathophysiology, treatment, pharma, non-pharma and interventional Rx, if left untreated what happens)
SOE-3
1. Urosepsis (Sepsis 3 definition, SOFA, assessment, 1 hour bundle, specific test regarding urosepsis, septic shock definition, management of septic shock)
2. Arterial line (draw trace and label, indications in ICU, accidental thiopentone injection, mx, difference of trace between radial and dorsalis pedis artery, Stroke volume variation)
3. Adrenaline (MOA, synthesis, where synthesised in adrenal gland, receptor action and mechanism, systemic effects of adrenaline, effect or cardiovasular system, breakdown and excretion, breakdown products and their half life)
4. AFOI (nerve supply of nasopharynx, oropharynx and laryngopharynx, technique of anaesthetising airway, LA used, dose, spray strength, maximum dose of lignocaine used to anaesthetise airway, effective way of spray as you go in AFOI side port, from nose till vocal cords which structures passed by Fibre optic, anatomy vocal cords, describe patholgy and which side, signs of unilateral and bilateral RLN damage)
5. Unconscious lady, suicide note (unresponsive, mx, if any toxin then how to manage, ABG's show metabolic acidosis with respiratory alkalosis, Salicylate Poisoning, calculate anion gap, treatment of salicylate Poisoning, antidote)
6. Preoxygenation (definition, purpose, how to assess adequate preoxygenation beside FeO2, devices used to preoxygenate, apnea desaturated depended on what factors, who are at risk to have rapid desaturated during apnea, technique of preoxygenation, how much flow on HFNO)