2025 Feb FCAI SOE (Malaysia)

SOE 1

Question 1

Patient with aortic stenosis planned for anterior resection op
ECG interpretation
Echo report & interpretation
Preop optimization
Hemodynamic goals
Periop care

Question 2

Patient on SGLT-2 inhibitor planned for lap cholecystectomy
Classification, mechanism of action, adverse effects of anti-diabetic agents
Recommendations regarding SGLT-2 inhibitors
Euglycemic ketoacidosis
Periop DM guidelines

Question 3

Patient with COPD planned for hemicolectomy
CXR, spirometry interpretation
Optimization
COPD and pulmonary vascular resistance
Grading of COPD

Question 4

A patient with vWD is planned for dental extraction
Classification of coagulopathies
Qualitative vs quantitative defects
Airway management of dental extractions, pro’s and cons’s of the options.
Cuffed vs uncuffed ETT. Throat pack management, safety
wWD management (including DDAVP, TXA)

Question 5

An obese patient with GERD requires emergency surgery
Airway assessment and warning features
Cardio-respiratory issues
Airway management
Principles of preoxygenation, positioning, difficult mask ventilation, intubation
DAS guidelines
Additional airway devices
DAS extubation guidelines
Preparation and execution of intubation/extubation

Question 6

ERAS components
Concept of prehab
Evidence-based medicine
Risk management
Benefits of the interventions/bundles

SOE 2

Question 1

A patient presents for a lower lobectomy
One lung ventilation, options, comparisons
Confirmation of placement
Left versus right-sided DLT’s. Sizes available. Auscultation vs bronchoscopy
Management of intraoperative hypoxemia

Question 2

A pregnant woman presents for a laparoscopic appendicectomy.
Physiological changes in pregnancy and the concerns
Risk management for the fetus. Monitoring of fetal well-being
Anaesthetic modifications. Preoxygenation, airway preparation, modification of aspiration risk
Intubation considerations

Question 3

A patient presents for a robotic pyeloplasty.
Robotic vs laparoscopic/open surgery. Risks. Gases used
Contraindications to pneumoperitoneum.
Setup for robotic surgery. Issues with robotic surgery.
Gas embolism recognition and management

Question 4

A child presents with bleeding post-tonsillectomy
Concerns and assessment
Setup pre-GA
Management if no IV cannula
Fluid management
Anaesthetic technique and setup (tubes/suction/surgeon)
Reversal management

Question 5

Chronic post-surgical pain syndrome.
Definition, pathophysiology, causes
Risk factors
Risk management
Treatment strategies
Issues with opioids

Question 6

Supraclavicular BP block in a patient planned for fistula creation for dialysis
Setup, Concerns in CKD patient
RA vs GA
Equipment and drugs
Performance and dosage modifications in this population
Sonoanatomy, needle path, role of Doppler
LAST diagnosis and management
Intralipid

SOE 3

Question 1

Scoring for pancreatitis
Feeding
ARDS criteria
Management of ARDS

Question 2

Severe lower limb injury
Crush injury, rhabdomyolysis
Investigations inc ECG
Management
Things to avoid

Question 3

Central venous catheter in ICU
Anatomy
Risk factors of CCA cannulation
Considerations to cancel a case after a CVC mishap
Pneumothorax post CVC
Chest drain insertion
PICC lines & ideal placement

Question 4

High PIP alarms
Causes
Management
VC ventilator waveform
Parameters (e.g. PIP, PPlat)
Significance of PIP alarm
Incomplete expiration, auto-PEEP

Question 5

Elderly anaesthesia
Effects on assessment
Delirium risk factors
Lung changes
Physiological reductions

Question 6

MgSO4
Role in physiology
Systemic effects in anesthesia
Roles in obstetrics
Other roles
Mg toxicity & management