What a lengthy title….
Anyways, I passed this with distinction despite the odds: Broken computer a few months back, lack of any time in another month, and lastly my son is down with bronchiolitis, currently being taken care by my non-doctor wife at home. He’s improving, but I barely studied anything 3 days prior to the exam and drove to KL from Melaka only when “happy enough” the morning of the exam with little sleep. But that’s beside the point. I want to share the topics discussed that you, the reader, can reference for your own study topics.
Examiner 1:
Preggy elective breech ppm sick sinus syndrome
All about obs preoperative review, ppm classification n management
ECG review; pacemaker (ventricular pacing) dependence
Anesthetic technique (decided for CSE), needs during LSCS
Blood on aspirating epidural
Tachyarrhythmia post buzzing
Examiner 2:
Cardiac assessment non cardiac surgery
RCRI
Non invasive tests
Elective BKA for patient on warfarin
Bridging & Chads2vasc
Fast AF intraop; stable tachyarrhythmia algorithm
Guillain barre syndrome coming for tracheostomy
What is GBS and anesthetic concerns
Airway emergency post tracheostomy
Concerns with new tracheostomy
Examiner 3:
Neonatal vs preterm definitions
CVS changes of infants vs adults
Common surgical procedures in the age groups
Preparation for neonate/preterm surgery
2 week post 35 weeks premmie for herniotomy; concerns
Anesthetic technique in full
Postop considerations
Examiner 4:
SAH presentation
CT scan interpretation
SAH classification and implications
Myocardial injury post sah
Differentiation with MI?
Deferral of op?
Anesthetic aims, technique, TIVA vs inhalational
Monitoring (considerations for neuromonitoring/CO monitoring)
Temporary clipping n complications
Transmural pressure and implications
Management of rupture (burst suppression, flow arrest)
Many of the topics here were not specifically covered during my preparations. Probably around 30%-50% of the topics have been made into notes the past, but I only reread a minimal amount of them. Personally I wasn’t happy with my performance during the 2nd and 4th sessions. Will probably have to go deeper into these topics next time. If you followed this blog, you’d know that none of my new notes actually made it into this particular exam.
Based on my own personal review, I don’t think I need to drastically change my approach to studying yet. Don’t fix what is not broken.