Primary FRCA OSCE January 2012

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Primary FRCA OSCE-SOE exam January 201212. Base of skull- Trigeminal - origin and pathway , each branch - foramen - supply .Facial nerve - supply .sup orbital fissure.13. Epidural Cather set- damaged - would u use it ? Why not ? How do u check the set - each component -why filter ? What is the pore size - 0.2-2micrometer. Indications , contraindications,complications . Air vs saline technique - adv / disadvantage.14. Sim man - 39 weeks pregnant, had epidural bolus 10 ml, now not responding. ,bradycardia - hypotension PEA arrest . Resuscitation. Left lat table tilt -to start /manual mobilisation of uterus . Causes . It was total spinal. How to treat.15. Difficult airway - picture of grade 3 laryngoscopy - what is the grade ? DAS -guideline . How many attempts in emergency ? How to optimise view ? Etc16. Spinal cord cross section -name ascending tracts - what do they carry , bloodsupply , origins of ant spinal artery , clinical presentation what will happen if antspinal artery is blocked ?OSCE set 111. CXR of a globular looking heart, history suggestive of failure / MR / AF.2. CXR with questions essentially leaning on a diagnosis of coarctation3. Critical incident: 100 kg patient in ITU, grade IV intubation, trache done 2 daysago after 8 day stay with pneumonia. He is desaturating. [There are nolaryngoscopes!]4. Anatomy of the diaphragm5. Anatomy of the spinal cord6. History: 78 year old lady for a THR. History of previous work up for a murmur butrecent orthopnoea and PND. Also neck OA.7. History: TAH for a 42 year old. Anaemic. History of PONV, awareness of beingintubated and stay in ITU for PE8. Communication skills: risks of regional block for LSCS9. Resusc station – managing the defibrillator10. Resusc station – essentially talking through the algorithm, no manikin11. PCA giving set: its valves, safety mechanisms..12. Electrical safety station – including earthing and equipotentiality13. Respiratory examination station14. Monoaural stethoscope and its uses15. Tension pneumothorax scenario and how to put in a chest drain16. Equipment: rotameter17. Set of RSI instruments, all of which seemed to have a fault to identify and thenquestions regarding what else you need for an RSI18. Rest station!Coventry collection: Many thanks to the candidates from January 2012Course10
Primary FRCA OSCE-SOE exam January 2012OSCE set 12Severinghaus electrode. Name components, calibration. Other methods of measuringCO2.Larynx- intrinsic muscles, muscles used to elevate larynx. Nerve supply.Critical incident- appendix on table, anaphylaxis.Resus- PEA, 21yr old with ectopic.Hx taking- cataract surgery in lady of whom spinal anaesthetic for DHS did not workpreviously.Jehovah’s witness- for hysterectomy, HB 8.Bradycardia in patient in recovery on rhythm strip. Dx, management.Siting epidural and discussion of risks.Extradural haemorrhage on CT scan. Management of.CXR showing pacemaker, discussion of types, why he had pacemaker (likely IHDsternalwires), whether magnet needed.Trauma scenario- assess patient, diagnose tension ptx and discussion of how to sitesurgical chest drain.Spinal cord anatomy.OSCE set 131. Landmark technique for IJV CVL insertion2. Temperature measurement3. History taking (basic, anxious patient)4. Coronary artery anatomy, nerve and arterial supply to nodes, route of vagusnerve.5. Paediatric laryngoscope blades – disposable Macintosh, Robertshaw6. Airway examination, Wilson scoring, C spine X ray7. Anatomy of the larynx, cranial nerves8. Resus – VT9. Central line waveforms10. History – hysterectomy (anaemic), previous preeclampsia (10 years ago) withICU stay, IV antihypertensives, blood transfusion etc.11. Examination - Assessment of neurological status after head injury12. Communication – cancelling a pt for knee arthroscopy due to LRTI13. Filters – blood giving set/IV giving set/epidural/HMEF – paeds and adult14. Rhythm strip – VT, describe managementCoventry collection: Many thanks to the candidates from January 2012Course11
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Primary FRCA OSCE January 2012

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