Primary FRCA OSCE January 2012

Primary FRCA OSCE-SOE exam January 2012OSCE set 161 CXR - pacemaker: what type is it etc. need to recall the codes2 CT head - extradural3 ALS - ruptured ectopic4 SimMan - Anaphylaxis5 Gas cylinders - calculating volumes/pressures of a size CD O2 cylinder6 Anatomy of Larynx7 Procedure - epidural; demonstrate surface anatomy on an actor, then describeprocedure to examiner8 Anatomy - spinal cord (exact question in RCoA Guide P59)9 CO2 Measurement (exact question in RCoA Guide P69)10 Peripheral nerve injuries following positioning (pictures)11 Gain verbal consent from a Jehovah's Witness12 History station13 History station14 Bradycardia discussion15 Assessment of trauma patient16 Capnography discussion17 Bain circuit discussionOSCE set 171) History Station from Lady for THR. Patient had heart problems which were underinvestigation.2) Equipment: The connecting tube between a PCA and an IV cannula with antisyphonvalve and anti-reflux valve further down for connecting IV fluids.3) Equipment: They had the equipment you would need to do RSI and you had tocheck each piece in turn- laryngoscope no battery, connecting tubing blocked withblue tac, cuff on ETT had hole in it, mask needed more air in it. Magills Forcepswere glued together so you couldn’t open them.4) History Station: History from woman, 40, who was for abdominal hysterectomy.PMH awareness during intubation during emergency C-section and also PONV.5) Discuss with a patient risks and benefits of GA and Spinal/epidural with a ladywho was due to have an elective LSCS for low-lying placenta.6) Resus: CPR ongoing- are you happy with the CPR being done (No, much too slowa rate): what is rhythm (ask them to stop CPR so you can analyse): VF: Use adefibrillator as if it was a real situation. What else would you do?7) Sim station: Tracheostomy (in for 48 hours so far) has come out on ITU, nursecan’t get it back in. What do you do? Sats gradually falling. Try to bag and maskunable.Try guedel. No effect. Try LMA- no effect. Try another LMA- no effect.Laryngoscope working so not able to use this. Needle crich- no chest wallmovement achieved. Sats now 65%. Station finished just as I put old tube back. Ihad asked for senior help and for a surgeon at the start, but theyt kept asking whatelse I could do at the end, and I couldn’t think of what they wanted me to say.8) Equipment- picture of rotameter and questions about it.9) CXR: looked normal to me! Might have been asking about co-arctation of aortalooking at questions, but really wasn’t sure.Coventry collection: Many thanks to the candidates from January 2012Course13