CRQs and SBAs for the Final FRCA

Questions and detailed answers

Daniel Sumner, Catherine Allen, Andrew Feneley, Mehul Raithatha

• Publisher: Scion Publishing
• Year: 2022
• eBook ISBN: 9781914961137
• Topic: Medicine
• Subtopic: Anesthesiology & Pain Management

Three complete mock exams, with answers, including the new-style CRQs

CRQs and SBAs for the Final FRCA combines CRQ (constructed response questions) with SBA (single best answer) questions to accurately mimic the structure and content of the new-style final FRCA exam.

The book is split into three mock exams, each comprising:

• 12 CRQ with 60 SBA questions
• detailed explanatory answers
• useful references to articles to allow readers to improve their knowledge
• an indication as to the degree of difficulty of each question.

The book is ideal for all candidates preparing to sit the final FRCA.

Practice Paper 1

Constructed response questions

Single best answer questions

CRQ answers

SBA answers

PRACTICE PAPER 1

CRQ 1:

The pharmacokinetics of sepsis

Sepsis is one of the most common reasons for inpatient morbidity and mortality in the UK.

a

Define sepsis.

(2 marks)

b

What underlying pathological features of sepsis contribute to end organ damage?

(3 marks)

c	Outline how the following pharmacokinetic principles would be altered in a patient with severe sepsis.

Absorption (4 marks)

Distribution (3 marks)

Metabolism (1 mark)

Elimination (1 mark)

d

Explain the pharmacokinetics of propofol administration in patients with severe sepsis.

(3 marks)

e

With prolonged sepsis, the doses of some vasoactive substances may need increasing to maintain the same degree of responsiveness. Explain the pharmacological mechanism for this.

(3 marks)

CRQ 2:

Major obstetric haemorrhage

A 31-year-old woman presents to the hospital’s anaesthetic antenatal clinic. She is a Jehovah’s Witness and has a low-lying placenta. She has not had any previous surgeries, and is otherwise fit and well. She has previously stated that she would not accept a blood transfusion.

a

List three haematological changes that occur in pregnancy.

(3 marks)

b

What two pre-operative interventions and two intra-operative interventions can be used to prevent blood loss during this surgery?

(4 marks)

1. Pre-op
2. Pre-op
3. Intra-op
4. Intra-op

c

List three advantages and three disadvantages of intra-operative cell salvage use.

(6 marks)

1. Advantage
2. Advantage
3. Advantage

1. Disadvantage
2. Disadvantage
3. Disadvantage

d

List one absolute contraindication (as per the Intensive Care Society standard practice) for the use of intra-operative cell salvage.

(1 mark)

The patient presents at 38 weeks’ gestation for an elective caesarean section. During the procedure the patient becomes tachycardic and hypotensive. The surgical team states there has been 2 litres of blood loss so far. A sample is taken for analysis by thromboelastography.

e

Label the sections of the diagram (annotated as 1–5), and explain how each labelled part of the trace relates to blood clot formation.

(5 marks)

f

The p...

Table of contents

• Cover
• Title Page
• Copyright
• Contents
• Preface
• Acknowledgements
• About the authors
• Practice Paper 1
• Practice Paper 2
• Practice Paper 3