Archives: FRCA Part 1

FCA1-0526

An 18-year old female was brought into the emergency room because of active seizures. The informant reported that it has been more than 5 minutes since the patient started seizing. The attending physician gave an initial diagnosis of status epilepticus. According to the paramedics who brought in the patient, 10 mg of diazepam was given rectally. Upon physical examination, she was normotensive at 120/80 mmHg; tachycardic at 138 beats per minute; tachypnoeic at 24 breaths per minute; and well-saturated at 99% on high flow oxygen. Her random blood glucose level was normal at 7.0 mmol/L. Given this situation and an initial diagnosis of status epilepticus, what would be the best initial anti-epileptic drug to administer to the patient?

FCA1-0527

A 33-year old man was referred to you because of difficulty moving his limbs. History revealed that he was placed under anaesthesia for a major surgery 12 hours prior to the referral. Other symptoms were noted such as anxiousness, agitation, and fever of 38°C. Upon physical examination, he was tachycardic at 119 beats per minute. Moreover, his medical history showed that he was on Fluoxetine for clinical depression. The nurses reported that, because of his frequent complaints of axillary pain, he was given tramadol with paracetamol. Which of the following is responsible for his clinical features?

FCA1-0516

Which of the following statements is true regarding Adrenaline or Epinephrine?

FCA1-0517

Which one of the following causes vasoconstriction?

FCA1-0518

A 40 year old female is planned for an critical appendicectomy. A fast arrangements inductance is organized. The patient has had a preoperative respiratory tract evaluation and there are no adverse features. The patient is ideally positioned and preoxygenated. The anaesthetic applied cricoid pressure of 10 N. Acceptance of anaesthesia is at that point carried out with 250 mg thiopentone and 100 mg suxamethonium with 30 N of cricoid pressure. Initial laryngoscopy shows a review of grade 4. Three endeavours are made at putting a estimate 7 mm ID tracheal tube; two with a standard laryngoscope and one with a McCoy edge and bougie. Then one advance attempt is made employing a video laryngoscope. At this point the suxamethonium is starts to wear off. Oxygen immersion is 95%. Which one of the following treatment option is the another most suitable arrange of action?

FCA1-0519

Which of the following statements below would best describe the receptor response to an opioid mu receptor agonist such as fentanyl?

FCA1-0520

A 25 year-old female came to the out-patient department with complaints of vaginal discharge with a distinct fishy odour. She was later diagnosed with bacterial vaginosis and was prescribed to take metronidazole. The mechanism of action of metronidazole is?

FCA1-0521

The ED95 of muscle relaxants is the dose required to reduce twitch height by 95% in half of the target population. The dose of non-depolarizing muscle relaxants used for intubation is 2-3 times the ED95. For procedures that need a short duration of muscle relaxation and abrupt recovery, the short-acting drug Mivacurium is given at less than 2 times the ED95. What is the explanation for Mivacurium being an exception to this rule?

FCA1-0522

A patient with a known history of asymptomatic ventriculoseptal defect (VSD) is to undergo an orthopaedic surgery under general anaesthesia. The rest of the patient’s medical history, such as allergies and previous operations, are unremarkable. What is the best antibiotic prophylaxis prior to surgery?

FCA1-0514

Noradrenaline is used as an infusion to increase blood pressure in a 43-year-old woman with pneumonia admitted to ICU. Which of the following statements is true regarding Noradrenaline?