Archives: FRCA Part 1

FCA1-0452

Which of the following drugs can have significant clinical effects on neonates when used in appropriate doses for a caesarean section?

FCA1-0429

An otherwise fit 7-year-old boy for an elective tonsillectomy is seen holding a bottle of sugared orange squash at anaesthetic assessment . He appears to have consumed 120 mL of the bottle’s contents. What is the minimal safe fasting time prior to proceeding with a general anaesthetic in this patient?

FCA1-0430

Which of the following options will likely play a major role in falling coronary blood flow?

FCA1-0431

A 54-year-old lady comes in for a right-sided elective bunionectomy with a realignment osteotomy under local anaesthetic on her first (large) toe. For the operation, which of the following nerve blocks will be most effective?

FCA1-0423

Which of the following is correct regarding nitric oxide?

FCA1-0424

In a diagnosis of a compensated respiratory acidosis, which of the following arterial blood gas results is likely to be seen?

FCA1-0425

A 50-year-old woman’s blood pressure readings in the clinic are 170/109 mmHg, 162/100 mmHg and 175/107 mmHg and her routine haematology, biochemistry, and 12-lead ECG are normal. She is assessed on the day of surgery prior to laparoscopic inguinal hernia repair and is found to be normally fit and well. Documentation of previous blood pressure measurements from her general practitioner in the primary healthcare setting are not available. What is your next course of action?

FCA1-0426

A 30-year-old woman admitted following a tonsillectomy has developed stridor with a respiratory rate of 22 breaths per minute and obstructive movements of the chest and abdomen that is in a see-saw pattern . Her SpO2 is 92% on 60% oxygen with pulse rate 120 beats per minute while her blood pressure is 180/90mmHg. She is repeatedly trying to remove the oxygen mask and appears anxious. Her pharynx is suctioned and CPAP applied with 100% oxygen via a Mapleson C circuit. Which of these is the most appropriate next step in her management?

FCA1-0427

A 33-year-old woman known to be hypothyroid and taking 150 mcg l-thyroxine daily is reviewed in the preoperative assessment clinic prior to a laparoscopic cholecystectomy. She has required three increases in her thyroid replacement therapy in the last six months. Her thyroid function tests are as follows: TSH: 11 (normal range 0.4-4mU/L), T3: 20 (normal range 9-25mU/L), T4: 6.2 (normal range 3.5-7.8mU/L). What will explain this biochemical picture?