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Practice Single Best Answer Questions for the Final FRCA A Revision Guide Practice Single Best Answer Questions for the Final FRCA A Revision Guide Edited by Hozefa Ebrahim SpecialistRegistrar,QueenElizabethHospital,Birmingham, AssociateClinicalTeachingFellow, UniversityHospitalsBirmingham,UK Khalid Hasan ConsultantandCollegeTutor, QueenElizabethHospital,Birmingham,UK Mark Tindall ConsultantandCollegeTutor, RussellsHallHospital,Birmingham,UK Michael Clarke SpecialistRegistrar,QueenElizabethHospital,Birmingham, andAdvancedPainFellow,UniversityofBirmingham,UK Natish Bindal ConsultantintheDepartmentofAnaesthesia, andConsultant,QueenElizabethHospital,Birmingham,UK cambridge university press Cambridge,NewYork,Melbourne,Madrid,CapeTown, Singapore,SãoPaulo,Delhi,MexicoCity CambridgeUniversityPress TheEdinburghBuilding,CambridgeCB28RU,UK PublishedintheUnitedStatesofAmericaby CambridgeUniversityPress,NewYork www.cambridge.org Informationonthistitle:www.cambridge.org/9781107679924 ©CambridgeUniversityPress2013 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithout thewrittenpermissionofCambridgeUniversityPress. Firstpublished2013 PrintedandboundintheUnitedKingdombytheMPGBooksGroup AcataloguerecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloguinginPublicationdata PracticesinglebestanswerquestionsforthefinalFRCA:arevision guide/editedbyHozefaEbrahim...[etal.]. p.; cm. Includesbibliographicalreferencesandindex. ISBN978-1-107-67992-4(pbk.) I.Ebrahim,Hozefa. [DNLM:1. Anesthesia–methods–ExaminationQuestions. 2. Anesthesia–adverseeffects–ExaminationQuestions. WO218.2] 617.906076–dc23 2012013424 ISBN978-1-107-67992-4Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceor accuracyofURLsforexternalorthird-partyinternetwebsitesreferredto inthispublication,anddoesnotguaranteethatanycontentonsuch websitesis,orwillremain,accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurate andup-to-dateinformationwhichisinaccordwithacceptedstandards andpracticeatthetimeofpublication.Althoughcasehistoriesaredrawn fromactualcases,everyefforthasbeenmadetodisguisetheidentitiesof theindividualsinvolved.Nevertheless,theauthors,editorsand publisherscanmakenowarrantiesthattheinformationcontainedherein istotallyfreefromerror,notleastbecauseclinicalstandardsare constantlychangingthroughresearchandregulation.Theauthors, editorsandpublishersthereforedisclaimallliabilityfordirector consequentialdamagesresultingfromtheuseofmaterialcontainedin thisbook.Readersarestronglyadvisedtopaycarefulattentionto informationprovidedbythemanufacturerofanydrugsorequipment thattheyplantouse. Contents Listofcontributors pagevi Listofabbreviations viii Classificationofquestionsbytopic xii ForewordbyProfHutton xv ForewordbyProfBion xvii Introduction:angleofattack xix Acknowledgements xxii PaperA–Questions 1 PaperG–Questions 142 PaperA–Answers 10 PaperG–Answers 151 PaperB–Questions 25 PaperH–Questions 165 PaperB–Answers 34 PaperH–Answers 174 PaperC–Questions 49 PaperJ–Questions 188 PaperC–Answers 58 PaperJ–Answers 197 PaperD–Questions 74 PaperK–Questions 212 PaperD–Answers 83 PaperK–Answers 220 PaperE–Questions 96 PaperE–Answers 104 PaperF–Questions 118 PaperF–Answers 127 Index 235 v Principal contributors EdwardCopley NicholasCrombie SpecialistRegistrarinAnaesthesia ConsultantAnaesthetist WestMidlandsDeanery,Birmingham,UK QueenElizabethHospital, Birmingham,UK AnnaPierson SpecialistRegistrarinAnaesthesia NeilHCrooks WestMidlandsDeanery,Birmingham,UK SpecialistRegistrarinAnaesthesiaand IntensiveCareMedicine RichardPierson WestMidlandsDeanery, SpecialistRegistrarinAnaesthesia Birmingham,UK WestMidlandsDeanery,Birmingham,UK HozefaEbrahim SpecialistRegistrarinAnaesthesiaand IntensiveCareMedicine Contributors WestMidlandsDeanery, Birmingham,UK IanEwington MichaelAllan SpecialistRegistrarinAnaesthesia SpecialistRegistrarinAnaesthesia andIntensiveCareMedicine WestMidlandsDeanery,Birmingham,UK WestMidlandsDeanery, Birmingham,UK NatishBindal ConsultantAnaesthetist JamesGeoghegan QueenElizabethHospital,Birmingham,UK ConsultantAnaesthetist QueenElizabethHospital, CatrionaBentley Birmingham,UK SpecialistRegistrarinAnaesthesia WestMidlandsDeanery,Birmingham,UK Au-ChyunNicoleGoh ClinicalFellowinPaediatricIntensive HannahChurch CareMedicine ConsultantAnaesthetist BirminghamChildren’sHospital,UK QueenElizabethHospital, Birmingham,UK AndrewGHaldane SpecialistRegistrarinAnaesthesia MichaelBClarke WestMidlandsDeanery,Birmingham,UK AdvancedPainTrainee SpecialistRegistrarinAnaesthesia KhalidHasan WestMidlandsDeanery, ConsultantAnaesthetistandCollegeTutor Birmingham,UK QueenElizabethHospital,Birmingham,UK LloydCraker MaxSimonHodges ConsultantAnaesthetist SpecialistRegistrarinAnaesthesia NorthStaffordshireHospital,UK WestMidlandsDeanery,Birmingham,UK vi Principalcontributors EricHodgson RandeepMullhi ChiefSpecialistAnaesthesiologist, SpecialistRegistrarinAnaesthesiaand InkosiAlbertLuthuiCentralHospital IntensiveCareMedicine HonorarySeniorLecturer, WestMidlandsDeanery,Birmingham,UK NelsonRMandelaSchoolofMedicine, RebeccaParis Durban,SouthAfrica SpecialistRegistrarinAnaesthesia AsimIqbal WestMidlandsDeanery,Birmingham,UK ClinicalFellowinHepatobiliaryAnaesthesia SachinRastogi SpecialistRegistrarinAnaesthesia WestMidlandsDeanery,Birmingham,UK PainFellow TheHospitalforSickChildren, PaulJeanrenaud Toronto,Canada ConsultantinIntensiveCareMedicineand SimonSmart Anaesthesia WhistonHospital,Merseyside,UK ConsultantAnaesthetist QueenElizabethHospital, EmilyJohnson Birmingham,UK SpecialistRegistrarinAnaesthesia WestMidlandsDeanery, InsiyaSusnerwalla Birmingham,UK SpecialtyTraineeinAnaesthesia NorthWesternDeanery,Manchester,UK DeepakJoseph SpecialistRegistrarinAnaesthesia AlifiaTameem WestMidlandsDeanery, SpecialistRegistrarinAnaesthesia Birmingham,UK WestMidlandsDeanery,Birmingham,UK MichaelMcAlindon MarkTindall SpecialistRegistrarinAnaesthesiaand ConsultantAnaesthetist IntensiveCareMedicine RussellsHallHospital,Dudley,UK WestMidlandsDeanery, LauraTulloch Birmingham,UK SpecialistRegistrarinAnaesthesiaand CraigMcGrath IntensiveCareMedicine ConsultantAnaesthetist WestMidlandsDeanery, QueenElizabethHospital,Birmingham,UK Birmingham,UK vii Abbreviations AAA abdominalaorticaneurysm AChR acetylcholinereceptor ACT activatedclottingtime ACTH adrenocorticotrophichormone ADH antidiuretichormone AIR anaesthesia-relatedrhabdomyolysis AKI acutekidneyinjury ALSG advancedlifesupportgroup ALI acutelunginjury APTT activatedpartialthromboplastintime ARDS acuterespiratorydistresssyndrome ARF acuterenalfailure BMI bodymassindex BMS baremetalstent BP bloodpressure CABG coronaryarterybypassgraft CAS centralanticholinergicsyndrome CDH congenitaldiaphragmatichernia CDI Clostridiumdifficileinfection CK creatinekinase CMRO cerebralmetabolicoxygenreplacement 2 CNB centralneuraxialblock CNS centralnervoussystem CO cardiacoutput COHb carboxyhaemoglobin CPB cardiopulmonarybypass CPP chronicpelvicpain CPSP chronicpostsurgicalpain CRF chronicrenalfailure CRPS complexregionalpainsyndrome CSE combinedspinal–epidural CSF cerebrospinalfluid CT computerizedtomography CTPA computerizedtomographypulmonaryangiogram CRT cardiacresynchronizationtherapy CSWS cerebralsalt-wastingsyndrome CXR chestX-ray DAPT dualantiplatelettherapy DES drug-elutingstent DI diabetesinsipidus DLT doublelumentube DKA diabeticketoacidosis viii

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