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title: Qbase Anaesthesia. Vol. 3, MCQs in Medicine for the
FRCA
author: Hammond, Edward.; McIndoe, Andrew.
publisher: Greenwich Medical Media Limited
isbn10 | asin: 1900151588
print isbn13: 9781900151580
ebook isbn13: 9780511043574
language: English
subject Anesthesia--Examinations, questions, etc.
publication date: 1999
lcc: RD82.3.Q23 1999eb
ddc: 617.9/6/076
subject: Anesthesia--Examinations, questions, etc.
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Page iii
Qbase Anaesthesia:
3
MCQs in Medicine for the FRCA
Edited by
Edward J Hammond MA BM BCh MRCP FRCA
Specialist Registrar
Shackleton Department of Anaesthetics
Southampton University Hospital NHS Trust
Andrew K McIndoe MB ChB FRCA
Consultant Anaesthetist
Sir Humphry Davy Department of Anaesthesia
Bristol Royal Infirmary
Contributors
Punit Ramrakha
Emert White
Tom Peck
Justine Nanson
Andrew Padkin
Richard Protheroe
David Jones
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Page iv
Disclaimer:
This netLibrary eBook does not include the ancillary media that was packaged with the original printed version
of the book.
© 1999
Greenwich Medical Media Ltd
219 The Linen Hall
162168 Regent Street
London
W1R 5TB
ISBN: 1 900 151 588
First Published 1999
Apart from any fair dealing for the purposes of research or private study, or criticism or review, as permitted
under the UK Copyright Designs and Patents Act, 1988, this publication may not be reproduced, stored, or
transmitted, in any form or by any means, without the prior permission in writing of the publishers, or in the
case of reprographic reproduction only in accordance with the terms of the licences issued by the Copyright
Licensing Agency in the UK, or in accordance with the terms of the licences issued by the appropriate
Reproduction Rights Organization outside the UK. Enquiries concerning reproduction outside the terms stated
here should be sent to the publishers at the London address printed above.
The right of Edward Hammond and Andrew McIndoe to be identified as authors of this Work has been
asserted by them in accordance with the Copyright Design and Patents Act 1988.
The publishers make no representation, express or implied, with regard to the accuracy of the information
contained in this book and cannot accept any legal responsibility or liability for any errors or omissions that
may be made.
A catalogue record for this book is available from the British library.
Distributed worldwide by
Oxford University Press
Designed and Produced by
Diane Parker, Saldatore Limited
Printed in Great Britain by
Ashford Colour Press
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Page v
CONTENTS
Foreword vii
Editors Note and Tips for QBase Users ix
Questions
Cardiology 3
Respiratory 24
Gastro 34
Hepatobiliary 40
Renal 45
Neurology 52
Endocrine 65
Metabolism/Nutrition 72
Haematology 75
Infectious Diseases 83
Psychiatry 89
Substance Abuse 95
Immunology/Genetics 97
Paediatrics 101
Medical Biochemistry 105
Pharmacology 113
Rheumatology 118
Answers
Cardiology 125
Respiratory 163
Gastro 179
Hepatobiliary 186
Renal 189
Neurology 200
Endocrine 218
Metabolism/Nutrition 229
Haematology 232
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Infectious Diseases 248
Psychiatry 257
Substance Abuse 265
Immunology/Genetics 267
Paediatrics 274
Medical Biochemistry 280
Pharmacology 292
Rheumatology 299
QBase Anaesthesia on CD-ROM
CD-ROM System Requirements Installation Instructions 306
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Page vii
FOREWORD
Multiple Choice Examinations (MCQ's) form part of the assessment process in many postgraduate
examinations. The MCQ paper is perceived as a threatening test of breadth of knowledge. It is said that the use
of negative marking discourages guessing and that candidates fail by answering too many questions. Whilst not
a substitute for knowledge and adequate preparation, the assessment of an individuals exam technique can
provide valuable feedback that may lead to improved performance. Candidates should remember that
knowledge and technique act synergistically to improve scores.
Our experience in teaching MCQ technique to candidates suggests that the advice "do not guess" is not correct.
Candidates are consistently surprised at the positive benefits of their educated and wild guesses. From a
statistical viewpoint, for true random guesses, the negative marking system employed by the Royal College of
Anaesthetists tends to produce a null score rather than a negative score. However, with proper preparation, a
candidate's acquisition of knowledge and insight can skew the distribution towards a positive score. This may
significantly improve an individual's performance in the MCQ section of the examination. The QBase CD-
ROM has been designed to allow candidates to analyse how their guessing strategy affects their performance at
MCQ's examinations.
QBase 3: MCQ's in Medicine for the FRCA has been developed in response to comments from candidates
sitting the Final FRCA Examination. Many have found revising for the General Medicine component of the
examination difficult. This book contains 555 MCQ's in Medicine that complement those in QBase 2. The
Questions are provided with comprehensive explanations and references for further reading. They broadly cover
the subject of General Medicine with a bias towards areas particularly relevant to anaesthesia. Some questions
are more difficult than others. Do not be disheartened. They are aimed at the level of knowledge an SHO might
be expected to achieve after completing six months of general medicine. The Questions have designed to assist
your revision of this vast topic rather than just test your knowledge. Candidates specialising in intensive care
medicine may find these questions a useful refresher for their general medical knowledge.
The accompanying CD-ROM contains the latest version of the QBase Interactive MCQ Examination software.
It allows the candidate to generate customised exams for revision or assessment purposes. Furthermore the
system provides detailed structured analysis of performance and exam technique using the unique "Confidence
Option" facility. This CD will update previous versions of QBase. It should be used repeatedly to improve
exam technique.
We hope that candidates will find this book and CD-ROM a useful adjunct to their revision for the Final FRCA
Examination.
EDWARD HAMMOND
ANDREW MCINDOE
QBASE SERIES DEVELOPERS/EDITORS
SEPTEMBER 1998
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Page ix
NOTES FOR USERS OF QBASE ON CD-ROM
Since we released the first version of QBase, we have tried to respond to the requests and suggestions of
trainees on how we can improve it. This latest version of the program contains improvements in the exam
analysis functions. These allow you to review your performance based on all the questions in the exam or by
subject allowing you to identify areas that need further revision. This also allows you to see whether your
technique varies with the subject of the question.
The QBase program resides on your hard disk and reads the data from whatever QBase CD is in your CD drive.
If you reinstall QBase from this CD (see back of book for instructions) it will update previous version of the
program. Owners of previous QBase titles will then have all the new functions available to them. All QBase
CDs will work with the new program. To check for successful installation of the new program, look at the
Quick Start Menu screen. It should have 6 exam buttons. Exam 6 will be used by QBase titles containing the
appropriate predefined examination.
Many of you have requested shorter examinations. The exams directory on this CD contains a large number of
predefined examinations. To access these exams, go to the Main Menu screen and select the 'Resit exam' option.
From the dialogue box that appears, select the exam directory on your CD drive and then the exam you wish to
attempt. The table that follows gives details of the exams available. You can save the exam to your hard disk as
normal. To further enhance your revision, instead of selecting the 'Resit exam' button, we suggest you select the
'Resit shuffled exam' button. The leaves within each question will be randomly shuffled removing your ability
to remember the pattern of the answers rather than the facts. The questions in these exams follow the order in
the book.
The Autoset an exam option on this CD selects questions from only some of the subjects. You will be presented
with exams containing 25 questions made up as follows; Cardiology 6, Respiratory 3, Gastro/Hepatobiliary 2,
Renal 2, Neurology 2, Endocrine 2, Haematology 2, Inf Disease 1, Psychiatry 1, Paeds 1, Med Biochem 2, and
Pharmacology 1. These shorter exams focus more closely on questions that may appear in the actual Final
FRCA paper. The 6 predefined exams on this CD are constructed in this way. You can generate your own
customised exams using the "Create your own exam" option. We have provided the revision exams details
below to allow you to do all the questions in the book without repetition.
We hope that you will find these notes, suggestions and improvements in the program useful in your
preparation for the exam. Don't be discouraged if you only achieve a low overall score at first. The standard of
the questions probably exceeds that required of the average anaesthetic trainee sitting the Final FRCA. However
the material covered is highly relevant and should also assist your clinical practice.
EDWARD HAMMOND
ANDREW MCINDOE
QBASE SERIES DEVELOPERS/EDITORS
SEPTEMBER 1998
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Exams included in the exams directory of QBase 3
Exam name No. of Questions Subjects Type Time Allowed
Cardio1 Cardiology Revision
20 40 mins
Cardio2 Cardiology Revision
20 40 mins
Cardio3 Cardiology Revision
20 40 mins
Cardio4 Cardiology Revision
20 40 mins
Cardio5 Cardiology Revision
20 40 mins
Resp1 Respiratory Revision
20 40 mins
Resp2 Respiratory Revision
20 40 mins
Resp3 Respiratory Revision
10 20 mins
Gastro Gastroenterology Revision
25 50 mins
Hepato Hepatobiliary Revision
25 50 mins
Renal1 Renal Revision
20 40 mins
Renal2 Renal Revision
10 20 mins
Neuro1 Neurology Revision
20 40 mins
Neuro2 Neurology Revision
20 40 mins
Neuro3 Neurology Revision
25 50 mins
Endo1 Endocrine Revision
20 40 mins
Endo2 Endocrine Revision
15 30 mins
Metab Metabolism Revision
10 20 mins
Haem1 Haematology Revision
20 40 mins
Haem2 Haematology Revision
15 30 mins
InfDis1 Infectious Dis Revision
20 40 mins
InfDis2 Infectious Dis Revision
10 20 mins
Psych Psychiatry Revision
25 50 mins
Subst Substance abuse Revision
10 20 mins
Immun Immunology Revision
10 20 mins
Paeds Paediatrics Revision
20 40 mins
MedBio1 Medical Biochem Revision
20 40 mins
MedBio2 Medical Biochem Revision
15 30 mins
Pharm Pharmacology Revision
25 50 mins
Rheum Rheumatology Revision
15 30 mins
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Exam1 Mixed Mock
25 50 mins
Exam2 Mixed Mock
25 50 mins
Exam3 Mixed Mock
25 50 mins
Exam4 Mixed Mock
25 50 mins
Exam5 Mixed Mock
25 50 mins
Exam6 Mixed Mock
25 50 mins
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