ANZCA Final MCQs 2025
Questions and Answers
You are called to see a 30 year old man with rapidly deteriorating asthma. Following
appropriate medical management an endotracheal tube is inserted and he is ventilated
with a mechanical ventilator with a tidal volume of 600ml and a rate of 12 breaths per
minute. Five minutes later the blood pressure is unrecordable and external cardiac
massage is commenced. Arterial blood is taked and shows ph 7.08, pCO2 96 mmHg,
pO2 36 mmHg, SpO2 46% and bicarbonate 27 mmol/L. He is administered adrenaline,
salbutamol, pancuronium, bicarbonate and calcium gluconate. The ECG shows sinus
rhythm at a rate of 60 beats per minute. The patient remains pulseless and cyanosed
with fixed dilated pupils and distended neck veins. The most appropriate management
is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
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,D. cease ventilation for 30 seconds and resume at a slower rate
E. incre - ANSWER✔✔-ANSWER D
A 42 year old lady presents for right pneumonectomy with a left sided double-lumen
tube. She is 132kg and 160cm. What depth, measured at the incisors, is likely to give the
ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
E. 32cm - ANSWER✔✔-ANSWER C
Millers formula:
Depth= 12 + (pt height cms/10)
therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
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,C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria - ANSWER✔✔-ANSWER B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has some
haemoptysis. What is your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue xray of the neck - ANSWER✔✔-ANSWER D
A 60 year old man with normal LV function is having coronary artery bypass grafting.
After separation from the bypass machine he becomes hypotensive with ST elevation in
leads II and aVF. The Swan Ganz Catheter showed a PCWP of 25 and CVP of 15 with
normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
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, B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole - ANSWER✔✔-ANSWER B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity - ANSWER✔✔-ANSWER B
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin is
more specific for Fe Deficiency.
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Questions and Answers
You are called to see a 30 year old man with rapidly deteriorating asthma. Following
appropriate medical management an endotracheal tube is inserted and he is ventilated
with a mechanical ventilator with a tidal volume of 600ml and a rate of 12 breaths per
minute. Five minutes later the blood pressure is unrecordable and external cardiac
massage is commenced. Arterial blood is taked and shows ph 7.08, pCO2 96 mmHg,
pO2 36 mmHg, SpO2 46% and bicarbonate 27 mmol/L. He is administered adrenaline,
salbutamol, pancuronium, bicarbonate and calcium gluconate. The ECG shows sinus
rhythm at a rate of 60 beats per minute. The patient remains pulseless and cyanosed
with fixed dilated pupils and distended neck veins. The most appropriate management
is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
COPYRIGHT © 2025 ALL RIGHTS RESERVED
,D. cease ventilation for 30 seconds and resume at a slower rate
E. incre - ANSWER✔✔-ANSWER D
A 42 year old lady presents for right pneumonectomy with a left sided double-lumen
tube. She is 132kg and 160cm. What depth, measured at the incisors, is likely to give the
ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
E. 32cm - ANSWER✔✔-ANSWER C
Millers formula:
Depth= 12 + (pt height cms/10)
therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
COPYRIGHT © 2025 ALL RIGHTS RESERVED
,C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria - ANSWER✔✔-ANSWER B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has some
haemoptysis. What is your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue xray of the neck - ANSWER✔✔-ANSWER D
A 60 year old man with normal LV function is having coronary artery bypass grafting.
After separation from the bypass machine he becomes hypotensive with ST elevation in
leads II and aVF. The Swan Ganz Catheter showed a PCWP of 25 and CVP of 15 with
normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
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, B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole - ANSWER✔✔-ANSWER B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity - ANSWER✔✔-ANSWER B
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin is
more specific for Fe Deficiency.
COPYRIGHT © 2025 ALL RIGHTS RESERVED
