ANZCA FINALS PAST MCQ 2025/2026
EXAM QUESTIONS AND ANSWERS |
100% PASS
Acromegaly due to excess of growth hormone. Why is it difficult to do a direct
laryngoscopy?
A: Distorted facial anatomy
B: Macroglossia
C: Glottic stenosis
D: Prognathe mandible
E: Arthritis of the neck - 🧠 ANSWER ✔✔ANSWER B
,Ehlers-Danlos syndrome. Most important to specifically do all EXCEPT:
A: Avoid hyperextension of the neck
B: Damage to the teeth
C: Avoid joint hypermobility
D: Gastro oesophageal reflex
E: Strict temperature regulation - 🧠 ANSWER ✔✔ANSWER E
ISSUES
1. GORD and gastritis
2. Early satiety and delayed gastric emptying
3. High, narrow palate and dental crowding
4. Peridontal disease (friability, gingivitis, gum recession)
5. Joint laxity. Subluxations and dislocations are common and represent the major
manifestation of the condition. All sites can be involved, including the extremities,
,vertebral column, costo-vertebral and costo-sternal joints, clavicular articulations,
and temporomandibular joints.
An 85y.o for open AAA repair. Refuses blood because of risk of vCJD. You tell
him you won't anaesthetise him as the risk is too high. This is an example of:
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism - 🧠 ANSWER ✔✔ANSWER C
A 35yr old African-American with sickle cell and fractured ankle for ORIF. Hb 90,
Haematocrit 0.3.
A: Transfuse 2 units packed cells (?pre-op)
B: Let him cool passively to low/normal temperature
C: Spinal is safe
D: Avoid thiopentone
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, E: Tourniquet is absolutely contra-indicated - 🧠 ANSWER ✔✔ANSWER C
A - WRONG: "Although widely practiced, prophylactic erythrocyte transfusion
remains a treatment with appreciable complications whose potential benefits have
not been clearly demonstrated by a prospective, randomized clinical trial". Also a
study in orthopaedic patients "did not detect a prophylactic effect from
preoperative transfusion" (Sickle Cell Disease and Anesthesia. Anesthesiology
2004; 101:766-85)
B - WRONG: "Although hypothermia would tend to retard sickling because of a
left shift of the oxygen dissociation curve, hypothermia is often identified as a
precipitant of perioperative SCD complications". "avoidance of patient
hypothermia is a basic objective for most anesthetics" (Same reference)
C - CORRECT: "The use of regional anesthesia therefore does not appear to be
contraindicated in SCD" (Same reference) and OHA p202 agrees
D - ??? but seems unlikely
EXAM QUESTIONS AND ANSWERS |
100% PASS
Acromegaly due to excess of growth hormone. Why is it difficult to do a direct
laryngoscopy?
A: Distorted facial anatomy
B: Macroglossia
C: Glottic stenosis
D: Prognathe mandible
E: Arthritis of the neck - 🧠 ANSWER ✔✔ANSWER B
,Ehlers-Danlos syndrome. Most important to specifically do all EXCEPT:
A: Avoid hyperextension of the neck
B: Damage to the teeth
C: Avoid joint hypermobility
D: Gastro oesophageal reflex
E: Strict temperature regulation - 🧠 ANSWER ✔✔ANSWER E
ISSUES
1. GORD and gastritis
2. Early satiety and delayed gastric emptying
3. High, narrow palate and dental crowding
4. Peridontal disease (friability, gingivitis, gum recession)
5. Joint laxity. Subluxations and dislocations are common and represent the major
manifestation of the condition. All sites can be involved, including the extremities,
,vertebral column, costo-vertebral and costo-sternal joints, clavicular articulations,
and temporomandibular joints.
An 85y.o for open AAA repair. Refuses blood because of risk of vCJD. You tell
him you won't anaesthetise him as the risk is too high. This is an example of:
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism - 🧠 ANSWER ✔✔ANSWER C
A 35yr old African-American with sickle cell and fractured ankle for ORIF. Hb 90,
Haematocrit 0.3.
A: Transfuse 2 units packed cells (?pre-op)
B: Let him cool passively to low/normal temperature
C: Spinal is safe
D: Avoid thiopentone
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, E: Tourniquet is absolutely contra-indicated - 🧠 ANSWER ✔✔ANSWER C
A - WRONG: "Although widely practiced, prophylactic erythrocyte transfusion
remains a treatment with appreciable complications whose potential benefits have
not been clearly demonstrated by a prospective, randomized clinical trial". Also a
study in orthopaedic patients "did not detect a prophylactic effect from
preoperative transfusion" (Sickle Cell Disease and Anesthesia. Anesthesiology
2004; 101:766-85)
B - WRONG: "Although hypothermia would tend to retard sickling because of a
left shift of the oxygen dissociation curve, hypothermia is often identified as a
precipitant of perioperative SCD complications". "avoidance of patient
hypothermia is a basic objective for most anesthetics" (Same reference)
C - CORRECT: "The use of regional anesthesia therefore does not appear to be
contraindicated in SCD" (Same reference) and OHA p202 agrees
D - ??? but seems unlikely
