ANZCAl Finall Examl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Thel electricall requirementl thatl distinguishesl al "cardiacl protectedl area"l froml al
"bodyl protectedl area"l isl the
l A.l isolationl transformerl
l B.l linel isolationl monitorl
l C.l equipmentl hasl al maximuml leakagel currentl ofl 500l microamperesl
l D.l residuall currentl devicel
l E.l equipotentiality
Answer:
E
Q:l Afterl ingestionl ofl 500mg/kgl aspirin,l thel mostl efficientl therapyl tol enhancel thel
eliminationl is
l A.l normall salinel infusionl
l B.l bicarbonatel infusionl
l C.l mannitoll
l D.l frusemidel
l E.l haemodialysis
Answer:
E
Q:l 6l weekl oldl babyl isl bookedl forl electivel rightl inguinall hernial repair.l Anl
appropriatel fastingl timel is
l A.l 2l hoursl forl breastl milkl
l B.l 4l hoursl forl formulal
l C.l 5l hoursl forl breastl milkl orl formulal
l D.l 6l hoursl forl solidsl
l E.l 8l hoursl forl solids,l 4l hoursl forl alll fluids.
Answer:
B
Poorl questionl asl ANZCAl guidelinel changeoverl agel isl 6/52.l
RCHl guidelinesl arel differentl tol ANZCAl guidelinesl (shownl below)
,l Forl healthyl adultsl havingl anl electivel procedure,l limitedl solidl foodl mayl bel takenl upl
tol sixl hoursl priorl tol anaesthesial andl clearl fluidsl totallingl notl morel thanl 200l mlsl perl
hourl mayl bel takenl upl tol twol hoursl priorl tol anaesthesia.
l Forl healthyl childrenl overl sixl weeksl ofl agel havingl anl electivel procedure,l limitedl solidl
foodl andl formulal milkl mayl bel givenl upl tol sixl hours,l breastl milkl mayl bel givenl upl tol
fourl hoursl andl clearl fluidsl upl tol twol hoursl priorl tol anaesthesia.
l Forl healthyl infantsl underl sixl weeksl ofl agel havingl anl electivel procedure,l formulal orl
breastl milkl mayl bel givenl upl tol fourl hoursl andl clearl fluidsl upl tol twol hoursl priorl tol
anaesthesia.
l Onlyl medicationsl withl al littlel waterl ifl requiredl asl orderedl byl thel anaesthetistl shouldl
bel takenl lessl thanl twol hoursl priorl tol anaesthesia.
Q:l Forl al nursel monitoringl anl opioidl PCA,l thel earliestl signl ofl respiratoryl depressionl
is;
l A.l Numberl ofl bolusesl ofl PCAl perl hourl
l B.l Respiratoryl ratel
l C.l Oxygenl saturationl
l D.l Sedationl scorel
l E.l Pupill size
Answer:
D
Q:l Al reductionl inl DLCOl canl bel causedl by;
l A.l Asthmal
l B.l COPDl
l C.l Leftl tol rightl shuntl
l D.l Pulmonaryl haemorrhagel
l E.l Bronchitis
Answer:
Bl COPD
Q:l Youl placel al thoracicl epidurall forl al patientl havingl anl electivel openl AAAl repair.l
Therel arel 4cml inl thel epidurall spacel andl youl aspiratel blood.l Whatl isl thel mostl
appropriatel managementl plan:
l A.l injectl 5l mLl ofl saline,l andl ifl youl canl nol longerl aspiratel blood,l leavel inl placel andl
usel
l B.l injectl 5l mLl lignocainel 2%l withl adrenaline.l Ifl therel isl nol risel inl HRl bel happyl
thatl itl isl notl intravascularl andl securel inl placel andl usel
,l C.l Removel andl postponel surgeryl forl 24l hoursl
l D.l Removel andl placel epidurall 1l levell higherl
l E.l Removel andl postponel surgeryl forl 4l hours
Answer:
C
NYSORAl textbookl ofl regionall anaesthl &l painl Mxl (online)
Q:l Youl arel anaethetisingl al ladyl forl electivel laparoscopicl cholecystectomy,l whol
apparentlyl hadl anl anaphylacticl reactionl tol rocuroniuml inl herl lastl anaesthetic.l Therel hasl
notl beenl sufficientl timel forl herl tol undergol cross-reactivityl testing.l Whatl wouldl bel thel
mostl appropriatel drugl tol use:
l A.l rocuroniuml
l B.l suxamethoniuml
l C.l pancuroniuml
l D.l atracuriuml
l E.l cisatracurium
Answer:
E
Q:l Regardingl endotracheall tubesl usedl inl laserl surgery:
l A.l Theyl arel morel resistantl tol combustionl whenl thel cuffl isl coveredl inl bloodl
l B.l Resistantl tol ignitionl froml electrocauteryl
l C.l Thel cuffl isl resistantl tol ignitionl ifl hitl byl thel laserl
l D.l Havel anl externall diameterl whichl isl largerl thanl al normall PVCl endotracheall tubel
(comparedl tol thel internall diamater)l
l E.l Havel 2l cuffsl whichl arel resistantl tol combustion
Answer:
D
Q:l Twol daysl postl upperl spinall surgery,l patientl noticesl parathesial ofl thel rightl arm,l
surgeonl thinksl thisl isl anl ulnarl nervel palsyl duel tol poorl positioning.l Whatl signl willl
distinguishl al C8-T1l nervel rootl lesionl froml anl ulnarl nervel neuropathy?
l A.l parasthesial inl littlel fingerl
l B.l parasthesial inl thel distributionl ofl thel interscalenel nervel
l C.l weaknessl inl adductorl digitil minimil
l D.l weaknessl inl abductorl pollicisl brevisl
l E.l weaknessl inl laterall interosseus
Answer:
D
, A-l no,l ulnarl nervel territory
B-l nol suchl nervel (thatl Il canl find!)
C-l ifl theyl meantl ABDUCTORl digitil minimusl thenl no,l asl suppliedl byl ulnar,l asl arel alll
intrinsicl musclesl ofl thel handl exceptl laterall twol lumbricalsl &l thel threel musclesl ofl thel
thenarl eminencel (abductorl pollicisl brevis,l flexorl pollicisl brevis,l opponensl brevis;l medianl
nervel innervatesl these)
D.l YESl Ifl abductorl pollicisl brevisl weak,l thenl mustl bel C8/T1l lesion,l asl thisl musclel
suppliedl byl MEDIANl nervel butl sharesl thel nervel rootl originl ofl C8/T1l withl thel ulnarl
nerve.
Q:l Youl arel 2l hoursl intol anl operation.l 3Ll ofl IVl Crystalloidl hasl beenl given.l Therel
hasl beenl minimall bloodl loss.l Thel dilutionall anaemial isl compensatedl by:
l A.l Cellularl anaerobicl metabolisml
l B:l Capillaryl vasodilationl
l C:l Increasedl cardiacl outputl
l D:l Increasedl tissuel oxygenl extractionl
l E:l Rightwardsl shiftl ofl thel Oxygenl -l Haemoglobinl dissociationl curve
Answer:
C
Q:l Youl arel puttingl inl anl Internall Jugularl CVC.l Whichl manoeuvrel willl causel
maximuml venousl distensionl ofl thel jugularl vein?
l A.l Continuousl Positivel Airwayl Pressurel (Nol valuel given)l
l B:l Breathl holdl atl end-expirationl
l C:l Manuall compressionl atl thel basel ofl thel neckl
l D:l Trendelenburgl positionl
l E:l Patientl performsl al valsalva
Answer:
E
Q:l Whatl isl approximatelyl thel systolicl bloodl pressurel inl anl awakel neonatel (mmHg)
l A.l 55l
l B.l 70l
l C.l 85l
l D.l 100l
l E.l 115
Answer:
Bl 70
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Thel electricall requirementl thatl distinguishesl al "cardiacl protectedl area"l froml al
"bodyl protectedl area"l isl the
l A.l isolationl transformerl
l B.l linel isolationl monitorl
l C.l equipmentl hasl al maximuml leakagel currentl ofl 500l microamperesl
l D.l residuall currentl devicel
l E.l equipotentiality
Answer:
E
Q:l Afterl ingestionl ofl 500mg/kgl aspirin,l thel mostl efficientl therapyl tol enhancel thel
eliminationl is
l A.l normall salinel infusionl
l B.l bicarbonatel infusionl
l C.l mannitoll
l D.l frusemidel
l E.l haemodialysis
Answer:
E
Q:l 6l weekl oldl babyl isl bookedl forl electivel rightl inguinall hernial repair.l Anl
appropriatel fastingl timel is
l A.l 2l hoursl forl breastl milkl
l B.l 4l hoursl forl formulal
l C.l 5l hoursl forl breastl milkl orl formulal
l D.l 6l hoursl forl solidsl
l E.l 8l hoursl forl solids,l 4l hoursl forl alll fluids.
Answer:
B
Poorl questionl asl ANZCAl guidelinel changeoverl agel isl 6/52.l
RCHl guidelinesl arel differentl tol ANZCAl guidelinesl (shownl below)
,l Forl healthyl adultsl havingl anl electivel procedure,l limitedl solidl foodl mayl bel takenl upl
tol sixl hoursl priorl tol anaesthesial andl clearl fluidsl totallingl notl morel thanl 200l mlsl perl
hourl mayl bel takenl upl tol twol hoursl priorl tol anaesthesia.
l Forl healthyl childrenl overl sixl weeksl ofl agel havingl anl electivel procedure,l limitedl solidl
foodl andl formulal milkl mayl bel givenl upl tol sixl hours,l breastl milkl mayl bel givenl upl tol
fourl hoursl andl clearl fluidsl upl tol twol hoursl priorl tol anaesthesia.
l Forl healthyl infantsl underl sixl weeksl ofl agel havingl anl electivel procedure,l formulal orl
breastl milkl mayl bel givenl upl tol fourl hoursl andl clearl fluidsl upl tol twol hoursl priorl tol
anaesthesia.
l Onlyl medicationsl withl al littlel waterl ifl requiredl asl orderedl byl thel anaesthetistl shouldl
bel takenl lessl thanl twol hoursl priorl tol anaesthesia.
Q:l Forl al nursel monitoringl anl opioidl PCA,l thel earliestl signl ofl respiratoryl depressionl
is;
l A.l Numberl ofl bolusesl ofl PCAl perl hourl
l B.l Respiratoryl ratel
l C.l Oxygenl saturationl
l D.l Sedationl scorel
l E.l Pupill size
Answer:
D
Q:l Al reductionl inl DLCOl canl bel causedl by;
l A.l Asthmal
l B.l COPDl
l C.l Leftl tol rightl shuntl
l D.l Pulmonaryl haemorrhagel
l E.l Bronchitis
Answer:
Bl COPD
Q:l Youl placel al thoracicl epidurall forl al patientl havingl anl electivel openl AAAl repair.l
Therel arel 4cml inl thel epidurall spacel andl youl aspiratel blood.l Whatl isl thel mostl
appropriatel managementl plan:
l A.l injectl 5l mLl ofl saline,l andl ifl youl canl nol longerl aspiratel blood,l leavel inl placel andl
usel
l B.l injectl 5l mLl lignocainel 2%l withl adrenaline.l Ifl therel isl nol risel inl HRl bel happyl
thatl itl isl notl intravascularl andl securel inl placel andl usel
,l C.l Removel andl postponel surgeryl forl 24l hoursl
l D.l Removel andl placel epidurall 1l levell higherl
l E.l Removel andl postponel surgeryl forl 4l hours
Answer:
C
NYSORAl textbookl ofl regionall anaesthl &l painl Mxl (online)
Q:l Youl arel anaethetisingl al ladyl forl electivel laparoscopicl cholecystectomy,l whol
apparentlyl hadl anl anaphylacticl reactionl tol rocuroniuml inl herl lastl anaesthetic.l Therel hasl
notl beenl sufficientl timel forl herl tol undergol cross-reactivityl testing.l Whatl wouldl bel thel
mostl appropriatel drugl tol use:
l A.l rocuroniuml
l B.l suxamethoniuml
l C.l pancuroniuml
l D.l atracuriuml
l E.l cisatracurium
Answer:
E
Q:l Regardingl endotracheall tubesl usedl inl laserl surgery:
l A.l Theyl arel morel resistantl tol combustionl whenl thel cuffl isl coveredl inl bloodl
l B.l Resistantl tol ignitionl froml electrocauteryl
l C.l Thel cuffl isl resistantl tol ignitionl ifl hitl byl thel laserl
l D.l Havel anl externall diameterl whichl isl largerl thanl al normall PVCl endotracheall tubel
(comparedl tol thel internall diamater)l
l E.l Havel 2l cuffsl whichl arel resistantl tol combustion
Answer:
D
Q:l Twol daysl postl upperl spinall surgery,l patientl noticesl parathesial ofl thel rightl arm,l
surgeonl thinksl thisl isl anl ulnarl nervel palsyl duel tol poorl positioning.l Whatl signl willl
distinguishl al C8-T1l nervel rootl lesionl froml anl ulnarl nervel neuropathy?
l A.l parasthesial inl littlel fingerl
l B.l parasthesial inl thel distributionl ofl thel interscalenel nervel
l C.l weaknessl inl adductorl digitil minimil
l D.l weaknessl inl abductorl pollicisl brevisl
l E.l weaknessl inl laterall interosseus
Answer:
D
, A-l no,l ulnarl nervel territory
B-l nol suchl nervel (thatl Il canl find!)
C-l ifl theyl meantl ABDUCTORl digitil minimusl thenl no,l asl suppliedl byl ulnar,l asl arel alll
intrinsicl musclesl ofl thel handl exceptl laterall twol lumbricalsl &l thel threel musclesl ofl thel
thenarl eminencel (abductorl pollicisl brevis,l flexorl pollicisl brevis,l opponensl brevis;l medianl
nervel innervatesl these)
D.l YESl Ifl abductorl pollicisl brevisl weak,l thenl mustl bel C8/T1l lesion,l asl thisl musclel
suppliedl byl MEDIANl nervel butl sharesl thel nervel rootl originl ofl C8/T1l withl thel ulnarl
nerve.
Q:l Youl arel 2l hoursl intol anl operation.l 3Ll ofl IVl Crystalloidl hasl beenl given.l Therel
hasl beenl minimall bloodl loss.l Thel dilutionall anaemial isl compensatedl by:
l A.l Cellularl anaerobicl metabolisml
l B:l Capillaryl vasodilationl
l C:l Increasedl cardiacl outputl
l D:l Increasedl tissuel oxygenl extractionl
l E:l Rightwardsl shiftl ofl thel Oxygenl -l Haemoglobinl dissociationl curve
Answer:
C
Q:l Youl arel puttingl inl anl Internall Jugularl CVC.l Whichl manoeuvrel willl causel
maximuml venousl distensionl ofl thel jugularl vein?
l A.l Continuousl Positivel Airwayl Pressurel (Nol valuel given)l
l B:l Breathl holdl atl end-expirationl
l C:l Manuall compressionl atl thel basel ofl thel neckl
l D:l Trendelenburgl positionl
l E:l Patientl performsl al valsalva
Answer:
E
Q:l Whatl isl approximatelyl thel systolicl bloodl pressurel inl anl awakel neonatel (mmHg)
l A.l 55l
l B.l 70l
l C.l 85l
l D.l 100l
l E.l 115
Answer:
Bl 70
