1
ANZCA FINALS
ANZCA FINALS PAST MCQ 100% Verified
Questions & Answers | Grade A | Latest
(2026/2027)
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
E - WRONG according to OHA p202 -JC
Absolute contraindication to sitting position for posterior fossa craniotomy for meningioma
ANZCA FINALS
, 2
ANZCA FINALS
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
C: Oesophageal stricture so transoesophageal echo placement is out
D: History of TIA
E: Aortic stenosis - ANS ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
* Cerebral ischaemia when upright and awake
* Anaesthesia or surgical team not familiar with the position
ECG- which does NOT have abnormal Q waves:
A: Digoxin toxicity
B: Anterior myocardial infartion
C: Previous AMI
D: LBBB
E: Wolff-Parkinson-White syndrome - ANS ANSWER A
ANZCA FINALS
, 3
ANZCA FINALS
Long stem about an old #NOF patient with aortic stenosis. What is a sign/ investigation/ symptom that
shows the most severity? (ie Which one of these would indicate that the lesion was severe?)
A: Thrill in Aortic area
B: Murmur in lower left sternal edge
C: Murmur radiating to carotids
D: History of ischaemic heart disease or coronary artery disease
E: history of angina/ syncope - ANS ANSWER A
A - True - "A precordial thrill may be felt, especially on leaning forward in expiration. Its presence is
reasonably specific for severe aortic stenosis"
Petit mal epilepsy - Which is true? (or words to that effect)
A: Most common in child <2 years old
B: Can precipitate seizures by hyperventilating
C: Often seizures last for more than 30 seconds
D: Rarely familial
E: Isoelectric EEG during seizure (burst suppression) - ANS ANSWER B
Absence seizures
-abrupt and sudden onset of impairment of consciousness (blank stare, possible upward rotation of
eyes)
-usually brief <20sec
ANZCA FINALS
, 4
ANZCA FINALS
-EEG generalised spike and slow wave discharges
-hyperventilation triggers in 90%
-treatment mainly valproate (second line lamotrigine)
-should not use carbamazepine, vigabatrin, tiagabine, phenytoin, gabapentin and pregabalin --> not
effective in treatment
Hypertension- severe- in pregnancy (or was it PET?) What NOT to use?
A: Hydrallazine
B: Nifedipine
C: Labetalol
D: Metoprolol
E: SNP - ANS ANSWER E
Post CEA on ward, patient seizes. BP has been hard to control. What to do to prevent further seizures?
A: Add another antihypertensive
B: Start antiplatelet drugs
C: Start anticonvulsants
D: Do angio and stent
E: Nimodipine - ANS ANSWER A
Post operative left pneumonectomy. What to do with underwater seal drain?
ANZCA FINALS
ANZCA FINALS
ANZCA FINALS PAST MCQ 100% Verified
Questions & Answers | Grade A | Latest
(2026/2027)
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
E - WRONG according to OHA p202 -JC
Absolute contraindication to sitting position for posterior fossa craniotomy for meningioma
ANZCA FINALS
, 2
ANZCA FINALS
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
C: Oesophageal stricture so transoesophageal echo placement is out
D: History of TIA
E: Aortic stenosis - ANS ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
* Cerebral ischaemia when upright and awake
* Anaesthesia or surgical team not familiar with the position
ECG- which does NOT have abnormal Q waves:
A: Digoxin toxicity
B: Anterior myocardial infartion
C: Previous AMI
D: LBBB
E: Wolff-Parkinson-White syndrome - ANS ANSWER A
ANZCA FINALS
, 3
ANZCA FINALS
Long stem about an old #NOF patient with aortic stenosis. What is a sign/ investigation/ symptom that
shows the most severity? (ie Which one of these would indicate that the lesion was severe?)
A: Thrill in Aortic area
B: Murmur in lower left sternal edge
C: Murmur radiating to carotids
D: History of ischaemic heart disease or coronary artery disease
E: history of angina/ syncope - ANS ANSWER A
A - True - "A precordial thrill may be felt, especially on leaning forward in expiration. Its presence is
reasonably specific for severe aortic stenosis"
Petit mal epilepsy - Which is true? (or words to that effect)
A: Most common in child <2 years old
B: Can precipitate seizures by hyperventilating
C: Often seizures last for more than 30 seconds
D: Rarely familial
E: Isoelectric EEG during seizure (burst suppression) - ANS ANSWER B
Absence seizures
-abrupt and sudden onset of impairment of consciousness (blank stare, possible upward rotation of
eyes)
-usually brief <20sec
ANZCA FINALS
, 4
ANZCA FINALS
-EEG generalised spike and slow wave discharges
-hyperventilation triggers in 90%
-treatment mainly valproate (second line lamotrigine)
-should not use carbamazepine, vigabatrin, tiagabine, phenytoin, gabapentin and pregabalin --> not
effective in treatment
Hypertension- severe- in pregnancy (or was it PET?) What NOT to use?
A: Hydrallazine
B: Nifedipine
C: Labetalol
D: Metoprolol
E: SNP - ANS ANSWER E
Post CEA on ward, patient seizes. BP has been hard to control. What to do to prevent further seizures?
A: Add another antihypertensive
B: Start antiplatelet drugs
C: Start anticonvulsants
D: Do angio and stent
E: Nimodipine - ANS ANSWER A
Post operative left pneumonectomy. What to do with underwater seal drain?
ANZCA FINALS
