Part 1: Applied Clinical Anaesthesia Exam | Most Recent Exam Actual Complete Real Exam 36 Questions And Correct Answers (Verified Answers) Already Graded A+ |Guaranteed Success!! Newest Exam | Just Released!!

Part 1: Applied Clinical Anaesthesia Exam 2026 2027 | Most
Recent Exam Actual Complete Real Exam 36 Questions And
Correct Answers (Verified Answers) Already Graded A+
|Guaranteed Success!! Newest Exam | Just Released!!



Integrate knowledge of airway management, perioperative physiology, patient
safety, communication, ethics, and human factors in anaesthetic practice. (165
cards)
1
Q
List anatomical factors that can complicate intubation.

ANSWERS:


 Small mouth
 Receding chin
 High arched palate
 Large tongue
 Acquired injuries (e.g., burns, tumors)
 Poor dentition (e.g., loose teeth)
 TMJ disease limiting mouth opening
 Adenotonsillar hypertrophy
2
Q
What are the principles for managing patients with a subarachnoid
haemorrhage requiring endovascular coil insertion?

ANSWERS:


 Secure airway and maintain normoxia and normocapnia

,  Maintain stable cerebral perfusion pressure
 Treat pain and seizures
3
Q
Which reflexes are tested in brainstem death testing?

ANSWERS:


 Pupillary light (II + III)
 Corneal (V + VII)
 Facial pain (V + VII)
 Vestibulo-ocular reflex (VIII + III/IV/VI)
 Gag reflex (IX + X)
 Cough reflex (X + X)
4
Q
What local anaesthetic blocks may be used for superficial facial surgery?

ANSWERS:


 Infratrochlear (eyelids, nose and conjunctivae)
 Supraorbital and supratrochlear (forehead)
 Infraorbital (lower eyelid and upper lip)
 Mental (chin and lower lip)
5
Q
Which types of operation may need facial nerve monitoring?

ANSWERS:

,  Parotidectomy
 Middle ear surgery (e.g. mastoidectomy)
 Posterior fossa surgery (e.g. acoustic neuroma)
6
Q
How does the 2,3-DPG level change in stored blood?

ANSWERS:


Stored blood quickly loses 2,3-DPG and its ability to deliver oxygen.
7
Q
Briefly describe the pathophysiology of thalassemia.

ANSWERS:


There are four alpha globin genes on chromosome 14
 Alpha thalassemia results from mutations to 1 to 4 of these genes
There are two beta globin genes on chromosome 11
 Mutations in these genes cause beta thalassemia
 It usually manifests at 6 months of age when HbA takes over from HbF
8
Q
Which mutation causes sickle cell disease?

ANSWERS:


Glutamic acid is substituted for valine at position 6 of the beta globin chain.
9
Q

, What is malignant hyperthermia?

ANSWERS:


Rare autosomal dominant (chromosome 19) condition that can be triggered by
volatile agents and suxamethonium.
Incidence of 1 in 10,000.
10
Q
What are the clinical manifestations of malignant hyperthermia?

ANSWERS:


 Muscle rigidity
 Tachycardia
 Rising ETCO₂
 Increased oxygen requirement
 Hyperpyrexia
 Metabolic and respiratory acidosis
11
Q
Outline the pathophysiology of malignant hyperthermia.

ANSWERS:


Triggering agents (volatiles or suxamethonium) causes uncontrolled release of
free calcium from the sarcoplasmic reticulum due to a mutation in the
ryanodine receptor of the sarcoplasmic reticulum.
12
Q
What measures should be taken for a patient at risk of malignant
hyperthermia?