ANZCA FINALS PAST MCQ QUESTIONS & ANSWERS

10/16/25, 11:09 PM ANZCA FINALS PAST MCQ QUESTIONS & ANSWERS Flashcards | Quizlet




ANZCA FINALS PAST MCQ QUESTIONS &
ANSWERS

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Terms in this set (1803)


Acromegaly due to excess ANSWER B
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




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ANSWER E
Ehlers-Danlos syndrome.
Most important to
ISSUES
specifically do all EXCEPT:
1. GORD and gastritis
2. Early satiety and delayed gastric emptying
A: Avoid hyperextension
3. High, narrow palate and dental crowding
of the neck
4. Peridontal disease (friability, gingivitis, gum
B: Damage to the teeth
recession)
C: Avoid joint
5. Joint laxity. Subluxations and dislocations are
hypermobility
common and represent the major manifestation of the
D: Gastro oesophageal
condition. All sites can be involved, including the
reflex
extremities, vertebral column, costo-vertebral and
E: Strict temperature
costo-sternal joints, clavicular articulations, and
regulation
temporomandibular joints.

An 85y.o for open AAA ANSWER C
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




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ANSWER C


A - WRONG: "Although widely practiced, prophylactic
erythrocyte transfusion remains a treatment with
appreciable complications whose potential benefits
A 35yr old African- have not been clearly demonstrated by a prospective,
American with sickle cell randomized clinical trial". Also a study in orthopaedic
and fractured ankle for patients "did not detect a prophylactic effect from
ORIF. Hb 90, Haematocrit preoperative transfusion" (Sickle Cell Disease and
0.3. Anesthesia. Anesthesiology 2004; 101:766-85)


A: Transfuse 2 units B - WRONG: "Although hypothermia would tend to
packed cells (?pre-op) retard sickling because of a left shift of the oxygen
B: Let him cool passively dissociation curve, hypothermia is often identified as a
to low/normal precipitant of perioperative SCD complications".
temperature "avoidance of patient hypothermia is a basic objective
C: Spinal is safe for most anesthetics" (Same reference)
D: Avoid thiopentone
E: Tourniquet is absolutely C - CORRECT: "The use of regional anesthesia
contra-indicated 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




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Absolute contraindication ANSWER A
to sitting position for
posterior fossa craniotomy ABSOLUTE CONTRAINDICATIONS
for meningioma
* Patent ventriculo-atrial shunt
A: Prescence of patent * Severe cardiovascular disease
ventriculo-atrial * Large patent foramen ovale or other pulmonary-
drain/shunt systemic shunt
B: 0.5mm PFO * Cerebral ischaemia when upright and awake
C: Oesophageal stricture * Anaesthesia or surgical team not familiar with the
so transoesophageal echo position
placement is out
D: History of TIA
E: Aortic stenosis

ECG- which does NOT ANSWER A
have abnormal Q waves:


A: Digoxin toxicity
B: Anterior myocardial
infartion
C: Previous AMI
D: LBBB
E: Wolff-Parkinson-White
syndrome




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