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ANZCA Finals Past MCQ Exam
/Comprehensive Questions And Correct
Answers 2025/A+ Guide Solution
Essential diagnostic criteria on ECG for LBBB
A. Loss of septal Q's in V5 and V6
B. RSR in V1
C. Large slurred S in V6
D. T-waves opposite to direction of QRS
E. QRS duration minimum 0.2 s-correct-answer-ANSWER A
A
Diagnostic criteria for LBBB:
• 1) Total QRS duration >0.12 s.
• 2) No secondary R wave in V1 to indicate RBBB.
• 3) No septal q wave in V5, V6 or in leads further to the left (lead I and aVL in
horizontal hearts).
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37. A pregnant lady is undergoing neuroradiological coiling of a cerebral
aneurysm. At what gestational age should you monitor foetal heart rate to ensure
adequate uteroplacental blood flow
A. 20 weeks
B. 24 weeks
C. 28 weeks
D. 30 weeks
E. 32 weeks-correct-answer-ANSWER B
When instructing ward staff on monitoring for respiratory depression in a patient
using PCA (patient controlled analgesia) you would advise that early respiratory
depression is best detected by monitoring
A. frequency of boluses on PCA machine
B. pulse oximetry
C. pupil size
D. respiratory rate
E. sedation scores-correct-answer-ANSWER E
A child with intra-operative blood loss. A cardiac arrest is most likely because of
A. A delay in delivery of blood from the blood bank
B. Inadequate intravenous access
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C. Underestimated intra-operative blood loss
D. Underestimated pre-operative hypovolaemia
E. Complication of transfusion-correct-answer-ANSWER C
Endocarditis prophylaxis in patient with MVR appropriate for?
A. Dental procedure
B. Rigid bronchoscopy
C. Upper endoscopy with biopsy
D. D&C
E. Lithotripsy-correct-answer-ANSWER E
Dental procedures, it really depends on which procedure.
A man is working with electrical appliances at home with a residual current
device. If he touches the active and the neutral (was it neutral or earth) wire he
will suffer
a. A microshock
b. A macroshock
c. Nothing happens because the fuse blows
d. The RCD will protect him from macroshock-correct-answer-ANSWER D
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Severe asthma attack. Given continuous nebs & IV hydrocortisone but not
responding. PaCO2 low. SpO2 low. Next appropriate treatment?
A. IV Magnesium
B. IV Aminophylline
C. Heliox
D. IV salbutamol infusion
E. Intubate/ventilate-correct-answer-ANSWER A
Atrial septal defect, where is the murmur heard the loadest?
A. PV
B. MV
C. ASD
D. AV
E. TV-correct-answer-ANSWER A
Best position for IABP is 1-2 cm:
A. Distal to Left SCA
B. Proximal to Left SCA
C. Distal to artery of Adamkiewicz
D. Distal to renal artery
ANZCA Finals Past MCQ Exam
/Comprehensive Questions And Correct
Answers 2025/A+ Guide Solution
Essential diagnostic criteria on ECG for LBBB
A. Loss of septal Q's in V5 and V6
B. RSR in V1
C. Large slurred S in V6
D. T-waves opposite to direction of QRS
E. QRS duration minimum 0.2 s-correct-answer-ANSWER A
A
Diagnostic criteria for LBBB:
• 1) Total QRS duration >0.12 s.
• 2) No secondary R wave in V1 to indicate RBBB.
• 3) No septal q wave in V5, V6 or in leads further to the left (lead I and aVL in
horizontal hearts).
,2|Page
37. A pregnant lady is undergoing neuroradiological coiling of a cerebral
aneurysm. At what gestational age should you monitor foetal heart rate to ensure
adequate uteroplacental blood flow
A. 20 weeks
B. 24 weeks
C. 28 weeks
D. 30 weeks
E. 32 weeks-correct-answer-ANSWER B
When instructing ward staff on monitoring for respiratory depression in a patient
using PCA (patient controlled analgesia) you would advise that early respiratory
depression is best detected by monitoring
A. frequency of boluses on PCA machine
B. pulse oximetry
C. pupil size
D. respiratory rate
E. sedation scores-correct-answer-ANSWER E
A child with intra-operative blood loss. A cardiac arrest is most likely because of
A. A delay in delivery of blood from the blood bank
B. Inadequate intravenous access
,3|Page
C. Underestimated intra-operative blood loss
D. Underestimated pre-operative hypovolaemia
E. Complication of transfusion-correct-answer-ANSWER C
Endocarditis prophylaxis in patient with MVR appropriate for?
A. Dental procedure
B. Rigid bronchoscopy
C. Upper endoscopy with biopsy
D. D&C
E. Lithotripsy-correct-answer-ANSWER E
Dental procedures, it really depends on which procedure.
A man is working with electrical appliances at home with a residual current
device. If he touches the active and the neutral (was it neutral or earth) wire he
will suffer
a. A microshock
b. A macroshock
c. Nothing happens because the fuse blows
d. The RCD will protect him from macroshock-correct-answer-ANSWER D
, 4|Page
Severe asthma attack. Given continuous nebs & IV hydrocortisone but not
responding. PaCO2 low. SpO2 low. Next appropriate treatment?
A. IV Magnesium
B. IV Aminophylline
C. Heliox
D. IV salbutamol infusion
E. Intubate/ventilate-correct-answer-ANSWER A
Atrial septal defect, where is the murmur heard the loadest?
A. PV
B. MV
C. ASD
D. AV
E. TV-correct-answer-ANSWER A
Best position for IABP is 1-2 cm:
A. Distal to Left SCA
B. Proximal to Left SCA
C. Distal to artery of Adamkiewicz
D. Distal to renal artery
