1|Page
ANZCA MCQS FINAL EXAM V2 ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
You are called to see a 30 year old man with rapidly deteriorating asthma.
Following appropriate medical management an endotracheal tube is inserted and
he is ventilated with a mechanical ventilator with a tidal volume of 600ml and a
rate of 12 breaths per minute. Five minutes later the blood pressure is unrecordable
and external cardiac massage is commenced. Arterial blood is taked and shows ph
7.08, pCO2 96 mmHg, pO2 36 mmHg, SpO2 46% and bicarbonate 27 mmol/L. He
is administered adrenaline, salbutamol, pancuronium, bicarbonate and calcium
gluconate. The ECG shows sinus rhythm at a rate of 60 beats per minute. The
patient remains pulseless and cyanosed with fixed dilated pupils and distended
neck veins. The most appropriate management is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
D. cease ventilation for 30 seconds and resume at a slower rate
E. increase peak inspiratory pressure - ANSWER: D
A 42 year old lady presents for right pneumonectomy with a left sided double-
lumen tube. She is 132kg and 160cm. What depth, measured at the incisors, is
likely to give the ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
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E. 32cm - ANSWER: C
Millers formula:
Depth= 12 + (pt height cms/10) therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria - ANSWER: B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has
some haemoptysis. What is your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue xray of the neck - ANSWER: D
,3|Page
A 60 year old man with normal LV function is having coronary artery bypass
grafting. After separation from the bypass machine he becomes hypotensive with
ST elevation in leads II and aVF. The Swan Ganz Catheter showed a PCWP of 25
and CVP of 15 with normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole - ANSWER: B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity - ANSWER: B
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin
is more specific for Fe Deficiency. in Fe deficiency anaemia transferrin/Total Iron
Binding Capacity is increased, as total body stores of iron are low and the carrier
molecule (transferrin) is being underutilised. Therefore Transferrin
SATURATION will be low also.
, 4|Page
A full size C oxygen cyclinder (size A in New Zealand) has pressure regulated
from
A. 16000kpa to 400kpa
B. 16000kpa to 240kpa
C. 11000kpa to 400kpa
D. 11000kpa to 240kpa
E. 7600kpa to 240kpa - ANSWER: A
BOC website
MRI Telsa 3, least likely to cause harm
A. Cochlear implant
B. mechanical heart valve
C. Implanted intrathecal pump
D. Recently placed aortic stent
E. shrapnel fragment - ANSWER: B
not D as recently placed so not endotheliolised
What happens when you place a magnet over a biventricular internal cardiac
defibrillator
A. Switch to asynchronous pacing
B. Damage the internal programming
C. Nothing
ANZCA MCQS FINAL EXAM V2 ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
You are called to see a 30 year old man with rapidly deteriorating asthma.
Following appropriate medical management an endotracheal tube is inserted and
he is ventilated with a mechanical ventilator with a tidal volume of 600ml and a
rate of 12 breaths per minute. Five minutes later the blood pressure is unrecordable
and external cardiac massage is commenced. Arterial blood is taked and shows ph
7.08, pCO2 96 mmHg, pO2 36 mmHg, SpO2 46% and bicarbonate 27 mmol/L. He
is administered adrenaline, salbutamol, pancuronium, bicarbonate and calcium
gluconate. The ECG shows sinus rhythm at a rate of 60 beats per minute. The
patient remains pulseless and cyanosed with fixed dilated pupils and distended
neck veins. The most appropriate management is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
D. cease ventilation for 30 seconds and resume at a slower rate
E. increase peak inspiratory pressure - ANSWER: D
A 42 year old lady presents for right pneumonectomy with a left sided double-
lumen tube. She is 132kg and 160cm. What depth, measured at the incisors, is
likely to give the ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
,2|Page
E. 32cm - ANSWER: C
Millers formula:
Depth= 12 + (pt height cms/10) therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria - ANSWER: B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now
complaining of severe pain, difficulty swallowing, has a hoarse voice and had has
some haemoptysis. What is your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
E. Soft tissue xray of the neck - ANSWER: D
,3|Page
A 60 year old man with normal LV function is having coronary artery bypass
grafting. After separation from the bypass machine he becomes hypotensive with
ST elevation in leads II and aVF. The Swan Ganz Catheter showed a PCWP of 25
and CVP of 15 with normal PVR and SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole - ANSWER: B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity - ANSWER: B
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin
is more specific for Fe Deficiency. in Fe deficiency anaemia transferrin/Total Iron
Binding Capacity is increased, as total body stores of iron are low and the carrier
molecule (transferrin) is being underutilised. Therefore Transferrin
SATURATION will be low also.
, 4|Page
A full size C oxygen cyclinder (size A in New Zealand) has pressure regulated
from
A. 16000kpa to 400kpa
B. 16000kpa to 240kpa
C. 11000kpa to 400kpa
D. 11000kpa to 240kpa
E. 7600kpa to 240kpa - ANSWER: A
BOC website
MRI Telsa 3, least likely to cause harm
A. Cochlear implant
B. mechanical heart valve
C. Implanted intrathecal pump
D. Recently placed aortic stent
E. shrapnel fragment - ANSWER: B
not D as recently placed so not endotheliolised
What happens when you place a magnet over a biventricular internal cardiac
defibrillator
A. Switch to asynchronous pacing
B. Damage the internal programming
C. Nothing
