Sunteți pe pagina 1din 13

EDAIC part 2 exams 2015

Istanbul exam. EDIAC part 2 1st day.


1st station.
1.Oxygen. Hbg diss. Curve all details.
2. Vomiting centres.. And anti emetics.
3. NSAID all details.
4. Anatomy of Bronchial tree.
5. Sodium and osmoregulation
2nd station.
1. Compare Sevo and Des.
2. Phys. Changes in pregnancy
3.Nitrous oxide and nitric oxide.
4. Induction with propofol. Distribution. Elimination. Context sens. Half time.
5. Assessment of kidney functions.
Station 3.
1. Septic shock and ARDS.
2. PONV
3. ACLS
4. laser surgery and airway fire
Station 4.
1. DM assessment. Complications. Insulin protocols.
2. Pace Maker.
3. Eye blocks.
4.ECG ... Heart block
5. Saftey with HIV
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
----------------------

EDIAC PART 2 ISTANBUL

DAY 2
STATION 1:
HYPOXEMIA: definition,causes, oxygen shunt, oxygen curves,.....
PG
ADH
Rhabdomyolysis
brachial plexus: motor supply. anatomy
station 2
tiva
pharmacokinetics of propfol
GFR
COAGULATION MONITORING :TESTS AND THEIR SIGNIFICANTS
LOCAL ANAESTHETICS PHARMACOLOGY
STATION 3
DIABETIC PATIENTS IN SEPTIC SHOCK: MANAGEMENT, MEDICATIONS>>>ANTIBIOTIC
REGMINE ,INVESTIGATIONS , INOTROPES USED AND WHY, ABG AND MANAGEMENT
ANAESTHESIA FOR PEDIATRICS:INDUCTION MODES AND USED MEDICATIONS
CHEST X RAY: SYSTEMATIC COMMENT AND FINDINGS
CAPNOGRAM>>> MALIGNANT HYPERTHERMIA: MANAGEMENT

STATION 4
CASE OF PLEURODESIS FOR PLEURSY >>> YOUNG AGE 25 YEARS OLD PT. FROM EAST
AFRICA WITH COUGH AND BREATHLESS ,HYPERTENTION :
INFECTIOUS DISAES IN EAST AFRICA>>>CHEST AND BLOOD
>>> ONE LUNG ANAESTHESIA >>> TUBES, HYPOXIA AND ITS MANAGEMENT
WPW (HEART BLOCK) ANAESTHETIC CONSIDRATIONS
ECG COMMENT
---------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------
Vienna 9/2015
Oxygen delivery-
starlings forces -
O2 dissociation curve-
CO 2 dis. Curve, co2 transport-
Neuromuscular junction-
.drug elimination -
.cardiac cycle curves -
dose response curves -
.genetic pleomorphism -
.I.V. induction agents _
stellate block -
blood supply to the heart -
cardiac output measurement -
.neuromuscular monitoring -
.capnography -
.awareness -
.D. D & severe asthma, management -
,pre-eclampsia -
.CEA -
.incompatible blood transfusion -
.cirrhotic pt for hemicolectomy, anesthetic management -
CXR & ECG -

Second part EDAIC porto 2015 exam :copied from Dr.Sarah

1. oxygen delivery and consumption and factors affecting it .


2.stellate ganglion block and local anesthetic toxicity
3.physiological implications of acute and chronic renal failure
4.factors affecting partial pressure of inhalational anesthetic at induction choose 2
induction agents including nitrous
5.biers block
6.chemical burn to the face and chest
7.end stage chronic renal failure coming for av fistula ... your anesthetic management
8.aortic stenosis aetiology symptoms signs and anesthetic managment
9. 4 year old with strabismus concerns
10.physiological implication of an adult losing 1liter of blood and your management .....
Good luck to you all

ISTANBUL 2014
I Day
Session I
Which pulmonary .”respiratory insufficiency“ Head Q: What do you understand by
function tests would help in assessment ? How does anesthesia affect respiratory
?functions
:discussion the following questions were asked During
Pulmonary function tests and how to tell obstructive vs restrictive (clinical…blood… then
.).… spirometry and so on
.… ,O2 cascade, alveolar gas equation and shunt equation, O2 content, DO2
:The other 12.5 minutes
s a circle then went ’Blood supply to the brain: the circle of Willis, Draw, explain why it
into CEA and how to avoid brain ischemia (monitoring, the use of shunt, . . . ) which type
of anesthesia . . . stellate ganglion block . . . its complications . . . complications of Local
.Anesthetics
Physiological changes in pregnancy and how you manage a young lady with advanced
.pregnancy who collapses inside hospital
Anticoagulants and precautions with blocks
A patient underwent 60% hepatectomy: what is the investigation you would do
immediately postop and what are the likely electrolyte disturbance? What about his
?renal function
Session II
Draw a diagram representing drug concentration of a short acting induction agent. Show
s clearance, volume of distribution and how can you use this ’half time marks. What
.knowledge in drug infusion of anesthetics
.Context sensitive half life
.Factors affecting MAC and how to speed induction
.Metabolism of muscle relaxants
The other 12.5 min
) . . ,Visceral pain(define, criteria
)?ECG : wide complex tachycardia (can you calculate axis
Session III
A 66 y old male patient, smoker for 20 year (30 pack/ year) and stopped 3 years ago,
underwent radical cystectomy for cancer bladder. The procedure was lengthy because
of adhesions. The patient was shifted to ICU postoperativel where he was extubated
.successfully but then developed dyspnea
.Discussion of the case involved assessment, investigations and causes of his dyspnea
t use in surgery for cancer. (recent studies showed that ’Which anesthetics you can/can
patients with cancer anesthetized with GA+ regional technique had less recurrence than
)when opiods were used
.X-ray: left-sided diaphragmatic hernia
A patient undergoing laparoscopic fundoplication develops intraoperative hypoxia
)(diagnosis and management
.Management of status asthmaticus
Session IV
A 35 Y old, 34 week pregnant female with repeated attacks of severe headache
undergoes a brain CT which shows a big frontal meningioma leading to increased ICP
.and midline shift. Her blood pressure is 170/110
s your plan, what is causing her ’During case discussion I was asked the following (what
hypertension, how would you manage her hypertension and how to prevent acute
)increases in ICP with intubation
TEF (tracheoesophageal fistula): management and suppose fistula is at carina what will
?you do
Polythiacemia rubra vera: define, is there any bleeding tendency and what are the
.measures to prevent peri-operative venous thrombosis and PE
.Anesthetic management of patient with untreated hypertension
ICP (intracranial pressure): monitoring, normal value and how to decrease, neuraxial
with increased ICP

DAY II

Station I
.Pulmonary function tests
)Stellate ganglion block(anatomy, indications and complications
)Hypo- and hypercalcemia (causes, treatment and ECG changes
Station II
Measurements that can be obtained from pulmonary artery catheter
)Anti-coagulants (peri-operative management
.Perioperative use of B-blockers
.Perioperative oral hypoglycemic
.)Diuretics (perioperatively
Station III
male patient was found unconscious in a closed space during a burn A 27 y old
accident. There were burns to his face with soot around mouth. (Discussion went
through management of inhalational burn, complications and anesthesia for such
).patients
)Pulmonary embolism (management
X-ray: intubated patient with fracture rib and pneumothorax and lung contusion on the
.right side
Station IV
y old male patient, 179 cm height and 105 kg weight, was operated for right 65
hemicolectomy was admitted to ICU 5 weeks post-op for heart failure and sepsis. During
s scheduled for grafting of the bed sores. ’his stay he developed bed sores and he
(discussion went into causes for this, how to evaluate preoperatively and investigations
)needed then anesthetic management of such patient
.Phantom limb pain
Multiple sclerosis
Airway assessment for a patient with goiter and hypothyroidism
.degree heart block with septal infarction ECG: 1st
Compare ropivacaine to bupivacaine.

London 2014
Pharmacokinetics of opoids.
Contex sensitive half life.
Pharmacokinetics of propofol and comparison to thiopentone
Anatomy of brachial plexus
Comparison of aortic and femoral pulse wave. In which pressure is higher?
Comparison of O2 and CO2 dissociation curve and causes of shifting.
Transport of CO2.
Bohr effect.
Haldane effect.
Post tonsillectomy bleeding.
65 yrs old pt transferred to ICU after successful distal esophagectomy he was stable and
extubated. In the 1st po day he became tachypnic tachycardiac and feverish: your
management.
CXR: patient with cardiomegamly, pleural effusion, intubated and pacemaker in place.
60 yr pt with obstructed inguinal hernia he had inferior MI 2 months ago and pacemaker
one week ago: your management.
Scaral nerve block.
Types of pacemaker and intraoperative management.
Cerebral autoregulation curve.
Factors affecting speed of inhalation induction.
Patient had splenectomy surgery with intra operative bleeding and transfused and got
stable with large fluid support . He was admitted to intensive care post operative ..In 1st 12
Hrs ..exposed to Anurea / Oliguria .then sudden onset tachycardia......explain what to
expect ....what is best 1st choice management ...you need to do urgently.
CO2& O2 dissociation curve.
ETCo2 curve.
Propofol & thiopental.
Glucose metabolism.
Osmolality & osmorality.
Upper limb blocks.
Opioids: routes, pharmacokinetics.
Brain circulation
Autoregulation.
Plum function tests.
Central & peripheral arterial pressure curve.
Patient post lower oesophageal op, hypotension, tachypnea, tachycardia, oliguria.
Management of septic shock.
Managment of atrial fibrillation,
Anesthesia for emergency CS & difficult airway managment,
Types of LMA,
Anesthesia for post tonsillectomy bleeding 10yo.
CXR W pacemaker, ETT, cardiomegaly.
Patient with abd pain, nausia & vomiting, history of inferior MI 2month ago & pacemaker
insertion, with incarcerated inguainal hernia... Anesth managment, (pacemaker letters,
anticoagulant, post op complications, post op tachypnea,)
Lower limb blocks.
LA toxicity.
Inherited disease associated with problems in anesthesia.
ECG: bradycardia, junctional rhythm, LVH.

EDAIC Vienna 2014(1ST DAY)


Physiology:
-Difference in systemic PaCO2 and PaO2 in normal and supine one lung ventilation,
explanation with curves..
- pulmonary functions
- differences between pediatrics and adults with stress on the airway anatomy and
physiology.
Pharmacology:
- a stat dose of 200 mg of propofol given to a 70 kg patient.
How to estimate plasma concentration and What you will need to know to do that.
-Single and multi compartment models.
Difference between propofol and thiopental.

-toxic effects of inhalational anesthetics


-drugs acting on the uterus
Case:
--63 years old with cancer colon and received chemotherapy but stopped 6 months ago
due to cardiac and renal toxicity, coming for liver resection due to single metastasis ,
splenic injury intra operative but manged to save the spleen. Nurse calling you in the
recovery for low urine output..
--options for anesthesia in old age coming for cataract, advantages and disadvantages of
each option.
--intra operative bradycardia and hypotension in a patient with a pacemaker..
-chest X ray of rt lower lobe collapse
Case:
-asthmatic patient on 3 (unknown)medications for emergency lumbar vertebral
decompression with acute lower limb paralysis.
How would you proceed.
-How to assess pain. Pain scales, effects of pain on the postoperative period.
-ECG of Heart block.
-prolonged QT syndrome. Causes, complications and management.

EDIAC Vienna (second day) 2014


How to calculate the loading dose of propofol
What is the factors affecting drug distribution
Ionization and solubility
pKa, pH, Hassel pack equation
Local anaesthetics: mechanism of action, chemical formula, factors affects potency and
solubility
Compare between ropivacaine and bubivacaine
Pulmonary function test: normal, obstructive, restrictive, changes under anaesthesia
Pulmonary shunt, V/Q mismatch, lung zones
Ca homeostasis and role of it in the body and haemodialysis in CRF patients with
coagulopathy
Case 1: case of CABG complicated with bleeding and shifted to the ICU, management,
complications (they like to hear MI in the differential diagnosis of any oliguria)
CXR: ICU patient with lung opacity (note the tubes like ICT, ECG, ETT, CVP)
Case 2: case with history of stable angina, HTN and for aortic aneurysm repair (pre-intra –
post)
Acute pancreatitis, VF (torsade de point)
NB: cardiac physiology and assessment manly asked in the clinical

Turkey 2013
Porphyria
Femoral n anatomy
Cardiac transplant appendix
Lap in cardiac
Hypoxia
Hypothyroidism
Burn fluid
Away fire
Oxygenation Cascade
Obstetric physiology
Nausea v
Ideal gas
Dc
Brachial plexus block
Shunt
Management of cardiac transplant pt with appendicitis