BJA 2023

Question 1

An uncooperative, acutely distressed - 3 year old male swallowed a button batteries presented severe abdominal pain, stridor and drooling

Outline your anaesthesia plan for the removal of foreign bodies and reasons for your choices
What complications may arise from this situation and may they present?

Question 2

“32 year old unknown gestation and parity, estimated to be 10 weeks pregnant with a history of moderate pulmonary hypertension referred to high risk obstetric clinic.=
Discuss your pre operative anaesthesia plan and how would you council this patient?
Discuss your anaesthetic management plan associated with delivery”

Question 3

“67 year old male with end stake kidney failure requiring haemodialysis with vascular access catheter with moderate to severe pulmonary hypertension secondary to severe interstitial pulmonary fibrosis is scheduled for formation of right radiocephalic AV fistula.
i) Justify your regional anaesthesia technique for this patient (20%)
ii) Discuss mechanisms of block failure and mitigation strategies (60%)
Following your regional anaesthetic technique, you deem the block to be inadequate.
iii) Discuss your ongoing management (20%)”

Question 4

What are the perioperative considerations for systemic sclerosis

Question 5

“Describe the pharmacological management of the following arrythmia
Hemodynamically stable, Broad complex tachyarrhythmias
Hemodynamically stable, Narrow complex tachyarrhythmias “

Question 6

“27 year old G2P1 currently 29 weeks pregnant referred for emergency laparoscopic appendicectomy for perforated appendicitis
Outline your perioperative issues and considerations
Discuss you anaesthesia goals “

Question 7

Discuss the role ECMO for high-risk airway procedures.

Question 8

A 50yo man with a known diagnosis of HIV presents for emergency laparoscopic cholecystectomy. He is otherwise well. How will this diagnosis affect your anaesthetic management? (70%). What factors need to be considered following staff needle-stick injury during this case? (30%).

Question 9

A 12 month old child is scheduled on your elective list for a hypospadias repair at a regional hospital. The patient’s parents raise concerns about the effect of anaesthesia on their child’s neurological development. How would you counsel these parents? (70%) How would this affect your anaesthetic management? (30%)

Question 10

Evaluate the options for regional analgesia following open thoracotomy

Question 11

Discuss how a diagnosis of autism in a 6 year old changes your perioperative management

Question 12

List the indications for V-V ECMO. What are the complications of V-V ECMO?

Question 13

A patient on your list having a laparoscopic cholecystectomy. They have a diagnosis of HFpEF. Discuss your perioperative management

Question 14

Discuss the perioperative factors that can influence intraoperative neuromonitoring.

Question 15

Discuss the regional technique options to provide analgesia for a total hip arthroplasty

Question 16

While putting in an epidural for labour analgesia, you have recognised a dural puncture. Describe your approach to open disclosure.