primary FCARCSI OSCE (Spring) March 2011

Station 11.

Peripheral Nerve Stimulator

A.      Component of PNS

B.      Common sites of testing

C.      What strength would you use

D.     How does this works

E.      What is Rheobase?

F.      What is Chronaxie?

G.      What tells you injection is inside the nerve.

Station 12

Communication station

Speak to 72 yrs old lady coming for Left TKR; She is concerned of post op pain relief.

Discuss options

Station 13

Technical skills Station

Questions About TAP (Transverse Abdominal Plain) block

A.      What makes Triangle of Petit?

B.      What nerves are blocked with TAP block?

C.      Write method of Performing TAP block?

D.     Can you use any equipment?

E.      What are the complications?

F.      What are the muscles of  abdomen?

G.      Give two indication of TAP block?

H.     Where do you inject?

Station 14:

ECG station: Two ECG

1.      CHB Question related to management, Anaesthetic consideration

2.      Atrial Fibrillation Questions on Causes, Treatment, Complications

Station 15

Speak to Mum whose child is having a circumcision and allay her anxiety

Station 16

Rest Station

Station 17

CPR scenario: Ventricular fibrillation

Station 18: Face to face discussion about CO2 absorber

A.      Advantages

B.      Disadvantages

C.      What is Baralyme, Uses and disadvantages

D.     Any other CO2 absorber you know of?

Station 1:

Please Examine the Eye of this Patient.

Relevant Question on Extraocular muscles, Pupillary Reaction, Reflexes, Fundus Etc

Station 2: Critical Incident (Unmanned)

Post central line insertion………Patient became hypotensive and Tachycardic

Write down:

A.      Differential Diagnosis

B.      Immediate Treatment

C.      Further Management

Station 3: Critical Incident ( Unmanned)

Following Gelofusin Administration of 500ml, patient became tachycardic, Hypotensive and Hypoxic.

Write:

A.      Differential Diagnosis

B.      Management

C.      Further Test

Station 4:

Checklist Station (pictures on the Laptop) question related to :

A.      VIE

B.      Pressure Regulator

C.      Nitrous Oxide Cylinder

D.     Bourdon Gauge

E.      Pressure reducing valve

F.      Cylinder Marking label them

Station 5:

Airway Station: Scenario, RSI, Grade 3 View, Difficult intubation Drill. Airway manikin. Man (an Actor) Present in room for airway examination and demonstration of anatomy and Procedure.

DAS guidelines

Station 6

Manned Statio: Discussion on Hypothermia and Management.