Primary FRCA OSCE/Viva Questions January 2008

Primary FRCA OSCE/Viva Questions January 2008
CLINICAL: A 25 years old male coming with a penetrating eye injury after a fight in a night club. an easy one with a critical incident of hypo!ia in reco"ery room#. $%&'IC': heat transfer( in theatre room( how to a"oid( photos of blood warmers and how their efficincy affected and usage with blood "ersus fluid( diagram showing ice through water through "apour and pointed areas of latent heat and what really happens in these points was not happy man)# then Laser protection( Laser tubes and theory of laser. $%&'I*L*+&: *2 cascade and factors affecting it( *2 deli"ery and the e,uatios( $itutary anatomy and A-% secretion( $ortal circulations( 'tarling forces and "ersus what happens in the +lomerluli. $%A./A: 0etamin ( actions( recptors( N/-A and +A1A( what is in the ampole( Isomerism in details and relation to structure acti"itu relationship and potency( to!iciy. Asthma drugs and how it wor2s relating to cA/$ and + protien receptors Anti leucotriens in asthan treatment3. *'C4 56-iathermy and electricity symbols with some circuits for comparison I defined the floating circuit#( protection for burn 26Anatomy of spinal cord sectio in details with discuss of blood supply and A'A 'yndrome. 76Anatomy of the heart 8%4 'A/4 IN 8%4 C*LL4+4 1**0 9I8% 8%4 'A/4 :;4'8I*N' 9I8% N* C%AN+4 A8 ALL))# <6=ray of "renal stone and "ague ,uestions about renal diseases not totally related to the subject. 56C8 of subdural haematoma with east ,uestions. >6Airway e!am in a patient can not mo"e his nec2 and great emphasis on lat ! ray and what you loo2 for. ?6Airway on a manni,uin and ,uestions on mo"ement of nec2 and how it wor2s with relation to .'I. @6'I//AN with a an anaphyla!is case I forgot to stop the anaesthetics))# A6Anaesthesia machine chec2 lea2 in the bac2 and near B+B and analyser not wor2ing 5C6Anaesthetic gas monitors in theatre room and hpw Infra red wor2s and what gases can read with picture of C*2 sidestream and others 556Communication with a -ural lea2 easy one# 526%istory ta2ing for an old man with a lot of polypharmacy and diseases I only missed his brothers died from what))# 576%istory ta2ing for a 75 y lady for gall bladder remo"al with a +A for C' before 5<6-efib. in a simman with some ,uestions on safety and how it wor2s direct#. 556Clinical s2ill of epidural for labour pain with tal2 about needles and catheter and doses of different drugs.
UHCW Coventry Primary FRCA !ourse

*'C4 '8A8I*N': 5# Anatomy of 8rachea( 1ronchi( Lungs and $leura D as2ed in detail about bronchi( broncho6pulmonary segments and pleura 2# Anatomy of the *rbit( '2ull foramina( $eribulbar bloc2 7# Intra6osseous needle D Indications( techni,ue( contra6indications and complications( fluid management in children <# $eripheral ner"e stimulator D sites( all modes of stimulation( $hase II 1loc2 5# 1ain Circuit D assembly( chec2ing( -ynamics of gas flow( soe 48Co2 traces ># 'im man D I8; patient with h3o difficult intubation with dislodged tracheostomy tube 2 days old tracheostomy# ?# 'im man C$. D EB shoc2able rhythm D demonstrate deli"ery of shoc2( administration of drugs @# /icroshoc2 D possible routes in the theatre( earthing of the electric e,uipment( some electric symbols A# C$. in Asystole D -I'C;''I*N *NL& of the AL' $rotocol 5C#8hermistor D physical principles( uses( methods of peri6operati"e temperature maintenance 55#4pidural Catheter D chec2ing before use. 8he outer pac2aging was deliberately torn and 2ept# 52#Communication D &oung Lady posted for Appendictomy. $ast h3o %eroin addiction( currently on /ethadone. Concerned about using /orphine. Counsel her. 57#8a2e history from a Fimbabwean Lady for pel"ic laparoscopy D fe"er( cough( weight loss( menorrhagia( Not tested for %bs( 5<#Lady with ALL on Chemotherapy for %ic2man Line insertion under +A D %istory *nly D h3o $neumothora! after pre"ious attempt at %ic2man Line insertion.( $*NE 55#Complete CN' 4!amination in a %ead Injured patient. 5># =6ray contrast $ulmonary Angiogram showing .$A 4mbolus 5?# 1arium swallow showing a $haryngeal web3 $ost cricoid web. $%&'I*L*+& EIEA: 5# %ypo!ia D types( *!y %b dissociation cur"e and the effects of the types of %ypo!ia on it. 2# Cardiac Cycle 7# /ono3poly6synaptic refle!( muscle spindle anatomy( compound A$( 4!citation contraction coupling
$%A.AC*L*+& EIEA: 5# 1ioa"ailabity D definition( factors affecting it( how will you find out the bioa"ailability of a orally administered drug( e!traction ratio( hepatic clearance. 2# Antibiotics D classification and mechanism of action of each class( mechanism of drug resistance( -rugs for /.'A and $seudomonas infection( side effects of penicillin. 7# *pioids D /olecular /echanism of action beyond receptors#( distribution of the receptors( 4ffects on the "arious organ system

$%&'IC' EIEA: 5# NI1$ D all the methods with their physical principles and I1$ 2# Blows in cannulas D laws go"erning them( 7# Needles D epidural( filter( .1N( Eygon arterial cannula( factors affecting the damping in a monitoring system <# % G estimation and its correlation with p%. p% electrode and %enderson %asselbalch 4,n. CLINICAL' EIEA: 22 years old gentleman brought to AG4 by paramedics after .8A. %as fracture of the shaft of femur. c3o Chest pain( difficulty in breathing. o34 thready pulse. %ow will you manageH -iscussion about: -3- for thready pulse 'ources of bleeding /anagement of %aemothora!( $neumothora!( %aemoperitoneum Bat 4mbolism 4stimation of peri6operati"e blood loss Indication for transfusion of blood and blood products
*'C4: 5.'im /an 6 anaphyla!is 2.'im /an 6 cardio"ersion of E8 7.Anatomy 6 brachial ple!us G a!illary ner"e bloc2 <.Anatomy 6 transection of spinal cord tracts( blood supply# 5.Anatomy3physiology 6 cardiac and coronary with identification of LCA on angiogram >.$rocedural s2ills 6 labour epidural ?.=6rays 6 C8 brain e!tradural haematoma# @.=6rays 6 A=. staghorn renal calculus# A.Clinical 6 management of bradycardia 5C. %istory 6 $re6hysterectomy 55. %istory 6 $re6 left hemi 52.Communication 6 %istory of post6labour epidural dural puncture headache G management options 57.$hysics6 entono! 5<.$hysics 6 "olatile agent measurement and capnography Ei"as: $hysiology:

5.*!yhaemoglobin dissociation cur"e( al"eolar gas e,uation( $*2 at altitude and increased bariatric pressure 2.%andling of glucose by the 2idneys 7.Action potentials6 cardiac and ner"e $harmacology: 5./idaIolam and +A1A receptors 2.Nicotinic and muscarinic receptors and drugs 7.*rganophosphate poisoning Clinical: A lady scheduled for electi"e laparoscopic cholecystectomy who can only open her mouth 2 fingers breadth6 discuss management. 'he de"eloped a se"ere anaphyla!is during the case. $re"ention3treatment of $*NE. $hysics: 5.Eenturi principle and applications 2.-efinitions of absolulte3relati"e humidity( measurement of humidity regnaults( wet3dry bulb( hair( mass spectrometry#( importance of humidity. 7./easurement of "olatile agents and C*2. physics and clinical 5. pt was 27yr old female with asthma. she was boo2ed for electi"e tonsillectomy. clinical incident was i 2noc2ed her tooth out. 2. blood pressure and describe in"asi"e techni,ue and trace 7. steriliIation3 disinfection 6 showed autocla"ed pics of lmas 6 had to 2now which had been autocla"ed by loo2ing at outside pac2aging. <. warming fluid and the thermostat physics and pharmacology 5. pressure "ol loops for left "entricle and what happens if more fluid( or ionotropes etc 2. intracerebral fluid 6 what is it( uses( pressure where produced( contents buffering capacity. how is it useful in altitue response. 7. gi"en 5l saline i" what happensH <. local anaesthetics 6 what determines potency( onset etc and what happens in a pus filled wound. 5. stats 6 p "alue( null hypothesis. if pJC.5 what does that mean. powerH >. anti hypertensi"es 6 classify . ace inhibitors 6 side effects. b bloc2ers. than2s for your fantastic boo2. I thin2 you ought to do another "olume with the other topics and I thin2 youKd ha"e the primary all sewn up) ps. osce: crico thyroid puncture 6 perform it

base of s2ull 6 sof and optic canal( how to perform eye bloc2 laser tube e!amine j"p e!plain to relati"e father ha"ing emergency aaa repair post lap chole called to ward 6 gi"en rhytmn strip 6 sinus tachy 6 what do you do safe defibrillation put leads in cm5 configuration and then speed of ecg and amplitude etc history( man for septoplasty simman 6 endo broncial intubation train of four( put electrodes on for ulnar twitch follow on history 6 woman with gra"es ha"ing sub total thyroidectiomy chec2 all e,uiptment for rsi o!ygen measurement 6 para( fuel cell and clar2 6 identify which is which and e!plain how pauling wor2s. 2 lateral chest !rays 6 one middle lobe pneumonia( other gas under diaphragm. cross section of spine 6 only one side mar2ed and not told if ascending or descending 6 E4.& 1A- ,uestion
*'C4 'tations 5. $ulse *!imeter: identification( usage( principles and problems. 2. 'E8: .hythm strip shown. Identify( treatment depending on stability. 7. %istory: Earicose "eins surgery. $t with Asthma who had been "entilated. <. 'inman: CanLt intubate( canLt "entilate scenario. Crico6thyroid puncture performed. 5. C=.: 'acroid in a 75 year6old man. 5C true6false. >. Anatomy. Identify "ertebrae: C53C2 "ertebrae and then further discussion regarding anatomy of spinal cord. 4g: identify the inter6"ertebral space( and facet joints. ?. 'ubcla"ian line: describe anatomy( relations of 'C "ein. %ow would you perform a right 'CE central line insertion. Complications. @. %istory station: -ental e!traction . $t has cutaneous prophyria. A. Bollow6on station: ,uestion regarding: 9hat operation( what co6morbidities( e!acerbating factors( occupation( one ,uestion on what is the disease.

5C. Chec2 a 1ain 'ystem. 55. =6ray: 8hyroid swelling. 52. /ethods of o!ygen analysis. Buel cell( Clar2e electrode and $aramagentic analyser: Identify them from schematic diagrams. Labelling of Clar2e electrode and Buel cell. 57. Cricoid $ressure. -emonstrate( indications( anatomical le"el( principle behind it( complications. 5<. 'inman: 1radycardia M hypotension during Lap cholecystectomy. 4ssential pt de"elops E8 following Atropine and Adrenaline. %a"e to -C cardio"ert. 4nsuring synchronisation. 55. An2le anatomy and an2le bloc2s. 5>. CE' e!amination 5?. Ner"e injury. $ictures and them as2ing which ner"e would be injured( assessment of ner"e injury. 9hat does the circumfle! ner"e supply and what is its origin and route. 5@. Communication station: Counsel a p for an awa2e fibro6optic intubation.
EIEALs $hysiology: -escribe and ,uantify typical "alues for C*31$3%.3CE$. -escribe what happens to them during blood loss. 9hat is shuntH :uestions related to that. -escribe how glucose( sodium and water are absorbed in the $C8. 9hat is inulin and how is that e!cretedH $harmacology

Local Anaesthetics %enderson6%asselban2 e,uation Anti6emetics %alf6life( plasma conc against time. 8wo compartment models. Clinical: 55 year6old afro6caribbean boy admitted to AM4 with painful testicle. 'urgeons want to operate immediately. No in"estigations a"ailable. -iscussion focused around sic2e6cell disease( diagnosis( pre6( intra and post6op management. Critical incident was Laryngospasm.
$hysics 'I ;nits %umidity( and de"ices used to humidify. Neuromuscular junction monitoring. P"ysio#o$y -raw graph for intraal"eolar pressure with time and intrapleural pressure change with time with inspiration and e!piration. 4ffect of I$$E on respiratory and cardio"ascular system. %ow is 8hyroid hormone synthesised( mechanism of action( and regulation of thyroid hormone in body. *ther hormone synthesised by thyroid calcitonin#( mechanism of action. Cerebral blood flow how is it regulated and graphs for patient with hypertension. P"arma!o#o$y $ropofol Compare and contrast propofol with thiopentone -rug metabolism $hase I and phase II reactions and Cytochrome $<5C mechanism significance of drug metabolism with e!amples. Inducers and inhibitors and there significance.

Adrenoreceptors: 6 8ypes and /echanism of action. 4!amples and sites of these receptors. C#ini!a# A ?5 year old lady for electi"e 8%.. 'he has got long standing rheumatoid arthritis. 9hat are the issues with her in regard to the anaesthetic managementH 4laborate on the "arious system in"ol"ements. Criti!a# in!i%ent 8otal 'pinal $ostoperati"e pain management in the patients of 8%. ad"antages and disad"antages associated the techni,ue used. P"ysi!s 9hat are transducersH 9hat are different typesH -raw diagram of transducer strain gauge. -raw 9heatstone bridge. 9hat is critical incidentH 9hat is calibration and three graphs for interpretation Linear( *ffset and gradient drift. 9hat is /inimal /andatory monitoringH 9hat are all the alarms and which alarm goes off first if the patient gets disconnected. OSCE 5. *2 analyserLs three diagrams and ,uestions on fuel cell( Clar2 electrode and $ara magnetism. 2. Cricoid pressure 7. %ow will you perform an2le bloc2 on an actor and distribution of the sensory supply on the leg and the dorsum of the foot. <. .esuscitation station bradycardia and then goes on to "entricular fibrillation 5. .esuscitation station only ,uestions on narrow comple! tachycardia >. %istory ta2ing for a male coming in for stripping of "aricose "eins ?. Cardio"ascular system e!amination @. 'im man ;nable to intubate and "entilate and cricothyroidotomy A. =6ray chest with 5C ,uestions to follow lady for a thyroid operation ha"ing tracheomalacia3de"iated trachea on !6ray. 5C. = ray of chest and 5C ,uestions 55. -emonstrate Cannulation of subcla"ian "ein 52. /achine chec2 bains circuit 57. Bollow on station with a person with porphyria cutanea tarda. 5<. Anatomy of spinal cord along with the "ertebrae atlas( a!is. 55. Communication station Bibreoptic intubation in a lady with difficult intubation last time 5>. $ulse o!imetry and *2 dissociation cur"es for haemoglobin and myoglobin

5?. Injury to the ner"es in patient positioning and methods of decreasing the injuries. Areas supplied by median ner"e( ulnar ner"e and radial ner"e. /y ,uestions: $hysiology Cardiac pressure3"olume cur"e Changes to After and preload and how they would change the cur"e %ow a change in compliance and contractility would alter the cur"e. C'B: how it is formed and reabsorbed Constituents and concentrations Bunctions 9hat happens on infusion a litre of fluid. $harmacology Local anaesthetics: types( chemical structure of ester and amides %ow they are metabolised 4!amples of each 9hat was the first local anaesthetic agent 9hat alters onset3offset etc 'afe dosages Antihypertensi"es 8ypes 8ell me more about AC4 inhibitors etc 'tatistics as part of pharmacology# 6 "ery une!pected 9hat types of data are there 9hat types of statistical analysis can we do e!amples of parametric and non parametric tests# 9hat is the Null %ypothesis 9hat is the power of a study Clinical 5@ year old man for 8;.$( 2nown dyspnoea and angina 6 Aortic stenosis with gradient of 7Cmm%g -iscussion about how iKd manage him 6 pre( peri and post operati"e -iscussion re spinal "ersus +A -iscussion about cardiac referrals etc Clinical incident : patient in reco"ery drowsy and possible reasons leading into 8;.$ syndrome $hysics $icture of a "aporiser : types( how they wor2( des "aporisor $icture of sca"enging : types( pollution le"els( etc $icture of ultrasound machine: how does it generate ultrasound( detect it( pieIoelectric physics

-oppler effect( what is it etc *'C4: 8ransection of spinal cord 6 name tracts and where blood supply from( what happens in anterior spinal arter syndrome *!ygen analysis 6 clar2 and fuel cells and label the diagram( paramagnetic analyser .'I 6 what e,uipment is re,uired( as2ed to chec2 the e,uipment ,uite amusing 6 the magills were stuc2 together( the laryngoscope had no battery etc# 8wo stations on radiology 6 both were ,uestions on a lateral C=. 6 une!pected -emonstrate how to do a cricothyroidotomy .esus station with defib 6 man in fast AB acutely with '1$ of ?C %istory 6 hyperthyroid woman for thyroidectomy %istory 6 man for nasal surgery with *bstructi"e 'leep Apnoea Communication 6 lady whoKs father rushed into AAA repair( discuss .esus station 6 called to I8; by '85 ( man bac2 from theatre after lap chole( desaturating with type 5 failure on gaeses( tube in to 2@ cm and crac2les o"er both sides once pulled bac2 6 had aspirated in theatre -iscussion of s2ull: what two things pass through cribiform plate still only 2now one#( through optic canal and superior orbital fissure. 4!amination of NE$ -odgy station on 4C+ trace 6 tal2ing about where to put leads for C/5( about filtering on 4C+ trace and Kspot the differencesK between non filtered and filtered 4C+ trace. +ot the feeling this was a test station. Lasers 6 what it stands for( safety ( what used for. %ope this helps( 8han2s again( $' 6 if you ha"e any cancellation for the airway course in Beb please let me 2now( i ha"e the day off anyway so could come at short notice and am really interested. *'C4 5# .4';' 5 NA..*9 C*/$L4= 8AC%&CA.-IA DAL' $.*8*C*L 5C ,uestions 2# .4';' 2 1.A-&CA.-IA protocol after gi"ing adrenaline *N A 'I//AN 94N8 E 8AC% 4=$4C84- ;' 8* '%*C0 AN- AL' $.*8*C*L 7# Communication >> year old lady pre"ious difficult intubation(e!plain awa2e fibreoptic intubation <# %istory Earicose "eins stripping asthmatic(ecIema 5# anatomy of an2le joint and bloc2 ># Anaesthetic haIards ;lnar ner"e damage and circumfle! humeral ner"e damage photos ?# 4,uipment Buel cell @# Anatomy

All "ertebrae 55 ,uestions A# 'im man CECI 5C# /achine chec2 1ains circuit 55# $rocedure 'ellic2s manour"ere 5C ,uestions 52# $rocedure 'ubcla"ian "ein cannulation 57# =ray 5 C*$- 5C ,uestions 5<#=ray 2 Ap "iew nec2 thyroid 6665C ,uestions 55 (5># follow on 8b pre"ious lobectomy (arthroplasty of wrist joints on steroids methotre!ate Ei"a $hysics : pulso!imeter(pressure regulator(mathematical cur"es Clinical:@2 year old turp hypertensi"e (ccf .critical incident hypo!emia 8;.$ syndrome $hysiologyO 1/.(A1+ analysis( control of respiration(action potentials $harm: nsaids(digo!in(protein binding $.I/A.& B.CA Nan 27rd 2CC@ *'C4 5. N/N monitoring D 8*B( 848( -1'O where to place electrodes( current( fre,( muscles inner"ated by ulnar ner"e 2. $re6history station D 8A% for mennorhagia( pre"ious awareness with em. C3' 7. %istory presentation and ,uestions <. =6ray D lateral C=. with hiatus hernia 5. 4,uipment chec2 pre6.'I D "arious items ob"iously sabotaged( discussion of machine chec2 etc >. Label tracts of spinal cord ?. /ethods of *2 analysis D paramagnetic( fuel cell( how they wor2 @. Awa2e cricothyroidotomy D Pe!plain to '85 how to perform this procedureQ difficult e!aminer( not sure what she wanted( e"erybody struggled# A. Anatomy D base of s2ull and orbit( peribulbar bloc2 5C. 'imman 6 fast AB with hypotension under +A( cardio"ersion etc. 55. 4C+ D how do they wor2H C/5 arrangement( "oltage etc 52. $ost6op. resus scenario D discussion only( cardiac arrest protocol3$4A post lap chole( causes 57. Comm s2ills D e!plain to relati"e about father in theatre with ruptured AAA 5<. %istory station D pt for septoplastywith symptoms of *'A 55. 4!amine NE$ D discussion about wa"es etc 5>. 'imman D endobronchial tube

5?. =6ray D another lateral C=.) 5@. Lasers D types( uses( how they wor2( tubes3precautions in thaetre EIEA' 5. $hys M $harm. 6 routes of drug admin( factors affecting absorption( bioa"ailability( transdermal preparations 6 anticholinesterases D draw N/N( uses( classify( mode of action( side6effects 6 diuretics D draw nephron( sites and modes of action( side6effects 6 Aortic3LE pressures3 cardiac cycle diagrams 6 LE pressure6"olume loop 6 Coagulation cascade 6 Bibrinolysis 2. Clinical M $hysics 6 type 5 diabetic aged >@ for urgent 10A 6 septic( oliguric( acidotic( H-0A 6 straight6forward discussion of pre6op assessment and optimisation 6 anaesthetic options: pros and cons of regional "s +A 6 e!plain spinal and epidural 6 critical incident: fitting in reco"ery D management( differential( treatment of LA to!icity 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 temperature measurement "apourisers biological signals D "oltages( fre,uencies( amplification( interference etc tric2y# *'C4 'tation 5 D A!illary Ner"e 1loc2 -emonstrate on person how you would perform an a!illary ner"e bloc2 9hat ner"es may be missed 9hat part of the ple!us are you aiming at $icture of dermatomes D what ner"es supply each dermatome 'tation 2 D 'pinal cord anatomy -iagram of a cross section of a spinal cord with ganglion to label 9hat cells are in grey matterH 9hat asc3desc tracts are labelled 9hat symptoms3signs from a transection of the cord 'tation 7 D Communication $-$% 'tation < D -ifficult Airway PAssess this manLs airwayQ 9hat in"estigations would you li2e D =. C spine to interpret 'tation 5 D -iathermy

6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 $acema2er D what is EEI -iathermy G pacema2er issues -iathermy safety < wa"e patterns D which is for cutting3coag 'tation > D -ifib safety 9al2 in D pt in theatre( E8 on monitor( what would you doH :uestions on /! of arrhythmias 'tation ? D +as analysis 9hat methods can be used to measure gases 9hy is Bi348 nitrous the same but Iso is different In what clinical setting would the 48 Iso be higher than set on the "aporiser 'tation @ D 1radycardia 4C+ strip Causes of bradycardia /anagement Ad"erse signs .is2 of asystole 'tation A D %istory 8a2ing %ysterectomy 'tation 5C D 'imman Anaphyla!is 'tation 55 D C8 head unmanned# -iagnosis( is there midline shiftH Is there a RH 'tation 52 D 4pidural 'how on the patient where and tal2 through how you would insert an epidural %ow far to insert catheter 'tation 57 Coronary Anatomy Angio of LCA 9here do the coronary arteries arise from( where do the "eins drain into 'tation 5< D %istory a# /an for hemicolectomy Hca( AB( /I 'tation 55 D %istory follow on 'tation 5> D A=. 'taghorn calculus( pt on anti 81 meds 5C 83B :s D this pt would benefit from steroids this pt is at increased ris2 of unwanted pregnancy 'tation 5? D /achine Chec2

6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 6 *2 analyser not wor2ing( no connection at common gas outlet( 'tation 5@ D 4ntono! 2 stage demand "al"e( ,uestions on C83pressures in cylinder( hypo!ic mi!ture Ei"as '*4 5 physiology3pharmacology# -raw the o!ygen %b dissociation cur"e Calculate o!ygen content at sea le"el and at altitude Ner"e action potentials D duration( membrane potentials( what causes the potential to reach threshold /uscarinic3nicotinic receptors( where are they( what do they do( ag3antag at each 1enIos D different types of receptor( metabolism( discussion about midaIolam -ose response cur"es D why we use them '*4 2 physics3clinical# Anaphyla!is +as analysis D C*2 D mainstream3sidestream %ow I. is used to measure gases %umidity D .egnaultLs hygrometer( humidity3temp relations

Primary FRCA OSCE/Viva Questions January 2008

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Primary FRCA OSCE/Viva Questions January 2008

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UHCW Coventry Primary FRCA !ourse