FINAL FRCA EXAM MCQS APRIL 2009

Full set of questions

1. Supraclavicular brachial plexus (repeat from RCOA Q88)

2. Induced Hypothermia (Repeat from RCOA Q252)

3. Topical anaesthesia to Pyriform fossa block anaesthetises

a) Superior laryngeal nerve

b) Ansa hypoglossi
c) Hypoglossal nerve
d) Glossopharyngeal nerve
e) Recurrent laryngeal nerve

4. Recurrent laryngeal nerve

a) Supplies cricothyroid
b) Some of the intrinsic muscles of larynx
c) Sensory supply
d) Completely abducted after transection
e) Supplies inferior constrictor

5. Carcinoma tongue
a) Common in the ant 2/3
b) Radiotherapy first line Rx for primary lesion
c) Chronic septic conditions of teeth predispose
d) Leukoplakia predisposes
e) Prognosis better than Ca lip

6. Maxillary nerve block at the pterygopalatine fossa

a) Anaesthetises upper molar

b) Upper incisor
c) Soft palate
d) Ant 2/3 tongue
e) Anterior part of nose

7. obturator nerve sensory innervation

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FINAL FRCA EXAM MCQS APRIL 2009

a) medial part of upper thigh

b) post aspect of knee
c) ant aspect of knee
d) lateral asp of thigh

8. 3 in 1 block blocks
a) fem n
b) obt n
c) l c n thigh
d) genito fem n
e) ilioinguinal nerve

9. R lung anatomy
a) Is not covered by sibsons fascia
b) Is closely related to azygos vein
c) Has seven segments
d) Usually has one fissure
e) Has two pulm veins

10. exponential decay

a) Time constant
b) Constant proportions
c) T1/2 vs time constant
d) 3 time constants 95 % complete

11. brochopleural fistula

a) anaesthetised supine
b) chest drain in situ
c) ?high Vt and low flow rates

12. one lung v oxygenation improved by

a) CPAP to non dependent lung
b) PEEP to non dependant lung
c) O2 insufflation
d) Inc rate to dependent lung
e) Clamping pulm artery of non dependent lung

13. Sepsis assoc with

a) Haemoconcentration
b) High cardiac output
c) Brochospasm

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FINAL FRCA EXAM MCQS APRIL 2009

d) Intravascular thrombosis
e) ?

14. Swaeting, Palpitation, dizziness after discontinuing discontinue tpn preoperatively

due to
a) Hyperosmolar dehydration
b) Hypomagnesemia
c) Hypo phospatemia
d) Hypoglycemia
e) ?

15. complications of incompatible blood transfusion in a t

a) nausea
b) lumbar pain
c) dyspnoea
d) paresthesia
e) jaundice

16. After repair for L cong diagph hernia child becomes dusky following reexpansion of
atelectaic lung. Imm treatment includes
a) R side decompression
b) L side decompression
c) Chest X ray
d) ABG
e) Reopen abdomen

17. hyperchoplesterolemia assoc with

a) Myxedema
b) Neph syndrome
c) Bilary cirrhosis
d) Polymiositis
e) scleroderma

18. bony ankylosis of hip can occur in

a) Ank spon
b) Septic hip
c) TB hip
d) Failure of union of # NOF
e) Sever OA

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FINAL FRCA EXAM MCQS APRIL 2009

19. reduced SVO2 in hypothermia can be due to

a) inappr correction to temperature
b) Low cardiac output
c) Shivering due to hypothermnia
d) SNP toxicity
e) ?

20. Distribution of ventilation during inspiration is achieved closest by the following

a) Constant insp flow
b) Fast initial insp flow then decreasing
c) PEEP
d) Incresed Ti> 1 sec
e) Ti=Texp

21. statistic analysis before and after inh anaesthetic then Pa CO2 values provided with
mean +/- SE. Appropriate methods for analysis
a) ANOVA
b) CHI squared
c) Paired T
d) Unpaired t
e) Regression analysis

22. stellate ganglion block causes

a) dryness on affected side
b) miosos
c) exopthalmos
d) vasodialataion
e) piloerection

23. chronic pancreatitis - pain relieved by

a) celiac plexus block
b) superior hypogastric block
c) epidural opioids
d) greater splanchnic nerve block
e) ?
24. goldman risk index include
a) previous cardiac surgery
b) H/O MI

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FINAL FRCA EXAM MCQS APRIL 2009

c) HT
d) Mitral valve disease
e) AF

25. prognostic factors in acute pancreatitis (Imrie scoring system)

a) WCC> 15
b) BM< 4
c) PaO2 <10 on breathing room air
d) Serum albumin < 3.2 g per dL
e) Age < 30
26. oesophageal Doppler
a) reliable in presence of IABP
b) ?FTc correlates PAOP
c) velocity of ascending aorta
d) Aortic cross section area derived
e) ?

27. electrical safety

a) Class I equipment
b) Current of 100 mA with Pot diff of 240 V
c) Current of 100 mA Pot diff of 2V
d) Flooring of theatres had increased resis to prevent static elecricity
e) Relative humidity> 50% to prevent static electricity

28. thermodilution technique co not useful in presence

a) RV failure
b) Pul HT
c) VSD

29. Pst op period after L lobectomy

a) AF recognised comp
b) L heart border obliterated
c) Something to do with Upper and lower chest drains
d) Thoracic epidural complicated
e) ?
30. In critical illness pharmacokinetics directly affected by
a) cerebral dysfunction
b) tissue edema
c) hypoxia
d) Respiratory acidosis
e) ?

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FINAL FRCA EXAM MCQS APRIL 2009

31. Diffusion across BBB (Repeat from RCOA)

a) Lipid solubility
b) Plasma brain con gradient
c) MW
d) Protein binding
e) ?

32. Pre-renal uraemia (partially repeated from RCOA Q 158)

a) low urine pH
b) high urine urea
c) high urine osmolarity
d) Urine Na
e) oliguria

33. methanol poioning

a) can cause severe colic abdo pain
b) ethanol is not part of treatment
c) does not affect retina
d) ? acidosis
e) hyperventilation

34. permanent pacemaker

a) K+ < 2.9 should be corrected
b) Needs prophylaxis for Inf endo
c) Bipolar should not be used
d) Hypotension a problem
e) ?

35. pharyngeal pouch

a) post oeso wall herniation
b) nerniation between crico and thyro pharyngues
c) cricoid prevents aspiration
d) assoc with rec Resp tract inf
e) ?

36. hiatus hernia

a) Assoc with FE defieciency
b) B12 def
c) Stricture of lower oeso
d) Mallory Weiss syndrome

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FINAL FRCA EXAM MCQS APRIL 2009

e) ?

37. cervical spine injury

a) ruled out by cross table lateral radiographs
b) neu deficit can occur first on movement

38. tension pneumothorax after multiple injuries treament

a)

39. IABP (Repeat from RCOA)

40. pH direct and derived measures

a) PH
b) PaCO2
c) BE
d) Actual HCO3-
e) Standard bicarb

41. pulmonary embolism features

a) large a waves on JVP
b) hemoptysis
c) triple rhythm
d)
42. SjVO2 (Partially repeated from RCOA)

43. ICP management during craniotomy

a) Lumar CSF drainmage
b) Ventricluar CSF drainage
c) Elective hyperventilartion
d) SNP infusion
e) Mannitol

44. Myasthenia gravis

a) Resistance to Sux
b) Rate of muscle shortening and tetanus
c) Sensitive to NDMR
d) PTC after depol MR

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FINAL FRCA EXAM MCQS APRIL 2009

45. Spinal cord injury above ? T5

a) Barorecptor reflex exaggerated
b) Autonomic hyperreactivity
c) Hypogylemia
d) Altered thermo reg
e) Sux

46. Cordotomy
a) Needs GA
b) Needle inserted C1/ C2
c) ?Spinothalamic tract
d) Cannot be performed above T5
e) Affects other sensation in addition to pain

47. Brown sequeard syndrome

a) Ipsilateral ses
b) Ips motor
c) Ipsi extensor
d) ?
e) rombergism

48. Brain death ( partially repeat from RCOA)

a) Temp>35
b) 3rd nerve reflexes
c) PaO2>12
d) Knee jerks
e) ?

49. Oxytocin (Repeat from RCOA)

50. Childhood asthma (Repeat from RCOA)

51. FEV1/ FVC decreased in

a) Lobar pneumonia
b) Laryngeal edema

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FINAL FRCA EXAM MCQS APRIL 2009

c) Atelectasis
d) Asthma
e) Emphysema

52. Phantom limb pain

a) Spinal aggravates
b)

53. TENS
a) Low freq high intensity stim
b) Stimulates Adelta fibres
c) Effective in 60% of chronic back pain
d) Activates fibres in s.gelatinosa
e) ?

54. PDPH – treatment proven to be effective

a) Bed rest for 24 hrs
b) Epidural infusion of saline
c) Elective forceps
d) EBP
e) ?

55. Stress response partially repeated from RCOA Q195

a) Increased utilisation of glucose with reduces fasting BM
b)

56. Fat embolism features (partially repeated from RCOA)

a) Hematuria
b) pyrexia
c) Petichia
d) Papilodema
e) CO2 retention

57. Incomplete axillary bloc for Colle’s fracture tretment options

a) Convert to GA
b) Repeat axilary block

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FINAL FRCA EXAM MCQS APRIL 2009

c) Increments of morphine
d) 5 ml of 1% injection just lateral to biceps tendon
e) ?

58. ICP and head injury assoc features

a) Pulmonary edema
b) HT
c) Bradycardia
d) ?
e) ?

59. Hyperbaric O2 produces

a) Apnoea
b) Increases binding of CO and Hb
c) Muscle twitches
d) ?N&V
e) ?

60. PDA
a) ?R vent output
b) decreased Fa/ Fi of volatile
c) ? renal blood flow
d) ?
e)

61. Eisenmenger’s syndrome

a) Reduced by hypovolemia
b) Reduced by dec SVR
c) Requires presence of VSD
d) ?
e) ?

62. Myxedemic coma treatment

a) Hydrocotisone
b) Active warming
c) IV T3
d) Oral liothyronine
e) ?

63. Severe asthma management options

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FINAL FRCA EXAM MCQS APRIL 2009

a) Hydrocortisone not given if already on steroids

b) Na cromoglycate useful
c) Flow generators not useful

64. Sus anaphylaxis following IV contrast imm managemnt

a) Rapid saline infusion
b) Int and IPPV
c) IV adrenalkine
d) Chlorpheniramine
e) Hydrocortisone

65. Aneroid pressure gauge (Repeat from RCOA)

66. Circle absorber Repeated from RCOA

a) Volume of canister equal to pt ideal Vt
b) Volume of reservoir bag not critical
c) Apl valve between pt and canister
d) One unidirectional valve
e) VIC positioned between FGF and pt

67. O2 failure supply features (Direct from Pinnock)

68. Pulse oximetry

a) Affected by CO
b) Jaundice
c) Ambient light
d) Alarm should be set to 85%
e) Inaccurate <70%

69. Central venous pressure

a) Subcalvian can be used
b) Zero point @ angle of Louis irrespective of position of head
c) Antecubital catheter insertion should not be inserted > 20 cm
d)

70. Urinary diversion (uretero sigmoid) produces

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FINAL FRCA EXAM MCQS APRIL 2009

a) Hypochloremia
b) Acidosis
c) Inc urea which relieves quickly
d) ?
e) ?

71. Hypokalemia (K+2.5 and HCO3 15 )and acidosis

a) DKA after insulin
b) Resp failure
c) Large blood volume replacement
d) CP Stenosis
e) ?

72. Iron deficiency anemia indices

a) Redused serum iron
b) In TIBC
c) Reduces errum ferritin
d) Reticulocytosis following Rx
e) Hypochromic microcytic anemia in smear

73. Small bowel obstruction clinical features

a) Absent bowel sounds
b) Central abdo pain worsened by vomiting
c) Dull in the flanks
d) Distended abdo
e) ?

74. Local anaesthetic and abscess (decreased effect due to

a) Increased absorption from site
b) Low pKa of La
c) Acidosis of tissues
d) Tissue edema
e) ?
75. Coma in hepatic failure causes
a) Increased enzymes released from liver
b) Increased bilirubin
c) Opiods
d) Bebzos
e) Increased NH3

76. Lumbar facet joint pain

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FINAL FRCA EXAM MCQS APRIL 2009

a) Local tenderness
b) Straight leg test +
c) Pain worsended by extension
d) Worsening with valsalva
e) ?

77. CRPS type 1 pain

a) Alpha blockers usegul
b) ?
c) ?
d) ?
e) ?

78. IV guanethidine block

a) Can be repeated
b) Torniquet pressure ?
c) Causes postural hypotension
d) ?

79. COPD after lap chole drowsy and retaining CO2

a) Increse Fi to 100%
b) Int and IPPV
c) Monitor NMJ
d) CPAP and 100%
e) ?

80. Prolonged bleeding time

a) VWD
b) Aspirin
c) Hereditary thrombosthaenia
d) HSP
e) ?

81. Head down during laparoscopy and effects (in the first hour)
a) Increased seru n lactate
b) Increased GFR
c) Increased ICP
d) CO
e) ?

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FINAL FRCA EXAM MCQS APRIL 2009

82. Ephedrine
a) Metabolised by COMT
b) Duration of action 30-40 minutes
c) ?Choice vs Norad in obstetrics
d) ?
e) ?

83. 66% N2O and O2

a) has direct myocardial depressant effect
b) Increased RBF
c) ?
d) ?
e) ?

84. Sux apnoea and cholinesterase monitored usinf

a) Dubucaine]
b) Flouride
c) Procaine
d) ?
e) ?

85. PH of arterial blood

a) A-a DO2 in a pt breathing 100% < 15kPa is Normal
b) PH is same as nixed venous sample
c)

86. Carotid sheath at C6

a) Vagus
b) Carotid artery
c) IJV
d) Sym chain]
e) ?

87. Obstructive jaundice#

a) Inc unconj bilirubin
b) Alp Phos> 100
c) Inc urobil in urine
d) Fat in stools
e) Palpable gall bladder if due to gall stones

88. Reliable preop index of treatment of throtoxicosis

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FINAL FRCA EXAM MCQS APRIL 2009

a) Sleeping BP
b) Relief of anxiety
c) Releif of hyperactivity
d) Sleeping HR
e) ?

89. Pressure cycling in ventilaors

a) Decreases Physiological dead space
b) ?
c) ?
d) ?
e) ?

90. Surfactant
a) Can be produced synthetically
b) Increases surface tension
c) Found in amniotic fluid at term
d) Affects alveolar capillary mem permeability
e) Reduces collapse of alveoli at low ling volumes

1. Following biochemical changes occur following ureteric colon anastomosis

There were few options
2. Following biochemical changes occur in obstructive jaundice
Were given enzyme levels as well, urobilinogen,
3. Increased cholesterol is seen in the following disease conditions
there was some syndrome as an option
4. Following methods are used in methanol poisoning
Ethanol was one of the option
5. the following suggest symptoms and signs of pharyngeal pouch
swallowing , cough
6. Regarding cordotomy following are true
Need a GA, will be done in the cervical region
7. Oesophageal Doppler
Need to measure cross section of aorta, need to know age, weight
8. following tests suggests pre renal failure compared to renal failure
unfortunately no magic figures were given as described in all the books
9. the following are true regarding carcinoma of tongue
MC in the lateral margin, treatment is RT, Recurence is common, Predisposing
condition was mentioned
10. bleeding time is increased in the following conditions
hemophilia, von willebrands disease
11. following left lobectomy
left heart border is disappeared? need 2 chest drains one at the apex one at the base?

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FINAL FRCA EXAM MCQS APRIL 2009

12. regarding anatomy of lung

Azygous vein is related to r lung? 3 lobs in r lung?
13. something about Nitrous oxide
14. Pressure cycled ventilators
Asked very complicated parameters for the patient
15. Bronco-pleural FISTULA(from RCOA BOOK)
16. Treatment methods used in treating ICP
17. REGARDING Electrical SAFTY IN THEATRE
18. Following are true regarding Students paired t test
Was given easy options
19. regarding oxygen failure devices
20. spo2 probe is accurate in the following conditions
Jaundice low spo2
21. Following can measure directly from ABG Machine
OXYGEN, CARBON DIOXIDE AND PH
22. regarding pressure gauge
Principle was an option, pressure of co2
23. Regarding tens
Asked about frequency and current, place of electrodes in labour
24. Hiatus hernia
MC Organism, predisposing factor an risk factor for carcinoma of stomach
25. brown sequard syndrome
Typical choices from text book
26. surfactant
decreases the compliance, secreted by cells
27. circle system(probably from RCOA BOOK)
components of mixtures and something else

28. myxodema coma treatment

thyroxin, steroids, Ippv,
29. following are observed following oxytocin treatment(from RCOA BOOK)
30. regarding cvp measurement
infection is common in which cvp line, pneumothorax was common in which cvp
line, occlusive transparent dressing was another option
31. Jugular bulb oxygen saturation is increased in the following conditions(RCOA
Book)
32. Phantom limb pain
33. supra clavicular block differs from axillary’s block because supraclavicular
block(RCOA Book)
34. Reagarding Subarachnoid hemorrhage(RCOA Book)

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