Get Through Primary FRCA: SBAs PDF
Preview Get Through Primary FRCA: SBAs
Including 180 brand new single best answer questions and detailed answer explanations, Get Through Primary FRCA: SBAs provides candidates with the definitive revision resource for this recently introduced question format of the Primary FRCA examination. • Test yourself with 180 brand new revision questions covering the full curriculum • Question format is entirely up-to-date and loyal to the newly incorporated single best answer questions in the examination • Detailed answer reasoning provides full understanding of gaps in geT understanding and where further revision is needed • Questions are organised randomly to provide ten sets of thirty SBA practice papers, providing realistic and concentrated exam practice. THRoUgH Written by an experienced author team who have extensive knowledge of the exam through their roles teaching Primary FRCA courses, Get Through Primary FRCA: SBAs is essential reading and revision material for postgraduate candidates preparing for the written part of the Primary FRCA examination. Primary FRCA: About the authors Desikan Rangarajan FRCA PhD is Speciality Registrar in Anaesthesia, SBAs The Royal London Hospital, Barts Health NHS Trust, London, UK Mandeep Phull FRCA BSc is Speciality Registrar in Anaesthesia, The Royal London Hospital, Barts Health NHS Trust, London, UK Vinodkumar Patil FRCA is Honorary Senior Clinical Lecturer, Queen Mary, University of London, London, UK, and Consultant in Anaesthesia, BHR University Hospitals NHS Trust, Romford, UK Desikan Visit www.examdoctor.co.uk for online exam revision for trainee doctors Practise your way to exam success Rangarajan Mandeep Phull K17374 ISBN-13: 978-1-4441-7606-3 90000 Vinodkumar Patil 9 781444 176063 K17374_Cover_mech.indd All Pages 7/26/13 11:00 AM get through Primary FRCA: SBAs K17374.indb 1 24/07/2013 06:21 Let examdoctor prepare you for your Primary FRCA exam! Examdoctor is an interactive revision site for trainee doctors and medical students, offering a comprehensive range of Royal College and other professional medical examinations. • Large question bank: over 1600 MCQs and SBAs, including over 800 new questions for 2013 • Expert authorship: all questions are written by anaesthetists with first-hand experience of the exam and overseen by expert editors • Detailed answer explanations: comprehensive notes on each question to guide further revision • Target areas of weakness: custom tests by subject area to focus your practice • Ask an expert: our specialist authors are on hand to answer your queries • Flexible subscriptions: whether you want a 1-week crash course, or longer-term revision anywhere up to 12 months, we have the best option for you • Follow your progress: detailed results analysis and peer benchmarking let you see where you are improving and where you need to work harder • Mock examinations: timed and structured to reflect exam conditions • Mobile access: whether you’re on- or offline, mobile browse access and the examdoctor app let you continue your revision seamlessly, wherever you are Visit www.examdoctor.co.uk for further details and to take out a free trial. Find us on Facebook, Twitter and YouTube K17374.indb 2 24/07/2013 06:21 geT THRoUgH Primary FRCA: Let examdoctor prepare you for your Primary FRCA exam! SBAs Examdoctor is an interactive revision site for trainee doctors and medical students, offering a comprehensive range of Royal College and other professional medical examinations. • Large question bank: over 1600 MCQs and SBAs, including over 800 Desikan Rangarajan FRCA PhD new questions for 2013 Speciality Registrar in Anaesthesia, The Royal London Hospital • Expert authorship: all questions are written by anaesthetists with Barts Health NHS Trust, London, UK first-hand experience of the exam and overseen by expert editors • Detailed answer explanations: comprehensive notes on each question to guide further revision Mandeep Phull FRCA BSc • Target areas of weakness: custom tests by subject area to focus Speciality Registrar in Anaesthesia, The Royal London Hospital your practice Barts Health NHS Trust, London, UK • Ask an expert: our specialist authors are on hand to answer your queries Vinodkumar Patil FRCA • Flexible subscriptions: whether you want a 1-week crash course, or longer-term revision anywhere up to 12 months, we have the best Honorary Senior Clinical Lecturer, option for you Queen Mary, University of London, London, UK, • Follow your progress: detailed results analysis and peer and Consultant in Anaesthesia, benchmarking let you see where you are improving and where you need to work harder BHR University Hospitals NHS Trust • Mock examinations: timed and structured to reflect exam conditions Romford, UK • Mobile access: whether you’re on- or offline, mobile browse access and the examdoctor app let you continue your revision seamlessly, wherever you are Visit www.examdoctor.co.uk for further details and to take out a free trial. Find us on Facebook, Twitter and YouTube Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business K17374.indb 3 24/07/2013 06:21 CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2014 by Desikan Rangarajan, Mandeep Khaur Phull, Vinodkumar Patil CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20130716 International Standard Book Number-13: 978-1-4441-7607-0 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibil- ity or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the drug companies’ printed instruc- tions, and their websites, before administering any of the drugs recommended in this book. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Foreword vii Preface ix Abbreviations xi Introduction xv 1 Paper 1: Questions 1 2 Paper 1: Answers 13 3 Paper 2: Questions 27 4 Paper 2: Answers 37 5 Paper 3: Questions 51 6 Paper 3: Answers 61 7 Paper 4: Questions 75 8 Paper 4: Answers 85 9 Paper 5: Questions 99 10 Paper 5: Answers 109 11 Paper 6: Questions 123 12 Paper 6: Answers 135 v K17374.indb 5 24/07/2013 06:21 K17374.indb 6 24/07/2013 06:21 Foreword Anaesthetists have always been at the leading edge of ensuring the delivery of safe, high quality clinical practices. It is recognised that quality training translates to a high quality practitioner. The Royal College of Anaesthetists (RCoA) has been at the heart of maintaining standards and producing high quality anaesthetists by developing curricula that are ‘fit for purpose’, and assessment processes that are relevant. Postgraduate exams remain a key component in the assessment of competence in all specialties and continue to be important in maintaining standards of clinical care. The Fellowship of the Royal College of Anaesthetist is still prized by anaesthetists in training in both the UK and around the world. It is recognized as a mark of high quality training and a significant professional achievement. The FRCA exam continues to be reviewed and adapted; an example of this being the introduction of the single best answer component to the Primary exam in 2011. This was introduced in response to criticisms from the Postgraduate Medical Education and Training Board (PMETB) that the traditional multiple choice question exam tested factual recall only but not the ability to apply that knowledge. The single best answer (SBA) had been adopted by a number of other postgraduate medical exams, and the RCoA subsequently agreed to introduce this method of assessment into the FRCA exam. This represented a major undertaking of work for examiners and others in writing new questions, something I was privileged to be part of as an examiner at that time. The SBA is considered a better assessment of ‘knows how’ and ‘knows why’ rather than just ‘knows’ and could be more discriminatory in reducing the impact of guesswork. At time of writing, the RCoA has published the results of three sittings of the Primary exam containing SBA. Analysis of these sittings demonstrated that combining the SBA with traditional multiple choice questions did not reduce the pass rate, and if anything may have increased it marginally. Due to the relative recent introduction of SBA questions, there are few practice texts for the Primary exam. This book is therefore timely and I am sure will prove useful to candidates revising for the exam. The authors have devised a wide range of questions, (both single best answers and single correct answers) with a range of subject matter from basic science to clinical practice. The answers come with useful explanations and with references which help the reader delve into the subject in further depth should they wish to do so. vii K17374.indb 7 24/07/2013 06:21 F I wish all of you aspiring anaesthetists and perioperative care physicians success o r in your forthcoming exam and your future career. You have chosen an excellent e w career to follow. o r d Dr Arun K Gupta, MBBS, MA, PhD, FFICM, FRCA, FHEA Director of Postgraduate Education Academic Health Sciences Centre Cambridge University Health Partners Director of Postgraduate Medical Education Director of the Addenbrooke’s Simulation Centre Consultant in Anaesthesia and Neurointensive Care Cambridge University Hospitals Associate Lecturer, University of Cambridge viii K17374.indb 8 24/07/2013 06:21 PreFACe A broad knowledge base is a prerequisite to function as a competent anaesthetist, and the FRCA primary syllabus reflects this requirement. Indeed, the extensive breadth and depth of knowledge expected are daunting and at times may appear insurmountable. Furthermore, there has been a trend in recent years to sit and pass the examination as early as possible, so as to facilitate successful competition for training numbers. Such a trend limits candidates’ ability to add to their knowledge by experience, and more and more emphasis is placed on book work. It cannot be overemphasised that preparation is key to passing this exam. We would advocate that the candidate plan well ahead and read voraciously. Though detailed knowledge is desirable, a broad understanding on extensive topics is likely to help the candidate in the first instance. We feel that layering of information is without doubt the best approach; the basic foundation of concepts should be sound before the addition of details. For example, it is better to know how the oil–gas partition value of a particular anaesthetic agent relates to potency, rather than to know the actual value without appreciation of the significance. Once the foundations are solid, candidates will find it easy to pin additional information, which thus allows them to tackle seemingly impossible questions and also to impress examiners in the oral component of the exam. Bear in mind that this process takes time, and do not be discouraged in the early part of your endeavour. You are not alone. A shrewd mid-sixteenth-century European proverb states, ‘Use makes perfect,’ and as such practice papers should be incorporated into the preparation for the written component of the Primary FRCA examination. Practice papers allow candidates to not only test their knowledge but also become familiar with the format and time limits. The Single Best Answer (SBA) has only recently been introduced into the Primary FRCA examinations. The SBAs comprise one third of the marks available in the written paper, and hence there is scope to lose a substantial number of points should the candidate be ill prepared. Our personal observations indicate that candidates struggle with the SBA format, and many have failed the written component of the Primary FRCA examination as a consequence. To compound this, there are few sources in print that aid candidates to appreciate the complexity of such questions. We have set about to address this issue by compiling an examination aid which contains six papers, each containing 30 SBA questions. The chief aim of this book is to expose the candidate to the format and provide a safe environment in which to practice and prepare. We have scoured the Primary syllabus to identify topics and have tried to cover all the main headings (Pharmacology, Physiology, Physics, Equipment, Measurement and Clinical scenarios) that are likely to appear as SBAs. ix K17374.indb 9 24/07/2013 06:21
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