Passing the Primary FRCA SOE A Practical Guide Passing the Primary FRCA SOE A Practical Guide DrClaireM.Blandford MBBSFRCAEDRAPGCertMedEd ConsultantAnaesthetist,TorbayandSouthDevonNHSFoundationTrust UniversityPrintingHouse,CambridgeCB28BS,UnitedKingdom CambridgeUniversityPressispartoftheUniversityofCambridge. ItfurtherstheUniversity’smissionbydisseminatingknowledgeinthepursuitof education,learningandresearchatthehighestinternationallevelsofexcellence. www.cambridge.org Informationonthistitle:www.cambridge.org/9781107545809 (cid:2)C CambridgeUniversityPress2016 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithoutthewritten permissionofCambridgeUniversityPress. Firstpublished2016 PrintedintheUnitedKingdombyClays,StIvesplc AcataloguerecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloguinginPublicationdata Names:Blandford,ClaireM.,1982–,editor. Title:PassingtheprimaryFRCASOE:apracticalguide/editedbyClaireM.Blandford. Description:Cambridge,UnitedKingdom;NewYork:CambridgeUniversityPress,2016.| Includesbibliographicalreferencesandindex. Identifiers:LCCN2015048882|ISBN9781107545809(pbk.:alk.paper) Subjects:|MESH:Anesthesiology|ExaminationQuestions Classification:LCCRD82.3|NLMWO218.2|DDC617.9/6076–dc23LCrecordavailableat http://lccn.loc.gov/2015048882 ISBN978-1-107-54580-9Paperback CambridgeUniversityPresshasnoresponsibilityforthepersistenceoraccuracy ofURLsforexternalorthird-partyinternetwebsitesreferredtointhispublication, anddoesnotguaranteethatanycontentonsuchwebsitesis,orwillremain, accurateorappropriate. .................................................................................................. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-dateinformationwhich isinaccordwithacceptedstandardsandpracticeatthetimeofpublication.Althoughcasehistoriesare drawnfromactualcases,everyefforthasbeenmadetodisguisetheidentitiesoftheindividualsinvolved. Nevertheless,theauthors,editorsandpublisherscanmakenowarrantiesthattheinformationcontained hereinistotallyfreefromerror,notleastbecauseclinicalstandardsareconstantlychangingthrough researchandregulation.Theauthors,editorsandpublishersthereforedisclaimallliabilityfordirector consequentialdamagesresultingfromtheuseofmaterialcontainedinthisbook.Readersarestrongly advisedtopaycarefulattentiontoinformationprovidedbythemanufacturerofanydrugsorequipment thattheyplantouse. Tomywonderfulparents,foralltheirloveandsupport Contents Listofcontributors pageviii ForewordbyDrJohnCarlisle ix Preface xi Acknowledgements xiii Exam4 123 Introduction 1 DrThomasBradley DrClaireM.Blandford SOE1 123 SOE2 144 Exam1 12 DrClaireM.Blandford Questionbank 163 SOE1 12 DrClaireM.Blandford,DrCathryn SOE2 29 Matthews,DrTheresaHinde,and DrThomasBradley Exam2 44 QuestionsonPhysiologyand DrCathrynMatthews Biochemistry 163 SOE1 44 QuestionsonPharmacology 166 SOE2 65 QuestionsonClinicalTopics 168 Exam3 86 QuestionsonPhysics,Clinical Measurement,Equipmentand DrTheresaHinde Safety 172 SOE1 86 SOE2 106 Index 175 vii Contributors DrClaireM.Blandford ConsultantAnaesthetist,TorbayandSouthDevonNHSFoundationTrust DrCathrynMatthews ConsultantAnaesthetist,RoyalDevon&ExeterNHSFoundationTrust DrTheresaHinde AnaestheticRegistrar,PeninsulaDeanery DrThomasBradley AnaestheticRegistrar,PeninsulaDeanery viii Foreword Likeyou,dearreader,IhavenevertastedtheambrosiathataccompaniessuccessattheStruc- turedOralExamination.HowmightIpass,shouldfatedictatethatImustinordertopursue myambitionsasananaesthetist?Helpisathand. MyfriendsClaire,Cathryn,TheresaandTomhavewrittenthisbook.Theyhavegivenyou theknowledge,skillandwisdomthattheyhavehonedrunningtheirsuccessful‘SWIPED’ course – the South West Intensive Primary Examination Day. As you would expect, this book teaches you through questions that will be familiar to anaesthetists who have taken oralexaminationsoverthepastfivedecades,evenifthosediscussionsroamedmorefreely thantheydonowadays.Thekeytopassingisstructure:practisestructuringyouranswers andyourbrainwillbecomemoreaccustomedtosuccinctlydeliveringthosefactsthatwill leadyouthroughtoexaminationtriumph. Youwillnotonlybeinreceiptofgoodpracticematerial,youwillalsohavehandytips from how to maintain your composure to how to present a professional impression. The exammaybestructured,buteveryopportunitytoboostyourmarksshouldbesoughtinthe goaltoreachandhopefullyexceedthatthresholdofsuccess–themagical37marks. Whenyoupractisethematerialinthisbookalsopracticestructured,composedprofes- sionalism. Iwishyougoodluck:themoreyoupractisewiththisbook,theluckieryou’llget! John DrJohnCarlisle,ConsultantinAnaesthesia,IntensiveCareand PerioperativeMedicine,TorbayHospital,Devon ix