Claim OwnershipANZCA Part 1 SAQs
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© Vibhushan Manchanda
Description
My personal collection of my model answers for a bunch of SAQs for the ANZCA part one exam. Only recorded after I’ve managed to write an 8-10 min answer rather than including long explanations. Derived from various textbooks and model answers (propofol dreams, ketamine nightmares, adrenaline memories). This is not medical advice for individuals, nor is it clinical advice for healthcare professionals.
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1Hard for me cos I’m bad at haem
Hit the headings and use loads of examples with some detail about the examples (as per examiners report)
Should probably have a line or two about HPV for the awake patient
Errors is a separate question don’t @me
Cool graph on ketamine nightmares that is worth drawing
Table at the start
Draw compartment model. PK/PD structure. PK needs to include accumulation and elimination.
More than just a valsalva but similar principles. Don’t forget frank starling graph and indirect effects.
Classify into mild and mod-severe
Pretty neat
The buffering part is hard to get my head around
Protective: RID (reservoir, immunological, drugs). Regulatory: SEAMS (storage, endocrine, acid base, metabolic, synthesis)
Weirdly not put into a section of its own in Nunn’s or West’s. Ended up using deranged physiology for most of it. Use a graph for FRC and CC.
Brandis very good again. Do a graph at the end with arterial and venous lines showing Haldane effect.
Acronym for machine features is POP (pressure, oxygen, power)
Had to look in different parts of different books for this one 😡 inefficient but done
Brandis is my pick for this question. Graphs I’ve talked about are from there too.
Filling pressure, compliance, afterload. Then section on IPPV/SV for showing off.
Hasn’t come up in 10 years and poor pass rate, core topic
A hard one. Can exclude certain parts for questions specifically on lung compliance.
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