ANZCA Part 1 SAQs

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.

Warfarin reversal

Hard for me cos I’m bad at haem

08-06
02:05

Pharmacokinetics of chronic kidney disease

Hit the headings and use loads of examples with some detail about the examples (as per examiners report)

08-06
02:49

Respiratory responses to hypoxaemia

Should probably have a line or two about HPV for the awake patient

08-06
02:17

How a pulse oximeter works

Errors is a separate question don’t @me

08-06
02:02

NMB at larynx, diaphragm, adductor pollicis

Cool graph on ketamine nightmares that is worth drawing

08-05
02:57

Afterload

Table at the start

08-05
03:00

Time to awakening after propofol TCI

Draw compartment model. PK/PD structure. PK needs to include accumulation and elimination.

08-04
03:10

IPPV and CO

More than just a valsalva but similar principles. Don’t forget frank starling graph and indirect effects.

08-04
02:37

Perioperative hypothermia

Classify into mild and mod-severe

08-04
03:01

CVS effects in pregnancy

Pretty neat

08-04
02:33

Hyperventilation reducing intracranial pressure

The buffering part is hard to get my head around

08-02
02:06

Protective and regulatory functions of the liver

Protective: RID (reservoir, immunological, drugs). Regulatory: SEAMS (storage, endocrine, acid base, metabolic, synthesis)

08-02
02:06

Ageing and the respiratory system

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.

08-02
02:19

CO2 carriage in the blood

Brandis very good again. Do a graph at the end with arterial and venous lines showing Haldane effect.

08-02
01:59

Safe delivery of oxygen

Acronym for machine features is POP (pressure, oxygen, power)

08-02
02:23

Renal hormones (produced within or activated by)

Had to look in different parts of different books for this one 😡 inefficient but done

08-02
02:51

Foetal and adult Hb

Brandis is my pick for this question. Graphs I’ve talked about are from there too.

08-02
02:26

Preload

Filling pressure, compliance, afterload. Then section on IPPV/SV for showing off.

08-02
03:09

Work of breathing

Hasn’t come up in 10 years and poor pass rate, core topic

07-28
03:08

Respiratory system compliance

A hard one. Can exclude certain parts for questions specifically on lung compliance.

07-28
02:56

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