The Anaesthesia Science Viva Book

The clinical science viva voce examination is an important component of the Final FRCA examination, covering applied pharmacology, anatomy, physiology and physics. Written by the author of the best-selling Short Answer Questions in Anaesthesia, 2nd Edition, this new book is the definitive guide to this part of the FRCA exam and is also the perfect companion volume to The Clinical Anaesthesia Viva Book by Mills et al.

Preface

ix

Advice on answering clinical science viva questions

1

(10)

Anatomy and its applications

11

(68)

The internal jugular vein

The cerebral circulation

Anatomy of the orbit

The trigeminal nerve

Sensory nerve supply to the face

Local anaesthesia for carotid endarterectomy

The larynx

Innervation of the larynx

The anatomy of the trachea and bronchi

The stellate ganglion

Surface anatomy of the neck

The brachial plexus

The ulnar nerve

The radial nerve

The median nerve

The antecubital fossa

Arterial supply of the hand

Intercostal nerves

The diaphragm

Innervation of the inguinal region

Blood supply to the spinal cord

The autonomic nervous system

The lumbar sympathetic chain

The coeliac plexus

Myocardial blood supply

Anatomy relevant to subarachnoid (spinal) block

The extradural space

The sacrum

The femoral triangle

The femoral nerve

The sciatic nerve

Ankle block

Physiology

79

(70)

Pneumothorax

Fluid therapy

Compensatory responses to blood loss

Circulatory changes at birth

Post-operative nausea and vomiting

Obesity

The physiology of ageing

The `stress response' to surgery

The glucocorticoid response to surgery

Oxygen delivery

Oxygen-haemoglobin dissociation curve

Hyperbaric oxygen

Oxygen toxicity

One-lung anaesthesia

Physiological changes of late pregnancy relevant to general anaesthesia

Non-obstetric surgery in the pregnant patient

Adrenaline (epinephrine)

5-Hydroxytryptamine (serotonin)

Plasma proteins

Thyroid function

(Raised) Intracranial pressure

Cerebral blood flow

Hypoxic pulmonary vasoconstriction

Pulmonary oedema

The neuromuscular junction

Nitric oxide

Control of breathing

Apnoea and hypoventilation

Central venous pressure and cannulation

Physiology of the infant and neonate

Compliance

Nutrition

Pharmacology

149

(76)

Chirality

Nitrous oxide

Propofol

Ketamine

Etomidate

Drugs used in the treatment of nausea and vomiting

Local anaesthetic actions

Local anaesthetic toxicity

Alkalisation of local anaesthetics

Bupivacaine and ropivacaine (compared)

Induced hypotension

Hypotension and its management

Magnesium sulphate

Drugs used to treat diabetes mellitus

Drugs which relax the uterus

Drugs which stimulate the uterus

Drug overdose: prescribed and therapeutic drugs

Recreational drugs and drugs of abuse

Clonidine

Design of a clinical trial for a new analgesic drug

Inhalational agents: comparison with the ideal

Spinal adjuncts to local anaesthetics

Inotropes

Bioavailability

Drugs affecting mood

Drugs affecting coagulation

β-adrenoceptor blockers

Neuromuscular-blocking drugs

Suxamethonium

Antihypertensive drugs and anaesthesia

Cyclo-oxygenase enzymes

Target-controlled infusion

Physics, clinical measurement, equipment and statistics

225

(62)

Peripheral nerve location using a stimulator

Depth of anaesthesia

Humidification (of inspired gases)

Pulse oximetry

Measurement of CO2

Supply of medical gases

The anaesthetic machine

Scavenging

Soda lime

Flowmeters

Laminar and turbulent flow

Temperature and its measurement

Heat loss

Pressure

Jugular venous bulb oxygen saturation

Surgical diathermy

Magnetic resonance imaging

The fuel cell

Lasers

The gas laws

Intra-arterial blood pressure measurement

Defibrillation

Measurement of organ blood flow

Evoked potentials

Ultrasound

Electrical safety

Parametric and non-parametric data

Clinical trials: errors in interpretation of data

Osmosis

Gases and vapours

Vaporisers

Anaesthetic breathing systems

Miscellaneous science and medicine

287

(46)

Mechanisms of action of general anaesthetics

Jaundice

Latex allergy

Brain stem death testing

Haemofiltration

Blood groups

Cytochrome P450

Pulmonary artery catheterisation

Mitral stenosis

Mitral incompetence

Aortic stenosis

Aortic incompetence

Electroconvulsive therapy

Postpartum haemorrhage

Pre-eclampsia

The complex regional pain syndrome

Diabetic ketoacidosis

Pain pathways

Spinal cord injury

Immunology (and drug reactions)

Systemic inflammatory response syndrome (SIRS)

Evidence-based medicine

Index

333

What is included with this book?

The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.

The Used, Rental and eBook copies of this book are not guaranteed to include any supplemental materials. Typically, only the book itself is included. This is true even if the title states it includes any access cards, study guides, lab manuals, CDs, etc.

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The Anaesthesia Science Viva Book

Summary

Table of Contents

Supplemental Materials