Primary FRCA Part 2: Applied Clinical Anaesthesia Actual
Practice Exam 2026 2027 | Most Recent Exam Actual
Complete Real Exam 169 Questions And Correct Answers
(Verified Answers) Already Graded A+ |Guaranteed Success!!
Newest Exam | Just Released!!
Integrate knowledge of airway management, perioperative physiology, patient
safety, communication, ethics, and human factors in anaesthetic practice. (169
cards)
1
Q
Why is there a lower threshold for RSI in trauma cases?
ANSWERS:
Trauma is associated with delayed gastric emptying.
2
Q
How is a transversus abdominis plane block performed and which nerves does it
target?
ANSWERS:
Infiltrate LA into plane between internal oblique and transversus abdominis
Nerves: iliohypogastric, ilioinguinal and subcostal
NOTE: it covers T7-L1
3
Q
What is the formula for the correct QT interval?
ANSWERS:
,QTc = QT/√RR
RR = RR interval
This is known as Bazett’s formula.
4
Q
What are the specific requirements of giving warmed fluids?
ANSWERS:
Pressurise to 300 mmHg and warmed with a recirculation fluid at 42 degrees.
5
Q
What combination of anaesthetic agents would minimise rises in intracranial
pressure?
ANSWERS:
Thiopentone
Rocuronium
Isoflurane
6
Q
What intra-abdominal pressure is suggestive of abdominal compartment
syndrome?
ANSWERS:
> 20 mm Hg
7
Q
,What is the difference between anaphylactic and anaphylactoid reactions?
ANSWERS:
Anaphylactic is IgE mediated and occurs on repeat exposure to a drug.
Anaphylactoid is non-IgE mediated and can happen on first exposure. It is
caused by massive mast cell or basophil degranulation in the absence of
immunoglobulins.
8
Q
State the equations for working out the length of CVC insertion based on height.
ANSWERS:
Right IJV: height/10
Left IJV: height/10 + 4
Right subclavian: height/10 - 2
Left subclavian: height/10 + 2
9
Q
What causes TRALI and what are the main features?
ANSWERS:
SOB and pulmonary oedema around 30 mins after the transfusion.
Donor antibodies react with recipient leukocytes leading to capillary leak.
10
Q
What is the difference between tachyphylaxis and tolerance?
ANSWERS:
, Tachyphylaxis: rapidly diminishing response to repeated drug
administration, usually due to depletion of transmitter stores (e.g.
ephedrine).
Tolerance: loss of response over longer period of time, due to
transcriptional changes, bigger dose needed to achieve same effect (e.g.
opioid abuse).
11
Q
What can toxic doses of long-acting acetylcholinesterase inhibitors cause?
ANSWERS:
SLUDGE syndrome (salivation, lacrimation, urination, defecation and emesis)
E.g. organophosphate poisoning
Treated with atropine or pralidoxime
12
Q
What are the most common triggers for intraoperative anaphylaxis?
ANSWERS:
Antibiotics (particularly Teicoplanin)
Muscle relaxants
Chlorhexidine
Blue Dye
13
Q
What is the maximum cumulative dose of intralipid?
ANSWERS:
12 ml/kg over 30-60 mins
Practice Exam 2026 2027 | Most Recent Exam Actual
Complete Real Exam 169 Questions And Correct Answers
(Verified Answers) Already Graded A+ |Guaranteed Success!!
Newest Exam | Just Released!!
Integrate knowledge of airway management, perioperative physiology, patient
safety, communication, ethics, and human factors in anaesthetic practice. (169
cards)
1
Q
Why is there a lower threshold for RSI in trauma cases?
ANSWERS:
Trauma is associated with delayed gastric emptying.
2
Q
How is a transversus abdominis plane block performed and which nerves does it
target?
ANSWERS:
Infiltrate LA into plane between internal oblique and transversus abdominis
Nerves: iliohypogastric, ilioinguinal and subcostal
NOTE: it covers T7-L1
3
Q
What is the formula for the correct QT interval?
ANSWERS:
,QTc = QT/√RR
RR = RR interval
This is known as Bazett’s formula.
4
Q
What are the specific requirements of giving warmed fluids?
ANSWERS:
Pressurise to 300 mmHg and warmed with a recirculation fluid at 42 degrees.
5
Q
What combination of anaesthetic agents would minimise rises in intracranial
pressure?
ANSWERS:
Thiopentone
Rocuronium
Isoflurane
6
Q
What intra-abdominal pressure is suggestive of abdominal compartment
syndrome?
ANSWERS:
> 20 mm Hg
7
Q
,What is the difference between anaphylactic and anaphylactoid reactions?
ANSWERS:
Anaphylactic is IgE mediated and occurs on repeat exposure to a drug.
Anaphylactoid is non-IgE mediated and can happen on first exposure. It is
caused by massive mast cell or basophil degranulation in the absence of
immunoglobulins.
8
Q
State the equations for working out the length of CVC insertion based on height.
ANSWERS:
Right IJV: height/10
Left IJV: height/10 + 4
Right subclavian: height/10 - 2
Left subclavian: height/10 + 2
9
Q
What causes TRALI and what are the main features?
ANSWERS:
SOB and pulmonary oedema around 30 mins after the transfusion.
Donor antibodies react with recipient leukocytes leading to capillary leak.
10
Q
What is the difference between tachyphylaxis and tolerance?
ANSWERS:
, Tachyphylaxis: rapidly diminishing response to repeated drug
administration, usually due to depletion of transmitter stores (e.g.
ephedrine).
Tolerance: loss of response over longer period of time, due to
transcriptional changes, bigger dose needed to achieve same effect (e.g.
opioid abuse).
11
Q
What can toxic doses of long-acting acetylcholinesterase inhibitors cause?
ANSWERS:
SLUDGE syndrome (salivation, lacrimation, urination, defecation and emesis)
E.g. organophosphate poisoning
Treated with atropine or pralidoxime
12
Q
What are the most common triggers for intraoperative anaphylaxis?
ANSWERS:
Antibiotics (particularly Teicoplanin)
Muscle relaxants
Chlorhexidine
Blue Dye
13
Q
What is the maximum cumulative dose of intralipid?
ANSWERS:
12 ml/kg over 30-60 mins
