1
ANZCA FINAL PAST MCQ EXAMS LATEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
What percentage of patients with SAH are troponin positive?
A: <5%
B: 15-30%
C: 40-60%
D: 70-90%
E: 100%
ANSWER B
Eisenmengers syndrome:
A: decrease Hb to <180 with venesection
B: Give high FiO2
C: Pulmonary vasodilators will treat the pulmonary hypertension
D: terminal RV failure usually occurs in the 3rd-4th decade
ANSWER D
Ehlers-Danlos syndrome. Most important to specifically do all EXCEPT:
A: Avoid hyperextension of the neck
B: Damage to the teeth
C: Avoid joint hypermobility
, 2
D: Gastro oesophageal reflex
E: Strict temperature regulation
ANSWER E
ISSUES
1. GORD and gastritis
2. Early satiety and delayed gastric emptying
3. High, narrow palate and dental crowding
4. Peridontal disease (friability, gingivitis, gum recession)
5. Joint laxity. Subluxations and dislocations are common and represent the major
manifestation of the condition. All sites can be involved, including the extremities,
vertebral column, costo-vertebral and costo-sternal joints, clavicular articulations,
and temporomandibular joints.
An 85y.o for open AAA repair. Refuses blood because of risk of vCJD. You tell him
you won't anaesthetise him as the risk is too high. This is an example of:
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism
ANSWER C
A 35yr old African-American with sickle cell and fractured ankle for ORIF. Hb 90,
Haematocrit 0.3.
, 3
A: Transfuse 2 units packed cells (?pre-op)
B: Let him cool passively to low/normal temperature
C: Spinal is safe
D: Avoid thiopentone
E: Tourniquet is absolutely contra-indicated
ANSWER C
A - WRONG: "Although widely practiced, prophylactic erythrocyte transfusion
remains a treatment with appreciable complications whose potential benefits
have not been clearly demonstrated by a prospective, randomized clinical trial".
Also a study in orthopaedic patients "did not detect a prophylactic effect from
preoperative transfusion" (Sickle Cell Disease and Anesthesia. Anesthesiology
2004; 101:766-85)
B - WRONG: "Although hypothermia would tend to retard sickling because of a left
shift of the oxygen dissociation curve, hypothermia is often identified as a
precipitant of perioperative SCD complications". "avoidance of patient
hypothermia is a basic objective for most anesthetics" (Same reference)
C - CORRECT: "The use of regional anesthesia therefore does not appear to be
contraindicated in SCD" (Same reference) and OHA p202 agrees
D - ??? but seems unlikely
E - WRONG according to OHA p202 -JC
, 4
Absolute contraindication to sitting position for posterior fossa craniotomy for
meningioma
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
C: Oesophageal stricture so transoesophageal echo placement is out
D: History of TIA
E: Aortic stenosis
ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
* Cerebral ischaemia when upright and awake
* Anaesthesia or surgical team not familiar with the position
ECG- which does NOT have abnormal Q waves:
A: Digoxin toxicity
B: Anterior myocardial infartion
C: Previous AMI
D: LBBB
ANZCA FINAL PAST MCQ EXAMS LATEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
What percentage of patients with SAH are troponin positive?
A: <5%
B: 15-30%
C: 40-60%
D: 70-90%
E: 100%
ANSWER B
Eisenmengers syndrome:
A: decrease Hb to <180 with venesection
B: Give high FiO2
C: Pulmonary vasodilators will treat the pulmonary hypertension
D: terminal RV failure usually occurs in the 3rd-4th decade
ANSWER D
Ehlers-Danlos syndrome. Most important to specifically do all EXCEPT:
A: Avoid hyperextension of the neck
B: Damage to the teeth
C: Avoid joint hypermobility
, 2
D: Gastro oesophageal reflex
E: Strict temperature regulation
ANSWER E
ISSUES
1. GORD and gastritis
2. Early satiety and delayed gastric emptying
3. High, narrow palate and dental crowding
4. Peridontal disease (friability, gingivitis, gum recession)
5. Joint laxity. Subluxations and dislocations are common and represent the major
manifestation of the condition. All sites can be involved, including the extremities,
vertebral column, costo-vertebral and costo-sternal joints, clavicular articulations,
and temporomandibular joints.
An 85y.o for open AAA repair. Refuses blood because of risk of vCJD. You tell him
you won't anaesthetise him as the risk is too high. This is an example of:
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism
ANSWER C
A 35yr old African-American with sickle cell and fractured ankle for ORIF. Hb 90,
Haematocrit 0.3.
, 3
A: Transfuse 2 units packed cells (?pre-op)
B: Let him cool passively to low/normal temperature
C: Spinal is safe
D: Avoid thiopentone
E: Tourniquet is absolutely contra-indicated
ANSWER C
A - WRONG: "Although widely practiced, prophylactic erythrocyte transfusion
remains a treatment with appreciable complications whose potential benefits
have not been clearly demonstrated by a prospective, randomized clinical trial".
Also a study in orthopaedic patients "did not detect a prophylactic effect from
preoperative transfusion" (Sickle Cell Disease and Anesthesia. Anesthesiology
2004; 101:766-85)
B - WRONG: "Although hypothermia would tend to retard sickling because of a left
shift of the oxygen dissociation curve, hypothermia is often identified as a
precipitant of perioperative SCD complications". "avoidance of patient
hypothermia is a basic objective for most anesthetics" (Same reference)
C - CORRECT: "The use of regional anesthesia therefore does not appear to be
contraindicated in SCD" (Same reference) and OHA p202 agrees
D - ??? but seems unlikely
E - WRONG according to OHA p202 -JC
, 4
Absolute contraindication to sitting position for posterior fossa craniotomy for
meningioma
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
C: Oesophageal stricture so transoesophageal echo placement is out
D: History of TIA
E: Aortic stenosis
ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
* Cerebral ischaemia when upright and awake
* Anaesthesia or surgical team not familiar with the position
ECG- which does NOT have abnormal Q waves:
A: Digoxin toxicity
B: Anterior myocardial infartion
C: Previous AMI
D: LBBB
