1
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ANZCA FINALS PAST MCQ Questions and
Answers (100% Correct Answers) Already
Graded A+
Acromegaly due to excess of growth hormone. Why is it difficult to
do a direct laryngoscopy?
A: Distorted facial anatomy
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B: Macroglossia
C: Glottic stenosis
D: Prognathe mandible
Guru01 - Stuvia
E: Arthritis of the neck [ ANS: ] ANSWER B
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
D: Gastro oesophageal reflex
E: Strict temperature regulation [ ANS: ] ANSWER E
ISSUES
1. GORD and gastritis
, 2
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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
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vCJD. You tell him you won't anaesthetise him as the risk is too
high. This is an example of:
Guru01 - Stuvia
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism [ ANS: ] ANSWER C
A 35yr old African-American with sickle cell and fractured ankle
for ORIF. Hb 90, Haematocrit 0.3.
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 [ ANS: ] ANSWER C
, 3
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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
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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)
Guru01 - Stuvia
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
Absolute contraindication to sitting position for posterior fossa
craniotomy for meningioma
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
, 4
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C: Oesophageal stricture so transoesophageal echo placement is
out
D: History of TIA
E: Aortic stenosis [ ANS: ] ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
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* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
Guru01 - Stuvia
* 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
E: Wolff-Parkinson-White syndrome [ ANS: ] ANSWER A
Long stem about an old #NOF patient with aortic stenosis. What is
a sign/ investigation/ symptom that shows the most severity? (ie
Which one of these would indicate that the lesion was severe?)
For Expert help and assignment solutions, +254707240657
ANZCA FINALS PAST MCQ Questions and
Answers (100% Correct Answers) Already
Graded A+
Acromegaly due to excess of growth hormone. Why is it difficult to
do a direct laryngoscopy?
A: Distorted facial anatomy
© 2025 Assignment Expert
B: Macroglossia
C: Glottic stenosis
D: Prognathe mandible
Guru01 - Stuvia
E: Arthritis of the neck [ ANS: ] ANSWER B
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
D: Gastro oesophageal reflex
E: Strict temperature regulation [ ANS: ] ANSWER E
ISSUES
1. GORD and gastritis
, 2
For Expert help and assignment solutions, +254707240657
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
© 2025 Assignment Expert
vCJD. You tell him you won't anaesthetise him as the risk is too
high. This is an example of:
Guru01 - Stuvia
A: Autonomy
B: Beneficence
C: Malevolence
D: Coercion
E: Paternalism [ ANS: ] ANSWER C
A 35yr old African-American with sickle cell and fractured ankle
for ORIF. Hb 90, Haematocrit 0.3.
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 [ ANS: ] ANSWER C
, 3
For Expert help and assignment solutions, +254707240657
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
© 2025 Assignment Expert
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)
Guru01 - Stuvia
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
Absolute contraindication to sitting position for posterior fossa
craniotomy for meningioma
A: Prescence of patent ventriculo-atrial drain/shunt
B: 0.5mm PFO
, 4
For Expert help and assignment solutions, +254707240657
C: Oesophageal stricture so transoesophageal echo placement is
out
D: History of TIA
E: Aortic stenosis [ ANS: ] ANSWER A
ABSOLUTE CONTRAINDICATIONS
* Patent ventriculo-atrial shunt
© 2025 Assignment Expert
* Severe cardiovascular disease
* Large patent foramen ovale or other pulmonary-systemic shunt
Guru01 - Stuvia
* 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
E: Wolff-Parkinson-White syndrome [ ANS: ] ANSWER A
Long stem about an old #NOF patient with aortic stenosis. What is
a sign/ investigation/ symptom that shows the most severity? (ie
Which one of these would indicate that the lesion was severe?)
