ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
You are called to see a 30 year old man with rapidly deteriorating asthma. Following appropriate
medical management an endotracheal tube is inserted and he is ventilated with a mechanical
ventilator with a tidal volume of 600ml and a rate of 12 breaths per minute. Five minutes later
the blood pressure is unrecordable and external cardiac massage is commenced. Arterial blood is
taked and shows ph 7.08, pCO2 96 mmHg, pO2 36 mmHg, SpO2 46% and bicarbonate 27
mmol/L. He is administered adrenaline, salbutamol, pancuronium, bicarbonate and calcium
gluconate. The ECG shows sinus rhythm at a rate of 60 beats per minute. The patient remains
pulseless and cyanosed with fixed dilated pupils and distended neck veins. The most appropriate
management is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
D. cease ventilation for 30 seconds and resume at a slower rate
E. increase peak inspiratory pressure
ANSWER D
A 42 year old lady presents for right pneumonectomy with a left sided double-lumen tube. She is
132kg and 160cm. What depth, measured at the incisors, is likely to give the ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
E. 32cm
ANSWER C
Millers formula:
Depth= 12 + (pt height cms/10)
therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria
ANSWER B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now complaining of
severe pain, difficulty swallowing, has a hoarse voice and had has some haemoptysis. What is
your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
E. Soft tissue xray of the neck
ANSWER D
A 60 year old man with normal LV function is having coronary artery bypass grafting. After
separation from the bypass machine he becomes hypotensive with ST elevation in leads II and
aVF. The Swan Ganz Catheter showed a PCWP of 25 and CVP of 15 with normal PVR and
SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole
ANSWER B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity
ANSWER B
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin is more
specific for Fe Deficiency.
in Fe deficiency anaemia transferrin/Total Iron Binding Capacity is increased, as total body
stores of iron are low and the carrier molecule (transferrin) is being underutilised. Therefore
Transferrin SATURATION will be low also.
A full size C oxygen cyclinder (size A in New Zealand) has pressure regulated from
A. 16000kpa to 400kpa
B. 16000kpa to 240kpa
C. 11000kpa to 400kpa
D. 11000kpa to 240kpa
E. 7600kpa to 240kpa
ANSWER A
BOC website
MRI Telsa 3, least likely to cause harm
A. Cochlear implant
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
You are called to see a 30 year old man with rapidly deteriorating asthma. Following appropriate
medical management an endotracheal tube is inserted and he is ventilated with a mechanical
ventilator with a tidal volume of 600ml and a rate of 12 breaths per minute. Five minutes later
the blood pressure is unrecordable and external cardiac massage is commenced. Arterial blood is
taked and shows ph 7.08, pCO2 96 mmHg, pO2 36 mmHg, SpO2 46% and bicarbonate 27
mmol/L. He is administered adrenaline, salbutamol, pancuronium, bicarbonate and calcium
gluconate. The ECG shows sinus rhythm at a rate of 60 beats per minute. The patient remains
pulseless and cyanosed with fixed dilated pupils and distended neck veins. The most appropriate
management is to
A. cease resuscitation
B. administer further adrenaline
C. insert bilateral intercostal drains
D. cease ventilation for 30 seconds and resume at a slower rate
E. increase peak inspiratory pressure
ANSWER D
A 42 year old lady presents for right pneumonectomy with a left sided double-lumen tube. She is
132kg and 160cm. What depth, measured at the incisors, is likely to give the ideal position?
A. 24cm
B. 26cm
C. 28cm
D. 30cm
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
E. 32cm
ANSWER C
Millers formula:
Depth= 12 + (pt height cms/10)
therefore 28 in this case.
Features of severe pre-eclampsia include all except:
A. Foetal growth retardation
B. Peripheral oedema
C. Systolic BP more than 160
D. Thrombocytopenia
E. Severe proteinuria
ANSWER B
A 20 year old man was punched in the throat 3 hours ago at a party. He is now complaining of
severe pain, difficulty swallowing, has a hoarse voice and had has some haemoptysis. What is
your next step in his management?
A. Awake Fibreoptic Intubation
B. CT scan for laryngeal fractures
C. Direct laryngoscopy after topicalising with local anaesthetic
D. Nasopharyngoscopy by an ENT surgeon
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
E. Soft tissue xray of the neck
ANSWER D
A 60 year old man with normal LV function is having coronary artery bypass grafting. After
separation from the bypass machine he becomes hypotensive with ST elevation in leads II and
aVF. The Swan Ganz Catheter showed a PCWP of 25 and CVP of 15 with normal PVR and
SVR. The TOE is likely to show:
A. Early mitral inflow > inflow during atrial systole
B. Inferior wall hypokinesis
C. Severe MR
D. TR and RV dilatation
E. LV cavity obliteration at the end of systole
ANSWER B
What is the test is decreased in Iron deficiency anaemia?
A. microcytosis
B. serum ferritin
C. serum iron
D. transferrin
E. total iron binding capacity
ANSWER B
, ANZCA MCQS Final Exam V2 (Latest 2026/
2027 Update) Guide| 100 out of 100 | Verified
Questions & Answers | Grade A
serum ferritin
Serum Iron is also low but is low in Anaemia Chronic Disease too, whereas ferritin is more
specific for Fe Deficiency.
in Fe deficiency anaemia transferrin/Total Iron Binding Capacity is increased, as total body
stores of iron are low and the carrier molecule (transferrin) is being underutilised. Therefore
Transferrin SATURATION will be low also.
A full size C oxygen cyclinder (size A in New Zealand) has pressure regulated from
A. 16000kpa to 400kpa
B. 16000kpa to 240kpa
C. 11000kpa to 400kpa
D. 11000kpa to 240kpa
E. 7600kpa to 240kpa
ANSWER A
BOC website
MRI Telsa 3, least likely to cause harm
A. Cochlear implant
