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ANZCA Final Exam Resources
Past Questions
Medical Vivas
Past Medical Vivas
Exam
Title
Opening Question
Mean Score
Pass Rate
2024.2
2
Viva 1
You are asked to review a 90-year-old male with interstitial lung disease in pre-
admission clinic. He is booked for removal of a large fungating scalp lesion with a full
thickness skin graft requiring general anaesthesia. He is from a nursing home. He uses oxygen via a concentrator 18 hours per day.
Past Medical History
Medications
Vital Signs
What features would you enquire about in his HISTORY to determine the severity and stability of his interstitial lung disease?
79.1%
Viva 2
2023.1
2
Viva 1
You are in the Preadmission Assessment Clinic.
A 40-year-old woman with trisomy 21 (Down Syndrome) presents to the clinic with her mother for assessment prior to an elective left hemithyroidectomy.
Past Medical History
Medications
What medical conditions commonly associated with trisomy 21 would you enquire about?
6.1
82.0%
Viva 2
You are reviewing a 68-year-old man in the preadmission clinic. He is scheduled to undergo a laparoscopic cholecystectomy for recurrent cholecystitis and a recent episode of cholangitis requiring hospital admission.
Medications:
What features of his history will allow you to assess the severity and stability of his chronic obstructive pulmonary disease?
6.3
86.0%
2022.2
4
Viva 1
You are asked to assess a 60 year old woman with cirrhosis in the preadmission clinic prior to her booked gastroscopy and colonoscopy next week.
Medications:
What will you ask on history? In particular, what information will help you assess the stability and severity of this patient’s disease?
Investigations included:
6.5
87.5%
Viva 2
A 59 year-old woman presents to your Pre-anaesthetic Assessment Clinic prior to an elective hemicolectomy for bowel cancer. She has a chronic lung condition.
Her long-term medications are:
Based on her medications, what lung conditions would you be considering? Investigations included:
6.3
87.5%
Viva 3
You are asked to assess a 55 year old man with end-stage renal failure who currently uses peritoneal dialysis. You are seeing him in the pre-admission clinic prior to day surgery for dental extractions next week.
Medications:
What will you ask on history to assess the stability and severity of his renal disease? Investigations included:
5.9
83.6%
Viva 4
You are in the preadmission clinic reviewing a 25-year-old man who has been scheduled for an open repair of a large right inguinal hernia in eight weeks’ time. Your hospital has an intensive care unit but there is no facility for cardiac surgery.
He was born with Tetralogy of Fallot (TOF) which consisted of:
At 3 months of age he had a Blalock shunt as a temporary measure (supplying blood to the hypoplastic pulmonary artery) and at 3 years of age his TOF was fully repaired. He takes no regular medications. He works part-time at the local supermarket and sometimes gets short of breath on exertion.
What would you ask on history to assess his cardiac disease and suitability for surgery?
5.3
64.2%
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