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ANZCA Final Exam Resources
Curriculum Vivas
Questions
Curriculum Viva Questions
Category
Viva ID
Question
Order
Learning Outcomes
Notes
SSU: Neurosurgery and Neuroradiology
15
Neuro 1
5
What would you discuss with this patient prior to surgery?
1
Open (1)(1)
Describe how you would perform a scalp block for an awake craniotomy
2
Open (1)(1)
What agent(s) would you use for sedation during the conscious portion of the case?
3
Open
During the procedure, the patient suddenly loses consciousness and appears to be having a tonic-clonic seizure. What would you do?
4
Open
The patient rapidly recovers and the resection is successfully completed. You place an LMA for the closure portion of the case and transfer the patient to PACU at the end.
30 mins later you are called by the PACU nurse who reports that the patient is still not awake. How do you respond?
5
Open
Neuro 2
5
How would you prepare for this case?
1
Open
The patient arrives in the anaesthetic bay and you find that she is confused with a dense right-sided hemiplegia but otherwise compliant. The ambulance officer hands over that she is unfasted, has no allergies, and that she was thrombolysed at the peripheral hospital prior to transfer.
After discussion with the interventional radiologist, you decide that general anaesthesia is best approach. What is your anaesthetic plan?
2
Open
15 minutes into the case, you notice the patient becoming progressively hypertensive. What do you do?
3
Open
You discover that the patient’s PIVC has tissued with subsequent extravasation of your TIVA anaesthetic. You replace the cannula. The rest of the case proceeds uneventfully and the patient is extubated and taken to recovery.
Just as you are getting back in your car to go home, your registrar calls again to say that the patient has suddenly become obtunded in PACU. A CT reveals catastrophic cerebral haemorrhage.
What are the criteria for the diagnosis of brain stem death?
4
Open
Three days later, the patient is booked to come to your emergency theatre for organ retrieval (donation after brain death). What are the anaesthetic considerations for this patient?
5
Open
Neuro 3
5
What further information would you seek in assessing this patient pre-operatively?
1
Open
How would you induce anaesthesia for this patient?
2
Open
The surgeon asks for brain relaxation prior to commencement of the craniotomy. What options are available and what would you choose?
3
Open
In the middle of the procedure, the patient starts to become progressively and rapidly more hypotensive. What would you do?
4
Open
Despite appropriate management, the patient’s systolic blood pressure is now 40 mmHg. How do you manage this situation?
5
Open
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