FANZCA Assessment and Evaluation 2

Question 1

Which scoring system is most appropriate for assessing postoperative pain in a non-verbal adult patient in the ICU?

Accepted Answer

Behavioural Pain Scale (BPS)

Answer

Numeric Rating Scale (NRS)

Answer

Visual Analogue Scale (VAS)

Answer

Wong-Baker FACES scale

Question 2

When performing a pre-anaesthetic assessment, which feature of obstructive sleep apnoea (OSA) most increases perioperative risk?

Accepted Answer

Apnoea-Hypopnoea Index (AHI) > 30 events/hour

Answer

BMI > 30 kg/m²

Answer

Neck circumference > 40 cm

Answer

Excessive daytime sleepiness

Question 3

A 68-year-old patient is scheduled for elective total hip replacement. Which preoperative assessment tool best predicts postoperative delirium risk?

Accepted Answer

Confusion Assessment Method (CAM) baseline

Answer

ASA Physical Status Classification

Answer

Mallampati Score

Answer

Revised Cardiac Risk Index (RCRI)

Question 4

Which intraoperative neurophysiological monitoring modality is most useful for detecting ischaemia in the spinal cord during descending thoracic aortic surgery?

Accepted Answer

Motor Evoked Potentials (MEPs)

Answer

Electroencephalography (EEG)

Answer

Bispectral Index (BIS)

Answer

Somatosensory Evoked Potentials (SSEPs)

Question 5

A patient undergoing shoulder arthroscopy in the beach-chair position develops sudden bradycardia and hypotension. Which monitor would have provided the earliest warning?

Accepted Answer

Cerebral oximetry (NIRS)

Answer

End-tidal CO₂ (EtCO₂)

Answer

Arterial blood pressure waveform

Answer

Bispectral Index (BIS)

Question 6

In the FANZCA examination context, which criterion is part of the Apfel score for predicting postoperative nausea and vomiting (PONV)?

Accepted Answer

History of PONV or motion sickness

Answer

Age > 65 years

Answer

Use of epidural analgesia

Answer

Male sex

Question 7

Which method most accurately determines fluid responsiveness in a mechanically ventilated patient with normal sinus rhythm?

Accepted Answer

Passive leg raise with cardiac output measurement

Answer

Central venous pressure (CVP) measurement

Answer

Pulse pressure variation (PPV) > 13%

Answer

Urine output < 0.5 mL/kg/hr over 2 hours