FANZCA Assessment and Evaluation 3

Question 1

Which electrocardiographic finding during preoperative assessment represents an absolute contraindication to elective non-cardiac surgery without further investigation?

Accepted Answer

New left bundle branch block (LBBB)

Answer

First-degree atrioventricular block

Answer

Bifascicular block with normal PR interval

Answer

Sinus bradycardia at 52 bpm

Question 2

A patient with a known pheochromocytoma requires assessment before adrenalectomy. Which biochemical marker is the most sensitive indicator of catecholamine excess?

Accepted Answer

Plasma metanephrines

Answer

Urinary vanillylmandelic acid (VMA)

Answer

Serum catecholamines

Answer

24-hour urinary catecholamines

Question 3

When assessing depth of anaesthesia using the Bispectral Index (BIS), which range is targeted to minimise the risk of awareness while avoiding excessive depth?

Accepted Answer

40–60

Answer

20–40

Answer

60–80

Answer

80–100

Question 4

In a patient with severe mitral stenosis, which haemodynamic goal is most critical during the perioperative period?

Accepted Answer

Controlled heart rate to optimise diastolic filling time

Answer

High heart rate to increase cardiac output

Answer

Aggressive volume loading to increase preload

Answer

Systemic vasodilation to reduce afterload

Question 5

Which preoperative pulmonary function test result best predicts increased risk of postoperative pulmonary complications after thoracic surgery?

Accepted Answer

Predicted postoperative FEV1 (ppoFEV1) < 40%

Answer

FEV1/FVC ratio < 0.7

Answer

DLCO < 80% predicted

Answer

Peak expiratory flow rate < 300 L/min

Question 6

Which clinical finding during airway assessment is most specifically associated with potential difficulty with supraglottic airway device insertion?

Accepted Answer

Limited mouth opening (< 2 cm interincisor distance)

Answer

Mallampati class III

Answer

Reduced thyromental distance

Answer

Fixed flexion deformity of the cervical spine

Question 7

A 55-year-old male presents for preoperative evaluation before vascular surgery. His RCRI score is 3. According to the Lee Revised Cardiac Risk Index, what is the approximate risk of major adverse cardiac events (MACE)?

Accepted Answer

~3–7%

Answer

< 1%

Answer

1%

Answer

> 11%