FANZCA FANZCA Perioperative Care and Management 3

Question 1

What is the primary purpose of a preoperative anesthetic checklist in line with FANZCA and ANZCA standards?

Accepted Answer

To systematically verify equipment, medications, and patient safety parameters before induction of anesthesia

Answer

To determine the anesthesiologist's billing codes for the procedure

Answer

To communicate postoperative analgesic plans to nursing staff only

Answer

To document the patient's consent for blood transfusion

Question 2

In the perioperative management of a patient on long-term anticoagulation, which agent is used as a bridging therapy in high-thrombotic-risk patients when oral anticoagulation must be interrupted for surgery?

Accepted Answer

Low molecular weight heparin (LMWH)

Answer

Aspirin

Answer

Clopidogrel

Answer

Dabigatran

Question 3

Which intraoperative monitoring modality provides continuous real-time assessment of cerebral oxygenation during procedures at risk for cerebral hypoperfusion, such as carotid endarterectomy?

Accepted Answer

Near-infrared spectroscopy (NIRS) cerebral oximetry

Answer

Bispectral index (BIS) monitoring

Answer

Processed EEG entropy monitoring

Answer

Transcranial Doppler ultrasonography

Question 4

What is the rationale for using a lung-protective ventilation strategy (tidal volumes 6–8 mL/kg IBW, PEEP 5–8 cmH2O) during general anesthesia?

Accepted Answer

To prevent ventilator-induced lung injury (VILI) and postoperative pulmonary complications

Answer

To reduce the inspired oxygen concentration and minimize fire risk

Answer

To reduce carbon dioxide production and metabolic demand

Answer

To decrease the dose of inhalational anesthetic agent required

Question 5

In perioperative temperature management, what adverse effect is most directly associated with intraoperative hypothermia (core temperature < 36°C)?

Accepted Answer

Coagulopathy, increased surgical bleeding, and wound infection risk

Answer

Increased risk of malignant hyperthermia

Answer

Accelerated metabolism of volatile anesthetic agents

Answer

Reduced incidence of postoperative nausea and vomiting

Question 6

What does a positive 'cannot intubate, cannot oxygenate' (CICO) scenario mandate according to FANZCA airway management guidelines?

Accepted Answer

Immediate front-of-neck airway (FONA) access via cricothyrotomy or tracheotomy

Answer

Awakening the patient and canceling the procedure immediately

Answer

Repeated laryngoscopy attempts with different blade sizes

Answer

Switching to an inhalational induction technique