Practice Test Geeks(FANZCA) Fellowship of the Australian and New Zealand College of Anaesthetists Practice Test
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Assessment and Evaluation Flashcards

7 cards from real FANZCA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Assessment and Evaluation flashcards as text

  1. Which test is used to evaluate neuromuscular blockade recovery and specifically assesses fade at the laryngeal adductors?

    Answer: Acceleromyography at the corrugator supercilii

    The corrugator supercilii muscle has similar pharmacodynamic sensitivity to the laryngeal adductors, making acceleromyography at this site a better surrogate for airway muscle recovery than the adductor pollicis.

  2. A parturient at 38 weeks is assessed before elective Caesarean section. Which laboratory test result would prompt anaesthetic concern regarding neuraxial technique?

    Answer: Platelet count 68 × 10⁹/L

    A platelet count below 80 × 10⁹/L is generally considered a relative contraindication to neuraxial anaesthesia due to increased risk of spinal haematoma.

  3. In a patient with suspected increased intracranial pressure (ICP), which clinical sign represents Cushing's triad?

    Answer: Hypertension, bradycardia, and irregular respirations

    Cushing's triad (hypertension, bradycardia, irregular respirations) is a late and ominous sign of critically raised ICP and impending brainstem herniation.

  4. Which finding on cardiopulmonary exercise testing (CPET) best stratifies perioperative mortality risk for major abdominal surgery?

    Answer: Anaerobic threshold (AT) < 11 mL/kg/min

    An anaerobic threshold below 11 mL/kg/min on CPET is a validated predictor of increased perioperative morbidity and mortality for major surgery.

  5. A patient scheduled for total knee replacement is taking dabigatran 150 mg twice daily. According to bridging guidelines for normal renal function, when should the last dose be taken preoperatively for high bleeding-risk surgery?

    Answer: 48–72 hours before surgery

    For high bleeding-risk surgery with normal renal function (CrCl >50 mL/min), dabigatran should be stopped 48–72 hours (2–3 days) before the procedure.

  6. Which component of the STOPBANG questionnaire is NOT included in the original validated tool?

    Answer: Alcohol consumption

    The STOPBANG questionnaire includes: Snoring, Tiredness, Observed apnoea, Pressure (hypertension), BMI >35, Age >50, Neck circumference >40 cm, and Gender (male) — alcohol is not a component.

  7. When assessing a patient with a history of latex allergy for anaesthesia, which associated food allergy most commonly co-exists due to cross-reactivity?

    Answer: Avocado

    Latex-fruit syndrome involves cross-reactivity between latex and certain fruits, with avocado, banana, kiwi, and chestnut being the most commonly implicated foods.