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 echocardiographic parameter is most useful for assessing diastolic dysfunction in the preoperative evaluation of a patient with heart failure with preserved ejection fraction (HFpEF)?

    Answer: E/e' ratio > 14

    An E/e' ratio >14 (ratio of mitral inflow E-wave velocity to tissue Doppler e' velocity) indicates elevated left ventricular filling pressures, characteristic of significant diastolic dysfunction.

  2. In a child undergoing preoperative assessment, which finding on the FLACC scale would score 2 in the 'Face' category?

    Answer: Frequent to constant furrowed brow, clenched jaw or quivering chin

    In the FLACC scale, a Face score of 2 is assigned for frequent to constant furrowed brow, clenched jaw, or quivering chin, indicating severe pain behaviour.

  3. A patient presents for pre-anaesthetic assessment with a serum creatinine of 185 µmol/L. Using the CKD-EPI equation, which GFR category most influences the choice of neuromuscular blocking agent?

    Answer: GFR < 30 mL/min (G4/G5)

    GFR <30 mL/min (stages G4/G5) significantly prolongs the action of renally-excreted NMBAs such as pancuronium and rocuronium (without sugammadex reversal), necessitating careful agent selection.

  4. Which validated score is used perioperatively to assess the risk of acute kidney injury (AKI) after cardiac surgery?

    Answer: Cleveland Clinic Score

    The Cleveland Clinic Score uses preoperative variables (age, sex, LVEF, creatinine, diabetes, IABP, valve surgery, emergency operation) to predict AKI requiring dialysis after cardiac surgery.

  5. A 45-year-old woman undergoing thyroid surgery develops sudden onset stridor and respiratory distress 30 minutes postoperatively. What is the first step in assessment and management?

    Answer: Open the wound at the bedside to relieve haematoma compression

    Post-thyroidectomy airway compromise from expanding haematoma is a surgical emergency; wound opening at the bedside to decompress the haematoma is the immediate life-saving manoeuvre.

  6. Which component of the LEMON airway assessment specifically evaluates the ratio of pharyngeal space to tongue size?

    Answer: M – Mallampati score

    The Mallampati score (M in LEMON) classifies visibility of oropharyngeal structures and reflects the ratio of tongue size to pharyngeal space, predicting laryngoscopy difficulty.

  7. During assessment for regional anaesthesia, which coagulation parameter most specifically reflects the function of the extrinsic coagulation pathway?

    Answer: Prothrombin time / INR

    Prothrombin time (PT/INR) measures the extrinsic and common coagulation pathways (Factors VII, X, V, II, fibrinogen) and is prolonged by warfarin and liver disease.