FANZCA Safety and Compliance 2

Question 1

Under ANZCA professional standards, which of the following best describes the minimum monitoring requirement during general anaesthesia?

Accepted Answer

Continuous ECG, pulse oximetry, capnography, and non-invasive blood pressure are mandatory

Answer

ANZCA PS18 mandates continuous ECG, pulse oximetry, capnography, and regular non-invasive blood pressure monitoring as minimum standards during general anaesthesia.

Question 2

A patient is scheduled for elective surgery but refuses a blood transfusion for religious reasons. The most appropriate action is to:

Accepted Answer

Document refusal, explore alternatives, and proceed only if surgically safe without transfusion

Answer

A competent adult's informed refusal of treatment must be respected; the team should document this, explore cell salvage and other alternatives, and only proceed if safe.

Question 3

Which ANZCA professional document specifically addresses the pre-anaesthesia consultation?

Accepted Answer

PS07

Answer

ANZCA PS07 outlines the requirements for pre-anaesthesia consultation, including history, examination, investigations, and informed consent.

Question 4

When checking an anaesthetic machine before use, the correct sequence for a high-pressure circuit leak test is to:

Accepted Answer

Close the APL valve, occlude the Y-piece, fill the breathing circuit to 30 cmH2O, and observe pressure stability

Answer

The standard circuit leak test involves closing the APL valve, occluding the patient port, inflating to 30 cmH2O, and confirming pressure is maintained.

Question 5

An anaesthetist discovers a critical defect in anaesthetic equipment mid-case. Which action is most appropriate?

Accepted Answer

Immediately switch to backup equipment, ensure patient safety, then report per hospital incident protocol

Answer

Patient safety takes priority; switching to backup equipment and reporting via the incident management system is the required response.

(FANZCA) Fellowship of the Australian and New Zealand College of Anaesthetists Practice Test

(FANZCA) Fellowship of the Australian and New Zealand College of Anaesthetists Practice Test

FANZCA Safety and Compliance 2