FANZCA Safety and Compliance 4

Question 1

Under the Australian Health Practitioner Regulation Agency (AHPRA) framework, mandatory reporting applies when a registered practitioner has a reasonable belief that a colleague:

Accepted Answer

Is practising while intoxicated or has an impairment placing the public at risk

Answer

AHPRA mandates reporting when a practitioner reasonably believes a colleague has an impairment, is intoxicated while practising, or engages in conduct that places the public at significant risk.

Question 2

Which of the following best describes 'procedural sedation' as distinct from general anaesthesia under ANZCA standards?

Accepted Answer

Procedural sedation maintains spontaneous ventilation and protective airway reflexes without loss of consciousness

Answer

Procedural sedation is defined as a state that allows purposeful response to stimulation, maintains spontaneous breathing, and preserves airway reflexes, without intentional loss of consciousness.

Question 3

The Anaesthesia Non-Technical Skills (ANTS) framework is primarily used to assess:

Accepted Answer

Cognitive, social, and personal resource management skills of anaesthetists

Answer

ANTS assesses non-technical skills including task management, situational awareness, decision-making, and teamwork and communication.

Question 4

During a difficult airway scenario, the anaesthetist declares 'cannot intubate, cannot oxygenate' (CICO). The next step according to ANZCA guidelines is:

Accepted Answer

Proceed immediately to emergency front-of-neck airway (eFONA)

Answer

The ANZCA difficult airway guideline mandates immediate emergency front-of-neck airway (eFONA) when CICO is declared, as further intubation attempts waste critical time.

Question 5

Regarding diathermy safety in the operating theatre, which precaution is most important for a patient with a cardiac pacemaker?

Accepted Answer

Use bipolar diathermy where possible and place the return electrode to keep current path away from the device

Answer

Bipolar diathermy minimises electromagnetic interference; when monopolar is necessary, the return electrode placement and keeping current away from the device are critical safety measures.

(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 4