FANZCA Safety and Compliance 5

Question 1

Under ANZCA PS09, which of the following patients requires the continuous physical presence of an anaesthetist or anaesthetic assistant throughout the procedure?

Accepted Answer

Any patient undergoing general, regional, or sedation anaesthesia administered by an anaesthetist

Answer

ANZCA PS09 mandates that an anaesthetist or trained assistant be continuously present whenever an anaesthetist administers anaesthesia, regardless of ASA status or procedure type.

Question 2

A patient with obstructive sleep apnoea (OSA) is prescribed postoperative opioid analgesia. The most appropriate safety measure is:

Accepted Answer

Use continuous pulse oximetry monitoring, minimise opioid dose, and consider multimodal analgesia

Answer

Patients with OSA have increased opioid sensitivity and upper airway vulnerability, requiring monitored settings, opioid-sparing strategies, and multimodal analgesia.

Question 3

The principal purpose of an anaesthetic drug trolley 'standardised layout' policy is to:

Accepted Answer

Decrease the risk of drug errors by ensuring consistent drug placement across all theatres

Answer

Standardised drug trolley layouts reduce cognitive load and error risk by ensuring anaesthetists find the same drugs in the same positions in every theatre.

Question 4

Which of the following is a recognised risk factor for perioperative anaphylaxis specifically associated with anaesthesia?

Accepted Answer

Neuromuscular blocking agents, latex, and certain antibiotics administered intraoperatively

Answer

Neuromuscular blocking agents are the most common cause of perioperative anaphylaxis; latex and antibiotics (particularly beta-lactams) are also well-recognised triggers.

Question 5

In the recovery room, a patient develops stridor 30 minutes after extubation. The most likely cause in the early post-extubation period is:

Accepted Answer

Laryngospasm or laryngeal oedema due to airway trauma or residual irritants

Answer

Early post-extubation stridor is most commonly caused by laryngospasm, laryngeal oedema, or vocal cord dysfunction related to airway trauma or irritation.

(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 5