Anaesthetic management of an infected pseudoaneurysm in an IVDU: vascular access, sepsis, opioid tolerance, femoral nerve block, and local anaesthetic systemic toxicity.
Viva-format episode covering ultrasound physics, cardiac output monitoring (non-invasive to Swan-Ganz), and diathermy safety for the FRCA Primary exam.
Tom gets quizzed on what defines hypoxia, how oxygen is delivered to tissues and how the oxyhemoglobin disassociation curve behaves. Oxygen must traverse multiple steps from atmosphere to mitochondria, and issues at any stage results in tissue hypoxia with those inherent consequences. Understanding
FRCA VivaCast covering the alveolar gas equation, oxygen cascade, shunt, hypoxic pulmonary vasoconstriction, and the Valsalva manoeuvre — with debrief.
Emergency laparotomy FRCA clinical viva: Tom walks through a structured approach to an elderly oncology patient with bowel perforation, covering pre-op assessment, RSI, intra-operative monitoring, and post-op critical care.
FRCA viva on neuromuscular blockade: suxamethonium vs rocuronium mechanisms, side effects including malignant hyperthermia, and reversal with sugammadex and neostigmine.
FRCA Primary physiology viva: CO₂ transport from tissues to lungs, determinants of intracranial pressure, and neonatal cardiovascular changes at birth.
Cleaning and sterilisation of medical equipment for the FRCA Primary Viva: autoclaving, Spaulding risk classification, disinfection levels, and glutaraldehyde.
