Extracted Questions by System

Airway Management

- 4 y child inhaled a plastic toy in ER: how would you manage and plan anesthesia?

- After induction in a patient with anterior mediastinal mass, you cannot intubate-what will you do?

- Awake fiberoptic intubation (FOI): indications, room preparation, patient consent, steps, management if

vocal cords move, and fallback if unsuccessful?

- Child with epiglottitis in ER leaning forward: how do you manage airway and sepsis?

- Difficult airway in ankylosing spondylitis or scleroderma: how do you assess and secure the airway (spinal

vs. AFOI)?

- Post-tonsillectomy stridor in a 3 y child, HR 55, SpO2 74%: differential diagnosis and management?

- Post-extubation hypoxia in a pediatric tonsillectomy patient: differential diagnosis and laryngospasm

management?

- Spine fixation prone: tube kinked under patient-how to manage airway interruption?

- Spontaneous pneumothorax planned for lobectomy: how to plan induction and ventilation, and why?

Cardiovascular

- 33 y male with traumatic brain injury, isolated TBI, scheduled for CT, GCS 8, SpO2 96%, BP 120/65: how to

manage and special intubation considerations?

- 58 y obese (BMI 60) with tongue mass and respiratory distress: anesthesia plan, extubation strategy,

postoperative care?

- 65 y COPD (FVC 40%) on home oxygen, subdural hematoma evacuation: ATLS approach, airway

management, brain protection?

- 70 y male for laparoscopic hemicolectomy with severe aortic stenosis (valve area 0.7 cm2): preop

assessment, induction goals, monitoring, medication choices?

- Carotid endarterectomy intraop hypotension + bradycardia: differential diagnosis and management?

- HOCM patient for total knee replacement: appropriate regional blocks, GA hemodynamic goals, effects of

inotropes/chronotropes?

- Intraoperative atrial fibrillation during thyroidectomy with sickle cell disease and huge goiter: differential and

management?

- Pregnant with moderate aortic stenosis for elective C/S: anesthesia approach and perioperative goals?

- SVT during septoplasty in pre-anesthesia area (HR 170, BP 70/40): acute management, sedation, and

decision to proceed to OR?

- TURP in diabetic hypertensive patient: anticipated complications and anesthesia considerations?

- Vascular access question: when to insert arterial or central line in hypotensive trauma/bleeding cases?

Obstetrics & Gynecology

- 25 y female twins pregnancy for C/S: after spinal and first baby delivered, flat ECG/asystole-differential

diagnosis and management?

- 30 y with vaginal bleeding for emergency C/S; ankylosing spondylitis comorbidity: anesthesia approach,

postoperative score/location, PACU hypotension (BP 60/40, HR 120, SpO2 91%) with agitation-DDx and

uterine atony management?

- 37 w pregnant obese (BMI 50) with MR and MVP for C/S with fetal distress: regional vs. GA, awake FOI if

no time?
 Extracted Questions by System

- Cord prolapse after heavy meal 2 h ago: anesthesia strategy, aspiration precautions, management of

postpartum hemorrhage and persistent bleeding DDx?

- Obstetric tocolysis: main classes, side effects, list seven tocolytics with adverse effects?

- Placenta previa or placenta accreta: preop approach and MBT protocol?

- Pre-eclampsia with low platelets (e.g., plt 75) at 39 wks: anesthesia choice and management of seizures in

PACU?

- Pregnant patient with myasthenia gravis: preop assessment, postoperative location (Leventhal score)?

Pediatric

- 3 y with Pierre Robin for tonsillectomy: anesthesia plan and extubation considerations?

- 4 y with inguinal hernia and no IV access: how to induce, pain control, perform caudal block (dose)?

- 6 y Down syndrome for MRI: fasting not complete, agitation-how to anesthetize and use midazolam?

- 8 y post-tonsillectomy desaturation in PACU: DDx and management?

- 11 y with Pierre Robin and sub/epiglottic obstruction for MRI or tonsil surgery: airway plan?

- 16 y scoliosis correction: airway assessment, induction, wake-up test?

- Pyloric stenosis in 6 y boy: metabolic derangements, electrolyte targets, optimization, anesthesia conduct?

Neurosurgery & Trauma

- 28 y male isolated TBI for CT: management of agitation, intubation strategy, sedation vs. transport?

- GCS 3 after RTA: ER management, intubation, SpO2 44 post-intubation DDx and management; later VF
 Extracted Questions by System

arrest-management, ROSC, surgeon wants MRI or OR-advice?

- Intracranial hematoma on CT: management and if patient becomes asystolic-DDx and management?

- Posterior fossa surgery in 4 y with uncontrolled seizures: anesthesia management; arrhythmia with stable

vitals-DDx (retraction vs. bleeding vs. VAE)?

- Supratentorial craniotomy sudden drop in EtCO2, hypotension, bradycardia: DDx (venous air embolism vs.

others), acute management, preventive measures?

- Spine fixation in prone: tube displacement or circuit compression-management?

Thoracic & Respiratory

- Bronchoscopy for lymphoma near vocal cords: SVC syndrome assessment, next steps, anesthesia plan?

- Bronchopleural fistula with no chest tube preop for VATS: management of ventilation and airway?

- Lung isolation: absolute indications for one-lung ventilation; steps for DLT vs. bronchial blocker placement;

confirm position; hypoxia management?

- Mediastinal mass biopsy: approach, SOB causes, neuraxial vs. local anesthesia, echo indications, neck

pain/numbness etiology?

- Pneumoperitoneum in laparoscopy: physiologic complications, recognition and management of increased

intrathoracic pressure?

- Post-lobectomy bronchopleural fistula who refuses chest tube: airway and lung isolation plan?

Sepsis & Hemodynamic Instability

- 30 mcgg/kg old with bowel perforation & sepsis: early goal-directed therapy elements?
 Extracted Questions by System

- Sepsis in ER with max vasopressors for surgery (adrenaline + noradrenaline): proceed to OR or optimize

further? ASA classification?

- Sepsis fluid resuscitation current approach, vasopressor titration in septic shock, recommended

agents/doses, next step if MAP still low?

Hemostasis & Transfusion

- Hemophilia A with large tongue mass, factor VIII antibody present: approach to surgery, bleeding

management?

- Massive transfusion protocol (MTP) triggers and components for warfarin-associated bleeding: Vit K, FFP,

PCC, ROTEM/TEG, NovoSeven?

- Post-tonsillectomy 1.5 y old with hypotension (BP 80/40), tachycardia, Hb 8: give blood? Resident wants to

insert suction catheter or start inhalational induction-opinions?

Regional Anesthesia & Pain

- Anesthesia for thigh fracture in opioid-addicted patient refusing sedation: pain control plan perioperatively,

use of opioids under anesthesia?

- Ankylosing spondylitis for hip arthroscopy: airway assessment, AFOI vs. spinal, single-test for airway, block

feasibility?

- Axillary brachial plexus block: management of suspected LAST with seizures-DDx and lipid rescue dose?

- Caudal block for 4 y hernia repair: volume/dose?

- Interscalene block causing cardiac arrest: management?

- Peripheral nerve block for below-knee amputation in septic CRF patient: block choice, failed block

contingency?
 Extracted Questions by System

- Supraclavicular block for AV fistula in CRF patient refusing GA: how to perform, landmarks, drug/dose?

Local Anesthetic Systemic Toxicity (LAST)

- Classification of antiarrhythmics; which classes contraindicated in LAST and why?

- LAST management up to ECMO/CPB and intralipid dosing?

Ethics & Consent

- Parents refusing life-saving pediatric emergency: risk-benefit discussion, ethics committee involvement,

proceed or not?

- Suspected colleague addiction: steps-head of department vs. universal screening?