Istanbul Ediac 19.11.

2017
1....
Ankle block
O2 cascade
Shunt
Prostaglandin
2....
drug metabolism
3...
Myasthenia
Turp
Pheochromocytoma
Local anth toxicity
X ray ‫مش واضحه قوي اهم حاجه تمشي سيستيماتك مش مهم التشخيص‬
4.....
Or 56 y heavy smoker history of hot flushes for adrenal mass resection normal bp or complain shortness in
breath pre-op. What invest and management
Aortic stenosis
Epidural in normal labor
Egg atrial flutter‫ وهي قالتلي نصا علق عليها سيستيماتك مش مهم ال‬final diagnosis

EDAIC. II/istanbul 18 /9
Viva1
all about capnograph, tow clinical implication and curve changes,Increase Co2( causes, mx,dx,)
Graph of normal and abnormal capnograph
Viva 2,,,,
Serum level after thiopentoe singl, multiple doses.
Criteria for ideal drug for infusion, CSHT, why thiopentone not an ideal for infusion, steady state
concentration,accumlation
Drugs used in epilepsy
All about ADH, secretion, uses,effect
Viva3
Pt. In paint store explosion
all about burn mx, ABCD approch, in details
sg of inhalational injury
Fluid replacment, uses of scoline why , mx of this pt. after 15 days
indication for 100% O2 in this case and in general
sg of co poising in percent
Type of fluid mx.for burn
Viva4
Pyloric stenosis, 5 wks baby with persist vomiting
Surgen want to proceds with doing surgery!
Mx in details, acid base and electrolytes , intubation, venous access, role if fluid replacement
ECG in systematic way, this is important than dx of abnormalities
CXR systematic reading ( pleural effusion)
Notes!!!!
The examiners look for basic informations and safe experiance and vital steeps in each case
u must say every thing in systemic way , dont hesitate , be confident
Dont say yes for any thing u dont know just say idont work or trying ( eg. machine, devise) but not usual
devises
The vital of all is u must have ahard and wide back ground of physiology and pharmacology, clinical
practise of emergency problems
I, d like to thanks every one who share his information regarding previous exam. And advises
Any questions im ready with pleasure
Hope success to all

Hi every one
Thanks god i have passed the exam yesterday in Athens (2nd) day and now i will try to write down in
details as much as i can coz that was really helpful for me before and now its my turn...
1st viva:
-opening question: compare between 30 years old man and 80 years old man as regarding their
anaesthesia and ventilation(they want to hear all changes of respiration and circulation with age and effect
on drugs)
-the curve of blood gas solubility co-offient without data and the want the name of the axes and the
inhalational anaesthetics and discussion about all what concern
-radial nerve anatomy(root value,course,injury,and all blocks related)
-glucose( everything: glycogenolyis gluconeogenesis glycolysis tca cycle and HMP shunt) all in details
-central senstization of pain and then asked in periphral senstization,modulation in details( central
projections and gate theory)hyperalgesia,wind up,allodynia and chronic pain types and managment in
details.
2nd viva:
-opening question:how to calculate the dose of prpofol for infusion and what will happen after taking a
single dose of morphine( they discuss all the pharmacokinetics in details)
-VD in adults and children
-compartmental models and CSHT
-TCA drugs have high volume of distribution...explain
-lung volumes in details and how to measure with drawing the flow volume loops
-how to measure gas flow in anaesthesia( equipment names and bobbin flowmeter and ultrasound
flowmeter in details)
-N2O talk about everything( mechanism of analgesia and neuro toxicity
-NO: what is it,uses,how it works,benfits,dose in pHTN
-erythropoietin:what do you know,uses,route,adverse effects and illegal use!! also the discussion went to
blood salvage techniques
3rd viva:
-opening case: chemical factory worker,50 years,come with burn and black face and GCS 15/15(discuss
every thing in burn,cyanide toxicity,CO poisoning and managment of them in details)
-case of lap chole with sudden decrease in end tidal co2( DD,venous embolism in details) with
development of postoperative neurological insult( she wants to hear paradoxical embolism from patent
foramen ovale!)
-carotid endartrectomy( preoperative assesment,types of anaestheia,postoperative complications and how
to monitor cerebral function)
-patient taking oral steroids for 2 months, your concerns( she want to hear the adverse effects and steroids
cover according to the operation minor moderate or major)
-antidepressants: types and conerns in anaesthesia
-X-ray: Rt lower lobe pneumonia mostly aspiration in ventillated patient
4th viva:
-opening case: post tonsillectomy bleeding not yet shocked( managment,shock assessment and
grades,rapid sequence induction,doses of rocuronium and suggamadex)
-postoperative HTN: DD,treatments( asked about beta blockers with doses!! nitroglycerin,nitroprusside all
in doses and details) and she wants to hear clonidine and asked about dose also
-ECG: (not obvious) vetricular tachycardia ( polymorphic) and she wants to hear about torsade de points
-primigravida,inserted epidural and after 2 days complain from numbness in lower limbs..
managment( asked about epidural hematoma incidence! and they want to hear about nerve injures with
lithotomy as the MRI seems to be normal)
-Von-willebrand disease every thing( types,preoperative assessment and preparation,desmopressin and
dose,what is the most common cardiac problem with those patients!?)
finished

EDAIC part 2 Erlangen, 30/9

Station 1
How is minute ventilation influenced by arterial partial pressure of co2 and o2? Regulation of ventilation?
Ideal inhalational anaesthetic charactristics , blood and oil gas solubility coefficient,MAC ; factor affecting.
Anatomy of the eye ,nerve supply,different eye reflexes , drugs affecting pupil size and intraocular
pressure.
Temperature regulation.
Station 2
Different sites of drug metabolism, reactions ,effects on elimination of drugs.
Vulsalva maneuver, definition,physiology , significance for anaesthesia.
Blood pressure monitoring, damping and resonance.
Comparison bet sevo and desflurane
Anaesthesia for chronic renal failure patient
Station3
Postoperative patient for open left radical nephrectomy for carcinom received combined general epidural
complain of dyspnea, no pain.ur management.
After that collapsed ur management , local anaesthetic toxicity
Stress surgical response physiology and how to minimize during anaesthesia.
Types of pacemaker
Xray bronchial intubation with total lung collapse
Station 4
After induction of anaesthesia for thyroidectomy during lifting the table break common gas outlet circuit
leak ur management
TIVA ,awareness, depth of anaesthesia monitoring
Acute epiglotitis , pediatric anaesthesia during managing this case
Nerve blocks of the eye , how to perform, different types of blocks with details.
O2 toxicity
Ecg pacemaker ecg, systemic interpretation.

Lisbon.portougal
Station I
Alveolar - arterial difference?
Why there is difference?
What is occur during induction of anathesia?
Ankle block anatomy
Neuro muscular junction?
Myoglobinuria
Station II
Factors affecting the inhalation agents...
All about it
Paradoxical air embolism
Coagulation... All about it.. Drug affecting
Ketamine
Station Iii
Case of 6 year boy had a car accident.. GCS 4
Your management..
Cpp
Nausea and vomiting
X ray.. Systematic approach
Station IV
Case of patient 75 y..have a pathological # humerus.. Obstructive pulmonary.. Smoker...can't lie flat..
ABG.. Ph 7.34..paco2 36mmhg..po2 50 on air... Management
Wolf parkinsonisn white syndrome
Phantom limb
ECG..SYSTRMATIC APPROACH
Tri fasicular block

Edaic from warsaw 2017

DAY 1
Any thing from basic sciences can be asked at the first two tables so be prepared for both station 1 and
station 2 at the same time.
Station 1 :
-how is oxygen delivered to different parts of the body ? explanation in detail( O2 dissociation curve etc)
- mixed venous o2 saturation and importance
- pregnancy related changes including graphs of how physiologic variables change ( from plunkett)
- innervation of airway and awake fibre optic intubation
- compartment models diagram and variation
station2 :
- All about neuromuscular junction
- neuromuscular blockr and vecuronium in detail
- Target controlled infusions- graph from plunklett
- How would you introduce a new drug being used on a trial basis to the patient and take consent for it.
(what all things you would like to know about the drug before talking to the patient)
-
Station 3 :
- Acute pancreatitis management in ICU including pain management. coeliac plexus block.
- x ray bilateral lower and middle pulmonary infiltrates with CVP line.( possible pneumonia)
- discussion on sepsis
Station 4 :
- Obese lady coming for hiatus hernia surgery - your management
- ECG - paced rhythm - all captured beats (is the pacemaker functioning properly or not?)
Day 2
station 1 :
- effect of o2 and co2 on pulmonary ventilation ( pp of o2 and co2 versus minute ventilation graph from
plunkett)
- control of ventilation various factors influencing it
- Describe nerve supply of the eye - neurology behind pupillary light reflex.
- methods of heat loss during surgery- how to control
- describe buffer systems in the body and next their relative importance
stations 2 :
- Discuss concentration versus time graph after a loaing dose of propofol in detail
- reference to compartment models and how the above graph is influenced by the models- what variables
of a drug and distribution do u need to know about for building these models
- what is time constant and its influence?
-contest sensitive half life - variability of different drugs
- define VOl. of distribution and clearance ? what factors influence these
- how are inhalational agents measured clinically? sources of error in measurement.
- Desflurane - all details about desflurane including svp and b/g and o/g coefficients.
- MAC definitions and factors influencing it
- spirometry restrictive and obstructive patters - variations of FEV1 and FVC and ratios
- flow volume loops - graphs
- Rhabdomyolysis - causes, diagnosis, management and treatment of hyperkalemia
Station 3
- Explosion occured in paint store. 34 year old man came out burning bystanders put out the fires and
brought him to A and E in 20 mins. hes conscious but confused. your management ( all about carbon
mono oxide poisoning )
-burns complete management including pain relief.
- Describe how you would do RSI in this patient.
- Hyperbaric o2 therapy
- problems with pulse oximetry and sources of error
- what is a bypass machine ? where is it used
- describe Coronary artery bypass machine and draw a diagram of the circuit if u can. ( they expect just the
basics nothing in detail)
- Xray -rotated film ,intubated, possible cardiomegaly, chest infiltrates, cvp line, pacemaker insitu
station 4
- Patient 54 year old Heavy smoker ( 54 pack years) is brought for an excision of an left sided adrenal
mass. he has had hot flushes before and also is complaining of breathlessness since one week.
management of the case.
- hypotensive agents intraop management.
- management of an in advertant needle prick injury( discussion went on to HIV positive patient and
Prophylaxis )
- ECG : T inversions in v1 to v6 ? old ischemic changes
In addition to that :-
Static and dynamic PFTs
Hypothermia
Temperature control
Ideal inhalational anaesthetic
Compare sevoflorane
Is it ideal inhalational anesthetic
Echocardiography findings in aortic stenosis
Hemodynamic goals for anesthesia of aortic stenosis
Discussion in details
Spinal or GA in Aortic stenosis )
Pheochromocytoma
Preoperative management & why alpha blockers before b blockers
Epidural analgesia for Labour , can u start at 2nd stage of labour
Herring bruer reflex
Distribution & elimination half life
If u have academic of COPD
For preoperative assessment,in order to differentiate between HF of pulmonary or cardiac origin, how to
differentiate
ETCO2
Normal curve
Causes of gradual rise
Shape of curve in aiwary obstruction &a differential diagnosis &how to manage