Exams

Zurich 2016

Effects of gas exchange on pressure-volume loop of the chest? ? and discuss

oxygenation.
Ankle block
Magnesium
Amiodarone
Classification of anti-arrhythmic drugs
Choose a drug of induction and show changes in concentration after induction.
Context-sensitive half life
Plasma expanders
Near drowning
Physiological changes after bleeding
Anesthesia for eye surgery
Anesthesia for non-cardiac surgery in a cardiac patient
Rheumatoid
PLUS: X-ray and ECG
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EDIAC 2 lisbon november 2016:

Station 1
Lung voulume curve
Ventilation /perfusion in different lung regions
Pulmonary function tests
Pressure volume loop of the lung
Labetolol
Celiac plexus block
Station 2
Defibrillator
Pacemaker
Drug metabolism and elemination
Sevoflurabe
Desflurane
Station 3
Case
Pneumonia lead to sepsis , ICU manegment.the discussion was about those two diseases
X ray: systemic approach us IMPORTAN ,,hiates hernia
Station 4
mastectomy in 50 years old patient with breast cancer and moderate A.S with pleural
effusion
E.C.G RBBB with left axis deviation again its all about Systematic approach
I think there is some more but thats as far as i remember
‫بالتوفيق للجميع ان شاء هللا‬
From dr.ahmed bakhet
Addition what mentioned above :
Station 1: lung compliance ,factors affecting it .
Brain stem Anatomy , Discuss All Centers in and cranial nerves , and Brain death
reflexes.
Celiac ganglion Anatomy ,block , nerve convey in it.
CSF , circulation, function , compare with plasma constitution
Station 2:
Oxgen delivery , oxgen DIssocation curve , Factors affecting it
Hepatic extraction ratio ,factor increase and decrease , what that reation to drug
metabolism.
How to manage patient with implantable defibrillator inside OT
Fetal circulation every thing anatomy , and Rt side pulse oxymetery . Why.!
Station 3:
Was ARDS , with manifestation of sepsis , management. What common organism ?
Community acquired and hospital acquired infection . Protective lung stratige ,other
management
This was only half of the session , 2nd half I can not remember ,but not only xray , there
was two or more questions
Case of Pituitary Adenoma surgery , how to manage anesthesia , what possible
complications ,Diabetes inspidus. how to diagnose .Sitting position complications . How
to detect and prevent it inside surgery.
Station 4:
Dicussed every thing related to Anesthesia for cardiac patient for non cardiac surgery.
Inclunding aortic stenosis degrees how to assess , degree of stenosis according to echo ,
and pressure across the valve.cardiac revised index ,
Rhumatiod arthritis anesthesitic considerations
Spinal Anesthesia indications contra inductions and complication
What causes of patchy neurological deficits after spinal (was other q in other group)
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As I promised I am giving some information about my EDAIC 2 2 weeks ago in Istanbul.

The whole exam was a very positive experience in a friendly mood and I felt really good
about it no matter the result. The organisation was very smooth and I had no problem
finding places or not knowing what is next.
The exam is rather long taken in account all the people taking it and comprises a lot of
waiting in between the testing itself-usually about an hour and half or so.
There is a same question (rahter a string of questions on a subject) handed tp all
candidates in a preparation room with 10 minutes to prepare. Candidates are then led to
the examination room, where each finds his two examiners. These wait for a gong and
then start with the prepared question. There are 10 minutes reserved for the prepared
part. Some examiners were more interactive, some less so. I got both extremes of a
comission that let me speak with no hesitation for 10 minutes and another one that
interfered from minute 1. After this 10 minute part, the examiners start giving random
questions roughly in the area of that exam part (ex. science). This part is rather stressful
as questions range from basic to pretty advanced. Both examiners are given about the
same time to lead the examination. The examination takes 25 minutes and is finished by
another gong.
My prepared questions were:
Science 1- CO2 and O2 transport in blood, graphs for that, comparison, Haldan and
Bohr effect
Science 2- Pharmacokinetics-What level of Propofol in plasma do you expect after
administering 200 mg i.v.. What additional information do you need to count this? What
do levels of Profofol look like after single i.v. dose? How to keep Propofol plasma level in
narrow range? WHat is context related half-life?
Clinical 1- Polytrauma management in the ED and ICU
Clinical 2- A patient undergoing breast surgery for ca mammae. Aortal stenosis, CAD
proven by catetrisation-no stenting possible, established cardiac insufficiency, recent
onset breathlessness, pleural effusion, BP 100/60, P 90, T 37,1 C, medication:
betablocker, Ca channel blocker, Diuretic. Describe your perioperative management and
considerations.
My additional questions I remember:
Science 1 - Pharmacodynamics of Adenosine, Amiodarone, Dantrolen, Adrenalin,
Dopamin (function, clinical use, group, dose, side effects etc.)
Anatomy and function of sympathetic nervous system and its function
Beta receptors, their function and distribution
Glucose metabolism
Science 2 - Capnography and capnometry (principle, many graphs shown, function,
problems, clinical possibilities)
Target controlled anesthesia
Neuromuscular blockers, their pharmacology, antidotes and their pharmacology,
Sugammadex, Neostigmin and ceiling effect
Clinical 1- Glasgow coma scale, ICP- how to measure it and when, how to keep in under
control, ATLS guidelines
Aldrette score or when can I transfer a patient from a HDU or recovery room to standard
wards
one-day surgery which surgeries and which patients are suitable for this approach, when
to keep them over night)
delirium
geriatric patient
X-Ray ( I had a pneumothorax and we briefly discussed the scenario- a HD catheter was
also visible). I described it systematically.
Clinical 2- ECG- I got one with deviated axis and ventricular extrasystoly, however
systematic approach was expected
Regional anesthesia - continuous intrathecal anesthesia
Epidural anesthesia
Rheumatoid artritis
I prepared mainly from Clinical Anesthesiology ( Morgan at al.) and ICU book (Marino),
went through Respiratory physiology and Pulmonary pathophysiology from West, read
through some chapters in Guyton ´s Physiology (mainly cardiac, renal and GI), I studied
(among other resources) antibiotics, ECG and X-Ray with Dr. Eric Strong medicine
channel on youtube. I skimmed through FRCA Viva science book and FRCA Viva
clinical book, but did not get very far in either of them. I used Critical care secrets to fill
gaps in critical care.
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some information about EDAIC 2 2 weeks ago in Istanbul. The whole exam was a very
positive experience in a friendly mood and I felt really good about it no matter the result.
The organisation was very smooth and I had no problem finding places or not knowing
what is next.
The exam is rather long taken in account all the people taking it and comprises a lot of
waiting in between the testing itself-usually about an hour and half or so.
There is a same question (rahter a string of questions on a subject) handed tp all
candidates in a preparation room with 10 minutes to prepare. Candidates are then led to
the examination room, where each finds his two examiners. These wait for a gong and
then start with the prepared question. There are 10 minutes reserved for the prepared
part. Some examiners were more interactive, some less so. I got both extremes of a
comission that let me speak with no hesitation for 10 minutes and another one that
interfered from minute 1. After this 10 minute part, the examiners start giving random
questions roughly in the area of that exam part (ex. science). This part is rather stressful
as questions range from basic to pretty advanced. Both examiners are given about the
same time to lead the examination. The examination takes 25 minutes and is finished by
another gong.
My prepared questions were:
Science 1- CO2 and O2 transport in blood, graphs for that, comparison, Haldan and
Bohr effect
Science 2- Pharmacokinetics-What level of Propofol in plasma do you expect after
administering 200 mg i.v.. What additional information do you need to count this? What
do levels of Profofol look like after single i.v. dose? How to keep Propofol plasma level in
narrow range? WHat is context related half-life?
Clinical 1- Polytrauma management in the ED and ICU
Clinical 2- A patient undergoing breast surgery for ca mammae. Aortal stenosis, CAD
proven by catetrisation-no stenting possible, established cardiac insufficiency, recent
onset breathlessness, pleural effusion, BP 100/60, P 90, T 37,1 C, medication:
betablocker, Ca channel blocker, Diuretic. Describe your perioperative management and
considerations.
My additional questions I remember:
Science 1 - Pharmacodynamics of Adenosine, Amiodarone, Dantrolen, Adrenalin,
Dopamin (function, clinical use, group, dose, side effects etc.)
Anatomy and function of sympathetic nervous system and its function
Beta receptors, their function and distribution
Glucose metabolism
Science 2 - Capnography and capnometry (principle, many graphs shown, function,
problems, clinical possibilities)
Target controlled anesthesia
Neuromuscular blockers, their pharmacology, antidotes and their pharmacology,
Sugammadex, Neostigmin and ceiling effect
Clinical 1- Glasgow coma scale, ICP- how to measure it and when, how to keep in under
control, ATLS guidelines
Aldrette score or when can I transfer a patient from a HDU or recovery room to standard
wards
one-day surgery which surgeries and which patients are suitable for this approach, when
to keep them over night)
delirium
geriatric patient
X-Ray ( I had a pneumothorax and we briefly discussed the scenario- a HD catheter was
also visible). I described it systematically.
Clinical 2- ECG- I got one with deviated axis and ventricular extrasystoly, however
systematic approach was expected
Regional anesthesia - continuous intrathecal anesthesia
Epidural anesthesia
Rheumatoid artritis
I prepared mainly from Clinical Anesthesiology ( Morgan at al.) and ICU book (Marino),
went through Respiratory physiology and Pulmonary pathophysiology from West, read
through some chapters in Guyton ´s Physiology (mainly cardiac, renal and GI), I studied
(among other resources) antibiotics, ECG and X-Ray with Dr. Eric Strong medicine
channel on youtube. I skimmed through FRCA Viva science book and FRCA Viva
clinical book, but did not get very far in either of them. I used Critical care secrets to fill
gaps in critical care.
I hope this helps a bit and I wish you all good luck!

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EDAIC PART 2
ISTANBUL
1ST DAY
-Pathophysiology of heart failure and physiological compensatory mechanism
-Effect of inhalation anesthetic on muscle
-CSF CONTENTS._CIRCULATION - CPP
-OSMOLALITY : DEFINITION, REGULATIONS, RECEPTORS. ADH
- INHALATION ANESTHESIA : COMPARE BETWEEN N2O AND ANY INHALATIONAL,
FACTOR AFFECTING INDUCTION : ESPECIALLY BLOOD GAS PARTATON
coefficient.
- NITRIC OXIDE synthesis, USES, SITE OF ACTION
- TRANSIENT NEUROLOGICAL DEFECIT AFTER SPINAL
- BLOOD PRESSURE MONITORING : NON INVASIVE, INVASIVE. DAMPING,
- CARDIAC CYCLE , DRAW CURVES FOR CVP, PAP , ECG, AND CORRELATION
BETWEEN ALL.
_-CASE OF PNEUMONIA, THEY ASKING ABOUT TYPES OF BACTERIA,
ANTIBIOTICS, ASKING ABOUT YOUR APPROACH FOR THIS CASE, ARDS
VENTILATION, SUPPORT,
- HYPOXIA UNDER ANESTHESIA MANAGEMENT
- CASE OF HF, OBESE, SEPSIS, PRONE POSITION SCHEDULED FOR SKIN GRAFT
FOR 3 HR OPERATION.
- QT SYNDROME.
INTERSCALENE BLOCK
LOCAL ANESTHETIST TOXICITY
ECG , TRIFACICULAR BLOCK
- PAIN PATHWAY, MANAGEMENT OF PAIN. PHARMACOLOGICAL AND NON
PHARMACOLOGICAL
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EDAIC Part II Viva Questions: 3th July, Warsaw, Poland.

1. Hypercapnia, causes, measurement, systemic effects, Effects on oxygen delivery to

tissue, Transport of C02 in body.
Cardiac cycle, CVP & art line tracing & labeling, electro-mechanical correlation.
2. Factors that increase speed of Inhalational induction.
Toxic effect of Inhalational agents
Temperature control in body, mechanism of heat loss , how to prevent heat loss, effects
of hypothermia,
3. Post operative Oligo-urea in PACU, causes, Management, ICU management, Types
of RRT, Types of Dialysis, Dialysis Vs Haemo-filtration, which method is better in ICU.
Indications of dialysis.
Methods of blood pressure measurement, Invasive blood pressure
monitoring,Indications, Its principles, source of error.
4. Septic Laprotomy, Acute on Chronic Liver failure, Cirrhosis, complications,
perioperative management, Hepatorenal syndrome, hepatopulmonary syndrome,post
operative pain management.
5. PIH, Pre-eclampsia, Eclampsia, HELLP Syndrome, C-section of patient with Pre-
eclampsia, postoperative management of PDPH and Spinal Hematoma.
I hope this will help.
Any question/query is highly appreciated

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EDAIC-2 at London-27-05-2016
1. PFT in a pt with resp disease, and how anaesthesia affects respiratory function.
2. Draw a Conc-time curve for an induction agent of your choice. Describe factors
affecting distribution and elimination.
3. 21-y female, pain rt flank, nausea and thirst for 10d, tachycardic, hypotensive, febrile,
tachypneic, impaired renal fn, met acidosis, hyperkalemia. Enumerate DD. Surgeon
wishes to do a laparotomy immediately. What is your plan?
4. 4-y child, uncorrected Fallot's tetrad, for dental extractions, known difficult venous
access. Describe your plan.
Concepts of Vd and Clearance
Half life and time constants- compare
Antidepressants- classification, mech of action, interaction with anesthesia
Anesth problems with MAOI
Serotonin syndrome- clinical features and management
TCA overdose- clinical features and management
Anesth implications of a pt on Lithium
VSD- anesth implications, hemodynamic goals, SVR-PVR balance
Eisenmenger syndrome
After antibiotic administration, you notice high a/w pr alarm- what will you do?
Management of anaphylaxis- immediate
Pre-op assessment of cardiac fn
Principles of DSE/ DTS