Exam.(Trauma and outside OR)
1.Thai male 28 years old, was transferred to the hospital from motorcycle accident.
His vital sign was BP 60/40, PR 130, RR 30 / min. His GCS was E2V2M4m and
he looked very pale and dyspnea.
He was resuscitated with 2 lit of LRS and 2 units PRC gr O Rh negative.
The patient was suspected having internal organ bleeding and set OR for
Emergency explore laparotomy.
What should be consider about blood and blood component transfusion in this
patient?
2. 25 years old, a Thai woman was sent to emergency department. She was rescued
from a burning condo. At the OR, she was unconscious, vital signs were stable.
Her physical examination found some smoke in her nostrils and mouth.
Otherwise, she had had 30 % burn. The patient was set for scrub burn.
(a) How would you manage the airway?
(b) What are the key issues in your anesthetic management of this patient?
3. 18 year old male with a bilateral fractured zygoma from assult which requires
surgical fixation. Following the assault he was unconscious for 5 minutes. Otherwise
he has no other injuries.
(a) Outline your preoperative assessment.
(b) What are your anesthetic considerations for surgery?
4. Manual In-Line Stabilization (MILS) for acute airway management of suspected
cervical spine Injury
(a) Describe your technique for performing MILS.
(b) Lists the disadvantages of performing MILS.
5. What is the role of Anesthesiologists in Emergency Response for Mass Casualty?
6. What are the common risks of gastrointestinal endoscope?
7. An adult patient requires angiography and interventional radiology for cerebral
AVM.
(a) What are your considerations specific to the patient in Angiography Suite?
(b) Describe your anesthetic management in this patient.
8.What are your list of recommended drugs and equipments that should be in the
room where contrast medium is injected?
9. What complications may occur from Radiofrequency Ablation?
10. Describe monitoring of pediatric patients during and after sedation for MRI?