March 2016

You have anaesthetised a 5-year-old boy for manipulation of a forearm fracture. During the operation you notice that he has multiple bruises on his upper arms and body that you think may indicate child abuse.
  • a)  Which other types of physical injury should raise concerns of abuse in a child of this age? (6 marks)
  • b)  What timely actions must be taken as a result of your concerns? (7 marks)
  • c)  List parental factors (5 marks) and features of a child’s past medical history (2 marks) that are known to increase the risk of child abuse.
Child protection issues of relevance to the anaesthetist Pass rate 44.7% This is an important topic which is relevant to the practice of paediatric anaesthesia and forms part of mandatory training for all doctors. The question was not particularly well answered with many candidates appearing not to have knowledge of the presenting signs and symptoms of child abuse. Candidates assumed that the parents were harming their child so missed important steps such as informing the senior paediatrician before contacting social services. The general lack of knowledge on this subject was reflected in the poor pass rate.
October 2008

All health care professionals have a responsibility to act if they suspect that a child has been subjected to physical abuse.

a) In what situations may the anaesthetist
encounter possible child abuse? (20%)

b) List clinical features that would arouse suspicion that physical child abuse has occurred. (40%)

c) What should the anaesthetist do if they suspect child abuse has taken place? (30%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2007

a) What is informed consent? (30%)

b) Give two examples of problems that you may experience gaining informed consent for anaesthesia and discuss solutions for these. (35%)

c) How do you explain the concept of risk to a member of the public? (25%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2006

a) Summarise the key principles of consent for anaesthesia. (60%)

b) Which patients may be unable to give consent (10%) and how is this situation approached? (30%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question