September 2013

A 76-year-old man is scheduled for elective cataract surgery under local anaesthesia.

a) Summarise the goals of local anaesthesia (LA) for this procedure. (15%)

b) Which LA techniques may be used for cataract surgery? (20%)

c) List the contraindications to the use of LA as the sole technique for the procedure. (25%)

d) Which details specific to an LA block should be documented in the anaesthetic record? (40%)
81.5% pass rate.

This question was answered well and was also a good discriminator. The question was based on the document entitled Local anaesthesia for Ophthalmic Surgery (February 2012), Joint guidelines from the Royal College of Anaesthetists and the Royal College of Ophthalmologists.
March 2011

You are asked to assess a 4-year-old child who is scheduled for a strabismus (squint) correction as a day case procedure.

a) List the anaesthetic related issues this case presents. (60%)

b) During surgical traction, the patient suddenly develops a profound sinus bradycardia. How would you
manage this situation? (10%)

c) Describe the key postoperative problems and relevant management strategies. (30%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
September 2010

a) Describe the type and course of primary pain afferents from the cornea to the brain. (20%)

b) List the techniques which can provide local anaesthesia of the cornea. (15%)

c) Which nerves need to be blocked to achieve complete akinesia of the globe? (15%)

d) What are the complications (25%) of sharp needle orbital blocks and how can they be minimised? (15%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
May 2005

List the nerves which supply the eye and its muscles. Briefly describe the relevant function of each nerve. (40%)
What specific considerations would you take into account when providing general anaesthesia for adult vitreo-retinal surgery? (60%)
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question
April 2002

Describe the anaesthetic management of a penetrating eye injury in a screaming 5 year old child
Question11 Critical care/management of airway problem/tracheostomy

76.6% pass rate

In the main was a well-answered question