ANZCA Primary case studies
ANZCA Primary · Put your knowledge to work in context.
The ANZCA Primary Examination is the first major hurdle on the pathway to fellowship with the Australian and New Zealand College of Anaesthetists, the body responsible for anaesthesia, pain medicine and perioperative medicine training in Australia and New Zealand. It is designed for trainees who have entered the ANZCA anaesthesia training program and need to demonstrate a solid foundation in the sciences underpinning safe specialist practice before progressing through later stages of training. The ANZCA Primary case studies are 5 cases and about 1,921 words.
1Postoperative Hypoxaemia in a Patient with Obesity
A 58-year-old man with a BMI of 42 kg/m² undergoes elective laparoscopic cholecystectomy under general anaesthesia. He has obstructive sleep apnoea (OSA) diagnosed by polysomnography (apnoea-hypopnoea index 32 events/hour) and uses CPAP at home.
375 words, about 2 min2Acute Pain Management in a Patient with Chronic Kidney Disease
A 72-year-old woman with stage 4 chronic kidney disease (eGFR 25 mL/min/1.73 m²) is admitted with a fractured neck of femur. She is scheduled for hemiarthroplasty under spinal anaesthesia.
362 words, about 2 min3Unexpected Difficult Airway in a Patient with a Known Difficult Airway
A 45-year-old woman with a history of previous difficult intubation (Cormack-Lehane grade 3) and a BMI of 35 kg/m² presents for elective thyroidectomy. She has a large goitre causing tracheal deviation and mild stridor when supine.
421 words, about 2 min4Perioperative Management of a Patient on Anticoagulation
A 68-year-old man with atrial fibrillation and a mechanical mitral valve is scheduled for elective colonoscopy with polypectomy. He is on warfarin (INR 2.5) and aspirin 100 mg daily.
384 words, about 2 min5Paediatric Patient with Recent Upper Respiratory Tract Infection
A 3-year-old boy (weight 15 kg) is scheduled for elective inguinal hernia repair. He has had a runny nose and mild cough for 3 days, but is afebrile and playful.
379 words, about 2 min