PGIM MD Anaesthesiology study plan

Map the difficult-airway decision tree from pre-oxygenation through awake fibreoptic intubation, and recite the failed-intubation/failed-oxygenation rescue sequence aloud without notes

Derive the oxygen-haemoglobin dissociation curve and explain how pH, temperature, 2,3-DPG and CO shift it, then predict SpO2 changes at altitude and in anaemia

Calculate fresh gas flow effects on volatile uptake using the Mapleson and circle system, and state which circuits suit spontaneous versus controlled ventilation

Draw and label the anaesthetic machine from cylinder to common gas outlet, naming three safety interlocks and the colour-coding of each gas cylinder

Explain the mechanism, dose, onset and offset of suxamethonium and rocuronium, and justify reversal with sugammadex versus neostigmine by depth of block

Compare propofol, thiopentone, etomidate and ketamine on haemodynamics, induction dose, and adverse effects, and select one for a shocked trauma patient with a reason

Describe MAC, its determinants, and how nitrous oxide, opioids, pregnancy and age alter volatile requirement

Interpret capnography waveforms for bronchospasm, oesophageal intubation, circuit disconnection and exhausted soda lime

Locate the landmark and ultrasound approach for interscalene, supraclavicular, axillary, femoral and popliteal sciatic blocks, and state the nerve and vessel relations for each

Calculate maximum safe doses of bupivacaine, lidocaine and ropivacaine with and without adrenaline, and outline the management of local anaesthetic systemic toxicity including lipid emulsion dosing

Explain the mechanism of spinal and epidural block, and predict the level and haemodynamic consequences of a T10 versus T4 sensory block

Describe the anatomy relevant to a lumbar plexus and transversus abdominis plane block and match each to a surgical procedure

Differentiate neuraxial from peripheral nerve injury, and outline the workup and consent discussion for a patient with new postoperative weakness after spinal anaesthesia

Apply the ASA physical status and the STOP-BANG and Apfel scores to stratify preoperative risk and choose a postoperative monitoring plan

Formulate an acute pain plan using multimodal analgesia, and justify opioid-sparing strategies with NSAID and ketamine adjuncts in renal impairment

Interpret arterial blood gases using a stepwise approach, including compensation for metabolic acidosis and the anion gap

Apply the Surviving Sepsis-type bundle to a septic shock scenario: fluid challenge, vasopressor choice, lactate clearance and source control timing

Explain lung-protective ventilation settings in ARDS, including tidal volume per predicted body weight, PEEP titration and permissive hypercapnia

Differentiate the causes of shock by haemodynamic profile and select an inotrope or vasopressor with a mechanistic reason

Describe the management of acute kidney injury in ICU, including when to start renal replacement therapy and how to adjust common anaesthetic drug doses

Interpret ventilator waveforms and identify auto-PEEP, asynchrony and circuit leak

Outline the physiological changes of pregnancy and adjust induction dose, airway plan and aspiration prophylaxis for a 36-week parturient needing caesarean section

Explain the management of pre-eclampsia including blood pressure targets, magnesium sulphate toxicity monitoring and neuraxial contraindications

Plan anaesthesia for a neonate and an infant undergoing pyloromyotomy and inguinal hernia repair, including fluid, temperature and apnoea precautions

Describe the resuscitation of a 2-year-old in cardiac arrest using weight-based doses, and calculate defibrillation energy and adrenaline volume

Compare general anaesthesia for a day-case versus an emergency laparotomy, and justify the choice of airway and monitoring

Plan anaesthesia for a patient with severe aortic stenosis and for one with a pheochromocytoma, stating the haemodynamic goals and monitoring for each

Explain the anaesthetic implications of a patient with a full stomach and of one with a raised intracranial pressure, and state the induction strategy for each

Describe the management of massive haemorrhage including transfusion ratios, tranexamic acid timing and cell salvage

Outline the anaesthetic considerations for a patient with obstructive sleep apnoea undergoing upper airway surgery, and justify the postoperative disposition

Complete two full-length timed mock papers under exam conditions and record the score per domain

Review every incorrect answer and write a one-line correction rule for each, grouping errors by domain

Rehearse aloud the failed airway and local anaesthetic systemic toxicity rescue sequences until fluent without notes

Recheck the weakest two domains with a 20-question targeted set and confirm improvement over the week-4 baseline