Lahiru's part 1 viva exam relived!

Dec 5, 2020

Dive into Lahiru's nerve-wracking viva experience! Discover his pre-exam strategies and how he tackled the pressure-volume loop with finesse. The duo breaks down renal concentration mechanisms and bicarbonate handling like pros. Explore exercise physiology and its impact on cardiac output and ventilation. Unpack the pharmacokinetics of volatile anesthetics, including sevoflurane's safety concerns. Plus, hear practical tips on intraoperative hypotension drugs and reflections on pacing for exam success!

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ADVICE

Draw Landmarks First

Draw axes and key landmark points first when sketching physiological graphs to save time.
Keep drawings minimal and talk while drawing so the examiner can interrupt with further prompts.

INSIGHT

Give The Core Message Early

Examiners often interrupt once they see essential parts of an answer, so give the core message quickly.
Detailed additions can follow only if the examiner asks for them.

ADVICE

Explain Diastolic Pressure Succinctly

Explain diastolic pressure rise succinctly: increasing volume leads to rising pressure due to falling compliance.
Mention active components (calcium handling) and causes of impairment like ischemia.

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This is Lahiru's actual viva that we talk through and analyse!

Again, try to gain as much from our technique and style of answering, and our mistakes rather than the facts themselves.

Links to some of the subject matter is below:

http://www.partone.lifeinthefastlane.com/pressure-volume_relationships.html

https://www.amazon.com.au/Cardiovascular-Physiology-Robert-M-Berne/dp/0323011276

https://www.amazon.com.au/Vanders-Renal-Physiology-Douglas-Eaton/dp/1260019373/ref=sr_1_1?crid=3FXF014MR7ZDO&dchild=1&keywords=vanders+renal+physiology&qid=1607140473&s=books&sprefix=vander+renal+%2Cstripbooks%2C439&sr=1-1

Counter current multiplier
https://www.apsubiology.org/anatomy/2020/2020_Exam_Reviews/Exam_4/Kidney_Countercurrent_Multiplier.htm
https://www.khanacademy.org/test-prep/mcat/organ-systems/the-renal-system/a/renal-physiology-counter-current-multiplication

bicarb reabsorption
https://www.anaesthesiamcq.com/AcidBaseBook/ab2_4.php

maximum voluntary ventilation
https://www.sciencedirect.com/topics/medicine-and-dentistry/maximal-voluntary-ventilation

work rate vs VO2
https://reader.elsevier.com/reader/sd/pii/S2213177916301299?token=515F0C685D1B546A2F8FBB4FD990ADF49CC62B9BEC2FBBAE79518E6627631236845CD34D2C32AB891FD033D21DAA888F

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Check out https://anaesthesiacollective.com/education/first-part-exam/ for general information and a collection of model answers

and
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https://www.youtube.com/c/ABCsofAnaesthesia

If you have any questions, please email Lahiruandstan@gmail.com

Disclaimer:

The information contained in this podcast is for medical practitioner education only. It is not and will not be relevant for the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.

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You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.

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