2nd Edition

The Primary FRCA Structured Oral Exam Guide 1

By Lara Wijayasiri, Kate McCombe Copyright 2016

    The Primary FRCA Structured Oral Examination Study Guide 1 is the definitive revision aid to the Primary FRCA structured oral examination. This second edition is revised and updated in line with the new Royal College of Anaesthetists ‘Guide to the Primary FRCA’, with over 20 new topics to reflect changes to the RCoA’s model questions and major revisions to graphs, diagrams and many of the pre-existing sections.

    Packed with new guidelines and current hot topics, this first volume covers physiology and physics. The nearly 50 physiology topics covered include lung function, hypoxia, acid–base balance, pain pathways, oxygen transport, cerebral blood flow and more. Nearly 30 physics topics are covered including gas laws, oxygen measurement, cardiac output monitoring, safety features of the anaesthetic machine, resuscitation bags and valves, depth of anaesthesia monitoring and more. The second edition of this hugely popular book is improved in clarity and content but stays true to the pragmatic approach adopted by the authors in the first edition.


    Red Blood Cells and Haemoglobin
    Oxygen–Haemoglobin Dissociation Curve
    Oxygen Transport
    Carbon Dioxide Transport
    Alveolar Gas Equation
    Ventilation–Perfusion (V/Q) Mismatch and Shunt
    Respiratory Dead Space
    Lung Volumes
    Lung Compliance
    Control of Respiration
    Altitude and Diving
    Lung Function Measurement
    Effects of Anaesthesia on Lung Function
    Baroreceptors and Control of Blood Pressure
    Cardiac Cycle
    Coronary Circulation
    Carbohydrate Metabolism
    Nausea and Vomiting
    Liver Physiology
    Gastric Regulation
    Total Parenteral Nutrition
    Acid–Base Balance
    Renal Blood Flow
    Glomerular Filtration Rate
    Renal Handling of Glucose, Sodium and Inulin
    Fluid Compartments
    Action Potentials
    Cerebral Blood Flow
    Cerebrospinal Fluid
    Autonomic Nervous System
    Child versus Adult
    Placental Transfer
    Fetal Circulation
    Adrenal Gland
    Thyroid Gland
    Portal Circulations
    Immune Mechanisms
    Pain Pathways
    Muscle Electrophysiology


    Standard International Units
    Principles of Measurement
    Gas Laws
    Supply of Medical Gases
    General Aspects of Pressure
    Pressure Regulators
    Electrical Components
    Electrical Safety
    States of Matter, Heat Capacity and Latent Heat
    Temperature Measurement
    Pollution and Scavenging
    Oxygen Measurement
    pH Measurement
    Carbon Dioxide Measurement
    Blood Pressure Measurement
    Arterial Pressure Waveform
    Cardiac Output Monitoring
    Depth of Anaesthesia Monitoring
    Safety Features of the Anaesthetic Machine
    Disconnection Monitors
    Breathing Systems
    Resuscitation Bags and Valves
    Neuromuscular Blockade Monitoring
    Ultrasound and Doppler
    CT and MRI
    Pulse Oximetry


    Kate McCombe, consultant anaesthetist, Frimley Health NHS Trust, Surrey, UK

    Lara Wijayasiri, consultant anaesthetist, Ashford & St Peter’s Hospitals NHS Trust, Surrey, UK