CMSA FCS(SA) Intermediate Practice Questions - Fellowship of the College of Surgeons of South Africa - Intermediate Examination Exam - CMSA FCS(SA) Intermediate Practice Questions - Fellowship of the College of Surgeons of South Africa

Question 1

During rapid-sequence intubation of a trauma patient, which manoeuvre is most appropriate for initial airway opening before laryngoscopy?

Head-tilt chin-lift in a suspected cervical spine injury Blind nasal intubation as first-line in facial trauma Jaw thrust with manual in-line stabilisation when C-spine injury is possible Immediate surgical cricothyroidotomy without attempting bag-mask ventilation

Correct Answer:

Jaw thrust with manual in-line stabilisation when C-spine injury is possible

Question 2

In a ventilated patient with ARDS, which strategy best reflects lung-protective ventilation principles?

Tidal volumes of 12–15 mL/kg actual body weight to prevent atelectasis Zero PEEP to minimise barotrauma in all ARDS patients Tidal volumes of about 6 mL/kg predicted body weight with plateau pressure usually ≤30 cmH2O Mandatory hyperventilation to PaCO2 <25 mmHg regardless of pH

Correct Answer:

Tidal volumes of about 6 mL/kg predicted body weight with plateau pressure usually ≤30 cmH2O

Question 3

Which blood-gas pattern is most consistent with acute hypoventilatory (Type 2) respiratory failure?

Low PaO2 with low PaCO2 and respiratory alkalosis Normal PaO2 with metabolic alkalosis only Low PaO2 with raised PaCO2 and respiratory acidosis High PaO2 with low bicarbonate from hyperventilation

Correct Answer:

Low PaO2 with raised PaCO2 and respiratory acidosis

Question 4

Which statement best distinguishes hypoxia from hypoxaemia in critical care?

Hypoxaemia is inadequate tissue oxygen use; hypoxia is only low PaO2 The terms are interchangeable and both mean low FiO2 only Hypoxaemia refers to low arterial oxygen content/PaO2; hypoxia is inadequate tissue oxygenation Hypoxia always implies anaemia whereas hypoxaemia never does

Correct Answer:

Hypoxaemia refers to low arterial oxygen content/PaO2; hypoxia is inadequate tissue oxygenation

Question 5

A postoperative patient develops sudden respiratory distress, SpO2 85% on oxygen, unilateral absent breath sounds and tracheal deviation away from the silent side. The most urgent next step is:

Urgent CT chest before any intervention Observation with nasal cannula only Immediate needle decompression / emergency management of tension pneumothorax then definitive chest drain Flexible bronchoscopy as the first intervention

Correct Answer:

Immediate needle decompression / emergency management of tension pneumothorax then definitive chest drain

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Prepare with the CMSA FCS(SA) Intermediate Practice Questions - Fellowship of the College of Surgeons of South Africa - Intermediate Examination Exam practice quiz. This question bank includes 100 questions covering patient, surgical, surgery, acute, and risk. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMSA FCS(SA) Intermediate Practice Questions - Fellowship of the College of Surgeons of South Africa - Intermediate Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, surgical, surgery, acute, and risk. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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CMSA FCS(SA) Intermediate Practice Questions - Fellowship of the College of Surgeons of South Africa - Intermediate Examination Exam

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