Endocrine, metabolic and neuromuscular systems: The most important topics to be read for your EDAIC examination

Questions based on the endocrine, metabolic and neuromuscular systems are frequently asked in the EDAIC viva examinations. However, the topics are so extensive and exhausting that most of the students will find themselves submerged in the confusing void of what to read from the plethora of resources available out there. Although the examiner is at liberty to test anything, there are all-time favourites that you must know.

To make the challenging terrain a little less painful, we have tried to compile a list of the most important topics to be read from these systems, a bare minimum yet essential topics’ compilation.

Targetedaic recommends: what to read in the ENDOCRINE / METABOLIC/SKELETAL/NEUROMUSCULAR SYSTEMS

THYROID AND PARATHYROID

• A patient with a huge goitre, what are the problems? How to manage?
• Parathyroid disorders
• Airway assessment for a patient with goitre and hypothyroidism
• Hypothyroidism and hyperthyroidism anaesthetic implications

ADRENAL AND PITUITARY GLAND

• Flowchart of hormone synthesis with essential enzymes and effect of an enzyme deficiency or inhibition
• 54-year-old Heavy smoker (54 pack-years) is brought for an excision of a left-sided adrenal mass. He has had hot flushes before and also is complaining of breathlessness for one week. Management of the case.
• 58-year male otherwise denied any past medical history except hot flushes. We 95 kg and height 171 cm, normotensive is planned for left renal mass excision. He has a recent history of dyspnea. What further investigation you will request before surgery and why.? Preoperative preparation of this patient for surgery. Post-op expected complications and management. Intra op conduct of this patient for urgent surgery.

OBESITY

• Morbid obesity
• Obese lady coming for hiatus hernia surgery – your management
• Stress response
• Morbid obese (awake intubation)

STRESS RESPONSE TO SURGERY

• Pathophysiology
• Hormones involved
• Consequences
• Prevention
• ADH secretion and control

DIABETES

• Glucose metabolism (everything: glycogenolysis gluconeogenesis glycolysis TCA cycle and HMP shunt) all in detail
• oral hypoglycemics. Drug with potential for lactic acidosis
• Perioperative management oral hypoglycemics.
• Diabetes, preoperative assessment
• Autonomic neuropathy: Symptoms and tests to diagnose
• Managing diabetic coma and ketoacidosis. Management for emergency surgery
• A diabetic female on insulin 3 times per day scheduled for the femoropopliteal bypass is annoyed for being postponed 3 days because of lack of operative time. Perioperative management -Diabetes, complications (microvascular and Macrovascular) -Glycemic control HbA1c -Cardiac assessment -Other investigations -Regional vs general in this pt

HEAT REGULATION

• Temperature measurement scales
• Conversions
• How to measure temperature
• Body temperature maintenance
• Heat loss under anaesthesia ***
• Give the mechanism of intraoperative hypothermia. complications of it

NEUROMUSCULAR/ SKELETAL DISORDERS/ OTHERS

• Exercise physiology
• Myasthenia and Eaton-lambert syndrome and how to differentiate. What is the shape of TOF in myasthenia? Treatment of myasthenia including steroids (the benefits and side effects) and plasmapheresis (what is the dose???).
• Patient with myasthenia gravis for laparoscopic surgery
• Myasthenia gravis in preeclampsia
• Malignant hyperthermia: Motor endplate. ACh receptors, rhabdomyolyses?
• Implications of rheumatoid disease
• Multiple sclerosis
• Prostaglandins
• Anaesthetic concerns for patients with multiple sclerosis

FOR MUST-READ TOPICS IN THE RESPIRATORY SYSTEMS, CLICK HERE.

FOR MUST-READ TOPICS IN THE RESPIRATORY SYSTEMS, CLICK HERE.

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