FAT Exam – June 2026 First Paper – Questions Asked 1. Coagulation cascade, coagulation pathways & recent ASRA guidelines 2. Cleft palate – anesthetic considerations 3. Brachial plexus diagram & approaches for shoulder surgeries 4. Anesthetic management for robotic prostate surgery 5. Local anesthetics – classification & mechanism of action 6. A) Non-cardiogenic pulmonary edema B) TRALI 7. Perioperative uses of POCUS 8. Management of hypoxia during one-lung ventilation (OLV) 9. Informed consent – ethics & documentation 10. A) Uterus – diagram, blood supply & nerve supply B) Physiological and anatomical changes in pregnancy Give me comprehensive DNB style answers including diagram and flowchart if relevant and comprehensive one by one
Quick Index
| Q | Topic | Key High-Yield Points |
|---|---|---|
| 1 | Coagulation Cascade + ASRA | Cell-based model (3 phases), classical cascade diagram, ASRA 2022 drug intervals table |
| 2 | Cleft Palate Anesthesia | Rule of 10s, Pierre Robin airway, RAE tube, throat pack, awake extubation |
| 3 | Brachial Plexus + Shoulder | RRTDCB formation diagram, ISB (gold standard), suprascapular + axillary alternative, complications table |
| 4 | Robotic Prostatectomy | Steep Trendelenburg effects, TIVA preferred, restrictive fluids, IOP/POVL, sugammadex |
| 5 | Local Anesthetics | Ester vs Amide classification, Na⁺ channel MOA diagram, pKa/onset, differential block, LAST treatment with Intralipid |
| 6A | Non-Cardiogenic Pulmonary Edema | Starling equation, causes (ARDS/NPPE/TRALI), Berlin ARDS criteria, lung-protective ventilation |
| 6B | TRALI | Two-hit model, TRALI vs TACO comparison table, management, prevention (male-only FFP) |
| 7 | Perioperative POCUS | Preop (cardiac/gastric/airway), intraoperative GDT, BLUE protocol, regional guidance |
| 8 | OLV Hypoxia | HPV mechanism/inhibitors, step-by-step management algorithm, CPAP to operative lung, lung-protective ventilation |
| 9 | Informed Consent | 4 ethical principles, elements (capacity/information/voluntariness), Montgomery standard, documentation, special situations |
| 10A | Uterus | Diagram with parts, blood supply (uterine artery + anastomoses), Frankenhäuser's ganglion, nerve supply T10-L2/S2-S4 |
| 10B | Pregnancy Changes | All systems tabulated, aortocaval compression, ↓ MAC, ↓ LA requirement, RSI rationale, FRC reduction |