- Khaled Elfituri
This book contains 540 questions in 6 papers as they might appear in the examination. Each paper has 90 questions, each with 5 parts. There are 30 physiological questions, 30 pharmacology questions and 30 physics, clinical measurement and statistics questions. The questions have been constructed using information remembered by candidates sitting the London college examination in recent years. These may not be the exact questions as they appeared in the examination but will be of the same degree of difficulty and cover the same topics. In order to pass the primary anaesthesia examination, knowledge is required and it is essential to learn about all the topics that might be examined. These questions are a guide to the syllabus and the subjects that should be covered before appearing in the examination. It is probably not realistic to try to learn by just reading an MCQ book. But once the trainee has studied for 6 months or more then a book such as this is one way of testing whether enough of the topics have been covered and then the level of knowledge and understanding that has been achieved. It is important to practise a technique for answering MCQ questions. In the examination hall it is a good idea not to record the answers on the answer sheet during the first 15 minutes as that is when mistakes of entering the answers under the wrong question number occur. But it is important that, every time a question is read, a decision is made about the answer and that decision should be recorded on the question sheet, before transferring anything to the answer sheet. Use a code that allows you to record a decision every time you read a question. Place a mark against each question on the question paper such as T (true), F (false) or X (do not know). Start to transfer your certain answers to the answer sheet only once the adrenaline is settling down. Go back again and re-read the questions you were not certain about. Look at what you thought the answer was the first time and if you think it is the same on a second reading it may be worth transferring that answer. Use the suggested answers in the book to check if you are guessing too much and getting it wrong too often or not transferring some of your hunches which are proving to be correct.
It is always difficult to be certain of the pass mark, but below 50% will not be a pass, between 50% and 55% will sometimes be a pass, between 55% nd 60% should be a pass, but it will vary between each sitting of the examination. If the examination changes to one correct answer for every five questions the answering technique will remain the same. Record your answer on the question paper to start with and only transfer answers when you are certain and when your adrenaline has settled. Then go back and check the ones you have not transferred. If there is no negative marking you should answer all the questions with your best guess but you want to avoid making too many changes on the answer sheet. Read each question carefully. Some common problems include seeing a question on a familiar topic but not checking the decimal point, the units used or the negative phrasing. The words ‘may’ and ‘can’ are usually true but not always and ‘always’ will usually be false in medical matters.
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