00 F1 Induction

Question 1

If CI to blind NG tube

Consider

Answer 1

Fluoroscopically guided

Question 2

Gastric decompression tool

Answer 2

Ryles tube (wide bore)

Question 3

When to X-ray NG tube placement
Vs
Start feed

Answer 3

pH 5.5: recheck in 1h

Still over 5.5: X-ray

Question 4

What to do if no aspirate on NG insertion

Answer 4

Roll onto side : aspirate
Inject 10-20ml air, wait 15min: aspirate
Advance tube 10-20cm: aspirate
X-ray

Question 5

NG tube X-ray interpretation

Answer 5

Bisects carina
Crosses diaphragm in midline
Deviates L after diaphragm

Question 6

Length NG tube should be

Answer 6

NEX + upto 15cm

NEX: nose, ear, xiphi length

Question 7

CI to blind NG tube

Answer 7

Head and upper GI CI

Post op upper GI
Hiatus hernia and GORD 
Loss swallow
Oesophageal abnormality
- pouch, stricture, varices

Basal skull #
Nasal injury
Deviated nasal septum

Question 8

Opioid patches not suitable for

Answer 8

Immediate relief

Opioid naive pt

Question 9

When to use oxycodone

Answer 9

Impaired renal function

Over 70

Question 10

Examples modified release opioids

Answer 10

Zomorph
MST continus
OxyContin

Question 11

Examples oral immediate release opioids

Answer 11

Morphine oral solution
Sevredol
Oxynorm

Question 12

Oxycodone potency v morphine

Answer 12

2x morphine

Question 13

Morphine SC potency vs oral morphine

Answer 13

SC 2x oral morphine potency

Question 14

Increasing opioid dose x amount

Answer 14

30-50% higher

Question 15

DVLA and prolonged opioid use

Answer 15

Pt must contact DVLA

Question 16

Rescue dose opioid: amount

Answer 16

1/6 to 1/10 daily dose

Question 17

Non severe hypersensitivity reaction include

And importance

Answer 17

Minor rash
Delayed rash >72h

May use ceph/ carbapenem
Avoid penicillin

Question 18

Timentin

Answer 18

Ticarcillin and clavulonate

Question 19

Surgical Abx prophylaxis

Question 20

Drugs requiring monitoring

Serum levels

Answer 20

Gentamicin
Vancomycin
Teicoplanin