A+E

Question 1

GCS?

Answer 1

654 MoVE

Eye opening
4. Spontaneous
3. To speech
2. To pain
1. None

Verbal response
5. Orientated
4. Confused
3. Words
2. Sounds
1. None

Motor response
6. Obeys commands
5. Localises to pain
4. Withdraws from pain
3. Abnormal flexion to pain (decorticate posture)
2. Extending to pain
1. None

Question 2

Acute pulmonary oedema initial Mx

Answer 2

Sit up, IV loop diuretic

Can also give oxygen and or vasodilators if clinically approrpiate

Question 3

Tension pthx Mx

Answer 3

Immediate needle decompression

Question 4

How to decide whether to give acetylcysteine when u have g of paracetamol

Answer 4

Divide mg of paracetamol by their weight in KG

If above 150 then give

Question 5

What is the adrenaline dose in anaphylaxis and cardiac arrest

Answer 5

Anaphylaxis= 0.5mg= 0.5ml 1:1000- give IM

CA= 1mg= 1ml 1:1000 IV- give IV