COVID19

Question 1

what comorbidities 3 put px at higher risk of developing severe symptoms if infected with covid 19

Answer 1

AF
htn
t2dm

Question 2

what are the different sampling options for obtaining an upper respiratory tract sample?

Answer 2

combined nose and throat swab in one collection tube with universal transport medium,
single swab used for throat and then nose or nasopharyngeal aspirate in universal transport pot

Question 3

in a patient with mild illness what is the median time to recovery?

Answer 3

14 days

Question 4

what is the median time period between symptom onset and critical care admission in patients with covid 19?

Answer 4

5 days

Question 5

for inpatients with suspected covid 19 what tests should be performed?

Answer 5

for inpatients with suspected covid 19 what tests should be performed?

Question 6

in patients with disease would creatinine be high or low?

Answer 6

high

Question 7

in patients with disease would the following be high or low?
CRP, ferritin, LDH and troponin

Answer 7

high

Question 8

patients with disease might show lymphocytopenia in their FBC which would correlate to what

Answer 8

decreased platelet count

Question 9

what might LFTs show in patients with diease?

Answer 9

increased Bili, ALT, AST

Question 10

in patients with disease ABGs would show hypoxia, would lactate be increased or decreased?

Answer 10

increased

Question 11

what 2 things do diagnostic samples for suspected cases include?

Answer 11

nasopharyngeal swabs and sputum if available

Question 12

what are the samples for the lower respiratory tract called?

Answer 12

endotracheal aspirates

Question 13

True or false, covid 19 swab samples may be sent through a pneumatic tube system?

Answer 13

false!

Question 14

what is the firstline imaging for covid 19?

Answer 14

CXR

Question 15

symptoms of long covid

Answer 15

fatigue, sob, memory and concentration problems and difficulty sleeping

Question 16

symptoms for covid 19 appear how many days after exposure to the wild type?

Answer 16

5-11

Question 17

PPE must comply with the british/ european standards and be:

Answer 17

single or sessional use only, disposed in clinical waste bins, located close to use and stored appropriately to prevent contamination

Question 18

for non aerosol generating procedures what is the required order in which PPE is put on?

Answer 18

disposable plastic apron, fluid repellent surgical mask, eye protection, disposable gloves

Question 19

There is a set order to doff PPE to minimise cross contamination, outline the order?

Answer 19

1. peel gloves, roll inside out and dispose in clinical waste
2. perform hand hygiene
3. peel of apron, roll inside out and dipose in clinical waste
4. remove protective eyewear by sides and dispose in clinical waste
5. leave side room
6. perform hand hygiene
7. remove and clinical dispose of mask
8. hand hygiene

Question 20

with regards to ceiling of care, what paperwork should be fully completed and accessible in the patients medical record?

Answer 20

DNACPR/ treatment limitation and respect form

Question 21

where appropriate the clinical fraility scale can be used to inform discussions of treatment expectations and used as part of a holistic approach in patients aged over 65 without what other conditions?

Answer 21

stable long term disabilities, learning needs and autism

Question 22

true or false, antimicrobials should be stopped if viral pneumonia is confirmed?

Answer 22

true

Question 23

what regular monitoring should be documented for the ongoing care of patients with covid 19?

Answer 23

resp rate, o2 sat, temp, hr, bp, mental status, pain scale and fluid

Question 24

what tool can be used to assess the deterioration of a patient?

Answer 24

NEWS2

Question 25

Are the following features associated with mild, moderate or severe disease?

saturations >92% on air, resp <20 on air, normotensive and usual congition

Answer 25

mild

Question 26

Are the following features associated with mild, moderate or severe disease?
oxygen req of more than 4l/min or inspired o2 >28% to maintain target sats

Answer 26

moderate

Question 27

Are the following features associated with mild, moderate or severe disease?

unable to maintain target sats, inspired o2 >50% to maintain target sats, resp rate >30 despite o2, pH <7.2, systolic BP< 90 mmHg, other organ failure and decreased concious state?

Answer 27

severe

Question 28

What drug may be given as a stat subcut injection PRN or SB infusion or syringe driver for EOL care in diseased patients with restlessness and agitation?

Answer 28

midazolam

Question 29

what is the first line recommended corticosteroid for patients with disease and what is the daily dose for 10 days? PO

Answer 29

dexamethasone 6mg

Question 30

name 2 alternative corticosteroids that may be used in the management of covid 19 if dexamethasone is contraindicated or unavailable

Answer 30

hydrocortisone and prednisolone

Question 31

name 2 IL6 inhihibitors which may be used in the management of covid 19?

Answer 31

tocilizumab and sarilumab

Question 32

true or false, there are no known drug interactions between tocilizumab and sarilumab and either dexamethasone or hydrocortisone?

Answer 32

true

Question 33

remdesivir can be used to treat in certain populations for how many days?

Answer 33

5

Question 34

name 2 monoclonal antibodies which may be used in disease treatment?

Answer 34

casirivimab and imdevimab

Question 35

casirivimab and imdevimab

Answer 35

28