EFA

Question 1

What is the golden window of opportunity for paracetamol OD intervention?

Answer 1

8hours

Question 2

What is the limit of paracetamol in the blood?

Answer 2

150

Question 3

What is the risk with gastric lavage?

Answer 3

Aspiration

Question 4

Most appropriate treatment for paracetamol OD?

Answer 4

Acetylcysteine

Question 5

What is another name for carbon monoxide poisoning? What do you give to treat?

Answer 5

Carboxyhaemoglobin therapy

Give as much oxygen as possible therapy via a non-rebreathe mask?

Question 6

If oxygen therapy doesn’t work, what do you give for CO poisoning?

Answer 6

Hyperbaric therapy

Question 7

Triad for cauda equina

Answer 7

Incontinence,
reduced anal tone
reduced perianal session

Question 8

Acute hypercapnic respiratory failure in someone with COPD - first line treatment?

Answer 8

NIV

Question 9

Type 1 respiratory failure

Answer 9

Reduced oxygen below 8kPa, normal or reduced oxygen

Question 10

Type 2 respiratory failure

Answer 10

Hypercapnic respiratory failure - carbon dioxide above above 6.5kPa and oxygen conc below 8kPa.

Question 11

What can we use to measure fluid status in a patient, besides

Question 12

If you have hypotension but normal CVP and warm peripheries, what type of shock is it?

Answer 12

DISTRIBUTIVE SEPTIC shock most probs

giving more fluids isn’t going to help, so you need to give NA or something like metaraminol

Question 13

Define sepsis

Answer 13

a life threatening response to infection associated with abnormal organ response e.g. reduced urine output

Question 14

Types of ventilation

Answer 14

Controlled/mandatory
Supportive ventilation
NIV

Question 15

Types of ventilation

Answer 15

Controlled/mandatory - this is the only one where you can augment the pressure and volume delivered
Supportive ventilation
NIV

Question 16

In chest pain of recent onset, do you give more oxygen if their sats are already at 95 percent?

Answer 16

No you monitor

Question 17

What bone is commonly broken in boxing?

Answer 17

5th metacarpal - ulnar side

Question 18

What bone is commonly broken in boxing?

Answer 18

5th metacarpal - ulnar side

also hamate

Question 19

In an acute flare of gout, would your serum urate be high?

Answer 19

No

Question 20

In an acute flare of gout, would your serum urate be high?

Answer 20

No

Question 21

How do you diagnose gout?

Answer 21

Aspiration - then send for calcium pyrophosphate or pseudogout
Look for crystals that are negatively birefringent

Question 22

Pain mediator

Answer 22

Bradykinin

Question 23

Pain mediator in acute pain

Answer 23

Bradykinin

Question 24

What part of the spinal column is responsible for light touch?

Answer 24

Dorsal column

Question 25

Tenosynovitis vs scaphoid fracture

Answer 25

tenosynovitis - more tender over the tendons

Question 26

Anterior dislocation of humerus held - nerve injury

Answer 26

Axillary nerve
deltoid paralysis
document prior to their reduction whether they have regimental patch sensation