Emergency medicine

Question 1

Indicators of good CPR

Answer 1

Pupil size and reaction to light
Femoral pulse
Carotid pulse

Question 2

Tension pneumothorax management

Answer 2

Needle thoracotomy

Question 3

Anaphylaxis in children

Answer 3

Adrenaline 1: 1000 IM
0.01 ml per kg

20 kg - 0.2 ml

Question 4

Most frequent cause of acquired angio-oedema

Answer 4

ACE inhibitors

Question 5

Sign of possible airway obstruction in the child

Answer 5

Sitting up
Leaning forward
Drooling

Question 6

How to cool a burn injury caused by fire

Answer 6

Wash with water

But not ice water

Question 7

Side effects of digoxin

Answer 7

Bradycardia
Hypotension
Cardiac arrest
Ventricular arrhythmia

Question 8

Blood urgent transfusion

Answer 8

0 negative

Question 9

Acute asthma attack

Answer 9

Oxygen
Prednisone for three days
Salbutamol nebulised
Ipratropium nebulised

Question 10

Opiate overdose

Morphine
Fentanyl
Codeine

Answer 10

Constricted pupil
Bradycardia
Respiratory depression

Question 11

Cocaine poisoning

Answer 11

Tachycardia
Hypertension
Sweating

Question 12

Alcoholic in hospital from 24 hours without drinking

Answer 12

Alcohol withdrawal

Diazepam

Question 13

Antidepressant for high risk suicidal patients that doesn’t cause overdose

Answer 13

Mirtazapine

Question 14

Severe hyperkalaemia treatment

Answer 14

Calcium chloride IV

Question 15

Acute pulmonary oedema

Answer 15

Oxygen
Sit up
Glycerin tri-nitrate
CPPA
Frusemide IV

Question 16

Child ingested detergent powder

Answer 16

Give oral fluids

Question 17

Patient, unconscious and not breathing

Answer 17

Clear way and start chest compressions

Question 18

Most, common cause of death inpatients with STEMI

Answer 18

Ventricular fibrillation

Question 19

Organophosphate poisoning acts on cholinergic receptors

Answer 19

Diarrhoea
Urination
Myosis
Bradycardia

Question 20

Child unconscious and the low glucose

Answer 20

Glucose 10%

In adult 50%

Question 21

Overdose of paracetamol 1 hour ago

Answer 21

1. Activated charcoal.
2. Measure serum paracetamol level if less than eight hours.
3. N-acetyl cysteine

Question 22

Patient on aspirin requires urgent surgery

Answer 22

Give platelets during surgery

Question 23

Cremaster reflex is absent means

Answer 23

Testicular torsion

Question 24

Manual distortion -

Answer 24

Rotate in a medial to lateral direction

As if you were opening a book

Question 25

2nd° burn treatment

Answer 25

Silver sulphadiazine dressing

Question 26

Basophilic stippling of RBCs Living in old house

Answer 26

Lead poisoning

Question 27

Rib fractures but no haemothorax or pneumothorax Shortness of breath later Well defined infiltrate in the lung on x ray

Answer 27

Pulmonary contusion

Question 28

Just x-ray sign of aortic injury

Answer 28

Widening of mediastinum > 8 cm

Question 29

Anticholinergic syndrome

Answer 29

Dry mouth Constipation Blurry version In the elderly who have taken multiple medications with anticholinergic properties