General Med

Question 1

What does PEFR stand for?

Answer 1

Peak exploratory flow rate

Question 2

What does TILE stand for?

Answer 2

Task
Individual
Load
Environment

Question 3

What is the normal Sp02 range for an adult?

Answer 3

94-98%

Question 4

What does MFD stand for?

Answer 4

Medically fit to deploy

Question 5

What form is used to request spectacles?

Answer 5

FMED 79

Question 6

What does A, L, M, E stand for?

Answer 6

Air
Land
Marine
Environment

Question 7

Where are vaccinations recorded?

Answer 7

DMICP

FMED 965

Question 8

How should contaminated waste be destroyed?

Answer 8

Incinerated

Question 9

Who should incidents within a medical facility be reported to?

Answer 9

MO
Med Sgt
Practice Manager

Question 10

In what time frame should an accident be reported (not resulting in death)?

Answer 10

Within 48hrs of the incident

10 consecutive days

Question 11

What does RIDDOR stand for?

Answer 11

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations

Question 12

What is the normal body temperature range?

Answer 12

36-37.5

Question 13

Composition of air.

Answer 13

78% nitrogen
21% oxygen
0.04% CO2
Inert gas and water vapour

Question 14

Air we breathe out.

Answer 14

78% nitrogen
16% oxygen
4% CO2

Question 15

Breathing rates
Adult 
5-12
2-5
1-2
0-12 months

Answer 15

12-20
20-25
25-30
25-35
30-40

Question 16

Pulse rates 
Adult 
5-11
2-5
1-2
<1

Answer 16

60-80
80-120
95-140
100-150
110-160

Question 17

State four ways poisons can enter the body

Answer 17

Ingestion
Inhalation
Absorption
Injection

Question 18

What percentage of fentanyl is absorbed in the oral mucosa?

Answer 18

25%

Question 19

What are the 3 treatment aims for the mother in emergency childbirth?

Answer 19

Prevent trauma
Relive pain
Prevent infection

Question 20

Indications for Nasogastric Intubation

Answer 20

Abdo surgery
Prior to surgery
Short term feeding
To remove toxic substances from stomach

Question 21

Contra indication to NG Intubation

Answer 21

Long term feeding
Coagulation disorders
Severe mid face trauma
Recent nasal surgery

Question 22

Indications for catheterisation

Answer 22

Fluid monitoring is essential 
Unable to pass urine 
Abdo/pelvic injury 
Head injury 
Post anaesthetic 
Unmanageable incontinence
C-sPine

Question 23

Contra indications for catheterisation

Answer 23

Major pelvic fractures

Urethral bleeding

Question 24

List 5 treatments for burns

Answer 24

Cool for 10 mins
Fluid 
Cover wound with strips of cling film 
High level 02
Treat for shock 
Pain relief 
Be prepared to insert airway

Question 25

ET intubation complications

Answer 25

``` Going into R bronchus only Failed intubation Damage to teeth Hypoxia Spinal cord injury Laryngeal spasm Oesophageal intubation ```

Question 26

Complications of needle thorococentesis

Answer 26

Infection Local haemotoma Pneumothorax

Question 27

3 stages of asthma

Answer 27

Mild Severe Life-threatening

Question 28

Mild asthma signs

Answer 28

``` Talking Resp rate <25 And Tachycardia <120 Medical history asthma Peak flow >50% predicted ```

Question 29

Severe asthma signs

Answer 29

``` Respiratory wheeze No full sentence Resp rate increase >25 Tachycardia >120 Peak flow <50% predicted ``` ``` CRAWL Can’t talk Resp rate And tachycardia Wheeze Low PEFR ```

Question 30

Life-threatening asthma signs

Answer 30

``` SCRUB silent chest / loud wheeze Cyanosis Resp rate ^ Unconscious Bradycardia Exhaustion PEFR <33% predicted ```

Question 31

What is the second stage of labour?

Answer 31

The full dilation of the cervix 10cm to birth of the baby

Question 32

Types of burns

Answer 32

``` Dry Scald Radiation Chemical Electric ```

Question 33

Paralysis of lower limbs

Answer 33

Paraplegia

Question 34

Brain shaking is also called

Answer 34

Concussion

Question 35

Spinal cord finishes at

Answer 35

2nd lumbar

Question 36

Two types of seizures

Answer 36

Generalised | Partial

Question 37

Status epilepticus is a seizure lasting longer than...

Answer 37

30 mins

Question 38

Fluids is to be given with caution to

Answer 38

Head injury raised ICP renal trauma Cardiac failure

Question 39

First stage of labour

Answer 39

Dilation of cervix 8-12hrs A show, bloodstained mucus vagina discharge Regular contractions 5-15mins intervals Mother needs to be admitted when 10 mins apart Water breaking is end of this stage

Question 40

Signs and symptoms of hyperglycemia

Answer 40

``` Rapid pulse Aggressive Pale/sweaty Thirst Seizures Confusion ```

Question 41

Hypoglycaemia is low glucose how much?

Answer 41

<4mmols

Question 42

What 3 things are tested in response in GCS

Answer 42

Motor Eyes Voice

Question 43

Indications for Advanced Airway

Answer 43

Protect airway from obstruction Control oxygenation and ventilation Inability to clear airway using simple techniques

Question 44

Indication for surgical cricothyroidotomy

Answer 44

Trauma burns to face and neck Conscious casualty Total upper airway obstruction

Question 45

Complications of surgical airway

Answer 45

``` Damage to carotid artery Creation of a false passage into tissues Bleeding Asphyxia Aspiration of blood Laceration of trachea/ oesophagus ```

Question 46

3 main food groups

Answer 46

Fast Carbs Proteins

Question 47

Heat exhaustion occurs at what temp range

Answer 47

37.5-40+

Question 48

Mild hypothermia is what temp range

Answer 48

32-35

Question 49

Define primary blast injuries and state which organs would be affected

Answer 49

Injury by shockwave | Ears lungs sinuses

Question 50

What stage of blast is caused by the person been thrown

Answer 50

Tertiary

Question 51

Causes for unconsciousness

Answer 51

``` Fainting Infantile convulsion/ infection Shock Head injury Stroke Heart attack Asphyxia Poison Epilepsy Diabetes ```

Question 52

Contra indications for entenox

Answer 52

Head injury Chest injury Psychotic conditions The bends diving

Question 53

Types of diabetes

Answer 53

T1 unable to produce insulin | T2 the body fails to use glucose properly

Question 54

5 types of brain injury

Answer 54

``` Concussion Compression Contusion Laceration Herniation ```

Question 55

Risks to airway

Answer 55

Immediate Delayed Insidious

Question 56

Classes of Hypovalemia

Answer 56

Class 1 Upto 750ml <15% Class 2 750-1500ml 15-30% Class 3 1500-2000ml 30-40% Class 4 Upto 2000ml >40%

Question 57

Sizes of NPA

Answer 57

``` 6 females 6.5 7 males 7.5 8 ```

Question 58

Sizes of OPA

Answer 58

``` 0 babies 1 children 2 small adult 3 large adult 4 very large adult ```

Question 59

Contra indications of OPA

Answer 59

Trismus Conscious Severe facial trauma

Question 60

Contra indications for NPA

Answer 60

Severe nasal trauma | Nasal polyps

Question 61

``` Oxygen therapy cylinder sizes CD D F HX ```

Answer 61

CD 470 l D 340 l F 1360 l HX 2300 l

Question 62

What is health?

Answer 62

A state of complete physical and mental and social well being and not merely the absence of disease.

Question 63

What is disease?

Answer 63

Disease is any state that is departure from positive health whatever that departure is physical or mental