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CMT 1 Revision > General Med > Flashcards

General Med Flashcards

1
Q

What does PEFR stand for?

A

Peak exploratory flow rate

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2
Q

What does TILE stand for?

A

Task
Individual
Load
Environment

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3
Q

What is the normal Sp02 range for an adult?

A

94-98%

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4
Q

What does MFD stand for?

A

Medically fit to deploy

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5
Q

What form is used to request spectacles?

A

FMED 79

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6
Q

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

A

Air
Land
Marine
Environment

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7
Q

Where are vaccinations recorded?

A

DMICP

FMED 965

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8
Q

How should contaminated waste be destroyed?

A

Incinerated

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9
Q

Who should incidents within a medical facility be reported to?

A

MO
Med Sgt
Practice Manager

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10
Q

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

A

Within 48hrs of the incident

10 consecutive days

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11
Q

What does RIDDOR stand for?

A

Reporting of Injuries, Diseases and Dangerous Occurrences Regulations

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12
Q

What is the normal body temperature range?

A

36-37.5

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13
Q

Composition of air.

A

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

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14
Q

Air we breathe out.

A

78% nitrogen
16% oxygen
4% CO2

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15
Q 
Breathing rates
Adult 
5-12
2-5
1-2
0-12 months
A 
12-20
20-25
25-30
25-35
30-40
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16
Q 
Pulse rates 
Adult 
5-11
2-5
1-2
<1
A 
60-80
80-120
95-140
100-150
110-160
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17
Q

State four ways poisons can enter the body

A

Ingestion
Inhalation
Absorption
Injection

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18
Q

What percentage of fentanyl is absorbed in the oral mucosa?

A

25%

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19
Q

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

A

Prevent trauma
Relive pain
Prevent infection

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20
Q

Indications for Nasogastric Intubation

A

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

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21
Q

Contra indication to NG Intubation

A

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

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22
Q

Indications for catheterisation

A 
Fluid monitoring is essential 
Unable to pass urine 
Abdo/pelvic injury 
Head injury 
Post anaesthetic 
Unmanageable incontinence
C-sPine
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23
Q

Contra indications for catheterisation

A

Major pelvic fractures

Urethral bleeding

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24
Q

List 5 treatments for burns

A 
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
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25
Q

ET intubation complications

A 
Going into R bronchus only 
Failed intubation 
Damage to teeth 
Hypoxia
Spinal cord injury 
Laryngeal spasm 
Oesophageal intubation
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26
Q

Complications of needle thorococentesis

A

Infection
Local haemotoma
Pneumothorax

27
Q

3 stages of asthma

A

Mild
Severe
Life-threatening

28
Q

Mild asthma signs

A 
Talking 
Resp rate <25
And Tachycardia <120
Medical history asthma 
Peak flow >50% predicted
29
Q

Severe asthma signs

A 
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
30
Q

Life-threatening asthma signs

A 
SCRUB 
silent chest / loud wheeze
Cyanosis 
Resp rate ^
Unconscious 
Bradycardia 
Exhaustion 
PEFR <33% predicted
31
Q

What is the second stage of labour?

A

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

32
Q

Types of burns

A 
Dry
Scald
Radiation 
Chemical 
Electric
33
Q

Paralysis of lower limbs

A

Paraplegia

34
Q

Brain shaking is also called

A

Concussion

35
Q

Spinal cord finishes at

A

2nd lumbar

36
Q

Two types of seizures

A

Generalised

Partial

37
Q

Status epilepticus is a seizure lasting longer than…

A

30 mins

38
Q

Fluids is to be given with caution to

A

Head injury raised ICP
renal trauma
Cardiac failure

39
Q

First stage of labour

A

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

40
Q

Signs and symptoms of hyperglycemia

A 
Rapid pulse
Aggressive
Pale/sweaty
Thirst
Seizures
Confusion
41
Q

Hypoglycaemia is low glucose how much?

A

<4mmols

42
Q

What 3 things are tested in response in GCS

A

Motor
Eyes
Voice

43
Q

Indications for Advanced Airway

A

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

44
Q

Indication for surgical cricothyroidotomy

A

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

45
Q

Complications of surgical airway

A 
Damage to carotid artery 
Creation of a false passage into tissues
Bleeding
Asphyxia 
Aspiration of blood
Laceration of trachea/ oesophagus
46
Q

3 main food groups

A

Fast
Carbs
Proteins

47
Q

Heat exhaustion occurs at what temp range

A

37.5-40+

48
Q

Mild hypothermia is what temp range

A

32-35

49
Q

Define primary blast injuries and state which organs would be affected

A

Injury by shockwave

Ears lungs sinuses

50
Q

What stage of blast is caused by the person been thrown

A

Tertiary

51
Q

Causes for unconsciousness

A 
Fainting 
Infantile convulsion/ infection 
Shock
Head injury 
Stroke 
Heart attack 
Asphyxia 
Poison 
Epilepsy 
Diabetes
52
Q

Contra indications for entenox

A

Head injury
Chest injury
Psychotic conditions
The bends diving

53
Q

Types of diabetes

A

T1 unable to produce insulin

T2 the body fails to use glucose properly

54
Q

5 types of brain injury

A 
Concussion 
Compression 
Contusion 
Laceration 
Herniation
55
Q

Risks to airway

A

Immediate
Delayed
Insidious

56
Q

Classes of Hypovalemia

A

Class 1
Upto 750ml
<15%

Class 2
750-1500ml
15-30%

Class 3
1500-2000ml
30-40%

Class 4
Upto 2000ml
>40%

57
Q

Sizes of NPA

A 
6 females
6.5
7 males
7.5
8
58
Q

Sizes of OPA

A 
0 babies
1 children
2 small adult 
3 large adult
4 very large adult
59
Q

Contra indications of OPA

A

Trismus
Conscious
Severe facial trauma

60
Q

Contra indications for NPA

A

Severe nasal trauma

Nasal polyps

61
Q 
Oxygen therapy cylinder sizes
CD
D
F
HX
A

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

62
Q

What is health?

A

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

63
Q

What is disease?

A

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

CMT 1 Revision (11 decks)

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