Mod 2 Mock Exam (version 2) Flashcards

1
Q

Name 3 types of advanced airway and briefly explain each one

A
  • Supraglottic airway (iGel) – Sit over laryngeal frame work and closes epiglottis
  • Surgical Cricothyroidotomy – An incision made through cricothyroid membrane through which a cuffed tube is introduced to maintain a clear and protected airway
  • Endotracheal Intubation – Introduction of cuffed tube through larynx into trachea to maintain a clear, protected airway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Define Intravenous cannulation

A

A device that is inserted into a peripheral vein to take a blood sample or administrations of fluids and/or drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name the 2 types of IV fluids we use

A
  • Crystalloid fluids – solutions of small molecules of water (e.g. sodium chloride, glucose, hartmann’s)
  • Colloid fluids – blood products
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the process to decompress some ones chest in case of a tension pneumothorax

A

Needle Thoracocentesis - Insertion of a wide bore cannula through the 2nd intercostal space in the mid clavicular line, above the third rib; to alleviate a life threatening tension pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name the 3 F Med forms and when they would be used

A
  • F Med 5 – Routine
  • F Med 143 – Prelims
  • F Med 826 – Field medical card
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Define last offices

A

Last offices is the care given to a deceased patient, which demonstrates our respect for the dead and is focussed on fulfilling religious and cultural beliefs as well as Health and Safety an legal requirements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name 12 aspects of daily living

A
  • Maintaining a safe environment
  • Communication
  • Breathing
  • Eating and drinking
  • Eliminating
  • Personal cleansing
  • Dressing (body temp control), mobilising
  • Working and pay
  • Express sexuality
  • Sleeping
  • Dying
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Outline the 5 priorities of triage

A

Priority 1 (T1) - Immediate treatment (RED)

Priority 2 (T2) - Urgent treatment (YELLOW)

Priority 3 (T3) - Delayed treatment (GREEN)

Priority 4 (T4) - Expectant

Dead - Dead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the three levels of command

A
  • Gold (Strategic)
  • Silver (Tactical)
  • Bronze (Operational)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Name the four stages of digestion

A
  • Ingestion
  • Digestion
  • Absorption
  • Elimination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Briefly describe the 4 stage of digestion

A
  • Ingestion - Food is masticated (chewed), mixed with saliva, then pass to stomach
  • Digestion - Food mixed with acid enzymes in stomach (chyme), passed to small intestine

*Absorption - chyme continues
through intestine, nutrients absorbed through small, water through large intestine

*Elimination (defecation) -elimination of waste

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define enzymes

A

A chemical substance which causes or accelerates a chemical change in another substance without being changed itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define peristalsis

A

A wave of contraction caused by contraction of longitudinal and circumferential involuntary (smooth) muscle in the wall of the digestive tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How long is esophagus

A

25cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name 10 primary components of the digestive system and give one function for each one

A
  • Mouth - Entry point for food, saliva released by salivary gland when we smell food, chewing (mastication) breaks food down, tongue helps to mix food with saliva, tongue and soft palate help move food to pharynx and esophagus
  • Pharynx - The throat is transition point from mouth to esophagus, the epiglottis aims to prevent food going down the trachea (wrong path) and aims to ensure food goes down the esophagus to the stomach
  • Esophagus - A muscular tube that contracts and relaxes (peristalsis) to move food towards the muscular valve (lower esophageal sphincter) which will relax to let food into the stomach. 25cm long
  • Stomach - Glands lining the stomach release acid and enzymes that break down food further. The muscles in the stomach mix the food. Transforming food you eat into chyme (thick creamy fluid)
  • Duodenum - First part of small intestine, further food breakdown
  • Small Intestine - Two parts (jejunum & ileum), absorption of nutrients into bloodstream through intestine walls. Left over and waste is move to large intestine
  • Large Intestine - Four parts (ascending, transverse, descending & sigmoid). Solidifies waste products (by absorbing water) forming a stool
  • Rectum and Anus - Stool is stored in rectum, once there feedback sent to brain for need of bowl movement. Stoll then moved through anus and out of the body
  • Liver - Production of bile for fat digestion and elimination, nutrients stored in liver, toxins and chemicals filtered by liver. Heat production, energy store, converts glucose to glycogen and vis versa. Metabolising alcohol
  • Pancreas - Regulation of blood sugar, production of insulin, production of digestive enzymes (exocrine system)
  • Peritoneum - Thin membrane lining abdominal and pelvic cavities
  • Gallbladder - Bile stored and realised, when fatty food enters duodenum gallbladder contracts and realises bile
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Define nasal gastric intubation

A

Passing of nasogastric tube via a passage down the oesophagus into the stomach

17
Q

Name 2 contra-indications of nasal gastric intubation

A
  • Patients who require long-term enteral tube feeding in whom it may be more appropriate to use a gastrostomy tube
  • Severe mid-face trauma
  • Recent Nasal surgery
18
Q

Name 3 complications of nasal gastric intubation

A
  • Incorrect placement
  • Coiling of NG tube
  • Inducing retching or vomiting
  • damage to the nasal passages (epistaxis)
  • Possible intra-cranial placement in the casualty with basal skull fracture
19
Q

Name 3 functions of the kidneys

A
  • Formation and secretion of urine
  • Regulates water, electrolyte and acid balance
  • Production and secretion of hormone that stimulates formation of red blood cells
  • Excretion of waste products
20
Q

What size is a kidney

A

11cmx6cmx3cm

21
Q

Identify 4 common GU conditions

A

Urinary tract infection/cystitis

  • Balanitis
  • Testicular pain
  • STD’s
22
Q

Name 3 aspects of aftercare of a mother and baby (child birth)

A
  • Checked by midwife ASAP
  • Keep warm and dry
  • Observe mother for bleeding
  • Reassess observations
23
Q

What is crowning in relation to child birth

A

Babies head begins to appear

24
Q

Describe the 3 stages of labour

A

*First stage -
Dilation of the cervix, this can take 8 – 12 hrs
“A Show” a bloodstained mucus vaginal discharge (plug)
Regular contractions can start at 5 -15 mins intervals get more and more regular
Mother needs to be admitted when contractions are 10 min apart
Rupture of the membranes (waters breaking) sudden loss of watery fluid from the vagina towards the end of this stage.

*Second stage -
Patient full dilation 10 cm
Rupture of membranes, unless occurred earlier
Increase and strength in contractions 2-3 mins apart
Acute expulsion of baby through birth canal
Transit of baby through canal should last no more than two hours
Labour is normally quicker in subsequent births.

*Third stage -
Expulsion of placenta, may take 5 - 60 mins
Mother may feel the urge to bear down as placenta is delivered
A gush of blood can be expected. No more than 200-300ml.