Part C Flashcards
1
Q
Patient requesting morning after pill
A
Consensual sex Protection LMP Sexual history STI, IVDU Drug use Pregnancy test MAP if bHCG -ve GUM clinic review Future Contraception (GP)
2
Q
Child Birth in ED
Not breathing
A
Call for neonatal team Hx; full term? Clear amniotic fluid? Dry and wrap baby ABC 5 inflation breaths Ventilate (30/min) CPR (1breath: 3compressions) Intubate, umbilical vein access Adrenaline (0.1ml/kg)
3
Q
Discharge advice PNX
A
Repeat CXR 4-6w
Avoid flying 6w
Avoid scuba diving permanently
Safety net
4
Q
Returning traveller
A
Travel history Vaccinations Anti malarials (net) Sexual hx Drug hx
5
Q
Max dose lidocaine
A
Max 3mg/kg
Max 200mg
6
Q
Patient demanding controlled drug
A
Drug and alcohol history
Offer alternative medication
7
Q
ECG lead placement
A
1/2 - 4th intercostal space
4 - 5th IC space mid clav
6 - 6th IC space mid axil
8
Q
MSE
Mental state exam
A
ASEPTIC Appearance/behaviour Speech Emotion (mood/affect) Perception (hallucinations) Thought (content/ form) Insight Cognition (AMT)
9
Q
Developmental milestones
A
1) Gross motor
2) Vision/Fine motor (tools)
3) Hearing, speech, language
4) Social, emotional, behavioural
10
Q
Sexual history
A
Last sexual encounter Regular/Casual Male/female Country of origin Oral/anal/vaginal Contraception/ condoms Drugs/multiple partners/ paid sex How many partners in 3/6months Consensual previous STI
11
Q
Preparation for RSI
Equipment and drugs
A
Suction Laryngoscope x2 (check) ETT x2 (check cuff) 10ml syringe Bougie Lube ETCO2 Ambu bag/ waters IGel/Guedel/NP/
Roc, Fent, Prop, ket
12
Q
RSI checklist
A
SPEEDBOMB Suction People Equipment ETCO2 Drugs Bed O2 Monitoring Brief
13
Q
Eclamptic seizure
A
ABCDE Quick hx - x/40, AMPLE 4g IV magnesium BP control Anaesthetics Obstetrics Neonatal team
14
Q
SAMPLE Hx
A
S – Signs/Symptoms A – Allergies M – Medications P – PMH L – Last Ate or LMP E – Events Illness / Injury
15
Q
Suicide risk score
A
Sex (M) Age (older) Depression Previous attempt EtOH, drugs Rational thinking loss Social support lacking Organised plan No spouse Sickness
16
Q
Suicide attempt Hx
A
Events Drugs, EtOH Help/Discovered? SADPERSONS Home - dependents Social services
17
Q
Eye exam
A
Acuity Visual fields Eye movements Pupil RAPD Lid eversion Fundoscopy - 4 quads, macula, fovea Conjunctiva and sclera
18
Q
Pregnant cardiac arrest
A
Displace gravid uterus ALS Anaesthetics Obstetrician Neonatal team Early intubation Peri-mortem c section
