Procedures

Question 1

Explain how to give an IM injection.

Answer 1

Wash hands, introduce + inform, consent, allergy and anticoagulants.

Drawing up needle and then sharps

Get a 22-23G needle and prepare

Find site 2cm beneath the acromion

Clean site

Inject and aspirate to check not in a blood vessel

Inject slowly for 10s.

Question 2

Explain how to give a subcut injection.

Answer 2

Wash hands.

Hello my name is Sam and I’m a third year medical student.

Name and DOB.

Today I’ve been asked to give you some medication, this will entail a small needle in the arm with a small amount of medication under the skin.

Consent, allergies, past reactions, medications

Prepare at tilt

Clean site

22G-30G needle, press skin

Thanks and safety net.

Question 3

What is WINCER?

Answer 3

Wash hands

Introduce

Name and age

Explain…this will entail

Conset

Question 4

Where should you play ECG limb leads?

Answer 4

Ulnar styloid - just above

Medial malleolus - just above

Question 5

Two things to remember for arterial exam:

Answer 5

SUGAR CUBE and SUPINE

Question 6

tO REMEMBER FOR CRANIAL NERVE EXAM

Answer 6

SAFAS

Snellen –>
Acuity –>
Fundocopy –>
Fields –>
Accomodation –>
Swinging light tesr –>

PHN -

Ptosis and pupil size
H
Nystagmus

Corneal reflex offer and jaw jerk

Question 7

Where is the great saphenous vein?

Answer 7

Question 8

How to do a cebellar exam?

Answer 8

General inspection

Gait

Romberg

Co-ordination

Arms co-ordiation

What did you do today

Question 9

Urinalysis

Answer 9

Look

Smell

Do

Question 10

What are pitfalls of spirometry?

Answer 10

Slow start

Cough

Breathing through nose

Question 11

How does a patient do spirometry?

Answer 11

Deep breath in –> purpse lips –> hard and quick

Question 12

What is taken in to account in spirometry?

Answer 12

sex, age, weight and height